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Review
. 2015 Nov 26:5:16599.
doi: 10.1038/srep16599.

Clinicopathologic significance of legumain overexpression in cancer: a systematic review and meta-analysis

Affiliations
Free PMC article
Review

Clinicopathologic significance of legumain overexpression in cancer: a systematic review and meta-analysis

Ye Zhen et al. Sci Rep. .
Free PMC article

Abstract

Since reports on the clinical significance of legumain in cancer have shown inconsistent results, we systematically evaluated clinical indicators of legumain in cancer. We searched the Cochrane Library, PubMed, Embase, and EBSCO databases and the Wangfang and CNKI databases in China by using "legumain" and ("neoplasms" OR "cancer") as search terms. We included case-controlled studies of legumain and cancer. The quality of the studies was evaluated by using Lichtenstein's guidelines, and valid data was extracted for analysis. In total, 10 articles were included in this study. Meta-analysis showed that legumain was overexpressed in cancer compared with in normal tissue and was higher in stage III-IV disease than in I-II disease. Moreover, legumain overexpression was correlated with poor prognosis and clinical stage. Furthermore, Cancer Genome Atlas data showed that among patients with rectal cancer, those with tumors overexpressing legumain had shorter overall survival than those in the low expression group (P < 0.05). Legumain appears to be involved in tumor development and deterioration; thus, it can potentially be developed into both a marker for monitoring and diagnosing tumors and a therapeutic target.

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Figures

Figure 1
Figure 1. Forest plot of risk ratios of legumain overexpression in cancer tissue vs normal tissue groups.
Figure 2
Figure 2. Forest plot of risk ratios of legumain overexpression in well-differentiated vs moderate–poorly differentiated tumor groups.
Figure 3
Figure 3. Forest plot of risk ratios of legumain overexpression in N0 vs N+ groups.
Figure 4
Figure 4. Forest plot of risk ratios of legumain overexpression in I–II vs III–IV groups.
Figure 5
Figure 5. Kaplan–Meier survival curve of TCGA data comparing high legumain expression group with low legumain expression group.
Figure 6
Figure 6. Funnel plot of risk ratios of legumain overexpression in cancer tissue vs normal tissue groups.
Figure 7
Figure 7. Funnel plot of risk ratios of legumain overexpression in well-differentiated vs moderate–poorly differentiated tumor groups.

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