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Prognostic value of transforming growth factor-beta in patients with colorectal cancer who undergo surgery: a meta-analysis.


ABSTRACT:

Background

Transforming growth factor-beta (TGF-?) is associated with a higher incidence of distant metastasis and decreased survival. Whether TGF-? can be used as a prognostic indicator of colorectal cancer (CRC) remains controversial.

Methods

The Medline, EMBASE and Cochrane databases were searched from their inception to March 2016. The studies that focused on TGF-? as a prognostic factor in patients with CRC were included in this analysis. Overall survival (OS) and disease-free survival (DFS) were analysed separately. A meta-analysis was performed, and hazard ratios (HR) with 95% confidence intervals (CI) were calculated.

Results

Twelve studies were included in the analysis, of which 8 were used for OS and 7 for DFS. In all, 1622 patients with CRC undergoing surgery were included. Combined HRs suggested that high expression of TGF-? had a favourable impact on OS (HR = 1.68, 95% CI: 1.10-2.59) and DFS (HR = 1.11, 95% CI: 1.03-1.19) in CRC patients. For OS, the combined HRs of Asian studies and Western studies were 1.50 (95% CI: 0.61-3.68) and 1.80 (95% CI: 1.33-2.45), respectively. For DFS, the combined HRs of Asian studies and Western studies were 1.42 (95% CI: 0.61-3.31) and 1.11 (95% CI: 1.03-1.20), respectively.

Conclusions

This meta-analysis demonstrates that TGF-? can be used as a prognostic biomarker for CRC patients undergoing surgery, especially for CRC patients from Western countries.

SUBMITTER: Chen XL 

PROVIDER: S-EPMC5379512 | biostudies-literature | 2017 Apr

REPOSITORIES: biostudies-literature

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Prognostic value of transforming growth factor-beta in patients with colorectal cancer who undergo surgery: a meta-analysis.

Chen Xin-Lin XL   Chen Zhuo-Qun ZQ   Zhu Shui-Lian SL   Liu Tian-Wen TW   Wen Yi Y   Su Yi-Sheng YS   Xi Xu-Jie XJ   Hu Yue Y   Lian Lei L   Liu Feng-Bin FB  

BMC cancer 20170404 1


<h4>Background</h4>Transforming growth factor-beta (TGF-β) is associated with a higher incidence of distant metastasis and decreased survival. Whether TGF-β can be used as a prognostic indicator of colorectal cancer (CRC) remains controversial.<h4>Methods</h4>The Medline, EMBASE and Cochrane databases were searched from their inception to March 2016. The studies that focused on TGF-β as a prognostic factor in patients with CRC were included in this analysis. Overall survival (OS) and disease-fre  ...[more]

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