PMID- 27344184 OWN - NLM STAT- MEDLINE DCOM- 20180205 LR - 20181202 IS - 1949-2553 (Electronic) IS - 1949-2553 (Linking) VI - 7 IP - 34 DP - 2016 Aug 23 TI - Prognostic value of amphiregulin and epiregulin mRNA expression in metastatic colorectal cancer patients. PG - 55890-55899 LID - 10.18632/oncotarget.10151 [doi] AB - Epidermal growth factor receptor (EGFR) and its ligands amphiregulin (AREG) and epiregulin (EREG) play a central role in the development of colorectal cancer, but the prognostic values of AREG and EREG are controversial. We conducted a meta-analysis of studies that investigated AREG and/or EREG mRNA levels in primary tumors to determine their prognostic value in metastatic colorectal cancer (mCRC). In addition, RAS status was assessed. Relevant articles were identified by searching the EMBASE, PubMed, and Cochrane Library databases. Hazard ratios (HR) with 95% confidence intervals (CIs) were calculated using a random-effects model. Nine studies involving 2167 patients were included in this meta-analysis. High AREG expression was associated with longer overall survival (OS) and progression-free survival (PFS). High EREG expression was also associated with prolonged OS and PFS. In RAS wild-type (WT) patients who received anti-EGFR therapy, high AREG and EREG expression was associated with longer OS. Our results indicate that high AREG and EREG mRNA expression are independent favorable prognostic biomarkers in mCRC. The expression of these ligands should be considered when evaluating prognoses in RAS-WT patients receiving anti-EGFR therapy. FAU - Jing, Chen AU - Jing C AD - Department of Medical Oncology, The First Affiliated Hospital of College of Medicine, Zhejiang University, Hangzhou, Zhejiang, P.R. China. FAU - Jin, Yang Han AU - Jin YH AD - Department of Pathology, The First Affiliated Hospital of College of Medicine, Zhejiang University, Hangzhou, Zhejiang, P.R. China. FAU - You, Zhai AU - You Z AD - Department of Pharmacy, The First Affiliated Hospital of College of Medicine, Zhejiang University, Hangzhou, Zhejiang, P.R. China. FAU - Qiong, Qian AU - Qiong Q AD - Department of Medical Oncology, The First Affiliated Hospital of College of Medicine, Zhejiang University, Hangzhou, Zhejiang, P.R. China. FAU - Jun, Zhou AU - Jun Z AD - Department of Pharmacy, The First Affiliated Hospital of College of Medicine, Zhejiang University, Hangzhou, Zhejiang, P.R. China. LA - eng PT - Journal Article PT - Meta-Analysis PT - Review PL - United States TA - Oncotarget JT - Oncotarget JID - 101532965 RN - 0 (Amphiregulin) RN - 0 (Epiregulin) RN - 0 (RNA, Messenger) RN - EC 2.7.10.1 (ErbB Receptors) SB - IM MH - Amphiregulin/*genetics MH - Colorectal Neoplasms/metabolism/*mortality/pathology MH - Epiregulin/*genetics MH - ErbB Receptors/antagonists & inhibitors MH - Genes, ras MH - Humans MH - Mutation MH - Neoplasm Metastasis MH - Prognosis MH - RNA, Messenger/*analysis PMC - PMC5342459 OTO - NOTNLM OT - amphiregulin OT - epiregulin OT - meta-analysis OT - metastatic colorectal cancer OT - prognostic biomarker COIS- CONFLICTS OF INTEREST There are no financial/commercial conflicts of interest involving any of the authors of this study. EDAT- 2016/06/28 06:00 MHDA- 2018/02/06 06:00 PMCR- 2016/08/23 CRDT- 2016/06/27 06:00 PHST- 2016/04/11 00:00 [received] PHST- 2016/06/06 00:00 [accepted] PHST- 2016/06/28 06:00 [pubmed] PHST- 2018/02/06 06:00 [medline] PHST- 2016/06/27 06:00 [entrez] PHST- 2016/08/23 00:00 [pmc-release] AID - 10151 [pii] AID - 10.18632/oncotarget.10151 [doi] PST - ppublish SO - Oncotarget. 2016 Aug 23;7(34):55890-55899. doi: 10.18632/oncotarget.10151.