栗子芳,宾 翔,周 永.诱导型一氧化氮合酶在鼻咽癌中表达及意义的Meta分析[J].肿瘤学杂志,2013,19(3):166-170.
诱导型一氧化氮合酶在鼻咽癌中表达及意义的Meta分析
Expression of Inducible Nitric Oxide Synthase in Nasopharyngeal Carcinoma and Its Significance: A Meta?鄄analysis
投稿时间:2012-12-07  
DOI:10.11735/j.issn.1671-170X.2013.03.B2012600
中文关键词:  诱导型一氧化氮合酶  Meta分析  鼻咽肿瘤
英文关键词:inducible nitric oxide synthase  Meta?鄄analysis  nasopharyngeal neoplasms
基金项目:
作者单位
栗子芳 桂林医学院附属医院 
宾 翔 广西医科大学第一附属医院 
周 永 广西医科大学第一附属医院 
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中文摘要:
      摘 要:[目的] 系统评价诱导型一氧化氮合酶(iNOS)在鼻咽癌(NPC)组织中的表达及其临床意义。[方法] 电子检索Pubmed、Embase、Cochrane、CBM、CNKI、VIP和万方数据库,收集有关iNOS在鼻咽癌组织中的表达及其与临床特征关系的病例对照研究。用Stata9.2统计软件包进行Meta分析。[结果] 共纳入病例对照研究8篇,合计研究对象502例。Meta分析结果显示,iNOS在鼻咽癌组织的表达高于正常鼻咽黏膜组织(OR=27.42,95%CI:13.51~55.64);在鼻咽癌组织中,有淋巴结转移者的iNOS表达高于无淋巴结转移者(OR=2.39,95%CI:1.33~4.30),低T分期者的iNOS表达低于高T分期者(OR=0.30,95%CI:0.14~0.64);而在不同年龄及性别中iNOS的表达差异无统计学意义。[结论] iNOS在鼻咽癌组织中呈高表达,并与淋巴结转移和T分期关联密切,提示其过度表达与鼻咽癌的发生、发展、浸润和转移密切相关。
英文摘要:
      Abstract: [Purpose] To investigate the expression of inducible nitric oxide synthase (iNOS) in nasopharyngeal carcinoma (NPC) tissues and its clinical significance. [Methods] Case-control studies of the expression of iNOS in nasopharyngeal carcinoma tissues were searched from Pubmed,Embase,Cochrane,CBM,CNKI,VIP and WanFang databases. Meta-analysis was done using STATA 9.2. [Results] A total of 8 papers with 502 cases were included. Meta-analysis showed that as the positive rate of iNOS expression,significant difference was found between the NPC tissues and the control tissues (OR=27.42,95%CI:13.51~55.64). Higher expression was detected in NPC tissues with lymph node metastasis group than that in NPC tissues without lymph node metastasis group(OR=2.39,95%CI:1.33~4.30),while higher expression was detected in high T group than that in low T group (OR=0.30,95%CI:0.14~0.64),but no significance difference was found for age and sex. [Conclusion] NPC tissue has high iNOS expression,and it strongly relates to the lymph node metastasis and T staging. The over expression of iNOS may be relative to the carcinogenesis,progress,invasion and metastasis of NPC.
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