Evidence map›Paper›PMID 31147627›Full record

SynthesisProstate cancer and prostatic diseases2020

Appetite-regulating hormones-leptin, adiponectin and ghrelin-and the development of prostate cancer: a systematic review and exploratory meta-analysis.

Charlotte Zoe Angel, Isabel Iguacel, Amy Mullee, Neela Guha, Rachel Wasson, Declan J McKenna, Marc J Gunter, Vitaly Smelov, Inge Huybrechts

Open access · greenAbstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Prostate cancer and prostatic diseases, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 14% of its field
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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Review
  7. Review
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 at 4 institutions in 5 countries.

Charlotte Zoe AngelInternational Agency for Research on Cancer. World Health Organization, 150 cours Albert Thomas, 69372, Lyon CEDEX 08, France.
Isabel IguacelInternational Agency for Research on Cancer. World Health Organization, 150 cours Albert Thomas, 69372, Lyon CEDEX 08, France.
Amy MulleeInternational Agency for Research on Cancer. World Health Organization, 150 cours Albert Thomas, 69372, Lyon CEDEX 08, France.ORCID http://orcid.org/0000-0003-4130-488X
Neela GuhaInternational Agency for Research on Cancer. World Health Organization, 150 cours Albert Thomas, 69372, Lyon CEDEX 08, France.
Rachel WassonInternational Agency for Research on Cancer. World Health Organization, 150 cours Albert Thomas, 69372, Lyon CEDEX 08, France.
Declan J McKennaBiomedical Sciences Research Institute, Ulster University, Cromore Road, Coleraine, BT52 1SA, UK.
Marc J GunterInternational Agency for Research on Cancer. World Health Organization, 150 cours Albert Thomas, 69372, Lyon CEDEX 08, France.
Vitaly Smelov *International Agency for Research on Cancer. World Health Organization, 150 cours Albert Thomas, 69372, Lyon CEDEX 08, France. SmelovV@iarc.fr.
Inge Huybrechts *International Agency for Research on Cancer. World Health Organization, 150 cours Albert Thomas, 69372, Lyon CEDEX 08, France.
Centre international de recherche sur le cancer · FRUniversity of Ulster · GBUniversidad de Zaragoza · ESUniversity College Dublin · IE

Funding

World Health Organization 001
6 · The paper itself

Abstract

backgroundObesity has been proposed as a risk factor for prostate cancer (PCa). In obesity, serum levels of the appetite-regulating hormones-leptin, adiponectin, and ghrelin-become deregulated.

objectiveTo explore whether serum levels of appetite-regulating hormones associate with the incidence of PCa, the incidence of advanced disease, or PCa-specific mortality.

methodsPRISMA guidelines were followed. A systematic search for relevant articles published until March 2019 was performed using the databases PubMed, EMBASE, and Web of Science. Observational studies with data on serum levels of leptin, adiponectin, or ghrelin and PCa outcome were included. Meta-analysis was used to combine risk estimates. Meta-relative risks (mRRs) were calculated using random effects models. When available, raw data was pooled. Publication bias was assessed by funnel plot and Begg's test.

resultsThirty-five studies were eligible for inclusion. The qualitative analysis indicated that leptin was not consistently associated with any PCa outcome, although several cohorts reported decreased adiponectin levels in men who later developed advanced PCa. Based on the meta-analysis, there was no significant effect of leptin on PCa incidence (mRR = 0.93 (95% CI 0.75-1.16), p = 0.52) or advanced PCa (mRR = 0.90 (95% CI 0.74-1.10), p = 0.30). There were insufficient studies to estimate the mRR of PCa incidence for men with the highest levels of adiponectin. The combined risk of advanced PCa for men with the highest levels of adiponectin was reduced but did not reach significance (mRR = 0.81 (95% CI 0.61-1.08), p = 0.15).

conclusionsThe current evidence does not suggest an association between leptin and PCa outcome. However, there may be an inverse association between adiponectin and the incidence of advanced PCa that should be investigated by further studies. Serum ghrelin has not been largely investigated.

Indexed as

Disease SusceptibilityAdiponectinAppetiteEpithelial CellsGene Expression RegulationGhrelinHumansLeptinMaleObesityPeptide HormonesProstatic NeoplasmsPublication BiasSignal TransductionAdiponectinGhrelinLeptinPeptide Hormones

Identifiers

PMID31147627
OpenAlexW2947364826

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.