MCT4 has a potential to be used as a prognostic biomarker - a systematic review and meta-analysis

Autor: Arslaan Javaeed, Sanniya Khan Ghauri
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Zdroj: Oncology Reviews, Vol 13, Iss 2 (2019)
Druh dokumentu: article
ISSN: 1970-5557
1970-5565
DOI: 10.4081/oncol.2019.403
Popis: The role of several metabolic changes, such as hypoxia and acidosis, in the tumour environment has caught the attention of researchers in cancer progression and invasion. Lactate transport is one of the acidosis-enhancing processes that are mediated via monocarboxylate transporters (MCTs). We conducted a systematic review and meta-analysis to investigate the expression of two cancer-relevant MCTs (MCT1 and MCT4) and their potential prognostic significance in patients with metastasis of different types of cancer. Studies were included if they reported the number of metastatic tissue samples expressing either low or high levels of MCT1 and/or MCT4 or those revealing the hazard ratios (HRs) of the overall survival (OS) or disease-free survival (DFS) as prognostic indicators. During the period between 2010 and 2018, a total of 20 articles including 3831 patients (56.3% males) were identified. There was a significant association between MCT4 expression (high versus low) and lymph node metastasis [odds ratio (OR)=1.87, 95% confidence interval (CI)=1.10-3.17, P=0.02] and distant metastasis (OR=2.18, 95%CI=1.65-2.86, P
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