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Published in: BMC Pulmonary Medicine 1/2018

Open Access 01-12-2018 | Research article

Lymphatic vessel density as a prognostic indicator in Asian NSCLC patients: a meta-analysis

Authors: Shuanglan Xu, Jiao Yang, Shuangyan Xu, Yun Zhu, Chunfang Zhang, Liqiong Liu, Hao Liu, Yunlong Dong, Zhaowei Teng, Xiqian Xing

Published in: BMC Pulmonary Medicine | Issue 1/2018

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Abstract

Background

To determine the association of lymphatic vessel density (LVD) with the prognosis of Asian non-small cell lung cancer (NSCLC) patients via a meta-analysis.

Methods

Eligible studies were selected by searching PubMed and EMBASE from inception to July 25, 2017. The reference lists of the retrieved articles were also consulted. The information was independently screened by two authors. When heterogeneity was significant, a random-effects model was used to determine overall pooled risk estimates.

Results

A total of 15 studies with 1075 patients were finally included in the meta-analysis. LVD was positively associated with the prognosis of NSCLC in the overall analysis (hazard ratio (HR) 1.14, 95% confidence interval (95% CI): 1.02–1.27, p = 0.000, I2 = 73.2%). Subgroup analyses were performed on 5 VEGFR-3 groups (p = 0.709, I2 = 0.0%), 3 LYVE-1 groups (p = 0.01, I2 = 86.4%), 5 D2–40 groups (p = 0.019, I2 = 66.2%), and 2 podoplanin groups (p = 0.094, I2 = 64.5%). Sensitivity analysis indicated robust results. There was no publication bias.

