1. Association of caveolin-1 protein expression with hepatocellular carcinoma: a meta-analysis and literature review
- Author
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Yan Zhang, Jinglong Dong, Zhanjun Cui, Wenjuan Fan, and Jiang Wu
- Subjects
0301 basic medicine ,Cirrhosis ,business.industry ,medicine.disease ,medicine.disease_cause ,digestive system diseases ,Protein expression ,Pathogenesis ,03 medical and health sciences ,030104 developmental biology ,0302 clinical medicine ,Oncology ,030220 oncology & carcinogenesis ,Meta-analysis ,Hepatocellular carcinoma ,Caveolin 1 ,cardiovascular system ,Cancer research ,medicine ,business ,Carcinogenesis ,Protein overexpression - Abstract
Background: Aberrant expression of caveolin-1 (CAV-1) is involved in the pathogenesis of hepatocellular carcinoma (HCC); however, the results have been inconsistent due to the small size of sample in the individual study. Methods: We performed a meta-analysis and evaluated the association of CAV-1 protein overexpression and clinicopathological significance by using Review Manager 5.2. Pooled ORs and HR with corresponding CIs were calculated. Results: Nine studies were included in the meta-analysis with 810 HCC and 172 cirrhosis patients. CAV-1 protein overexpression was correlated with the risk of cirrhosis; OR was 3.25, p=0.01. Furthermore, the rate of CAV-1 protein overexpression was significantly higher in HCC with cirrhosis than HCC without cirrhosis, suggesting that the CAV-1 protein overexpression likely initiated carcinogenesis in liver with cirrhosis and subsequently contributed to the progression of HCC. In addition, CAV-1 protein overexpression was strongly associated with poor differentiated HCC and invasion; ORs were 2.61 and 2.71, respectively. CAV-1 protein overexpression was strongly correlated with poor overall survival in patients with HCC; HR was 0.4, p=0.03. Conclusions: In summary, CAV-1 protein overexpression is at risk for liver cirrhosis and HCC derived from cirrhosis, and CAV-1 is also a promising prognostic predictor in HCC.
- Published
- 2019
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