张雅婷, 李沛, 贺轶迪, 李易桐, 李玉民. 14-3-3ζ蛋白表达与胃癌相关性的Meta分析[J]. 循证医学, 2020, 20(2): 89-95. DOI: 10.12019/j.issn.1671-5144.2020.02.007
    引用本文: 张雅婷, 李沛, 贺轶迪, 李易桐, 李玉民. 14-3-3ζ蛋白表达与胃癌相关性的Meta分析[J]. 循证医学, 2020, 20(2): 89-95. DOI: 10.12019/j.issn.1671-5144.2020.02.007
    ZHANG Ya-ting, LI Pei, HE Yi-di, LI Yi-tong, LI Yu-min. The Relationship of 14-3-3ζ Protein Expression and Gastric Cancer: A Meta-Analysis[J]. Journal of Evidence-Based Medicine, 2020, 20(2): 89-95. DOI: 10.12019/j.issn.1671-5144.2020.02.007
    Citation: ZHANG Ya-ting, LI Pei, HE Yi-di, LI Yi-tong, LI Yu-min. The Relationship of 14-3-3ζ Protein Expression and Gastric Cancer: A Meta-Analysis[J]. Journal of Evidence-Based Medicine, 2020, 20(2): 89-95. DOI: 10.12019/j.issn.1671-5144.2020.02.007

    14-3-3ζ蛋白表达与胃癌相关性的Meta分析

    The Relationship of 14-3-3ζ Protein Expression and Gastric Cancer: A Meta-Analysis

    • 摘要: 目的 评价14-3-3ζ蛋白的表达与胃癌的相关性。 方法 计算机检索中国期刊全文数据库、维普中文科技期刊数据库、中国生物医学文献数据库、万方数据知识服务平台、 PubMed、Web of Science核心合集、Cochrane 图书馆和EMBASE数据库,搜集国内外公开发表关于14-3-3ζ蛋白的表达与胃癌相关性的研究,检索时限至2019年11月14日。筛选文献、提取资料和评价纳入研究的偏倚风险后,采用RevMan 5.3.5软件进行Meta 分析。 结果 共纳入6篇文献,共计671例胃癌组织,其中14-3-3ζ蛋白高表达的胃癌组织为414例,低表达257例。Meta 分析结果显示: 胃癌组织中14-3-3ζ蛋白多呈高表达比值比=4.94,95%可信区间(1.29,18.82),P=0.02,高表达多见于肿瘤临床分期为Ⅲ~Ⅳ期的胃癌患者比值比=0.34,95%可信区间(0.12,0.92),P=0.03;但与年龄比值比=0.87,95%可信区间(0.59,1.28),P=0.48、性别比值比=1.11,95%可信区间(0.72,1.69),P=0.64及肿瘤大小比值比=0.74,95%可信区间(0.30,1.84),P=0.02无相关性。在生存方面,14-3-3ζ蛋白低表达组胃癌患者的1年风险比=18.25,95%可信区间(6.53,51.04),P<0.000 01、2年风险比=24.37,95%可信区间(9.25,64.25),P<0.000 01、3年 风险比=20.90,95%可信区间(7.01,62.31),P<0.000 01、5年风险比=19.03,95%可信区间(7.02,51.62),P<0.000 01总体生存率均明显高于高表达组。 结论 14-3-3ζ蛋白表达与患者的临床分期及预后显著相关。

       

      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.

       

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