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Characterising cancer-associated fibroblast heterogeneity in non-small cell lung cancer: a systematic review and meta-analysis
by
Green, Edward W.
, Waise, Sara
, Stuart, Beth
, Irvine, Andrew F.
, Thomas, Gareth J.
in
631/67/1612/1350
/ 631/67/327
/ 692/53/2422
/ Actins - metabolism
/ Biomarkers, Tumor - metabolism
/ Cancer-Associated Fibroblasts - metabolism
/ Cancer-Associated Fibroblasts - pathology
/ Carcinoma, Non-Small-Cell Lung - metabolism
/ Carcinoma, Non-Small-Cell Lung - pathology
/ Fibroblasts
/ Fibroblasts - metabolism
/ Genetic Heterogeneity
/ Heterogeneity
/ Humanities and Social Sciences
/ Humans
/ Immunohistochemistry
/ Lung cancer
/ Lung Neoplasms - pathology
/ Meta-analysis
/ Microenvironments
/ multidisciplinary
/ Non-small cell lung carcinoma
/ Phenotype
/ Phenotypes
/ Population studies
/ Prognosis
/ Proteins
/ Science
/ Science (multidisciplinary)
/ Sensitivity analysis
/ Smad2 protein
/ Smad2 Protein - metabolism
/ Small cell lung carcinoma
/ Statistical analysis
/ Transforming Growth Factor beta - metabolism
/ Tumor microenvironment
/ Tumor Microenvironment - physiology
/ Tumors
2021
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Characterising cancer-associated fibroblast heterogeneity in non-small cell lung cancer: a systematic review and meta-analysis
by
Green, Edward W.
, Waise, Sara
, Stuart, Beth
, Irvine, Andrew F.
, Thomas, Gareth J.
in
631/67/1612/1350
/ 631/67/327
/ 692/53/2422
/ Actins - metabolism
/ Biomarkers, Tumor - metabolism
/ Cancer-Associated Fibroblasts - metabolism
/ Cancer-Associated Fibroblasts - pathology
/ Carcinoma, Non-Small-Cell Lung - metabolism
/ Carcinoma, Non-Small-Cell Lung - pathology
/ Fibroblasts
/ Fibroblasts - metabolism
/ Genetic Heterogeneity
/ Heterogeneity
/ Humanities and Social Sciences
/ Humans
/ Immunohistochemistry
/ Lung cancer
/ Lung Neoplasms - pathology
/ Meta-analysis
/ Microenvironments
/ multidisciplinary
/ Non-small cell lung carcinoma
/ Phenotype
/ Phenotypes
/ Population studies
/ Prognosis
/ Proteins
/ Science
/ Science (multidisciplinary)
/ Sensitivity analysis
/ Smad2 protein
/ Smad2 Protein - metabolism
/ Small cell lung carcinoma
/ Statistical analysis
/ Transforming Growth Factor beta - metabolism
/ Tumor microenvironment
/ Tumor Microenvironment - physiology
/ Tumors
2021
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Characterising cancer-associated fibroblast heterogeneity in non-small cell lung cancer: a systematic review and meta-analysis
by
Green, Edward W.
, Waise, Sara
, Stuart, Beth
, Irvine, Andrew F.
, Thomas, Gareth J.
in
631/67/1612/1350
/ 631/67/327
/ 692/53/2422
/ Actins - metabolism
/ Biomarkers, Tumor - metabolism
/ Cancer-Associated Fibroblasts - metabolism
/ Cancer-Associated Fibroblasts - pathology
/ Carcinoma, Non-Small-Cell Lung - metabolism
/ Carcinoma, Non-Small-Cell Lung - pathology
/ Fibroblasts
/ Fibroblasts - metabolism
/ Genetic Heterogeneity
/ Heterogeneity
/ Humanities and Social Sciences
/ Humans
/ Immunohistochemistry
/ Lung cancer
/ Lung Neoplasms - pathology
/ Meta-analysis
/ Microenvironments
/ multidisciplinary
/ Non-small cell lung carcinoma
/ Phenotype
/ Phenotypes
/ Population studies
/ Prognosis
/ Proteins
/ Science
/ Science (multidisciplinary)
/ Sensitivity analysis
/ Smad2 protein
/ Smad2 Protein - metabolism
/ Small cell lung carcinoma
/ Statistical analysis
/ Transforming Growth Factor beta - metabolism
/ Tumor microenvironment
/ Tumor Microenvironment - physiology
/ Tumors
2021
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Characterising cancer-associated fibroblast heterogeneity in non-small cell lung cancer: a systematic review and meta-analysis
Journal Article
Characterising cancer-associated fibroblast heterogeneity in non-small cell lung cancer: a systematic review and meta-analysis
2021
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Overview
Cancer-associated fibroblasts (CAFs) are a key component of the tumour microenvironment with evidence suggesting they represent a heterogeneous population. This study summarises the prognostic role of all proteins characterised in CAFs with immunohistochemistry in non-small cell lung cancer thus far. The functions of these proteins in cellular processes crucial to CAFs are also analysed. Five databases were searched to extract survival outcomes from published studies and statistical techniques, including a novel method, used to capture missing values from the literature. A total of 26 proteins were identified, 21 of which were combined into 7 common cellular processes key to CAFs. Quality assessments for sensitivity analyses were carried out for each study using the REMARK criteria whilst publication bias was assessed using funnel plots. Random effects models consistently identified the expression of podoplanin (Overall Survival (OS)/Disease-specific Survival (DSS), univariate analysis HR 2.25, 95% CIs 1.80–2.82) and α-SMA (OS/DSS, univariate analysis HR 2.11, 95% CIs 1.18–3.77) in CAFs as highly prognostic regardless of outcome measure or analysis method. Moreover, proteins involved in maintaining and generating the CAF phenotype (α-SMA, TGF-β and p-Smad2) proved highly significant after sensitivity analysis (HR 2.74, 95% CIs 1.74–4.33) supporting attempts at targeting this pathway for therapeutic benefit.
Publisher
Nature Publishing Group UK,Nature Publishing Group,Nature Portfolio
Subject
/ Biomarkers, Tumor - metabolism
/ Cancer-Associated Fibroblasts - metabolism
/ Cancer-Associated Fibroblasts - pathology
/ Carcinoma, Non-Small-Cell Lung - metabolism
/ Carcinoma, Non-Small-Cell Lung - pathology
/ Humanities and Social Sciences
/ Humans
/ Non-small cell lung carcinoma
/ Proteins
/ Science
/ Transforming Growth Factor beta - metabolism
/ Tumor Microenvironment - physiology
/ Tumors
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