Khayyat Azadeh, Esmaeil Pour Mohammad Ali, Poursina Olia, Zohouri Seyed Amir, Jian Pragya Virendrakumar, Patel Neel, Amin Ami
Department of Pathology, Medical College of Wisconsin, WI, USA.
Department of Rheumatology, Medical College of Georgia at Augusta University, GA, USA.
Int J Mol Cell Med. 2024;13(1):1-19. doi: 10.22088/IJMCM.BUMS.13.1.1.
CDX1 and CDX2 are homeobox-type transcription factors that are potential biomarkers and are associated with prognostic significance in intestinal-type gastric cancer early disease before lymph node metastasis is associated with better prognosis. In addition, the genes IDH 1 and IDH 2 previously known to be involved in brain cancer are implicated in cancer-related molecular signatures as a result new targeted personalized therapies may be possible. Our retrospective study determined the correlation between CDX markers and clinicopathologic data including survival in patients with gastric cancer. This study included studies from 1997 to December 2022 a meta-analysis to provide odds ratios (ORs) and relative risks (RRs). We discussed in detail the impact of IDH 1/2 on the prognosis of gastric cancer outcomes and potential therapeutic strategies. Our meta-analysis included 20 studies identifying 11,163 patients with gastric cancer. We found that CDX 1 overexpression was associated with better overall survival (pooled HR: 1.28) and CDX 2 expression and better 3-year survival (pooled HR: 1.64) and 5-year survival was the pooled HR was correlated 1 94 with both showing statistical correlation. Evidence suggests that IDH 1/2 mutations and CDX 1/2 overexpression are closely associated with metabolic abnormalities epigenetic changes and mutations evidence suggests the potential for novel targeted therapies in gastric cancer. CDX 1/2 overexpression is associated with a favorable prognosis in gastric cancer cases. Further studies are needed to explore the clinical significance of IDH 1/2 mutations and CDX 1/2 expression.
CDX1和CDX2是同源异型框转录因子,它们是潜在的生物标志物,在肠型胃癌早期疾病中具有预后意义,在淋巴结转移之前与较好的预后相关。此外,先前已知参与脑癌的IDH 1和IDH 2基因与癌症相关分子特征有关,因此可能有新的靶向个性化治疗方法。我们的回顾性研究确定了CDX标志物与包括胃癌患者生存率在内的临床病理数据之间的相关性。本研究纳入了1997年至2022年12月的研究,并进行了荟萃分析以提供比值比(OR)和相对风险(RR)。我们详细讨论了IDH 1/2对胃癌预后结果的影响以及潜在的治疗策略。我们的荟萃分析包括20项研究,共纳入11163例胃癌患者。我们发现CDX 1过表达与更好的总生存期相关(合并风险比:1.28),CDX 2表达与更好的3年生存率相关(合并风险比:1.64),5年生存率的合并风险比为1.94,两者均显示出统计学相关性。有证据表明,IDH 1/2突变和CDX 1/2过表达与代谢异常、表观遗传变化和突变密切相关,这表明胃癌可能有新的靶向治疗方法。CDX 1/2过表达与胃癌病例的良好预后相关。需要进一步研究来探索IDH 1/2突变和CDX 1/2表达的临床意义。