机构:[1]Department of Respiratory Medicine, West China Hospital, Sichuan University, Chengdu 610041, Sichuan, PR China四川大学华西医院[2]Department of Respiratory Medicine, The First Affiliated Hospital of Kunming Medical University, Kunming 650032, Yunnan, PR China昆明医科大学附属第一医院[3]Department of Radiology, The First People’s Hospital of Yunnan Province Affiliated to Kunming University of Science and Technology, Kunming 650032, Yunnan, PR China医技片放射科云南省第一人民医院[4]Department of General Surgery, The Seventh People’s Hospital of Chengdu, Chengdu 610041, Sichuan, PR China[5]Department of Pathophysiology, Sichuan North Medical College, Nanchong 637100, Sichuan, PR China.
Background: Expression of estrogen receptor beta (ER beta) is a potentially interesting prognostic marker and therapeutic target in non-small cell lung cancer (NSCLC). Although the expression of ER beta has been reported to correlate with better prognosis of NSCLC in most literatures, some controversies still exist. Since the limited patient numbers within independent studies, here we performed a meta-analysis to clarify the correlations between ER beta expression and prognosis in NSCLC. Materials and methods: We performed a final analysis of 2279 patients from 14 evaluable studies for Prognostic Value of overexpression ER beta (up to October 2014). Data from eligible studies were extracted and included into meta-analysis using a random effects model. Studies were pooled. Summary hazard ratios (HR) were calculated. Results: Our study shows that the pooled hazard ratio (HR) of overexpression ER beta for overall survival in NSCLC was 0.78 [95% confidence interval (CI): 0.62-0.98] by univariate analysis and 1.06 (95% CI: 0.70-1.61) by multivariate analysis. Pooled HR in American and Japan was 1.09 (95% CI: 0.95-1.25, P=0.239) from 6 studies reported, however, pooled HR was 0.57 (95% CI: 0.46-0.70) outside of American and Japan from 8 studies reported. Pooled HR was 0.75 (95% CI: 0.60-0.94) from 6 studies reported for N-ER beta and 0.76 (95% CI: 0.51-1.12) from 6 Studies reported for C-ER beta. Conclusion: Our results suggested ER beta was significant associated with good overall survival in patients with NSCLC on univariate analysis but not multivariate analysis. ER beta expression is a good prognostic outcome outside of American and Japan. Overexpression of N-ER beta NSCLC patients had better survival. Large prospective studies are now needed to confirm the clinical utility of ER beta as an independent prognostic marker.
基金:
National Natural Science Foundation of ChinaNational Natural Science Foundation of China [81372504, 81241068, 81201851]; Chinese Postdoctoral Science FoundationChina Postdoctoral Science Foundation [2013M54-2281]; Application of Infrastructure Program from the Department of Science and Technology, Sichuan Province, China [2013JY-0012]
第一作者机构:[1]Department of Respiratory Medicine, West China Hospital, Sichuan University, Chengdu 610041, Sichuan, PR China[2]Department of Respiratory Medicine, The First Affiliated Hospital of Kunming Medical University, Kunming 650032, Yunnan, PR China
共同第一作者:
通讯作者:
通讯机构:[1]Department of Respiratory Medicine, West China Hospital, Sichuan University, Chengdu 610041, Sichuan, PR China[*1]Department of Respiratory Medicine, West China Hospital, Sichuan University, Chengdu 610041, Sichuan, PR China.
推荐引用方式(GB/T 7714):
Luo Zhuang,Wu Rongrong,Jiang Yifeng,et al.Overexpression of estrogen receptor beta is a prognostic marker in non-small cell lung cancer: a meta-analysis[J].INTERNATIONAL JOURNAL OF CLINICAL AND EXPERIMENTAL MEDICINE.2015,8(6):8686-8697.
APA:
Luo, Zhuang,Wu, Rongrong,Jiang, Yifeng,Qiu, Zhixing,Chen, Wei&Li, Weimin.(2015).Overexpression of estrogen receptor beta is a prognostic marker in non-small cell lung cancer: a meta-analysis.INTERNATIONAL JOURNAL OF CLINICAL AND EXPERIMENTAL MEDICINE,8,(6)
MLA:
Luo, Zhuang,et al."Overexpression of estrogen receptor beta is a prognostic marker in non-small cell lung cancer: a meta-analysis".INTERNATIONAL JOURNAL OF CLINICAL AND EXPERIMENTAL MEDICINE 8..6(2015):8686-8697