Meta-analysis indicating that high ALCAM expression predicts poor prognosis in colorectal cancer.

Meta-analysis indicating that high ALCAM expression predicts poor prognosis in colorectal cancer.
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荟萃分析表明 ALCAM 高表达预示结直肠癌预后不良

DOI:
10.18632/oncotarget.17707
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发表时间:
2017-07-18
期刊:
影响因子:
--
通讯作者:
Guan Y
Guan Y
中科院分区:
其他
文献类型:
--
作者:
Zhang Y;Qian C;Jing L;Ren J;Guan Y

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活化的白细胞粘附分子(ALCAM)与结直肠癌(CRC)的发生发展有关。在这项荟萃分析中,我们研究了ALCAM表达是否可以预测CRC患者的生存结局。在检索PubMed、科克伦图书馆、EMBASE、奥维德和Web of Science数据库后,我们纳入了7项研究,共2048例患者。ALCAM高表达与CRC患者的总生存率相关(HR = 1.94,95%CI = 1.05-3.58,P = 0.03)。ALCAM高表达还与侵袭性临床病理特征如肿瘤分期相关,(T3、T4/T1、T2; HR = 2.66,95%CI = 2.01-3.51,P < 0.00001),淋巴结状态(阳性/阴性,HR = 2.12,95%CI = 1.61-2.82,P < 0.00001),远处转移(M1/M0,HR = 3.30,95%CI = 2.21 -4.91,P < 0.00001),肿瘤分级(3级/1,2级,HR = 1,28,95%CI = 1.00-1.62,P = 0.05),患者年龄(> 60/< 60,HR = 1.29,95%CI = 1.01-1.66,P = 0.05)。这些发现表明,ALCAM高表达与CRC患者的不良预后和晚期临床病理特征相关。
Activated leukocyte cell adhesion molecule (ALCAM) has been linked to the development and progress of colorectal cancer (CRC). In this meta-analysis, we examined whether ALCAM expression is predictive of survival outcomes in CRC patients. We included 7 studies with 2048 patients in our meta-analysis after searching the PubMed, Cochrane Library, EMBASE, OVID and Web of Science databases. High ALCAM expression was associated with poor overall survival among CRC patients (HR = 1.94, 95%CI = 1.05–3.58, P = 0.03). High ALCAM expression was also associated with aggressive clinicopathological features such as tumor stage (T3,T4/T1,T2; HR = 2.66, 95%CI = 2.01–3.51, P < 0.00001), nodal status (Positive/Negative, HR = 2.12, 95%CI = 1.61–2.82, P < 0.00001), distant metastasis (M1/M0, HR = 3.30, 95%CI = 2,21–4.91, P < 0.00001), tumor grade (grade3/grade1,2, HR = 1,28, 95% CI = 1.00–1.62, P = 0.05), and patient age (> 60/< 60, HR = 1.29, 95%CI = 1.01–1.66, P = 0.05). These findings indicate that high ALCAM expression is associated with poor prognosis and advanced clinicopathological characteristics in CRC patients.
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