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胃癌中 TIL(肿瘤浸润淋巴细胞)与程序性死亡配体 1(PD-L1)表达的预后作用及临床意义:系统综述与荟萃分析

英文原题:Prognostic role and clinical significance of tumor-infiltrating lymphocyte (TIL) and programmed death ligand 1 (PD-L1) expression in gastric cancer: a systematic review and meta-analysis.

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Prognostic role and clinical significance of tumor-infiltrating lymphocyte (TIL) and programmed death ligand 1 (PD-L1) expression in gastric cancer: a systematic review and meta-analysis.

PubMed 2022/12/18(内容时间) Clin Transl Oncol Q3 · IF 2.7(JCR 2025)

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研究概要

该研究显示 PD-L1 和 TILs 在胃癌患者中无预后作用。

研究思路结论见上方概要

本研究旨在评估程序性死亡配体1(PD-L1)和TIL(肿瘤浸润淋巴细胞)(TILs)对胃癌患者生存的预后影响及其与临床病理特征的相关性。

检索了PubMed、Scopus、ProQuest、Web of Science和Ovid数据库以获取相关研究。本研究共纳入11项研究,涉及2298例患者。

与TILs水平一样,PD-L1表达与TNM分期、淋巴结转移、血管侵犯和肿瘤位置之间无显著关联(所有p值0.05)。此外,PD-L1表达与总生存期(OS)(HR = 0.76,95% CI:0.55至1.05,p值 = 0.10)和无病生存期(DFS)(HR = 0.62,95% CI:0.10至3.68,p值 = 0.59)之间无显著关联。在评估TILs存在与生存关联时,分析显示TILs存在与总生存期(OS)之间无关联(HR = 0.95,95% CI:0.62至1.45)。

展开英文摘要原文

This study intended to evaluate the prognostic effects of programmed death-ligand 1 (PD-L1) and tumor-infiltrating lymphocytes (TILs) in survival and their associations with clinicopathological characteristics in patients with gastric cancer.

PubMed, Scopus, ProQuest, Web of Science, and Ovid databases were searched to obtain the relevant studies. Eleven studies with 2298 patients were included in this study.

Like the level of TILs, there were no significant associations between PD-L1 expression and TNM stage, lymph node metastasis, vascular invasion, and tumor location (All p values 0.05). Furthermore, there was no significant association between PD-L1 expression with overall survival (OS) (HR = 0.76, 95% CI: 0.55 to 1.05, p value = 0.10) and disease-free survival (DFS) (HR = 0.62, 95% CI: 0.10 to 3.68, p value = 0.59). In the assessment of TILs presence and survival association, the analysis showed no association between TILs presence and overall survival (OS) (HR = 0.95, 95% CI: 0.62 to 1.45).

In conclusion, the study has revealed no prognostic effect of PD-L1 and TILs in gastric cancer patients.

论文信息

作者
Ren J、He Q、Yin H、Zheng L、Li L、Wu X
第一作者单位
Department of Gastroenterology, General Hospital of Western Theater Command, Chengdu, 610083, China.China
通讯作者单位
Department of Gastroenterology, General Hospital of Western Theater Command, Chengdu, 610083, China. wxllady@163.com.China
文献类型
荟萃分析 · 系统综述
期刊
Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico2023 May
原文标识
PubMed 36528835 · DOI 10.1007/s12094-022-03040-1