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The Prognostic and Clinicopathologic Characteristics of OCT4 and Lung Cancer: A Meta-Analysis

Author(s):

Hui Li, Liwen Wang, Shupeng Shi, Yadong Xu, Xuejiao Dai, Hongru Li, Jing Wang, Qiong Zhang, Yonggang Wang, Shuming Sun* and Yanping Li*   Pages 1 - 22 ( 22 )

Abstract:


Objective: The relationship between OCT4 and clinicopathological features in lung cancer is controversial from the recently publications. Therefore, we conducted this meta-analysis to quantitatively investigate the prognostic and clinicopathologic characteristics of OCT4 in lung cancer.

Methods: A comprehensive literature search of the PubMed, EMBASE, Cochrane Library, WOS, CNKI and Wanfang databases was performed to identify studies. Correlations between OCT4 expression and survival outcomes or clinicopathological features were analyzed using meta-analysis methods.

Results: Twenty-one studies with 2523 patients were included. High OCT4 expression has a poorer overall survival (OS) (univariate: HR= 2.00, 95% CI = (1.68, 2.39), p<0.0001; multivariate: HR= 2.43, 95% CI = (1.67, 3.55), p<0.0001) and median overall survival (MSR = 0.51, 95% CI = (0.44, 0.58), p < 0.0001), disease-free survival (DFS) (HR= 2.18, 95% CI = (1.30, 3.67), p = 0.003) and poorer disease-specific survival (DSS) (HR= 2.23, 95% CI = (1.21, 4.11), p = 0.010). Furthermore, high OCT4 expression related with lower 5 year disease-specific survival rate (OR= 0.24, 95% CI = (0.14, 0.41), p<0.0001) and 10 year overall survival rate (OR= 0.22, 95% CI = (0.12, 0.40), p=0.0001). Additionally, OCT4-high expression was also strongly associated with higher clinical TNM stage, lymph node metastasis, tumor distant metastasis, higher histopathologic grade, but not related with gender, smoking status, tumor size and histologic type of lung cancer.

Conclusion: OCT4 over-expression in lung cancer was strongly related poorer clinicopathological features and worse survival outcomes, which suggests that OCT4 could be a valuable prognostic marker in lung cancer.

Keywords:

OCT4, lung cancer, meta-analysis, clinicopathologic characteristics, prognosis, marker

Affiliation:

Reproductive Department, Xiangya Hospital, Central South University, Changsha, Xiangya School of Medicine, Central South University, Changsha, Xiangya School of Medicine, Central South University, Changsha, Xiangya School of Medicine, Central South University, Changsha, Xiangya School of Medicine, Central South University, Changsha, Xiangya School of Medicine, Central South University, Changsha, Xiangya School of Medicine, Central South University, Changsha, Reproductive Department, Xiangya Hospital, Central South University, Changsha, Reproductive Department, Xiangya Hospital, Central South University, Changsha, School of Life Sciences, Central South University, Changsha,410008, Reproductive Department, Xiangya Hospital, Central South University, Changsha



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