胃癌患者c-MET蛋白表达的预后价值:系统回顾和荟萃分析。

IF 1.9 4区 医学 Q3 BIOTECHNOLOGY & APPLIED MICROBIOLOGY
Qianni Yang, Xiaodong Han
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引用次数: 0

摘要

背景:胃癌(GC)中c-MET过表达的异质性导致其预后意义缺乏共识。目的:探讨c-MET蛋白表达在胃癌患者中的预测价值。方法:对PubMed、Web of Science、Embase和Cochrane图书馆截至2025年4月的研究进行系统综述。采用Cochrane Q检验、I2统计量和敏感性分析评估异质性和稳健性。用Egger’s和Begg’s检验评估发表偏倚。纽卡斯尔-渥太华量表(NOS)评估方法学质量。结果:从2322篇文章中,纳入了22项研究。高c-MET表达与总生存期(OS)降低显著相关(风险比[HR] = 1.22;95%置信区间[CI]: 1.13, 1.31;I2 = 6.8%;P = 0.371)和无病生存期(DFS)(合并HR = 1.39;95% ci: 1.11, 1.68;I2 = 42.4%;p = 0.139)。c-MET阳性的定义在不同的研究中因阈值、染色强度和检测方法而异。OS的亚组分析显示了基于研究设计、临界值和c-MET测定的相互矛盾的结论。结论:高c-MET表达可独立预测胃癌预后不良。未来的工作应侧重于标准化的检测方法和高质量的前瞻性研究,以验证其预后价值。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Prognostic value of c-MET protein expression in gastric cancer patients: a systematic review and meta-analysis.

Background: The heterogeneous nature of c-MET overexpression in gastric cancer (GC) leads to a lack of consensus on its prognostic significance.

Objective: To evaluate the predictive value of c-MET protein expression in gastric cancer patients.

Methods: A systematic review of studies from PubMed, Web of Science, Embase, and Cochrane Library up to April 2025. Heterogeneity and robustness were assessed using the Cochrane Q test, I2 statistic, and sensitivity analysis. Publication bias was evaluated with Egger's and Begg's tests. The Newcastle-Ottawa Scale (NOS) assessed methodological quality.

Results: From 2,322 articles, 22 studies were included. High c-MET expression was significantly associated with reduced overall survival (OS) (Hazard Ratio [HR] = 1.22; 95% Confidence Interval [CI]: 1.13, 1.31; I2 = 6.8%; P = 0.371) and disease-free survival (DFS) (pooled HR = 1.39; 95% CI: 1.11, 1.68; I2 = 42.4%; P = 0.139). Definitions of c-MET positivity varied across studies regarding thresholds, staining intensity, and detection methods. Subgroup analysis of OS revealed conflicting conclusions based on study design, cutoff values, and c-MET assays.

Conclusion: High c-MET expression may independently predict poor GC prognosis. Future efforts should focus on standardized detection methods and high-quality prospective studies to validate its prognostic value.

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来源期刊
Biomarkers
Biomarkers 医学-毒理学
CiteScore
5.00
自引率
3.80%
发文量
140
审稿时长
3 months
期刊介绍: The journal Biomarkers brings together all aspects of the rapidly growing field of biomarker research, encompassing their various uses and applications in one essential source. Biomarkers provides a vital forum for the exchange of ideas and concepts in all areas of biomarker research. High quality papers in four main areas are accepted and manuscripts describing novel biomarkers and their subsequent validation are especially encouraged: • Biomarkers of disease • Biomarkers of exposure • Biomarkers of response • Biomarkers of susceptibility Manuscripts can describe biomarkers measured in humans or other animals in vivo or in vitro. Biomarkers will consider publishing negative data from studies of biomarkers of susceptibility in human populations.
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