Significance of the Overexpression of Substance P and Its Receptor NK-1R in Head and Neck Carcinogenesis: A Systematic Review and Meta-Analysis

The objective of our study has been, through a systematic review and meta-analysis, to increase the scientific evidence on the implications of SP and its receptor NK-1R in head and neck carcinogenesis. We searched studies published before May-2020 without date and publication language restrictions (...

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Main Authors: Miguel Ángel González-Moles, Pablo Ramos-García, Francisco Esteban
Format: Article
Language:English
Published: MDPI AG 2021-03-01
Series:Cancers
Subjects:
Online Access:https://www.mdpi.com/2072-6694/13/6/1349
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author Miguel Ángel González-Moles
Pablo Ramos-García
Francisco Esteban
author_facet Miguel Ángel González-Moles
Pablo Ramos-García
Francisco Esteban
author_sort Miguel Ángel González-Moles
collection DOAJ
description The objective of our study has been, through a systematic review and meta-analysis, to increase the scientific evidence on the implications of SP and its receptor NK-1R in head and neck carcinogenesis. We searched studies published before May-2020 without date and publication language restrictions (PubMed, Embase, Web of Science, Scopus). We evaluated the quality of the studies included (QUIPS tool). We performed heterogeneity, sensitivity, small-study effects, and subgroup analyses. A total 16 studies and 1308 cases met inclusion criteria. Qualitative evaluation demonstrated that not all studies were performed with the same scientific rigor, finding the greatest risk of bias in the study confounding and prognostic factors measurement domains. Quantitative evaluation showed a greater SP/NK-1R overexpression in malignant head and neck lesions compared to benign lesions (<i>p</i> = 0.02), and that expression was observed in malignant salivary gland pathology. Likewise, we found a higher overexpression of NK-1R compared to SP (<i>p</i> = 0.02). In conclusion, the results of this systematic review and meta-analysis show evidence that the upregulation of SP and NK-1R are oncogenic events involved in head and neck carcinogenesis, probably acting in the early stages of malignization. In addition, there is evidence of a greater relevance of the upregulation of the NK-1R receptor compared to SP, which highlights the interest in deepening the development of targeted therapies on the receptor. Future studies assessing the relationships between SP/NK-1R among subjects with head and neck tumors could consider the recommendations given in this systematic review and meta-analysis to improve and standardize future research.
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spelling doaj.art-21dd6f2614fd4430b6c8ef0ffe1cda0a2023-11-21T10:48:31ZengMDPI AGCancers2072-66942021-03-01136134910.3390/cancers13061349Significance of the Overexpression of Substance P and Its Receptor NK-1R in Head and Neck Carcinogenesis: A Systematic Review and Meta-AnalysisMiguel Ángel González-Moles0Pablo Ramos-García1Francisco Esteban2School of Dentistry, University of Granada, 18010 Granada, SpainSchool of Dentistry, University of Granada, 18010 Granada, SpainDepartment of Otorhinolaryngology, Virgen del Rocio University Hospital, 41013 Sevilla, SpainThe objective of our study has been, through a systematic review and meta-analysis, to increase the scientific evidence on the implications of SP and its receptor NK-1R in head and neck carcinogenesis. We searched studies published before May-2020 without date and publication language restrictions (PubMed, Embase, Web of Science, Scopus). We evaluated the quality of the studies included (QUIPS tool). We performed heterogeneity, sensitivity, small-study effects, and subgroup analyses. A total 16 studies and 1308 cases met inclusion criteria. Qualitative evaluation demonstrated that not all studies were performed with the same scientific rigor, finding the greatest risk of bias in the study confounding and prognostic factors measurement domains. Quantitative evaluation showed a greater SP/NK-1R overexpression in malignant head and neck lesions compared to benign lesions (<i>p</i> = 0.02), and that expression was observed in malignant salivary gland pathology. Likewise, we found a higher overexpression of NK-1R compared to SP (<i>p</i> = 0.02). In conclusion, the results of this systematic review and meta-analysis show evidence that the upregulation of SP and NK-1R are oncogenic events involved in head and neck carcinogenesis, probably acting in the early stages of malignization. In addition, there is evidence of a greater relevance of the upregulation of the NK-1R receptor compared to SP, which highlights the interest in deepening the development of targeted therapies on the receptor. Future studies assessing the relationships between SP/NK-1R among subjects with head and neck tumors could consider the recommendations given in this systematic review and meta-analysis to improve and standardize future research.https://www.mdpi.com/2072-6694/13/6/1349Substance PNK-1Rneurokinintachykininhead and neckneoplasm
spellingShingle Miguel Ángel González-Moles
Pablo Ramos-García
Francisco Esteban
Significance of the Overexpression of Substance P and Its Receptor NK-1R in Head and Neck Carcinogenesis: A Systematic Review and Meta-Analysis
Cancers
Substance P
NK-1R
neurokinin
tachykinin
head and neck
neoplasm
title Significance of the Overexpression of Substance P and Its Receptor NK-1R in Head and Neck Carcinogenesis: A Systematic Review and Meta-Analysis
title_full Significance of the Overexpression of Substance P and Its Receptor NK-1R in Head and Neck Carcinogenesis: A Systematic Review and Meta-Analysis
title_fullStr Significance of the Overexpression of Substance P and Its Receptor NK-1R in Head and Neck Carcinogenesis: A Systematic Review and Meta-Analysis
title_full_unstemmed Significance of the Overexpression of Substance P and Its Receptor NK-1R in Head and Neck Carcinogenesis: A Systematic Review and Meta-Analysis
title_short Significance of the Overexpression of Substance P and Its Receptor NK-1R in Head and Neck Carcinogenesis: A Systematic Review and Meta-Analysis
title_sort significance of the overexpression of substance p and its receptor nk 1r in head and neck carcinogenesis a systematic review and meta analysis
topic Substance P
NK-1R
neurokinin
tachykinin
head and neck
neoplasm
url https://www.mdpi.com/2072-6694/13/6/1349
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AT pabloramosgarcia significanceoftheoverexpressionofsubstancepanditsreceptornk1rinheadandneckcarcinogenesisasystematicreviewandmetaanalysis
AT franciscoesteban significanceoftheoverexpressionofsubstancepanditsreceptornk1rinheadandneckcarcinogenesisasystematicreviewandmetaanalysis