Evidence map›Paper›PMID 26270045›Full record

SynthesisPloS one2015

Overexpression of MMP Family Members Functions as Prognostic Biomarker for Breast Cancer Patients: A Systematic Review and Meta-Analysis.

Fanghui Ren, Ruixue Tang, Xin Zhang, Wickramaarachchi Mihiranganee Madushi, Dianzhong Luo, Yiwu Dang, Zuyun Li, Kanglai Wei, Gang Chen

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 102 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
102citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

102 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Biomarkers of tumor invasiveness in proteomics (Review).International journal of oncology · 2020
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42 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Fanghui RenDepartment of Pathology, the First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi Zhuang autonomous region, China.
Ruixue TangDepartment of Pathology, the First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi Zhuang autonomous region, China.
Xin ZhangDepartment of Pathology, the First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi Zhuang autonomous region, China.
Wickramaarachchi Mihiranganee MadushiDepartment of Pathology, the First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi Zhuang autonomous region, China.
Dianzhong LuoDepartment of Pathology, the First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi Zhuang autonomous region, China.
Yiwu DangDepartment of Pathology, the First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi Zhuang autonomous region, China.
Zuyun LiDepartment of Pathology, the First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi Zhuang autonomous region, China.
Kanglai WeiDepartment of Pathology, the First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi Zhuang autonomous region, China.
Gang ChenDepartment of Pathology, the First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi Zhuang autonomous region, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMatrix metalloproteinases (MMPs) are regarded to be relevant to the prognosis of breast cancer. Numerous studies have confirmed the association between MMPs and tumor growth, invasion and metastasis in breast cancer. However, their prognostic values for survival in patients with breast cancer remain controversial. Hence, a meta-analysis was performed to clarify a more accurate estimation of the role of MMPs on prognosis of breast cancer patients.

methodA systemic electronic search was conducted in PubMed, Embase and Web of science databases to identify eligible studies, which were associated with the relationship between MMPs and prognosis of breast cancer. The correlation in random-effect model was evaluated by using the hazard ratios (HRs) and 95% confidence intervals (CIs).

resultsA total of 28 studies covering 4944 patients were included for meta-analysis. A summary hazard ratio (HR) of all studies was calculated, as well as the sub-group HRs. The combined HRs calculated by either univariate or multivariate analysis both suggested that overexpression of MMPs had an unfavorable impact on overall survival (OS) (HR = 1.694, 95%CI: 1.347-2.129, P < 0.001; HR = 1.611, 95%CI: 1.419-1.830, P < 0.001, respectively). And the univariate analysis showed that patients with overexpression of MMPs had worse relapse-free survival (RFS) (HR = 1.969, 95%CI: 1.460-2.655, P < 0.001) in all eligible studies. In the sub-group analyses, HRs of MMP-9 positivity with poor OS were 1.794 (95%CI: 1.330-2.420, P < 0.001) and 1.709 (95%CI: 1.157-2.526, P = 0.007) which were separately evaluated by univariate and multivariate analysis. A small number of articles demonstrated that MMP-2 overexpression was not related with shorter OS (HR = 1.400, 95%CI: 0.610-3.029, P = 0.427). Four studies included in the OS analysis of MMPs expression in serum suggested that positive expression of serum MMPs may be an unfavorable factor (HR = 1.630, 95%CI: 1.065-2.494) for breast cancer patients. No publication bias was observed in the current meta-analysis.

conclusionsOur findings suggested that MMPs overexpression (especially MMP-9, MMP-2, MMPs overexpression in serum) might indicate a higher risk of poor prognosis in breast cancer. Larger prospective studies are further needed to estimate the prognostic values of MMPs overexpression.

Indexed as

Up-RegulationBreast NeoplasmsFemaleGene Expression Regulation, NeoplasticHumansMatrix Metalloproteinase 2Matrix Metalloproteinase 9Matrix MetalloproteinasesNeoplasm InvasivenessPrognosisSurvival AnalysisMatrix Metalloproteinase 2Matrix Metalloproteinase 9Matrix MetalloproteinasesMMP2 protein, humanMMP9 protein, human

Identifiers

PMID26270045
PMCPMC4535920

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.