首页|STMN1表达与非小细胞肺癌预后价值的meta分析

STMN1表达与非小细胞肺癌预后价值的meta分析

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背景与目的 肺癌是全球发病率和死亡率最高的恶性肿瘤之一,严重危害人类健康,其中非小细胞肺癌(non-small cell lung cancer,NSCLC)占所有肺癌病例的85%以上.STMN1是一种广泛存在于细胞质中的微管解聚蛋白,其STMN1表达水平与NSCLC患者预后相关.本研究旨在通过meta分析探究STMN1表达水平对于肺癌预后的预测价值,筛选高敏感高特异性的生物标志物以优化肺癌患者全程管理.方法 检索PubMed、The Cochrane Library、Embase、万方、知网等数据库建库至2024年9月6日发表的相关文献,采用纽卡斯尔-渥太华量表(Newcastle-Ottawa Scale,NOS)对文献质量进行评分.采用风险比(hazard ratio,HR)及对应的95%CI探究STMN1表达水平与NSCLC患者预后的相关性.预后指标包括总生存期(overall survival,OS)和无病生存期(disease-free survival,DFS).所有统计分析由STATA17.0软件完成.结果 共纳入5项高质量研究(NOS评分≥6分),包括754例研究对象.Meta分析结果显示,STMN1 过表达与NSCLC患者OS(HR=2.28,95%CI:1.79-2.91,P<0.001)和DFS(HR=2.14,95%CI:1.45-3.17,P<0.001)较差明显相关,STMN1表达是NSCLC患者预后不良的危险因素.结论 STMN1过表达的NSCLC患者预后更差.STMN1表达水平可作为NSCLC患者的预后生物标志物,但上述结论仍需更多研究进一步论证.
Prognostic Value of STMN1 Expression in Non-small Cell Lung Cancer:A Meta-analysis
Background and objective Lung cancer is one of the malignant tumors with the highest morbidity and mortality rates worldwide,seriously threatening human health.Non-small cell lung cancer(NSCLC)accounts for more than 85%of all lung cancer cases.STMN1 is a microtubule depolymerizing protein widely present in the cytoplasm and its expres-sion level is associated with the prognosis of NSCLC patients.Through meta-analysis,this study aimed to investigate the predic-tive value of the expression level of STMN1 for the prognosis of lung cancer and screen for tumor markers with high sensitivity and specificity to optimize the whole-process management of lung cancer patients.Methods The PubMed,The Cochrane Library,Embase,WanFang and CNKI databases were searched from the inception to Sep 6,2024 for relevant literature.The quality of included studies was assessed by the Newcastle-Ottawa Scale(NOS)score.The hazard ratio(HR)with 95%CI was combined to assess the relationship between STMN 1 expression and prognostic factors.The prognostic indicators included the overall survival(OS)and disease-free survival(DFS).All statistical analysis was conducted by the STATA 17.0 software.Re-sults A total of 5 high-quality studies(NOS score≥6 points)involving 754 patients were enrolled.The pooled results demon-strated that overexpression of STMN1 was significantly related to worse OS(HR=2.28,95%CI:1.79-2.91,P<0.001)and DFS(HR=2.14,95%CI:1.45-3.17,P<0.001).Overexpression of STMN1 was a risk factor for poor prognosis of NSCLC patients.Conclusion Overexpression of STMN1 is a poor prognostic factor in NSCLC patients.STMN1 may serve as a prognostic biomarker for NSCLC patients.However,more researches are still needed to verify the above findings.

Lung neoplasmsSTMN1PrognosisMeta-analysis

李梦洁、周清华

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300060 天津,天津医科大学肿瘤医院肺部肿瘤内科,国家恶性肿瘤临床医学研究中心,天津市恶性肿瘤临床医学研究中心,天津市肿瘤防治重点实验室

610041 成都,四川大学华西医院肺癌中心,四川省肺癌研究所

肺肿瘤 STMN1 预后 Meta分析

2024

中国肺癌杂志
中国抗癌协会 中国防痨协会 天津医科大学总医院

中国肺癌杂志

CSTPCD北大核心
影响因子:1.397
ISSN:1009-3419
年,卷(期):2024.27(11)