机构:[1]The Second Department of Gastrointestinal Surgery,[2]Department of Gastroenterology, The Affiliated Hospital of North Sichuan Medical College, Nanchong, Sichuan Province,[3]Department of Gastrointestinal Surgery, The First Affiliated Hospital of Chongqing Medical University, Chongqing,重庆医科大学附属第一医院[4]Department of Gastrointestinal Surgery, The Affiliated Hospital of Zunyi Medical College, Zunyi, Guizhou Province,[5]Institute of Hepatobiliary, Pancreatic and Intestinal Disease, North Sichuan Medical College, Nanchong, Sichuan, China
A number of studies have attempted to determine the prognostic significance of proliferating cell nuclear antigen (PCNA) in patients with colorectal cancer (CRC), but the reports are controversial and inconsistent. Thus, we conducted a meta-analysis to clarify the value of PCNA in CRC prognosis.
A systematic search of relevant studies was performed in 4 electronic databases including PubMed, Cochrane Library, Embase, and Web of Science until February 2018. Hazard ratios (HRs) combined with 95% confidence intervals (95% CIs) were used to evaluate the relationship of PCNA expression with overall survival (OS), cancer-specific survival (CSS), and disease-free survival (DFS).
A total of 1372 CRC patients in 14 studies were identified eventually in our meta-analysis. The pooled HRs demonstrated that CRC patients with high PCNA expression was significantly correlated with poor OS (HR = 1.81; 95% CI: 1.51-2.17; P = .000), CSS (HR = 1.99; 95% CI: 1.04-3.79; P = .037); but not significantly with DFS (HR = 2.48; 95% CI: 0.98-6.26; P = .055). Sensitivity analysis showed the pooled HRs for OS, CSS, and DFS were stable when the included studies were removed one by one.
Our meta-analysis suggested that high PCNA expression was associated with poor prognosis, and it could serve as a reliable and prognostic biomarker in CRC patients. More large-scale studies are needed to further support the conclusion.
基金:
This study was supported by Sichuan Youth Science and Technology
Foundation (2017JQ0039), Scientific Research Project of Nanchong Municipal
Science and Technology Bureau (16YFZJ0128), Scientific Research Project of
Sichuan Medical Association (S15024), Scientific Research Project of Sichuan
Provincial Health and Family Planning Commission (16ZD037), and Scientific
Research Fund of Sichuan Provincial Education Department of China (13ZA0230,
14ZA0184, 15ZA0218).
第一作者机构:[1]The Second Department of Gastrointestinal Surgery,
共同第一作者:
通讯作者:
通讯机构:[1]The Second Department of Gastrointestinal Surgery,[5]Institute of Hepatobiliary, Pancreatic and Intestinal Disease, North Sichuan Medical College, Nanchong, Sichuan, China[*1]The Second Department of Gastrointestinal Surgery, The Affiliated Hospital of North Sichuan Medical College, Nanchong 637000, Sichuan Province, China
推荐引用方式(GB/T 7714):
Zhou He,Huang Tao,Xiong Yongfu,et al.The prognostic value of proliferating cell nuclear antigen expression in colorectal cancer: A meta-analysis.[J].MEDICINE.2018,97(50):doi:10.1097/MD.0000000000013752.
APA:
Zhou He,Huang Tao,Xiong Yongfu,Peng Linglong,Wang Rong&Zhang Guang Jun.(2018).The prognostic value of proliferating cell nuclear antigen expression in colorectal cancer: A meta-analysis..MEDICINE,97,(50)
MLA:
Zhou He,et al."The prognostic value of proliferating cell nuclear antigen expression in colorectal cancer: A meta-analysis.".MEDICINE 97..50(2018)