Abstract
BackgroundAccumulating studies indicated that dysregulated long non-coding RNA human histocompatibility leukocyte antigen (HLA) Complex P5 (HCP5) may functions as an potential prognostic predictor in multiple cancers. This meta-analysis was performed to systematically collect studies and conduct an evidence-based evaluation of the prognostic role of HCP5 in malignancies.MethodsFour databases (PubMed, Web of Science, Embase and Cochrane library) were comprehensively retrieved from their initiation date to November 9, 2021. Hazard ratio (HR) or odds ratio (OR) with 95% confidence interval (CI) were used to assess the associations between the expression level of HCP5 and prognosis or clinical characteristics. Moreover, results were validated by Gene Expression Profiling Interactive Analysis 2 (GEPIA2) and the National Genomics Data Center (NGDC). Subsequently, the molecular mechanism of HCP5 was predicted based on MEM and StarBase databases. The study protocol was registered at PROSPERO (ID: CRD42021274208).Results9 studies, containing 641 patients, were included in this meta-analysis. Our results revealed that HCP5 overexpression was associated with poor overall survival (OS), tumor type, histological differentiation, and lymph node metastasis in most cancers, but was not associated with age, gender and tumor size; down-regulation of HCP5 was associated with worse OS, advanced tumor stage, positive distal metastasis and lymph node metastasis in skin cutaneous melanoma (SKCM). HCP5 was significantly up-regulated in four cancers and down-regulated in SKCM, which was validated by the GEPIA2 cohort. HCP5 expression in various types of cancer was also verified in NGDC. Further functional prediction revealed that HCP5 may participate in some cancer-related pathways.ConclusionThere is a significantly association between dysregulation of HCP5 and both prognosis and clinicopathological features in various cancers. HCP5 may be functions as a novel potential prognostic biomarker and therapeutic target in multiple human cancers.
Highlights
Cancer is the leading cause of death in every country of the world and an important barrier to extending life expectancy [1]
All included studies [13, 15–20, 26, 27] evaluated the association between Human histocompatibility leukocyte antigen complex P5 (HCP5) expression levels and overall survival, the follow-up months ranged from 36 to 105
The results indicated that HCP5 was up-regulated in most cancers, including cholangio carcinoma (CHOL), esophageal carcinoma (ESCA), acute myeloid leukemia (LAML) and pancreatic adenocarcinoma (PAAD) (|log2FC| Cutoff: 1, P-value Cutoff: 0.01, Fig. 6)
Summary
Cancer is the leading cause of death in every country of the world and an important barrier to extending life expectancy [1]. Diagnosis and treatment are important to improve the prognosis in cancer patients, it is of great clinical significance to search novel biomarkers and therapeutic targets of cancer. Some lncRNAs have been reported to be markedly associated with the clinicopathological characteristics of cancer patients and may serve as potential therapeutic targets or prognostic biomarkers to predict the clinical outcomes [6, 7]. Accumulating studies indicated that dysregulated long non-coding RNA human histocompatibility leukocyte antigen (HLA) Complex P5 (HCP5) may functions as an potential prognostic predictor in multiple cancers. This meta-analysis was performed to systematically collect studies and conduct an evidence-based evaluation of the prognostic role of HCP5 in malignancies
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