Prognostic and clinicopathological significance of MUC expression in head and neck cancer: a systematic review and meta-analysis

Autor: Dan Liang, Wenjun Yang, Wanlin Xu, Hao Lu, Yun Zhu, Kai-Hua Zhou, Shengwen Liu, Limin Liu
Jazyk: angličtina
Rok vydání: 2017
Předmět:
Zdroj: Oncotarget
ISSN: 1949-2553
Popis: // Hao Lu 1,2,* , Dan Liang 3,* , Yun Zhu 1,2 , Wanlin Xu 1,2 , Kaihua Zhou 1,2 , Limin Liu 1,2 , Shengwen Liu 1,2 and Wenjun Yang 1,2 1 Department of Oral Maxillofacial-Head and Neck Oncology, Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China 2 Shanghai Research Institute of Stomatology and Shanghai Key Laboratory of Stomatology, Shanghai, China 3 State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu, China * These authors have contributed equally to this work Correspondence to: Wenjun Yang, email: // Shengwen Liu, email: // Keywords : MUC, head and neck cancer, biomarkers, prognosis, meta-analysis Received : December 23, 2016 Accepted : February 28, 2017 Published : July 27, 2017 Abstract The prognostic value of mucins expression in patients with head and neck cancer (HNC) remains controversial. To address this, a meta-analysis was performed to systematically evaluate prognostic significance of mucins expression in HNC. Electronic and manual searches were performed and a total of 20 studies including 2046 patients were selected for the final analysis. Increased mucins expression was associated with unfavorable overall survival in HNC patients (HR=1.83, 95% CI: 1.43-2.33, p =0.000). Mucins overexpression was also in correlation with more advanced TNM stage (RR=0.84, 95% CI: 0.73-0.97, p =0.017), higher risk of lymph node metastasis (RR=0.69, 95% CI: 0.57-0.84, p =0.000) and deeper invasion (RR=0.58, 95% CI: 0.44-0.76, p =0.000). These results suggested that elevated mucins expression was significantly associated with worse prognosis and more detrimental clinicopathological outcomes, revealing the promising potential of mucins as biomarkers for HNC management.
Databáze: OpenAIRE