VEGFR-2 as a novel predictor of survival in gastric cancer: A systematic review and meta-analysis

被引:13
作者
Li, Teng [1 ]
Yu, Jing [1 ]
Luo, Xinyu [1 ]
Ren, Weiguo [2 ]
Zhang, Yue [1 ]
Cao, Bangwei [1 ]
机构
[1] Capital Med Univ, Beijing Friendship Hosp, Canc Ctr, Beijing 100050, Peoples R China
[2] Beijing Nanyuan Hosp, Dept Endocrinol & Oncol, Beijing 100076, Peoples R China
关键词
Gastric cancer; VEGFR-2; Meta-analysis; ENDOTHELIAL GROWTH-FACTOR; CONTROLLED PHASE-III; GASTROESOPHAGEAL JUNCTION; PROGNOSTIC-FACTOR; DOUBLE-BLIND; ADENOCARCINOMA; EXPRESSION; CARCINOMA; CHEMOTHERAPY; RAMUCIRUMAB;
D O I
10.1016/j.prp.2018.02.005
中图分类号
R36 [病理学];
学科分类号
100104 ;
摘要
Background Expression of VEGFRs may affect cancer prognosis. The aim of this work is to evaluate the prognostic significance of VEGFRs of patients with gastric cancer. Methods: The databases PubMed, Embase, Web of Science, and Cochrane Library as well as ASCO and ESMO were searched systematically for articles reporting the prognostic significance of tissue VEGFRs in gastric cancer. The statistical analyses were carried out using Stata version 12.0. Results: A total of 8 articles comprising 950 patients were eligible for meta-analysis. The combined HR of studies evaluating total VEGFRs overexpression was 1.42 (95% CI 1.01-2.00, P = 0.044), suggesting that it had prognosis significance in overall survival of gastric cancer. Subgroup analysis showed that it was VEGFR-2 (HR 1.81, 95% CI 1.31-2.49, P < 0.001) but not VEGFR-3 (HR 0.91, 95% CI 0.45-1.82, P = 0.787) overexpression was associated with an increased risk of median overall survival (mOS) and it can be a potentially predictive biomarker for gastric cancer. Conclusions: VEGFR-2 overexpression is a promising negative prognosis predictor for patients with gastric cancer. The prognosis significance of VEGFR-3 still need further study.
引用
收藏
页码:560 / 564
页数:5
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