切换至 "中华医学电子期刊资源库"

中华普通外科学文献(电子版) ›› 2020, Vol. 14 ›› Issue (06) : 475 -480. doi: 10.3877/cma.j.issn.1674-0793.2020.06.020

所属专题: 文献

循证医学

雌激素受体β与结直肠癌临床病理特征及预后关系的Meta分析
杨伟1, 陈洁静1,()   
  1. 1. 225000 扬州大学附属医院普外科
  • 收稿日期:2020-05-29 出版日期:2020-12-01
  • 通信作者: 陈洁静

Relationship between estrogen receptor β and clinicopathological characteristics and prognosis of colorectal cancer: A Meta-analysis

Wei Yang1, Jiejing Chen1,()   

  1. 1. Department of General Surgery, the Affiliated Hospital of Yangzhou University, Yangzhou 225000, China
  • Received:2020-05-29 Published:2020-12-01
  • Corresponding author: Jiejing Chen
  • About author:
    Corresponding author: Chen Jiejing, Email:
引用本文:

杨伟, 陈洁静. 雌激素受体β与结直肠癌临床病理特征及预后关系的Meta分析[J/OL]. 中华普通外科学文献(电子版), 2020, 14(06): 475-480.

Wei Yang, Jiejing Chen. Relationship between estrogen receptor β and clinicopathological characteristics and prognosis of colorectal cancer: A Meta-analysis[J/OL]. Chinese Archives of General Surgery(Electronic Edition), 2020, 14(06): 475-480.

目的

通过Meta分析来评价雌激素受体β表达与结直肠癌临床病理特征及预后的关系,为雌激素受体β在结直肠癌诊断和治疗中的作用提供循证医学证据。

方法

检索中国知网、万方、Cochrane Library、PubMed、SpringerLink、EBSCO、MEDLINE等数据库,检索建库开始至2019年12月所有研究雌激素受体β与结直肠癌的文献,提取相关临床资料和数据,根据纳入和排除标准,并根据Cochrane文献质量评估手册评估文献质量,最后采用RevMan 5.3进行Meta分析。

结果

最终8篇文献2 149例患者纳入分析。雌激素受体β表达阳性患者预后更好,差异有统计学意义(HR=0.74,95% CI:0.63~0.86,P=0.000 1)。雌激素受体β表达与肿瘤的浸润程度有关,差异有统计学意义(OR=1.44,95% CI:1.15~1.80,P=0.002),而与性别(OR=1.17,95% CI:0.97~1.40,P=0.10)、肿瘤的分化程度(OR=0.96,95% CI:0.78~1.20,P=0.74)、淋巴结转移(OR=0.90,95% CI:0.74~1.11,P=0.33)、远处转移(OR=0.91,95% CI:0.67~1.23,P=0.55)等无关,差异无统计学意义。

结论

雌激素受体β是结直肠癌的独立预后因子,在结直肠癌预后评估和治疗靶点方面具有重要作用。

Objective

To evaluate the relationship between estrogen receptor (ER) β expression and the clinicopathological characteristics and prognosis of colorectal cancer by Meta-analysis, and establish the evidence-based role of ER β in the diagnosis and treatment of colorectal cancer.

Methods

All the literature investigating ER β and colorectal cancer published in CNKI, Wangfang data, Cochrane Library, PubMed, SpringerLink, EBSCO, MEDLINE and other databases starting from the databases establishment to November 2019 were retrived. The relevant clinical data were extracted, and the literature quality was evaluated according to the Cochrane literature quality assessment manual. Meta analysis was conducted using Revman 5.3.

Results

A total of 8 articles with 2 149 patients were included. The prognosis of patients with positive ER β expression was better (HR=0.74, 95% CI: 0.63-0.86, P=0.000 1). The expression of ER β was correlated with tumor invasion (OR=1.44, 95% CI: 1.15-1.80, P=0.002), while were not related to gender OR=1.17, 95% CI: 0.97-1.40, P=0.10), tumor differentiation (OR=0.96, 95% CI:0.78-1.20, P=0.74), lymph node metastasis (OR=0.90, 95% CI: 0.74-1.11, P=0.33), distant metastasis (OR=0.91, 95% CI: 0.67-1.23, P=0.55), the difference were not statistically significant.

