Prognostic value of osteopontin in patients with hepatocellular carcinoma: A systematic review and meta-analysis

The prognostic value of tissue and serum osteopontin (OPN) in hepatocellular carcinoma (HCC) remain controversial. The aim of present meta-analysis was to evaluate the prognostic value of OPN in patients with HCC. Eligible studies were systematically searched by PubMed, EMBASE, and Google scholar. A...

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Veröffentlicht in:Medicine (Baltimore) 2018-10, Vol.97 (43), p.e12954-e12954
Hauptverfasser: Sun, Tingting, Li, Peng, Sun, Diwen, Bu, Qingao, Li, Guoqiang
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creator Sun, Tingting
Li, Peng
Sun, Diwen
Bu, Qingao
Li, Guoqiang
description The prognostic value of tissue and serum osteopontin (OPN) in hepatocellular carcinoma (HCC) remain controversial. The aim of present meta-analysis was to evaluate the prognostic value of OPN in patients with HCC. Eligible studies were systematically searched by PubMed, EMBASE, and Google scholar. A meta-analysis of 12 studies included 2117 cases was performed to estimate the association between OPN level and overall survival (OS), disease-free survival (DFS) in HCC patients. Subgroup analyses were also performed in the meta-analysis. The pooled data of studies showed that high OPN level was significantly associated with poor OS (hazard ratios [HR] 1.84; 95% confidence intervals [CI] 1.54-2.20; P = .000) and DFS (HR 1.67; 95% CI 1.40-1.98; P = .000) in HCC. Furthermore, in subgroup analysis, high tissue based OPN by immunohistochemistry detection and serum-based OPN by enzyme-linked immunosorbent assay (ELISA) detection were both significantly associated with OS (tissue: HR 1.88; 95% CI 1.53-2.31; P 
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The aim of present meta-analysis was to evaluate the prognostic value of OPN in patients with HCC. Eligible studies were systematically searched by PubMed, EMBASE, and Google scholar. A meta-analysis of 12 studies included 2117 cases was performed to estimate the association between OPN level and overall survival (OS), disease-free survival (DFS) in HCC patients. Subgroup analyses were also performed in the meta-analysis. The pooled data of studies showed that high OPN level was significantly associated with poor OS (hazard ratios [HR] 1.84; 95% confidence intervals [CI] 1.54-2.20; P = .000) and DFS (HR 1.67; 95% CI 1.40-1.98; P = .000) in HCC. Furthermore, in subgroup analysis, high tissue based OPN by immunohistochemistry detection and serum-based OPN by enzyme-linked immunosorbent assay (ELISA) detection were both significantly associated with OS (tissue: HR 1.88; 95% CI 1.53-2.31; P &lt; .0001; serum: HR 2.38; 95% CI 1.58-3.59; P &lt; .0001). Simultaneously, we also found that OPN expression was positively associated with stage (odds ratios [OR] 5.68; 95% CI 3.443-7.758), tumor size (Size≤5 cm vs &gt;5 cm; OR 2.001; 95% CI1.036-3.867). The current evidence indicates that OPN could serve as a prognostic biomarker and a potential therapeutic target for HCC.</description><identifier>ISSN: 0025-7974</identifier><identifier>EISSN: 1536-5964</identifier><identifier>DOI: 10.1097/MD.0000000000012954</identifier><identifier>PMID: 30412113</identifier><language>eng</language><publisher>United States: the Author(s). 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The aim of present meta-analysis was to evaluate the prognostic value of OPN in patients with HCC. Eligible studies were systematically searched by PubMed, EMBASE, and Google scholar. A meta-analysis of 12 studies included 2117 cases was performed to estimate the association between OPN level and overall survival (OS), disease-free survival (DFS) in HCC patients. Subgroup analyses were also performed in the meta-analysis. The pooled data of studies showed that high OPN level was significantly associated with poor OS (hazard ratios [HR] 1.84; 95% confidence intervals [CI] 1.54-2.20; P = .000) and DFS (HR 1.67; 95% CI 1.40-1.98; P = .000) in HCC. Furthermore, in subgroup analysis, high tissue based OPN by immunohistochemistry detection and serum-based OPN by enzyme-linked immunosorbent assay (ELISA) detection were both significantly associated with OS (tissue: HR 1.88; 95% CI 1.53-2.31; P &lt; .0001; serum: HR 2.38; 95% CI 1.58-3.59; P &lt; .0001). Simultaneously, we also found that OPN expression was positively associated with stage (odds ratios [OR] 5.68; 95% CI 3.443-7.758), tumor size (Size≤5 cm vs &gt;5 cm; OR 2.001; 95% CI1.036-3.867). 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The aim of present meta-analysis was to evaluate the prognostic value of OPN in patients with HCC. Eligible studies were systematically searched by PubMed, EMBASE, and Google scholar. A meta-analysis of 12 studies included 2117 cases was performed to estimate the association between OPN level and overall survival (OS), disease-free survival (DFS) in HCC patients. Subgroup analyses were also performed in the meta-analysis. The pooled data of studies showed that high OPN level was significantly associated with poor OS (hazard ratios [HR] 1.84; 95% confidence intervals [CI] 1.54-2.20; P = .000) and DFS (HR 1.67; 95% CI 1.40-1.98; P = .000) in HCC. Furthermore, in subgroup analysis, high tissue based OPN by immunohistochemistry detection and serum-based OPN by enzyme-linked immunosorbent assay (ELISA) detection were both significantly associated with OS (tissue: HR 1.88; 95% CI 1.53-2.31; P &lt; .0001; serum: HR 2.38; 95% CI 1.58-3.59; P &lt; .0001). Simultaneously, we also found that OPN expression was positively associated with stage (odds ratios [OR] 5.68; 95% CI 3.443-7.758), tumor size (Size≤5 cm vs &gt;5 cm; OR 2.001; 95% CI1.036-3.867). The current evidence indicates that OPN could serve as a prognostic biomarker and a potential therapeutic target for HCC.</abstract><cop>United States</cop><pub>the Author(s). Published by Wolters Kluwer Health, Inc</pub><pmid>30412113</pmid><doi>10.1097/MD.0000000000012954</doi><oa>free_for_read</oa></addata></record>
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subjects Biomarkers, Tumor - blood
Carcinoma, Hepatocellular - blood
Carcinoma, Hepatocellular - mortality
Carcinoma, Hepatocellular - pathology
Disease-Free Survival
Enzyme-Linked Immunosorbent Assay
Humans
Liver Neoplasms - blood
Liver Neoplasms - mortality
Liver Neoplasms - pathology
Osteopontin - blood
Prognosis
Proportional Hazards Models
Sensitivity and Specificity
Systematic Review and Meta-Analysis
title Prognostic value of osteopontin in patients with hepatocellular carcinoma: A systematic review and meta-analysis
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