Prognostic biomarkers for oral tongue squamous cell carcinoma: a systematic review and meta-analysis

Background: Identifying informative prognostic biomarkers for oral tongue squamous cell carcinoma (OTSCC) is of great importance in order to better predict tumour behaviour and to guide treatment planning. Here, we summarise existing evidence regarding immunohistochemical prognostic biomarkers for O...

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Veröffentlicht in:BRITISH JOURNAL OF CANCER 2017-09, Vol.117 (6), p.856-866
Hauptverfasser: Almangush, Alhadi, Heikkinen, Ilkka, Mäkitie, Antti A, Coletta, Ricardo D, Läärä, Esa, Leivo, Ilmo, Salo, Tuula
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container_issue 6
container_start_page 856
container_title BRITISH JOURNAL OF CANCER
container_volume 117
creator Almangush, Alhadi
Heikkinen, Ilkka
Mäkitie, Antti A
Coletta, Ricardo D
Läärä, Esa
Leivo, Ilmo
Salo, Tuula
description Background: Identifying informative prognostic biomarkers for oral tongue squamous cell carcinoma (OTSCC) is of great importance in order to better predict tumour behaviour and to guide treatment planning. Here, we summarise existing evidence regarding immunohistochemical prognostic biomarkers for OTSCC. Methods: A systematic search of the literature was performed using the databases of Scopus, Ovid Medline, Web of Science and Cochrane Library. All studies which had investigated the prognostic significance of immunohistochemical biomarkers in OTSCC during the period from 1985 to 2015 were retrieved. For the five most often evaluated biomarkers a random-effects meta-analysis on overall survival was performed, including those studies that provided the necessary statistical results. Results: A total of 174 studies conducted during the last three decades were found, and in these 184 biomarkers were evaluated for the prognostication of OTSCC. The five biomarkers most frequently assessed were p53, Ki-67, p16, VEGFs and cyclin D1. In the meta-analyses, the most promising results of the prognostic power for OTSCC were obtained for cyclin D1. For studies of VEGF A and C the results were equivocal, but the pooled analysis of VEGF A separately showed it to be a useful prognosticator for OTSCC. There was no sufficient evidence to support p53, Ki-67 and p16 as prognostic biomarkers for OTSCC. Limitations in the quality of the published studies (e.g., small cohorts, lack of compliance with REMARK guidelines) are widespread. Conclusions: Numerous biomarkers have been presented as useful prognosticators for OTSCC, but the quality of the conduct and reporting of original studies is overall unsatisfactory which does not allow reliable conclusions. The value of two biomarkers (VEGF-A and cyclin D1) should be validated in a multicentre study setting following REMARK guidelines.
doi_str_mv 10.1038/bjc.2017.244
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Here, we summarise existing evidence regarding immunohistochemical prognostic biomarkers for OTSCC. Methods: A systematic search of the literature was performed using the databases of Scopus, Ovid Medline, Web of Science and Cochrane Library. All studies which had investigated the prognostic significance of immunohistochemical biomarkers in OTSCC during the period from 1985 to 2015 were retrieved. For the five most often evaluated biomarkers a random-effects meta-analysis on overall survival was performed, including those studies that provided the necessary statistical results. Results: A total of 174 studies conducted during the last three decades were found, and in these 184 biomarkers were evaluated for the prognostication of OTSCC. The five biomarkers most frequently assessed were p53, Ki-67, p16, VEGFs and cyclin D1. In the meta-analyses, the most promising results of the prognostic power for OTSCC were obtained for cyclin D1. For studies of VEGF A and C the results were equivocal, but the pooled analysis of VEGF A separately showed it to be a useful prognosticator for OTSCC. There was no sufficient evidence to support p53, Ki-67 and p16 as prognostic biomarkers for OTSCC. Limitations in the quality of the published studies (e.g., small cohorts, lack of compliance with REMARK guidelines) are widespread. Conclusions: Numerous biomarkers have been presented as useful prognosticators for OTSCC, but the quality of the conduct and reporting of original studies is overall unsatisfactory which does not allow reliable conclusions. The value of two biomarkers (VEGF-A and cyclin D1) should be validated in a multicentre study setting following REMARK guidelines.</description><identifier>ISSN: 0007-0920</identifier><identifier>EISSN: 1532-1827</identifier><identifier>DOI: 10.1038/bjc.2017.244</identifier><identifier>PMID: 28751758</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>692/4028/67/1665 ; 692/53/2422 ; Biomarkers ; Biomarkers, Tumor - analysis ; Biomedical and Life Sciences ; Biomedicine ; Cancer Research ; Carcinoma, Squamous Cell - chemistry ; Carcinoma, Squamous Cell - mortality ; Cyclin D1 ; Cyclin D1 - analysis ; Cyclin-Dependent Kinase Inhibitor p16 - analysis ; Drug Resistance ; Epidemiology ; Guidelines ; Humans ; Ki-67 Antigen - analysis ; Medical prognosis ; Meta-analysis ; Molecular Diagnostics ; Molecular Medicine ; Oncology ; Oral cancer ; p53 Protein ; Prognosis ; Squamous cell carcinoma ; Studies ; Tongue ; Tongue Neoplasms - chemistry ; Tongue Neoplasms - mortality ; Tumor Suppressor Protein p53 - analysis ; Tumors ; Vascular endothelial growth factor ; Vascular Endothelial Growth Factor A - analysis</subject><ispartof>BRITISH JOURNAL OF CANCER, 2017-09, Vol.117 (6), p.856-866</ispartof><rights>The Author(s) 2017</rights><rights>Copyright Nature Publishing Group Sep 5, 2017</rights><rights>Copyright © 2017 Cancer Research UK 2017 Cancer Research