PMID- 25920591 OWN - NLM STAT- MEDLINE DCOM- 20160125 LR - 20181113 IS - 1867-0687 (Electronic) VI - 11 IP - 2 DP - 2015 May TI - Prognostic significance of cytokine receptor-like factor 2 alterations in acute lymphoblastic leukemia: a meta-analysis. PG - 126-33 LID - 10.1007/s12519-015-0019-1 [doi] AB - BACKGROUND: Cytokine receptor-like factor 2 (CRLF2) has been shown to play a role in the pathogenesis of acute lymphoblastic leukemia (ALL). Studies have examined the relationship between CRLF2 alterations such as over-expression or deregulation and clinical outcome in childhood ALL, but the results are conflicting. This meta-analysis aimed to explore the association between CRLF2 alterations and survival of pediatric patients with ALL. METHODS: Electronic databases updated to March 2014 were searched for relevant studies. A meta-analysis was made of twelve studies including 5945 patients to evaluate the prognostic significance of CRLF2 alterations on survival in childhood ALL. Hazards ratios (HRs) with 95% confidence intervals (CIs) were pooled across the studies using a fixed-effects model. RESULTS: CRLF2 over-expression in childhood ALL was associated with poor prognosis in terms of relapse-free survival (RFS; HR=1.70, 95% CI=1.28-2.24, P=0.000), event-free survival (EFS; HR=1.78, 95% CI=1.05-3.01, P=0.032), and overall survival (OS; HR=2.28, 95% CI=1.42-3.65, P=0.001). The combined data also suggested that CRLF2 deregulation in childhood ALL was correlated with poor EFS (HR=1.95, 95% CI=1.46-2.61, P=0.000), RFS (HR=2.20, 95% CI=1.53-3.18, P=0.000), and OS (HR=1.89, 95% CI=1.24-2.87, P=0.003). Subgroup analysis on multivariate HRs showed that CRLF2 deregulation independently predicted a poor prognosis for childhood ALL. CONCLUSIONS: The present meta-analysis reveals that both CRLF2 over-expression and deregulation are associated with poor prognosis in pediatric patients with ALL. FAU - Jia, Ming AU - Jia M AD - Division of Hematology-oncology, Children's Hospital, Zhejiang University School of Medicine, Key Laboratory of Reproductive Genetics (Zhejiang University), Ministry of Education, Hangzhou, 310003, China. FAU - Wang, Zhu-Jun AU - Wang ZJ FAU - Zhao, Hai-Zhao AU - Zhao HZ FAU - Shen, He-Ping AU - Shen HP FAU - Cheng, Yu-Ping AU - Cheng YP FAU - Luo, Ze-Bin AU - Luo ZB FAU - Tang, Yong-Min AU - Tang YM LA - eng PT - Journal Article PT - Meta-Analysis PT - Research Support, Non-U.S. Gov't DEP - 20150430 PL - Switzerland TA - World J Pediatr JT - World journal of pediatrics : WJP JID - 101278599 RN - 0 (Biomarkers, Tumor) RN - 0 (CRLF2 protein, human) RN - 0 (Receptors, Cytokine) SB - IM MH - Biomarkers, Tumor/*genetics MH - Child MH - Humans MH - Precursor Cell Lymphoblastic Leukemia-Lymphoma/epidemiology/*genetics MH - Prognosis MH - Receptors, Cytokine/*genetics MH - Survival Analysis EDAT- 2015/04/30 06:00 MHDA- 2016/01/26 06:00 CRDT- 2015/04/30 06:00 PHST- 2013/10/02 00:00 [received] PHST- 2014/08/26 00:00 [accepted] PHST- 2015/04/30 06:00 [entrez] PHST- 2015/04/30 06:00 [pubmed] PHST- 2016/01/26 06:00 [medline] AID - 10.1007/s12519-015-0019-1 [doi] PST - ppublish SO - World J Pediatr. 2015 May;11(2):126-33. doi: 10.1007/s12519-015-0019-1. Epub 2015 Apr 30.