Can K-ras gene mutation be utilized as prognostic biomarker for colorectal cancer patients receiving chemotherapy? A meta-analysis and systematic review.

<h4>Introduction</h4>K-ras gene mutations were common in colorectal patients, but their relationship with prognosis was unclear.<h4>Objective</h4>Verify prognostic differences between patient with and without mutant K-ras genes by reviewing the published evidence.<h4>Me...

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Main Authors: Yuan-Yi Rui, Dan Zhang, Zong-Guang Zhou, Cun Wang, Lie Yang, Yong-Yang Yu, Hai-Ning Chen
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2013-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0077901
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author Yuan-Yi Rui
Dan Zhang
Zong-Guang Zhou
Cun Wang
Lie Yang
Yong-Yang Yu
Hai-Ning Chen
author_facet Yuan-Yi Rui
Dan Zhang
Zong-Guang Zhou
Cun Wang
Lie Yang
Yong-Yang Yu
Hai-Ning Chen
author_sort Yuan-Yi Rui
collection DOAJ
description <h4>Introduction</h4>K-ras gene mutations were common in colorectal patients, but their relationship with prognosis was unclear.<h4>Objective</h4>Verify prognostic differences between patient with and without mutant K-ras genes by reviewing the published evidence.<h4>Method</h4>Systematic reviews and data bases were searched for cohort/case-control studies of prognosis of colorectal cancer patients with detected K-ras mutations versus those without mutant K-ras genes, both of whom received chemotherapy. Number of patients, regimens of chemotherapy, and short-term or long-term survival rate (disease-free or overall) were extracted. Quality of studies was also evaluated.<h4>Principal findings</h4>7 studies of comparisons with a control group were identified. No association between K-ras gene status with neither short-term disease free-survival (OR=1.01, 95% CI, 0.73-1.38, P=0.97) nor overall survival (OR=1.06, 95% CI, 0.82-1.36, P=0.66) in CRC patients who received chemotherapy was indicated. Comparison of long-term survival between two groups also indicated no significant difference after heterogeneity was eliminated (OR=1.09, 95% CI, 0.85-1.40, P=0.49).<h4>Conclusions</h4>K-ras gene mutations may not be a prognostic index for colorectal cancer patients who received chemotherapy.
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spelling doaj-art-e7c9f73e73c64a0e90636c8f4bc1eac52025-07-12T05:31:14ZengPublic Library of Science (PLoS)PLoS ONE1932-62032013-01-01810e7790110.1371/journal.pone.0077901Can K-ras gene mutation be utilized as prognostic biomarker for colorectal cancer patients receiving chemotherapy? A meta-analysis and systematic review.Yuan-Yi RuiDan ZhangZong-Guang ZhouCun WangLie YangYong-Yang YuHai-Ning Chen<h4>Introduction</h4>K-ras gene mutations were common in colorectal patients, but their relationship with prognosis was unclear.<h4>Objective</h4>Verify prognostic differences between patient with and without mutant K-ras genes by reviewing the published evidence.<h4>Method</h4>Systematic reviews and data bases were searched for cohort/case-control studies of prognosis of colorectal cancer patients with detected K-ras mutations versus those without mutant K-ras genes, both of whom received chemotherapy. Number of patients, regimens of chemotherapy, and short-term or long-term survival rate (disease-free or overall) were extracted. Quality of studies was also evaluated.<h4>Principal findings</h4>7 studies of comparisons with a control group were identified. No association between K-ras gene status with neither short-term disease free-survival (OR=1.01, 95% CI, 0.73-1.38, P=0.97) nor overall survival (OR=1.06, 95% CI, 0.82-1.36, P=0.66) in CRC patients who received chemotherapy was indicated. Comparison of long-term survival between two groups also indicated no significant difference after heterogeneity was eliminated (OR=1.09, 95% CI, 0.85-1.40, P=0.49).<h4>Conclusions</h4>K-ras gene mutations may not be a prognostic index for colorectal cancer patients who received chemotherapy.https://doi.org/10.1371/journal.pone.0077901
spellingShingle Yuan-Yi Rui
Dan Zhang
Zong-Guang Zhou
Cun Wang
Lie Yang
Yong-Yang Yu
Hai-Ning Chen
Can K-ras gene mutation be utilized as prognostic biomarker for colorectal cancer patients receiving chemotherapy? A meta-analysis and systematic review.
PLoS ONE
title Can K-ras gene mutation be utilized as prognostic biomarker for colorectal cancer patients receiving chemotherapy? A meta-analysis and systematic review.
title_full Can K-ras gene mutation be utilized as prognostic biomarker for colorectal cancer patients receiving chemotherapy? A meta-analysis and systematic review.
title_fullStr Can K-ras gene mutation be utilized as prognostic biomarker for colorectal cancer patients receiving chemotherapy? A meta-analysis and systematic review.
title_full_unstemmed Can K-ras gene mutation be utilized as prognostic biomarker for colorectal cancer patients receiving chemotherapy? A meta-analysis and systematic review.
title_short Can K-ras gene mutation be utilized as prognostic biomarker for colorectal cancer patients receiving chemotherapy? A meta-analysis and systematic review.
title_sort can k ras gene mutation be utilized as prognostic biomarker for colorectal cancer patients receiving chemotherapy a meta analysis and systematic review
url https://doi.org/10.1371/journal.pone.0077901
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