Association of Insulin Receptor Substrate 1 Expression in the Prognosis of Head and Neck Squamous Cell Carcinoma: A Systematic Review and Meta-Analysis.

IF 2.5 3区医学 Q3 ONCOLOGY Oncology Pub Date : 2024-08-26 DOI:10.1159/000541004

Deeksheetha Prabhuvenkatesh, Pratibha Ramani, Monal B Yuwanati, Gheena Sukumaran

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Abstract

Introduction: Head and neck squamous cell carcinoma (HNSCC) is the most common mucosal neoplasm that affects the head and neck region. It is the 6th most common cancer globally, most commonly seen in South Asian countries. Insulin receptor substrate 1 (IRS-1), like insulin receptor, is an adapter protein that integrates multiple transmembrane signals from growth factors and hormones, to regulate cell growth, survival, differentiation, and metabolism. Evidence suggests that IRS-1 plays a vital role in cancer progression and nodal metastasis. The aim was to assess the prognostic implications of the IRS-1 expression in HNSCC from evidence-based results.

Methods: A systematic literature search was done to identify articles describing IRS-1 and HNSCC carried out for PubMed, Cochrane, and Google Scholar, using MeSH terms.

Results: A total of 486 cases of HNSCC were included in this systematic review. Out of 3 studies, increased/high expression of IRS-1 was 67%. 64% of the cases in stage I and stage II (TNM staging) showed higher expression of IRS-1, whereas 70% of stage III and stage IV cases showed upregulation of IRS-1. IRS-1 was equally upregulated in cases with lymph node metastasis as well as in cases without any lymph node metastasis. 74% of the patients who showed high expression of IRS-1 showed high mortality during the follow-up period of 13 months.

Conclusion: This review concluded that elevated levels of IRS-1 expression were associated with poor prognosis and increased lymph node metastasis.

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胰岛素受体底物 1（insulin receptor substrate 1，IRS 1）表达与头颈部鳞状细胞癌预后的关系--系统综述和荟萃分析。

简介：头颈部鳞状细胞癌（HNSCC头颈部鳞状细胞癌（HNSCC）是头颈部最常见的粘膜肿瘤。它是全球第六大常见癌症，最常见于南亚国家。胰岛素受体底物 1（IRS-1）与胰岛素受体（IR）一样是一种适配蛋白，可整合来自生长因子和激素的多种跨膜信号，从而调节细胞的生长、存活、分化和新陈代谢。有证据表明，IRS 1 在癌症进展和结节转移中起着至关重要的作用。本研究旨在从循证结果出发，评估头颈部鳞状细胞癌中胰岛素受体底物 1 表达对预后的影响：方法：在Pubmed、Cochrane和Google Scholar上使用MeSH术语进行系统文献检索，以确定描述胰岛素受体底物1（IRS 1）和头颈部鳞状细胞癌的文章：本系统综述共纳入了 486 例 HNSCC。在 3 项研究中，IRS 1 的增高/高表达率为 67%。64%的I期和II期（TNM分期）病例显示IRS 1表达较高，而70%的III期和IV期病例显示IRS 1上调。74% 的 IRS 1 高表达患者在 13 个月的随访期间死亡率较高：本综述认为，IRS 1表达水平升高与预后不良和淋巴结转移增加有关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Oncology 医学-肿瘤学

CiteScore

6.00

自引率

2.90%

发文量

审稿时长

6-12 weeks

期刊介绍： Although laboratory and clinical cancer research need to be closely linked, observations at the basic level often remain removed from medical applications. This journal works to accelerate the translation of experimental results into the clinic, and back again into the laboratory for further investigation. The fundamental purpose of this effort is to advance clinically-relevant knowledge of cancer, and improve the outcome of prevention, diagnosis and treatment of malignant disease. The journal publishes significant clinical studies from cancer programs around the world, along with important translational laboratory findings, mini-reviews (invited and submitted) and in-depth discussions of evolving and controversial topics in the oncology arena. A unique feature of the journal is a new section which focuses on rapid peer-review and subsequent publication of short reports of phase 1 and phase 2 clinical cancer trials, with a goal of insuring that high-quality clinical cancer research quickly enters the public domain, regardless of the trial’s ultimate conclusions regarding efficacy or toxicity.