Conclusions

LVD is an indicator of poor prognosis in Asian NSCLC patients.
Literature
3.
go back to reference Li J, Li D, Wei X, Su Y. In silico comparative genomic analysis of two non-small cell lung cancer subtypes and their potentials for cancer classification. Cancer Genomics Proteom. 2014;11:303–10. Li J, Li D, Wei X, Su Y. In silico comparative genomic analysis of two non-small cell lung cancer subtypes and their potentials for cancer classification. Cancer Genomics Proteom. 2014;11:303–10.
10.
go back to reference Pappas A, Lagoudianakis E, Seretis C, Koronakis N, Keramidaris D, Grapatsas K, et al. Role of lymphatic vessel density in colorectal cancer: prognostic significance and clinicopathologic correlations. Acta Gastroenterol Belg. 2015;78:223–7.PubMed Pappas A, Lagoudianakis E, Seretis C, Koronakis N, Keramidaris D, Grapatsas K, et al. Role of lymphatic vessel density in colorectal cancer: prognostic significance and clinicopathologic correlations. Acta Gastroenterol Belg. 2015;78:223–7.PubMed
11.
go back to reference Niemiec JA, Adamczyk A, Ambicka A, Mucha-Małecka A, Wysocki WM, Biesaga B, et al. Prognostic role of lymphatic vessel density and lymphovascular invasion in chemotherapy-naive and chemotherapy-treated patients with invasive breast cancer. Am J Transl Res. 2017;9:1435–47.PubMedPubMedCentral Niemiec JA, Adamczyk A, Ambicka A, Mucha-Małecka A, Wysocki WM, Biesaga B, et al. Prognostic role of lymphatic vessel density and lymphovascular invasion in chemotherapy-naive and chemotherapy-treated patients with invasive breast cancer. Am J Transl Res. 2017;9:1435–47.PubMedPubMedCentral
13.
go back to reference Cueni LN, Detmar M. New insights into the molecular control of the lymphatic vascular system and its role in disease. J Invest Dermatol. 2006;126:2167–77.CrossRefPubMed Cueni LN, Detmar M. New insights into the molecular control of the lymphatic vascular system and its role in disease. J Invest Dermatol. 2006;126:2167–77.CrossRefPubMed
14.
go back to reference Waś H. Characterization of markers and growth factors for lymphatic endothelium. Postepy Biochem. 2005;51:209–14.PubMed Waś H. Characterization of markers and growth factors for lymphatic endothelium. Postepy Biochem. 2005;51:209–14.PubMed
15.
go back to reference Lingtong W, Qiangxiu W. Lymphatic endothelium-specific markers: A Systematic Review. Shandong Med. 2008;48:114–5. Lingtong W, Qiangxiu W. Lymphatic endothelium-specific markers: A Systematic Review. Shandong Med. 2008;48:114–5.
16.
go back to reference YU S, Binquan W. Lymphatic endothelium-specific markers. A Systematic Review. J Shanxi Med Univ 2007;03:274–77. YU S, Binquan W. Lymphatic endothelium-specific markers. A Systematic Review. J Shanxi Med Univ 2007;03:274–77.
17.
go back to reference Banerji S, Ni J, Wang SX, Clasper S, Su J, Tammi R, et al. LYVE-1, a new homologue of the CD44 glycoprotein, is a lymph-specific receptor for hyaluronan. J Cell Biol. 1999;144:789–801.CrossRefPubMedPubMedCentral Banerji S, Ni J, Wang SX, Clasper S, Su J, Tammi R, et al. LYVE-1, a new homologue of the CD44 glycoprotein, is a lymph-specific receptor for hyaluronan. J Cell Biol. 1999;144:789–801.CrossRefPubMedPubMedCentral
18.
go back to reference Kahn HJ, Bailey D, Marks A. Monoclonal antibody D2-40, a new marker of lymphatic endothelium, reacts with Kaposi's sarcoma and a subset of angiosarcomas. Mod Pathol. 2002;15:434–40.CrossRefPubMed Kahn HJ, Bailey D, Marks A. Monoclonal antibody D2-40, a new marker of lymphatic endothelium, reacts with Kaposi's sarcoma and a subset of angiosarcomas. Mod Pathol. 2002;15:434–40.CrossRefPubMed
19.
go back to reference Van den Eynden GG, Van der Auwera I, Van Laere SJ, Huygelen V, Colpaert CG, van Dam P, et al. Induction of lymphangiogenesis in and around axillary lymph node metastases of patients with breast cancer. Br J Cancer. 2006;95:1362–6.CrossRefPubMedPubMedCentral Van den Eynden GG, Van der Auwera I, Van Laere SJ, Huygelen V, Colpaert CG, van Dam P, et al. Induction of lymphangiogenesis in and around axillary lymph node metastases of patients with breast cancer. Br J Cancer. 2006;95:1362–6.CrossRefPubMedPubMedCentral
20.
go back to reference Breiteneder-Geleff S, Soleiman A, Kowalski H, Horvat R, Amann G, Kriehuber E, et al. Angiosarcomas express mixed endothelial phenotypes of blood and lymphatic capillaries: podoplanin as a specific marker for lymphatic endothelium. Am J Pathol. 1999;154:385–94.CrossRefPubMedPubMedCentral Breiteneder-Geleff S, Soleiman A, Kowalski H, Horvat R, Amann G, Kriehuber E, et al. Angiosarcomas express mixed endothelial phenotypes of blood and lymphatic capillaries: podoplanin as a specific marker for lymphatic endothelium. Am J Pathol. 1999;154:385–94.CrossRefPubMedPubMedCentral
21.
go back to reference Wigle JT, Oliver G. Prox1 function is required for the development of the murine lymphatic system. Cell. 1999;98:769–78.CrossRefPubMed Wigle JT, Oliver G. Prox1 function is required for the development of the murine lymphatic system. Cell. 1999;98:769–78.CrossRefPubMed
22.
go back to reference Zhang BC, Guan S, Zhang YF, Yao GQ, Yang B, Zhao Y, et al. Peritumoral lymphatic microvessel density is related to poor prognosis in lung adenocarcinoma: a retrospective study of 65 cases. Exp Ther Med. 2012;3:636–40.CrossRefPubMedPubMedCentral Zhang BC, Guan S, Zhang YF, Yao GQ, Yang B, Zhao Y, et al. Peritumoral lymphatic microvessel density is related to poor prognosis in lung adenocarcinoma: a retrospective study of 65 cases. Exp Ther Med. 2012;3:636–40.CrossRefPubMedPubMedCentral
