AI Article Synopsis

  • The study investigates the role of phosphorylated mTOR (p-mTOR) as a prognostic marker in breast carcinoma.
  • A systematic review and meta-analysis were conducted using data from several electronic databases, analyzing the impact of p-mTOR on patient survival outcomes.
  • Findings indicated that p-mTOR overexpression does not significantly correlate with overall survival or disease recurrence in breast cancer, highlighting the need for further prospective research.

Article Abstract

Objective: Phosphorylated mammalian target of rapamycin (p-mTOR) is a promising prognostic marker in many types of cancer. However, its survival benefit in patients with breast carcinoma remains unknown. The aim of the present study was to assess the relationship between p-mTOR expression and prognosis in breast carcinoma based on a systematic review and meta-analysis.

Materials And Methods: Electronic databases (including Pubmed, Embase, ISI web of science, and Cochrane Library) were searched up to November 24, 2015. The outcome measures were hazard ratios (HRs) with 95% confidence interval (CI) for the association between the prognosis of breast carcinoma patients and p-mTOR expression. Primary end points were disease-free survival (DFS), overall survival (OS), and recurrence-free survival (RFS). Statistical analysis was performed with STATA 12.0.

Results: Nine cohort studies including 3051 patients met full eligibility criteria. The pooled HRs (95% CI) for OS, DFS, and RFS were 0.84 (0.27-2.63), 0.71 (0.40-1.23), and 0.48 (0.20-1.18), respectively.

Conclusions: Our findings suggested that p-mTOR overexpression was not significantly related to prognosis in breast carcinoma regarding OS and disease recurrence. Prospective studies are warranted to examine the association between p-mTOR expression and survival outcomes in breast carcinoma.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5256929PMC
http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0170302PLOS

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