Conclusion

ER βis an independent prognostic factor for colorectal cancer, and plays an important role in the prognosis prediction and therapeutic target for colorectal cancer.

图1 检索流程图
图2 文献质量评价表
表1 纳入Meta分析文献的基本特征(例)
图3 ERβ与性别关系的Meta分析森林图
图4 ERβ与肿瘤浸润深度关系的Meta分析森林图
图5 ERβ与淋巴结转移关系的Meta分析森林图
图6 ERβ与远处转移关系的Meta分析森林图
图7 ERβ与分化程度关系的Meta分析森林图
图8 ER β与OS关系的Meta分析森林图
图9 分化程度Meta分析漏斗图
[1]
Long MD, Martin CF, Galanko JA, et al. Hormone replacement therapy, oral contraceptive use, and distal large bowel cancer: A population-based case-control study[J]. Am J Gastroenterol, 2010, 105(8): 1843-1850.
[2]
Williams C, DiLeo A, Niv Y, et al. Estrogen receptor beta as target for colorectal cancer prevention[J]. Cancer Lett, 2016, 372(1): 48-56.
[3]
Rath-Wolfson L, Purim O, Ram E, et al. Expression of estrogen receptor β1 in colorectal cancer: correlation with clinicopathological variables[J]. Oncol Rep, 2012, 27(6): 2017-2022.
[4]
Xie LQ, Yu JP, Luo HS. Expression of estrogen receptor beta in human colorectal cancer[J]. World J Gastroenterol, 2004, 10(2): 214-217.
[5]
Grivas PD, Tzelepi V, Sotiropoulou-Bonikou G, et al. Expression of ERalpha, ERbeta and co-regulator PELP1/MNAR in colorectal cancer: prognostic significance and clinicopathologic correlations[J]. Cell Oncol, 2009, 31(3): 235-247.
[6]
Fang YJ, Lu ZH, Wang F, et al. Prognostic impact of ERβ and MMP7 expression on overall survival in colon cancer[J]. Tumour Biol, 2010, 31(6): 651-658.
[7]
Elbanna HG, Ebrahim MA, Abbas AM, et al. Potential value of estrogen receptor beta expression in colorectal carcinoma: interaction with apoptotic index[J]. J Gastrointest Cancer, 2012, 43(1): 56-62.
[8]
Rudolph A, Toth C, Hoffmeister M, et al. Expression of oestrogen receptor β and prognosis of colorectal cancer[J]. Br J Cancer, 2012, 107(5): 831-839.
[9]
Wang Y, Xing T, Huang L, et al. Period 1 and estrogen receptor-beta are downregulated in Chinese colon cancers[J]. Int J Clin Exp Pathol, 2015, 8(7): 8178-8188.
[10]
Stevanato Filho PR, Aguiar Júnior S, Begnami MD, et al. Estrogen receptor β as a prognostic marker of tumor progression in colorectal cancer with familial adenomatous polyposis and sporadic polyps[J]. Pathol Oncol Res, 2018, 24(3): 533-540.
[11]
Pérez-Ruiz E, Rueda A, Pérez L, et al. Expression and prognostic value of oestrogen receptor beta in colorectal cancer[J]. Pathol Oncol Res, 2018, 24(4): 871-879.
