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2016 ; 7
(51
): 85196-85207
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Prognostic significance of L1 cell adhesion molecule in cancer patients: A
systematic review and meta-analysis
#MMPMID27833079
Hua T
; Liu S
; Xin X
; Jin Z
; Liu Q
; Chi S
; Wang X
; Wang H
Oncotarget
2016[Dec]; 7
(51
): 85196-85207
PMID27833079
show ga
The L1 cell adhesion molecule (L1CAM) extensively participates in nervous system
development and the malignant progression of human tumours. The prognostic value
of L1CAM for the survival of patients with solid tumours remains controversial.
The present meta-analysis was thus performed to highlight the relationship
between L1CAM expression and prognosis in cancer patients. Relevant publications
were identified after searching several widely used databases, including PubMed,
EMBASE and the ISI Web of Science. A fixed-effect or random-effect
meta-analytical model was employed to correlate L1CAM expression with different
outcome measures in both entire tumours and stratified subgroups. 37 studies in
total with 8552 patients were eligible for the final analysis. Combined hazard
ratios (HRs) and 95% confidence intervals (CIs) suggested that high L1CAM
expression had an unfavourable impact on overall survival (HR=2.06, 95%CI
1.65-2.57, P<0.001), disease-specific survival (HR=2.45, 95%CI 1.48-4.05,
P<0.001), disease-free survival (HR=2.42, 95%CI 1.4-4.19, P=0.002) and
progression-free survival/recurrence-free survival (HR=2.07, 95%CI 1.41-3.05,
P<0.001). Subgroup analysis revealed a similar correlation in most tumour types.
Overall, L1CAM might be an effective poor prognostic factor for patients with
various tumour types.