25.
go back to reference Nunomiya K, Shibata Y, Abe S, Inoue S, Igarashi A, Yamauchi K, et al. Relationship between serum level of lymphatic vessel endothelial hyaluronan Receptor-1 and prognosis in patients with lung cancer. J Cancer. eCollection. 2014;2014(5):242–7. https://doi.org/10.7150/jca.8486.CrossRef Nunomiya K, Shibata Y, Abe S, Inoue S, Igarashi A, Yamauchi K, et al. Relationship between serum level of lymphatic vessel endothelial hyaluronan Receptor-1 and prognosis in patients with lung cancer. J Cancer. eCollection. 2014;2014(5):242–7. https://​doi.​org/​10.​7150/​jca.​8486.CrossRef
26.
go back to reference Kojima H, Shijubo N, Yamada G, Ichimiya S, Abe S, Satoh M, et al. Clinical significance of vascular endothelial growth factor-C and vascular endothelial growth factor receptor 3 in patients with T1 lung adenocarcinoma. Cancer. 2005;104:1668–77.CrossRefPubMed Kojima H, Shijubo N, Yamada G, Ichimiya S, Abe S, Satoh M, et al. Clinical significance of vascular endothelial growth factor-C and vascular endothelial growth factor receptor 3 in patients with T1 lung adenocarcinoma. Cancer. 2005;104:1668–77.CrossRefPubMed
27.
go back to reference Arinaga M, Noguchi T, Takeno S, Chujo M, Miura T, Uchida Y. Clinical significance of vascular endothelial growth factor C and vascular endothelial growth factor receptor 3 in patients with nonsmall cell lung carcinoma. Cancer. 2003;97:457–64.CrossRefPubMed Arinaga M, Noguchi T, Takeno S, Chujo M, Miura T, Uchida Y. Clinical significance of vascular endothelial growth factor C and vascular endothelial growth factor receptor 3 in patients with nonsmall cell lung carcinoma. Cancer. 2003;97:457–64.CrossRefPubMed
29.
go back to reference Higgins JP, Thompson SG. Quantifying heterogeneity in a meta-analysis. Stat Med. 2002;21:1539–58.CrossRefPubMed Higgins JP, Thompson SG. Quantifying heterogeneity in a meta-analysis. Stat Med. 2002;21:1539–58.CrossRefPubMed
30.
go back to reference Leonard T, Duffy JC. A Bayesian fixed effects analysis of the mantel-Haenszel model applied to meta-analysis. Stat Med. 2002;21:2295–312.CrossRefPubMed Leonard T, Duffy JC. A Bayesian fixed effects analysis of the mantel-Haenszel model applied to meta-analysis. Stat Med. 2002;21:2295–312.CrossRefPubMed
31.
go back to reference Harbord RM, Egger M, Sterne JA. A modified test for small-study effects in meta-analyses of controlled trials with binary endpoints. Stat Med. 2006;25:3443–57.CrossRefPubMed Harbord RM, Egger M, Sterne JA. A modified test for small-study effects in meta-analyses of controlled trials with binary endpoints. Stat Med. 2006;25:3443–57.CrossRefPubMed
40.
go back to reference Ohta Y, Shimizu Y, Minato H, Matsumoto I, Oda M, Watanabe G. Results of initial operations in non-small cell lung cancer patients with single-level N2 disease. Ann Thorac Surg. 2006;81:427–33.CrossRefPubMed Ohta Y, Shimizu Y, Minato H, Matsumoto I, Oda M, Watanabe G. Results of initial operations in non-small cell lung cancer patients with single-level N2 disease. Ann Thorac Surg. 2006;81:427–33.CrossRefPubMed
41.
go back to reference Chen F, Takenaka K, Ogawa E, Yanagihara K, Otake Y, Wada H, et al. Flt-4-positive endothelial cell density and its clinical significance in non-small cell lung cancer. Clin Cancer Res. 2004;10:8548–53.CrossRefPubMed Chen F, Takenaka K, Ogawa E, Yanagihara K, Otake Y, Wada H, et al. Flt-4-positive endothelial cell density and its clinical significance in non-small cell lung cancer. Clin Cancer Res. 2004;10:8548–53.CrossRefPubMed
43.
go back to reference Zheng CL, Qiu C, Shen MX, Qu X, Zhang TH, Zhang JH, et al. Prognostic impact of elevation of vascular endothelial growth factor family expression in patients with non-small cell lung cancer: an updated meta-analysis. Asian Pac J Cancer Prev. 2015;16:1881–95.CrossRefPubMed Zheng CL, Qiu C, Shen MX, Qu X, Zhang TH, Zhang JH, et al. Prognostic impact of elevation of vascular endothelial growth factor family expression in patients with non-small cell lung cancer: an updated meta-analysis. Asian Pac J Cancer Prev. 2015;16:1881–95.CrossRefPubMed
44.
go back to reference Kajita T, Ohta Y, Kimura K, Tamura M, Tanaka Y, Tsunezuka Y, et al. The expression of vascular endothelial growth factor C and its receptors in non-small cell lung cancer. Br J Cancer. 2001;85:255–60.CrossRefPubMedPubMedCentral Kajita T, Ohta Y, Kimura K, Tamura M, Tanaka Y, Tsunezuka Y, et al. The expression of vascular endothelial growth factor C and its receptors in non-small cell lung cancer. Br J Cancer. 2001;85:255–60.CrossRefPubMedPubMedCentral
46.
go back to reference Chang C, Wang P, Yang H, Li L, Zhang LB. Expression of LYVE-1 and Prox-1 in non-small cell lung cancer and the relationship with lymph node metastasis. Sichuan Da Xue Xue Bao Yi Xue Ban. 2011;42:174–8.PubMed Chang C, Wang P, Yang H, Li L, Zhang LB. Expression of LYVE-1 and Prox-1 in non-small cell lung cancer and the relationship with lymph node metastasis. Sichuan Da Xue Xue Bao Yi Xue Ban. 2011;42:174–8.PubMed
Metadata
Title
Lymphatic vessel density as a prognostic indicator in Asian NSCLC patients: a meta-analysis
Authors
Shuanglan Xu
Jiao Yang
Shuangyan Xu
Yun Zhu
Chunfang Zhang
Liqiong Liu
Hao Liu
Yunlong Dong
Zhaowei Teng
Xiqian Xing
Publication date
01-12-2018
Publisher
BioMed Central
Published in
BMC Pulmonary Medicine / Issue 1/2018
Electronic ISSN: 1471-2466
DOI
https://doi.org/10.1186/s12890-018-0702-9

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