[12]
Jassam N, Bell SM, Speirs V, et al. Loss of expression of oestrogen receptor beta in colon cancer and its association with Dukes’ staging[J]. Oncol Rep, 2005, 14(1): 17-21.
[13]
Konstantinopoulos PA, Kominea A, Vandoros G, et al. Oestrogen receptor beta (ERbeta) is abundantly expressed in normal colonic mucosa, but declines in colon adenocarcinoma paralleling the tumour’s dedifferentiation[J]. Eur J Cancer, 2003, 39(9): 1251-1258.
[14]
Lu JY, Jin P, Gao W, et al. Estrogen enhances mismatch repair by induction of MLH1 expression via estrogen receptor-β[J]. Oncotarget, 2017, 8(24): 38767-38779.
[15]
Edvardsson K, Ström A, Jonsson P, et al. Estrogen receptor β induces antiinflammatory and antitumorigenic networks in colon cancer cells[J]. Mol Endocrinol, 2011, 25(6): 969-979.
[1] 张晓宇, 殷雨来, 张银旭. 阿帕替尼联合新辅助化疗对三阴性乳腺癌的疗效及预后分析[J/OL]. 中华乳腺病杂志(电子版), 2024, 18(06): 346-352.
[2] 许杰, 李亚俊, 韩军伟. 两种入路下腹腔镜根治性全胃切除术治疗超重胃癌的效果比较[J/OL]. 中华普外科手术学杂志(电子版), 2025, 19(01): 19-22.
[3] 高杰红, 黎平平, 齐婧, 代引海. ETFA和CD34在乳腺癌中的表达及与临床病理参数和预后的关系研究[J/OL]. 中华普外科手术学杂志(电子版), 2025, 19(01): 64-67.
[4] 徐逸男. 不同术式治疗梗阻性左半结直肠癌的疗效观察[J/OL]. 中华普外科手术学杂志(电子版), 2025, 19(01): 72-75.
[5] 李代勤, 刘佩杰. 动态增强磁共振评估中晚期低位直肠癌同步放化疗后疗效及预后的价值[J/OL]. 中华普外科手术学杂志(电子版), 2025, 19(01): 100-103.
[6] 陈浩, 王萌. 胃印戒细胞癌的临床病理特征及治疗选择的研究进展[J/OL]. 中华普外科手术学杂志(电子版), 2025, 19(01): 108-111.
[7] 梁孟杰, 朱欢欢, 王行舟, 江航, 艾世超, 孙锋, 宋鹏, 王萌, 刘颂, 夏雪峰, 杜峻峰, 傅双, 陆晓峰, 沈晓菲, 管文贤. 联合免疫治疗的胃癌转化治疗患者预后及术后并发症分析[J/OL]. 中华普外科手术学杂志(电子版), 2024, 18(06): 619-623.
[8] 张志兆, 王睿, 郜苹苹, 王成方, 王成, 齐晓伟. DNMT3B与乳腺癌预后的关系及其生物学机制[J/OL]. 中华普外科手术学杂志(电子版), 2024, 18(06): 624-629.
[9] 严虹霞, 王晓娟, 张毅勋. 2 型糖尿病对结直肠癌患者肿瘤标记物、临床病理及预后的影响[J/OL]. 中华结直肠疾病电子杂志, 2024, 13(06): 483-487.
[10] 赵磊, 刘文志, 林峰, 于剑, 孙铭骏, 崔佑刚, 张旭, 衣宇鹏, 于宝胜, 冯宁. 深部热疗在改善结直肠癌术后辅助化疗副反应及生活质量中的作用研究[J/OL]. 中华结直肠疾病电子杂志, 2024, 13(06): 488-493.
[11] 黄海洋, 邝永龙, 陈嘉胜. 基层医院结直肠肿瘤经自然腔道取标本手术30 例分析[J/OL]. 中华结直肠疾病电子杂志, 2024, 13(06): 510-518.
[12] 韩加刚, 王振军. 梗阻性左半结肠癌的治疗策略[J/OL]. 中华结直肠疾病电子杂志, 2024, 13(06): 450-458.
[13] 梁轩豪, 李小荣, 李亮, 林昌伟. 肠梗阻支架置入术联合新辅助化疗治疗结直肠癌急性肠梗阻的疗效及其预后的Meta 分析[J/OL]. 中华结直肠疾病电子杂志, 2024, 13(06): 472-482.
[14] 王芳, 刘达, 左智炜, 盛金平, 陈庭进, 蒋锐. 定量CT与双能X线骨密度仪对骨质疏松诊断效能比较的Meta分析[J/OL]. 中华老年骨科与康复电子杂志, 2024, 10(06): 363-371.
[15] 王景明, 王磊, 许小多, 邢文强, 张兆岩, 黄伟敏. 腰椎椎旁肌的研究进展[J/OL]. 中华临床医师杂志(电子版), 2024, 18(09): 846-852.
阅读次数
全文


摘要