Abstract:
Objective To evaluate the correlation between the expression web of Science of 14-3-3ζ protein and gastric cancer.
Methods CNKI, VIP, CBM, WanFang Data, PubMed, Cochrane Library and EMBASE,were searched to identify studies on 14-3-3ζ expression for gastric cancer before November 14th,2019. Meta-analysis was performed using RevMan 5.3.5 software after screening the literature, extracting data, and evaluating the risk of bias in the included studies.
Results A total of 671 cases of gastric cancer were included in the cross-sectional study. Among them, 14-3-3ζ protein was high expressed in 414 cases and low expressed in 257. Meta-analysis shows that 14-3-3ζ protein was high expressed in gastric cancer tissues (OR=4.94, 95%CI 1.29 to 18.82,
P=0.02), and its high expression was more common in tumors with clinical stage Ⅲ~Ⅳ gastric cancer patients (OR=0.34, 95%CI 0.12 to 0.92,
P=0.03); but with age (OR=0.87, 95% CI 0.59 to 1.28,
P=0.48), gender (OR=1.11, 95%CI 0.72 to 1.69,
P=0.64) as well as tumor size (0.74,95%CI 0.30 to 1.84,
P=0.02)had no significant relationship. 1-year HR=18.25,95%CI(6.53,51.04),
P<0.000 01,2-year(HR=24.37, 95%CI 9.25 to 64.25,
P<0.000 01),3-year (HR=20.90, 95%CI 7.01 to 62.31,
P<0.000 01) and 5-year overall survival rate(HR=19.03, 95%CI 7.02 to 51.62,
P<0.000 01) of 14-3-3ζ protein low expression group were significantly higher than high expression group.
Conclusion The expression of 14-3-3ζ protein is markedly correlated with clinical stage and the prognosis of gastric cancer.