Systematic Review Article

金属蛋白酶-1抑制剂在非小细胞肺癌中的预后影响:系统评价和Meta分析

卷 26, 期 42, 2019

页: [7694 - 7713] 页: 20

弟呕挨: 10.2174/0929867325666180904114455

价格: $65

摘要

背景与目的:金属蛋白酶1(TIMP-1)的组织抑制剂是一种多功能的天然基质素抑制剂,通常被认为是癌症转移的负调节剂。报告TIMP-1在非小细胞肺癌(NSCLC)中的预后价值的临床研究不一致。因此,本研究旨在确定TIMP-1表达在NSCLC中的预后影响。 方法:截止至2018年3月7日,在中国国家知识基础设施(CNKI),Cochrane图书馆,PubMed和Web of Science数据库中进行了适当的全文检索研究。汇总的整体生存风险比(HR)以95%置信区间(95%CI)评估TIMP-1的表达与NSCLC患者生存之间的关系。 结果:荟萃分析包括40项研究,包括3194例患者。研究结果表明,TIMP-1的高表达与总体生存不良(HR:1.60; 95%CI:1.50、1.69; P <0.00001)独立,且异质性为61%。此外,我们分析了亚组,包括种族,组织学类型,TIMP-1表达水平的百分比,标本和肿瘤分期。所有结果均具有统计学意义。我们的Meta分析结果表明,TIMP-1的高表达水平与NSCLC患者的不良预后相关。 结论:TIMP-1的表达水平除了可能作为治疗目标外,还代表NSCLC患者的潜在预后生物标志物。

关键词: 抗凋亡,细胞增殖,IHC,meta分析,非小细胞肺癌,肿瘤侵袭,金属蛋白酶-1的组织抑制剂。

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