UK</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c554t-80d8509fc6cc041d2771c7af473a972372d12a7b99c13d5ea008ec3d68d5eb963</citedby><cites>FETCH-LOGICAL-c554t-80d8509fc6cc041d2771c7af473a972372d12a7b99c13d5ea008ec3d68d5eb963</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5589992/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5589992/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,550,723,776,780,881,27901,27902,41464,42533,51294,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28751758$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttp://kipublications.ki.se/Default.aspx?queryparsed=id:136569581$$DView record from Swedish Publication Index$$Hfree_for_read</backlink></links><search><creatorcontrib>Almangush, Alhadi</creatorcontrib><creatorcontrib>Heikkinen, Ilkka</creatorcontrib><creatorcontrib>Mäkitie, Antti A</creatorcontrib><creatorcontrib>Coletta, Ricardo D</creatorcontrib><creatorcontrib>Läärä, Esa</creatorcontrib><creatorcontrib>Leivo, Ilmo</creatorcontrib><creatorcontrib>Salo, Tuula</creatorcontrib><title>Prognostic biomarkers for oral tongue squamous cell carcinoma: a systematic review and meta-analysis</title><title>BRITISH JOURNAL OF CANCER</title><addtitle>Br J Cancer</addtitle><addtitle>Br J Cancer</addtitle><description>Background: Identifying informative prognostic biomarkers for oral tongue squamous cell carcinoma (OTSCC) is of great importance in order to better predict tumour behaviour and to guide treatment planning. Here, we summarise existing evidence regarding immunohistochemical prognostic biomarkers for OTSCC. Methods: A systematic search of the literature was performed using the databases of Scopus, Ovid Medline, Web of Science and Cochrane Library. All studies which had investigated the prognostic significance of immunohistochemical biomarkers in OTSCC during the period from 1985 to 2015 were retrieved. For the five most often evaluated biomarkers a random-effects meta-analysis on overall survival was performed, including those studies that provided the necessary statistical results. Results: A total of 174 studies conducted during the last three decades were found, and in these 184 biomarkers were evaluated for the prognostication of OTSCC. The five biomarkers most frequently assessed were p53, Ki-67, p16, VEGFs and cyclin D1. In the meta-analyses, the most promising results of the prognostic power for OTSCC were obtained for cyclin D1. For studies of VEGF A and C the results were equivocal, but the pooled analysis of VEGF A separately showed it to be a useful prognosticator for OTSCC. There was no sufficient evidence to support p53, Ki-67 and p16 as prognostic biomarkers for OTSCC. Limitations in the quality of the published studies (e.g., small cohorts, lack of compliance with REMARK guidelines) are widespread. Conclusions: Numerous biomarkers have been presented as useful prognosticators for OTSCC, but the quality of the conduct and reporting of original studies is overall unsatisfactory which does not allow reliable conclusions. 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Here, we summarise existing evidence regarding immunohistochemical prognostic biomarkers for OTSCC. Methods: A systematic search of the literature was performed using the databases of Scopus, Ovid Medline, Web of Science and Cochrane Library. All studies which had investigated the prognostic significance of immunohistochemical biomarkers in OTSCC during the period from 1985 to 2015 were retrieved. For the five most often evaluated biomarkers a random-effects meta-analysis on overall survival was performed, including those studies that provided the necessary statistical results. Results: A total of 174 studies conducted during the last three decades were found, and in these 184 biomarkers were evaluated for the prognostication of OTSCC. The five biomarkers most frequently assessed were p53, Ki-67, p16, VEGFs and cyclin D1. In the meta-analyses, the most promising results of the prognostic power for OTSCC were obtained for cyclin D1. For studies of VEGF A and C the results were equivocal, but the pooled analysis of VEGF A separately showed it to be a useful prognosticator for OTSCC. There was no sufficient evidence to support p53, Ki-67 and p16 as prognostic biomarkers for OTSCC. Limitations in the quality of the published studies (e.g., small cohorts, lack of compliance with REMARK guidelines) are widespread. Conclusions: Numerous biomarkers have been presented as useful prognosticators for OTSCC, but the quality of the conduct and reporting of original studies is overall unsatisfactory which does not allow reliable conclusions. The value of two biomarkers (VEGF-A and cyclin D1) should be validated in a multicentre study setting following REMARK guidelines.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>28751758</pmid><doi>10.1038/bjc.2017.244</doi><tpages>11</tpages><oa>free_for_read</oa></addata></record>
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subjects 692/4028/67/1665
692/53/2422
Biomarkers
Biomarkers, Tumor - analysis
Biomedical and Life Sciences
Biomedicine
Cancer Research
Carcinoma, Squamous Cell - chemistry
Carcinoma, Squamous Cell - mortality
Cyclin D1
Cyclin D1 - analysis
Cyclin-Dependent Kinase Inhibitor p16 - analysis
Drug Resistance
Epidemiology
Guidelines
Humans
Ki-67 Antigen - analysis
Medical prognosis
Meta-analysis
Molecular Diagnostics
Molecular Medicine
Oncology
Oral cancer
p53 Protein
Prognosis
Squamous cell carcinoma
Studies
Tongue
Tongue Neoplasms - chemistry
Tongue Neoplasms - mortality
Tumor Suppressor Protein p53 - analysis
Tumors
Vascular endothelial growth factor
Vascular Endothelial Growth Factor A - analysis
title Prognostic biomarkers for oral tongue squamous cell carcinoma: a systematic review and meta-analysis
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