Evidence map›Paper›PMID 40765033›Full record

SynthesisCancer reports (Hoboken, N.J.)2025

Survival and Clinicopathological Significance of CD47 in Human Solid Tumors: An Updated Systematic Reviews and Meta-Analysis.

Yongzhi Ye, Meiqiong Chen, Fada Ji, Suicai Mi, Zhixiong Chen, Xiaowei Wu, Qiurong He, Xiaodong Liu

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Cancer reports (Hoboken, N.J.), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Article
  4. Article
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

8 authors.

Yongzhi YeDepartment of General Surgery, Xiamen Hospital of Traditional Chinese Medicine, Xiamen, People's Republic of China.ORCID 0000-0003-0427-4693
Meiqiong ChenDepartment of Operation Management, Women and Children's Hosipital, School and Medicine, Xiamen University, Xiamen, People's Republic of China.ORCID 0009-0004-3060-2333
Fada JiDepartment of General Surgery, Xiamen Hospital of Traditional Chinese Medicine, Xiamen, People's Republic of China.
Suicai MiDepartment of Oncology, Xiamen Hospital of Traditional Chinese Medicine, Xiamen, People's Republic of China.
Zhixiong ChenDepartment of General Surgery, Xiamen Hospital of Traditional Chinese Medicine, Xiamen, People's Republic of China.
Xiaowei WuDepartment of General Surgery, Xiamen Hospital of Traditional Chinese Medicine, Xiamen, People's Republic of China.
Qiurong HeDepartment of General Surgery, Xiamen Hospital of Traditional Chinese Medicine, Xiamen, People's Republic of China.
Xiaodong LiuDepartment of General Surgery, Xiamen Hospital of Traditional Chinese Medicine, Xiamen, People's Republic of China.

Funding

Natural Science Foundation of Fujian Provincial Department of Science and Technology 2023J011637
6 · The paper itself

Abstract

backgroundHigh expression levels of cluster of differentiation 47 (CD47) have been recognized as poor survival in several different cancers. Nevertheless, the significance of CD47 in patients with solid tumors remains controversial.

aimsThe objective of this study is to elucidate whether elevated CD47 expression independently predicts a poor prognosis across solid tumors through pooled survival and clinicopathological analyses. METHODS AND

resultsThis meta-analysis was based on a search of PubMed, Embase, and Web of Science databases to obtain 20 eligible published studies (totaling 4019 patients) between January 2018 and January 2024. The combined hazard ratios (HRs) for overall survival (OS) were evaluated, and the HRs for relapse-free survival (RFS), progression-free survival (PFS), and disease-free survival (DFS), as well as odds ratios for clinicopathological data, were also respectively combined. The data obtained from these studies were extracted from these published studies and analyzed. This study suggested that CD47 overexpression was related to shorter OS times in human solid tumors, with a combined HR for OS (according to the univariate analysis) of HR = 1.63 (95% confidence intervals,[ 95% CIs]: 1.45-1.83; p < 0.00001), and a pooled HR for OS (according to the multivariate analysis) of HR = 2.02 (95% CI: 1.43-2.84; p < 0.0001). The subgroup analysis revealed that CD47 overexpression was related to inferior OS rates according to country, cancer type, sample size, analysis type, and the method via which the HR value was obtained (i.e., reported or extracted; p < 0.05); in addition, a high expression level of CD47 was also a predictor of poor DFS, PFS, and RFS rates (p < 0.00001). Certain factors, such as age (≥ 60 years old), lymph node metastasis, TNM staging, differentiation type, and tumor recurrence, resulted in an upregulation of CD47 (p < 0.05).

conclusionThis meta-analysis indicates that CD47 overexpression is significantly associated with poor clinical outcomes, advanced clinical stages, and poor differentiation in solid tumor patients, particularly, in cases involving tumors in the digestive and respiratory systems. These findings suggest that CD47 could serve as a valuable prognostic biomarker and therapeutic target.

Indexed as

Biomarkers, TumorCD47 AntigenNeoplasmsHumansPrognosisBiomarkers, TumorCD47 AntigenCD47 protein, humanCD47meta‐analysisprognosistumor

Identifiers

PMID40765033
PMCPMC12324951

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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.