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CCR7表达在乳腺癌中的临床病理及预后价值的文献综述:一项系统评价和荟萃分析

The Clinicopathological and Prognostic Value of CCR7 Expression in Breast Cancer Throughout the Literature: A Systematic Review and Meta-Analysis.

作者信息

Elhadary Mohamed, Elsayed Basel, Elshoeibi Amgad Mohamed, Karen Omar, Elmakaty Ibrahim, Alhmoud Jehad, Hamdan Ahmad, Malki Mohammed Imad

机构信息

College of Medicine, QU Health, Qatar University, Doha P.O. Box 2713, Qatar.

Department of Medical Education, Hamad Medical Corporation, Doha P.O. Box 3050, Qatar.

出版信息

Biomedicines. 2025 Apr 21;13(4):1007. doi: 10.3390/biomedicines13041007.

Abstract

This study aimed to determine the clinicopathological findings and prognostic value of chemokine receptor 7 (CCR7) expression in patients with breast cancer (BC). Up to the 25th of March 2025, a search was conducted using five databases: PubMed, Embase, Scopus, Medline, and Web of Science. The methodological standards for the epidemiological research scale were used to assess the quality of the included articles, and Stata software (Stata 19) was used to synthesize the meta-analysis. We considered 12 of 853 studies that included 3119 patients with BC. High CCR7 expression was not associated with age (odds ratio [OR] 0.82, 95% confidence interval [CI] 0.66-1.03); clinicopathological findings, including tumor size (OR 1.062, 95% CI 0.630-1.791); clinical stage (OR 1.753, 95% CI 0.231-13.304); nodal metastasis (OR 1.252, 95% CI 0.571-2.741); or histological differentiation (OR 1.167, 95% CI 0.939-1.450). CCR7 expression did not affect overall survival (hazard ratio 0.996, 95% CI 0.659-1.505). Our quantitative analysis did not reveal an association between CCR7 expression and poor clinicopathological or prognostic features in BC patients. Because of the high heterogeneity and potential publication bias, large high-quality studies are required to further confirm these findings.

摘要

本研究旨在确定趋化因子受体7(CCR7)表达在乳腺癌(BC)患者中的临床病理特征及预后价值。截至2025年3月25日,使用五个数据库进行了检索:PubMed、Embase、Scopus、Medline和Web of Science。采用流行病学研究量表的方法学标准评估纳入文章的质量,并使用Stata软件(Stata 19)进行荟萃分析。我们从853项研究中筛选出12项,共纳入3119例BC患者。CCR7高表达与年龄无关(比值比[OR]0.82,95%置信区间[CI]0.66 - 1.03);与临床病理特征无关,包括肿瘤大小(OR 1.062,95% CI 0.630 - 1.791)、临床分期(OR 1.753,95% CI 0.231 - 13.304)、淋巴结转移(OR 1.252,95% CI 0.571 - 2.741)或组织学分化(OR 1.167,95% CI 0.939 - 1.450)。CCR7表达不影响总生存期(风险比0.996,95% CI 0.659 - 1.505)。我们的定量分析未发现CCR7表达与BC患者不良临床病理或预后特征之间存在关联。由于存在高度异质性和潜在的发表偏倚,需要大型高质量研究来进一步证实这些发现。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf71/12024592/f694cd103394/biomedicines-13-01007-g001.jpg

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