Serum adiponectin in breast cancer: A meta-analysis

Accumulating data have found that adiponectin is involved in development of breast cancer (BC). However, these results were inconsistent. A systematic search in PubMed, Embase, ISI Web of Science, and Chinese National Knowledge Infrastructure databases were conducted up to October 1, 2017. The stand...

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Published inMedicine (Baltimore) Vol. 97; no. 29; p. e11433
Main Authors Gu, Li, Cao, Chang, Fu, Jing, Li, Qian, Li, De-Hua, Chen, Ming-Yao
Format Journal Article
LanguageEnglish
Published United States The Authors. Published by Wolters Kluwer Health, Inc. All rights reserved 01.07.2018
Wolters Kluwer Health
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ISSN0025-7974
1536-5964
1536-5964
DOI10.1097/MD.0000000000011433

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Abstract Accumulating data have found that adiponectin is involved in development of breast cancer (BC). However, these results were inconsistent. A systematic search in PubMed, Embase, ISI Web of Science, and Chinese National Knowledge Infrastructure databases were conducted up to October 1, 2017. The standardized mean difference (SMD) with 95% confidence interval was applied to pool the effect size. Finally, 31 eligible studies were included in this meta-analysis. The overall results indicated that serum adiponectin levels in BC cases were significantly lower than the controls (SMD = -0.33, P < 0.0001). As for the subgroup analysis of menstrual status, serum adiponectin levels were significantly lower in pre- and postmenopausal BC cases. Moreover, the subgroup analysis by ethnicity in pre- and postmenopausal group indicated an inverse association between adiponectin levels and BC risk in Asian population, but not in Caucasian population. The present meta-analysis suggests that low serum adiponectin concentration may be associated with an increased BC risk in premenopausal and postmenopausal women, especially among Asians. Adiponectin may serve as a biomarker of BC risk and help to identify subjects at high risk for BC development.
AbstractList Accumulating data have found that adiponectin is involved in development of breast cancer (BC). However, these results were inconsistent. A systematic search in PubMed, Embase, ISI Web of Science, and Chinese National Knowledge Infrastructure databases were conducted up to October 1, 2017. The standardized mean difference (SMD) with 95% confidence interval was applied to pool the effect size. Finally, 31 eligible studies were included in this meta-analysis. The overall results indicated that serum adiponectin levels in BC cases were significantly lower than the controls (SMD = -0.33, P < 0.0001). As for the subgroup analysis of menstrual status, serum adiponectin levels were significantly lower in pre- and postmenopausal BC cases. Moreover, the subgroup analysis by ethnicity in pre- and postmenopausal group indicated an inverse association between adiponectin levels and BC risk in Asian population, but not in Caucasian population. The present meta-analysis suggests that low serum adiponectin concentration may be associated with an increased BC risk in premenopausal and postmenopausal women, especially among Asians. Adiponectin may serve as a biomarker of BC risk and help to identify subjects at high risk for BC development.
Accumulating data have found that adiponectin is involved in development of breast cancer (BC). However, these results were inconsistent.BACKGROUNDAccumulating data have found that adiponectin is involved in development of breast cancer (BC). However, these results were inconsistent.A systematic search in PubMed, Embase, ISI Web of Science, and Chinese National Knowledge Infrastructure databases were conducted up to October 1, 2017. The standardized mean difference (SMD) with 95% confidence interval was applied to pool the effect size.METHODA systematic search in PubMed, Embase, ISI Web of Science, and Chinese National Knowledge Infrastructure databases were conducted up to October 1, 2017. The standardized mean difference (SMD) with 95% confidence interval was applied to pool the effect size.Finally, 31 eligible studies were included in this meta-analysis. The overall results indicated that serum adiponectin levels in BC cases were significantly lower than the controls (SMD = -0.33, P < 0.0001). As for the subgroup analysis of menstrual status, serum adiponectin levels were significantly lower in pre- and postmenopausal BC cases. Moreover, the subgroup analysis by ethnicity in pre- and postmenopausal group indicated an inverse association between adiponectin levels and BC risk in Asian population, but not in Caucasian population.RESULTSFinally, 31 eligible studies were included in this meta-analysis. The overall results indicated that serum adiponectin levels in BC cases were significantly lower than the controls (SMD = -0.33, P < 0.0001). As for the subgroup analysis of menstrual status, serum adiponectin levels were significantly lower in pre- and postmenopausal BC cases. Moreover, the subgroup analysis by ethnicity in pre- and postmenopausal group indicated an inverse association between adiponectin levels and BC risk in Asian population, but not in Caucasian population.The present meta-analysis suggests that low serum adiponectin concentration may be associated with an increased BC risk in premenopausal and postmenopausal women, especially among Asians. Adiponectin may serve as a biomarker of BC risk and help to identify subjects at high risk for BC development.CONCLUSIONThe present meta-analysis suggests that low serum adiponectin concentration may be associated with an increased BC risk in premenopausal and postmenopausal women, especially among Asians. Adiponectin may serve as a biomarker of BC risk and help to identify subjects at high risk for BC development.
Author Li, Qian
Li, De-Hua
Gu, Li
Chen, Ming-Yao
Fu, Jing
Cao, Chang
AuthorAffiliation Department of Obstetrics, West China Women's and Children's Hospital Key Laboratory of Birth and Related Diseases of Women and Children, Sichuan University Department of Cosmetic Plastic and Burns surgery, West China Hospital, Sichuan University, Chengdu International Education School, Southwest Medical University, Luzhou Department of Operations Management, West China Hospital, Sichuan University Department of West China Second University Hospital Quality improvement, West China Women's and Children's Hospital, Chengdu Dazhou vocational and technical college, Dazhou, PR China
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Snippet Accumulating data have found that adiponectin is involved in development of breast cancer (BC). However, these results were inconsistent. A systematic search...
Accumulating data have found that adiponectin is involved in development of breast cancer (BC). However, these results were inconsistent.BACKGROUNDAccumulating...
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SubjectTerms Adiponectin - blood
Biomarkers - blood
Breast Neoplasms - blood
Female
Humans
Risk Factors
Systematic Review and Meta-Analysis
Title Serum adiponectin in breast cancer: A meta-analysis
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https://www.ncbi.nlm.nih.gov/pubmed/30024516
https://www.proquest.com/docview/2072181190
https://pubmed.ncbi.nlm.nih.gov/PMC6086546
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