Evidence map›Paper›PMID 27035914›Full record

SynthesisPloS one2016

The Prognostic Value of Decreased LKB1 in Solid Tumors: A Meta-Analysis.

Jian Xiao, Yong Zou, Xi Chen, Ying Gao, Mingxuan Xie, Xiaoxiao Lu, Wei Li, Bixiu He, Shuya He, Shaojin You and 1 more

Abstract readMeta-Analysis
In one paragraph

Synthesis in PloS one, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing 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

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

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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

11 authors.

Jian XiaoDepartment of Geriatrics, Respiratory Medicine, Xiangya Hospital of Central South University, Changsha, China.
Yong ZouDepartment of Geriatrics, Respiratory Medicine, Xiangya Hospital of Central South University, Changsha, China.
Xi ChenDepartment of Respiratory Medicine, Xiangya Hospital of Central South University, Changsha, China.
Ying GaoDepartment of Geriatrics, Respiratory Medicine, Xiangya Hospital of Central South University, Changsha, China.
Mingxuan XieDepartment of Geriatrics, Respiratory Medicine, Xiangya Hospital of Central South University, Changsha, China.
Xiaoxiao LuDepartment of Geriatrics, Respiratory Medicine, Xiangya Hospital of Central South University, Changsha, China.
Wei LiDepartment of Geriatrics, Respiratory Medicine, Xiangya Hospital of Central South University, Changsha, China.
Bixiu HeDepartment of Geriatrics, Respiratory Medicine, Xiangya Hospital of Central South University, Changsha, China.
Shuya HeDepartment of Biochemistry and Biology, University of South China, Hengyang, China.
Shaojin YouLaboratory of Cancer Experimental Therapy, Atlanta Research & Educational Foundation (151F), Atlanta VA Medical Center, Decatur, GA, United States of America.
Qiong ChenDepartment of Geriatrics, Respiratory Medicine, Xiangya Hospital of Central South University, Changsha, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLiver kinase B1 (LKB1) is a protein kinase that regulates the growth, integrity and polarity of mammalian cells. Recent studies have reported the prognostic value of decreased LKB1 expression in different tumors. However, the results of these studies remain controversial. Therefore, this meta-analysis was performed to more accurately estimate the role of decreased LKB1 in the prognostication of human solid tumors.

methodsA systematic literature search in the electronic databases PubMed, Embase, Web of Science and CNKI (updated to October 15, 2015) was performed to identify eligible studies. The overall survival (OS), relapse-free survival (RFS), disease-free survival (DFS) and clinicopathological features data were collected from these studies. The hazard ratios (HRs), odds ratios (ORs) and 95% confidence intervals (CIs) were calculated and pooled with a random-effects models using Stata12.0 software.

resultsA total of 14 studies covering 1915 patients with solid tumors were included in this meta-analysis. Decreased LKB1 was associated with poorer OS in both the univariate (HR: 1.86, 95%CI: 1.42-2.42, P<0.001) and multivariate (HR: 1.55, 95%CI: 1.09-2.21, P = 0.015) analyses. A subgroup analysis revealed that the associations between decreased LKB1 and poor OS were significant within the Asian region (HR 2.18, 95%CI: 1.66-2.86, P<0.001) and obvious for lung cancer (HR: 2.16, 95%CI: 1.47-3.18, P<0.001). However, the articles that involved analyses of both RFS and DFS numbered only 3, and no statistically significant correlations of decreased LKB1 with RFS or DFS were observed in this study. Additionally, the pooled odds ratios (ORs) indicated that decreased LKB1 was associated with larger tumor size (OR: 1.60, 95%CI: 1.09-2.36, P = 0.017), lymph node metastasis (OR: 2.41, 95%CI: 1.53-3.78, P<0.001) and a higher TNM stage (OR: 3.35, 95%CI: 2.20-5.09, P<0.001).

conclusionThese results suggest that decreased LKB1 expression in patients with solid tumors might be related to poor prognosis and serve as a potential predictive marker of poor clinicopathological prognostic factors. Additional studies are required to verify the clinical utility of decreased LKB1 in solid tumors.

Indexed as

AMP-Activated Protein Kinase KinasesHumansNeoplasmsPrognosisProtein Serine-Threonine KinasesAMP-Activated Protein Kinase KinasesProtein Serine-Threonine KinasesSTK11 protein, human

Identifiers

PMID27035914
PMCPMC4818087

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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.