王 琪,胡伟国,宋启斌.PTEN表达水平与转移性结直肠癌患者西妥昔单抗临床获益关系的Meta分析[J].肿瘤学杂志,2013,19(11):846-853.
PTEN表达水平与转移性结直肠癌患者西妥昔单抗临床获益关系的Meta分析
Meta Analysis on Association of PTEN Expression with Clinical Benefit of Cetuximab Therapy for Metastatic Colorectal Cancer
投稿时间:2013-09-09  
DOI:10.11735/j.issn.1671-170X.2013.11.B005
中文关键词:  结直肠肿瘤  PTEN  西妥昔单抗  肿瘤转移  免疫组织化学  Meta分析
英文关键词:colorectal neoplasms  PTEN  cetuximab  neoplasm metastasis  immunohistochemistry  Meta analysis
基金项目:
作者单位
王 琪 武汉大学人民医院 
胡伟国 武汉大学人民医院 
宋启斌 武汉大学人民医院 
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中文摘要:
      摘 要:[目的] 评价PTEN表达水平与转移性结直肠癌(mCRC)患者西妥昔单抗临床获益之间的关系,为临床用药和个性化治疗提供参考。[方法] 计算机检索PubMed、CNKI、CBM和万方中文数据库,采用Meta分析的方法,评价PETN表达与mCRC患者西妥昔单抗疗效的关系。[结果]共纳入文献14篇,病人总人数1 227人。未经K-ras基因筛选mCRC患者PTEN表达阳性与西妥昔单抗治疗敏感性及无进展生存(PFS)均相关。K-ras野生型mCRC患者PTEN表达阳性与西妥昔单抗治疗PFS、总生存(OS)获益有关。[结论] PTEN表达水平可以作为mCRC患者西妥昔单抗临床获益的预测因素。
英文摘要:
      Abstract:[Purpose] To evaluate the association between PTEN expression and the clinical benefit of cetuximab therapy for metastatic colorectal cancer (mCRC) patients. [Methods] Literatures were retrieved in PubMed,CNKI,CBM and Wanfang Data. A Metaanalysis was used to analyze the association between expression of PTEN and cetuximab effects in mCRC patients. [Results] A total of 14 retrospective studies and 1 227 cases were included in the Meta-analysis. The results showed that positive PTEN expression was correlated to sensitivity of cetuximab and progression-free survival (PFS) in mCRC patients unselected of K-ras gene. In patients with wild-type K-ras,positive PTEN predicted longer PFS and overall survival(OS). [Conclusion] PTEN expression is a predictive factor for clinical benefit in mCRC patients treated with cetuximab.
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