Accumulating studies explored the clinicopathologic and prognostic value of programmed death ligand-1 (PD-L1) in non-small cell lung cancer (NSCLC), but the results were controversial. We therefore conducted a meta-analysis to evaluate the predictive role of PD-L1 in NSCLC patients. We systematically collected relevant studies from PubMed, Embase, Web of Science and China National Knowledge Infrastructure. The pooled hazard ratios (HRs) with 95% confidence intervals (CIs) for overall survival (OS), and odd ratios (ORs) with 95% CIs for clinicopathologic factors were calculated. A total of 15 studies involving 3605 patients were included in this meta-analysis. The results showed no prognostic role of PD-L1 in the whole patients (HR=1.60, 95% CI: 0.88-2.89, P=0.123). Subgroup analysis showed that PD-L1 was associated with decreased OS in Asian patients (HR=2.00, 95% CI: 1.55-2.57, P < 0.001). Among all the clinicopathologic factors, PD-L1 overexpression was significantly in relevance with poor tumor cell differentiation (HR=1.84, 95% CI: 1.49-2.28, P < 0.001), late stage (HR=1.21, 95% CI: 1.02-1.43, P=0.026) and anaplastic lymphoma kinase (ALK) translocation (HR=2.63, 95% CI: 1.08-6.40, P=0.034), but not with other factors. In conclusion, our meta-analysis demonstrated that PD-L1 has a prognostic role in Asian patients with NSCLC.
基金:
National Natural Science Foundation of China [81372260]
第一作者单位:[1]Huazhong Univ Sci & Technol, Union Hosp, Tongji Med Coll, Ctr Canc, Wuhan 430022, Peoples R China
通讯作者:
推荐引用方式(GB/T 7714):
Hu Xiao-yan,Zhang Wei,Hu Yue,et al.A meta-analysis reveals prognostic role of programmed death ligand-1 in Asian patients with non-small cell lung cancer[J].JOURNAL OF HUAZHONG UNIVERSITY OF SCIENCE AND TECHNOLOGY-MEDICAL SCIENCES.2016,36(3):313-320.doi:10.1007/s11596-016-1585-8.
APA:
Hu, Xiao-yan,Zhang, Wei,Hu, Yue,Zhang, Yong,Gong, Rui...&Liu, Li.(2016).A meta-analysis reveals prognostic role of programmed death ligand-1 in Asian patients with non-small cell lung cancer.JOURNAL OF HUAZHONG UNIVERSITY OF SCIENCE AND TECHNOLOGY-MEDICAL SCIENCES,36,(3)
MLA:
Hu, Xiao-yan,et al."A meta-analysis reveals prognostic role of programmed death ligand-1 in Asian patients with non-small cell lung cancer".JOURNAL OF HUAZHONG UNIVERSITY OF SCIENCE AND TECHNOLOGY-MEDICAL SCIENCES 36..3(2016):313-320