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B7-H3表达在实体瘤患者中的预后价值:一项荟萃分析。

Prognostic value of B7-H3 expression in patients with solid tumors: a meta-analysis.

作者信息

Zhang Xianyun, Fang Chuntao, Zhang Guangbo, Jiang Fujin, Wang Lei, Hou Jianquan

机构信息

Department of Urology, First Affiliated Hospital of Soochow University, Suzhou, Jiangsu, China.

Department of Urology, The Affiliated Huai'an Hospital of Xuzhou Medical University, The Second People's Hospital of Huai'an, Huai'an, Jiangsu, China.

出版信息

Oncotarget. 2017 Sep 21;8(54):93156-93167. doi: 10.18632/oncotarget.21114. eCollection 2017 Nov 3.

Abstract

Increasing evidence suggests B7-H3 is aberrantly expressed in various cancers, though its prognostic significance in solid tumors remains controversial. We therefore performed a meta-analysis to clarify the prognostic value of B7-H3 expression in human solid tumors. The PubMed and Embase databases were searched, and 28 studies involving 4623 patients were ultimately included in the analysis. Hazard ratios (HRs) with 95% confidence intervals (CIs) were utilized as effect estimates to evaluate the association between B7-H3 expression and overall survival (OS), progression-free survival (PFS) and recurrence-free survival (RFS). The pooled results showed B7-H3 was associated with poor OS (HR = 1.58; 95% CI: 1.32-1.90; < 0.00001) and PFS (HR = 1.67; 95% CI: 1.05-2.65; = 0.031), but not RFS (HR = 1.17; 95% CI: 0.89-1.53; = 0.267). These results suggest B7-H3 is a negative predictor of OS and PFS in patients with solid tumors. B7-H3 may thus be a useful prognostic biomarker and therapeutic target for human solid tumors. However, further studies will be needed to more precisely determine the prognostic value of B7 H3 expression.

摘要

越来越多的证据表明,B7-H3在多种癌症中异常表达,尽管其在实体瘤中的预后意义仍存在争议。因此,我们进行了一项荟萃分析,以阐明B7-H3表达在人类实体瘤中的预后价值。检索了PubMed和Embase数据库,最终纳入28项研究,涉及4623例患者。采用危险比(HRs)及95%置信区间(CIs)作为效应估计值,评估B7-H3表达与总生存期(OS)、无进展生存期(PFS)和无复发生存期(RFS)之间的关联。汇总结果显示,B7-H3与较差的OS(HR = 1.58;95% CI:1.32-1.90;< 0.00001)和PFS(HR = 1.67;95% CI:1.05-2.65;= 0.031)相关,但与RFS无关(HR = 1.17;95% CI:0.89-1.53;= 0.267)。这些结果表明,B7-H3是实体瘤患者OS和PFS的负性预测指标。因此,B7-H3可能是人类实体瘤中一个有用的预后生物标志物和治疗靶点。然而,需要进一步研究以更精确地确定B7-H3表达的预后价值。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cbf/5696251/957ceba95060/oncotarget-08-93156-g001.jpg

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