临床肿瘤学杂志

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胃癌组织中SOX2表达及其临床病理特征的Meta分析

高子夜1,刘佩2,刘晓波3
  

  1. 1 十堰市太和医院 湖北医药学院附属医院肿瘤科 2 十堰市太和医院湖北医药学院附属医院皮肤科 3 十堰市太和医院湖北医药学院附属医院消化内科
  • 收稿日期:2016-10-24 修回日期:2017-01-18 出版日期:2017-03-31 发布日期:2018-06-06
  • 通讯作者: 刘晓波

The expression of SOX2 in gastric carcinoma and its clinicopathological characteristics: a meta-analysis

GAO Ziye, LIU Pei, LIU Xiaobo.   

  1. Department of Oncology, Taihe Hospital, Hubei University of Medicine
  • Received:2016-10-24 Revised:2017-01-18 Online:2017-03-31 Published:2018-06-06
  • Contact: LIU Xiaobo

摘要: 目的 探讨性别决定区Y框蛋白2(SOX2)在胃癌组织中的表达及其与临床病理特征的关系,为临床提供参考。方法 计算机检索PubMed、EMBASE以及中国知网、万方、维普等数据库中有关SOX2表达与胃癌研究的文献,检索年限为各数据库建库起至2016年10月1日。按照纳入和排除标准筛选文献、提取资料并评价质量,采用RevMan 53软件进行Meta分析,计算合并OR值及其95%CI,并进行发表偏倚评估。结果 共纳入13篇文献包括胃癌组织1492例,正常胃组织724例。Meta分析结果显示,SOX2在胃癌与正常胃组织(OR=0.16,95%CI:0.11~0.23)、胃癌高中分化组与低分化组(OR=2.66,95%CI:1.54~4.59)中的表达差异均有统计学意义(P<0.05);SOX2在淋巴结转移组与无淋巴结转移组(OR=0.54,95%CI:0.26~1.11)、临床Ⅰ+Ⅱ期与临床Ⅲ+Ⅳ期(OR=2.23,95%CI:0.82~6.09)、浸润深度T1+T2与T3+T4(OR=1.44,95%CI:0.64~3.22)、男性与女性(OR=1.10,95%CI:0.82~1.47) 中的表达差异均无统计学意义(P>0.05)。结论 SOX2的表达与胃癌及其临床病理特征有关,但受纳入研究数量和质量限制,上述结论尚待开展更多高质量研究加以验证。

Abstract: Objective To explore the expression of sex determining region Y-box 2(SOX2)in gastric cancer and its realationship with clinicopathological characteristics and provide reference for clinic. Methods Databases including PubMed, EMBASE, CNKI, Wanfang and VIP were searched from inception to October 1, 2016 for studies about the relationship between expression of SOX2 and the clinicopathological characteristics of gastric cancer. The data were screened and extracted according to the inclusion and exclusion criteria. The Cochrane Collaborations software RevMan 53 was used to test the heterogeneity, overall effect and publication bias of the combined studies. Results A total of 13 studies including 1492 cases of gastric cancer tissues and 724 cases of normal gastric tissues were recruited. The results of the meta-analysis showed that as for the positive rate of SOX2 expression, significant differences were tested between gastric cancer tissues vs. normal gastric tissues, well and moderate differentiation vs. poor differentiation with OR(95%CI) at 0.16(0.11-0.23) and 2.66(1.54-4.59) respectively. No significant difference was tested between lymph node metastasis vs. nonlymph node metastasis, clinical stages Ⅰ+Ⅱ vs. clinical stages Ⅲ+Ⅳ, the infiltration depth of T1+T2 vs. T3+T4, male vs. female with OR(95%CI) at 0.54(0.26-1.11), 2.23(0.82-6.09), 1.44(0.64-3.22) and 1.10(0.82-1.47), respectively. Conclusion SOX2 expression might be associated with gastric cancer. However, more highquality studies are expected for further studies.

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