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High Thymidine Kinase 1 Activity Linked to Poor Breast Cancer Survival: A Systematic Review and Meta-Analysis
Simin Li1, Guoxue Tang1, Shuzhen Lin1
1Department of Ultrasound, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, 510120, China.
High thymidine kinase 1 activity (TK1a) levels in breast cancer patients indicate a worse prognosis for overall survival (OS) and progression-free survival (PFS). This biomarker may help predict patient outcomes.
Area of Science:
- Oncology
- Biomarker Research
- Clinical Pathology
Background:
- Thymidine kinase 1 activity (TK1a) is an emerging biomarker in oncology.
- Its prognostic value in breast cancer requires further elucidation.
- Understanding TK1a's role can inform treatment strategies.
Purpose of the Study:
- To systematically evaluate the association between TK1a levels and breast cancer patient prognosis.
- To investigate the correlation of TK1a with clinicopathological characteristics.
Main Methods:
- A meta-analysis was conducted on ten studies involving 1761 breast cancer cases.
- Data extraction focused on overall survival (OS), progression-free survival (PFS), and clinicopathological features.
- Statistical analyses included heterogeneity assessment, sensitivity analysis, and Egger's test for publication bias.
Main Results:
- High TK1a levels were significantly associated with a higher risk of poor OS (HR 1.80) and PFS.
- High TK1a was linked to negative estrogen receptor (ER) status (OR: 0.651).
- Substantial heterogeneity was observed, potentially due to sample type.
Conclusions:
- Elevated TK1a levels serve as a significant indicator of poor prognosis in breast cancer patients.
- TK1a may be a valuable biomarker for assessing patient outcomes and treatment efficacy.
- Further research could integrate TK1a into clinical decision-making for breast cancer management.
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