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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Format: | Article |
Language: | English |
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MDPI AG
2021-03-01
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Series: | Cancers |
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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. |
first_indexed | 2024-03-10T13:10:18Z |
format | Article |
id | doaj.art-21dd6f2614fd4430b6c8ef0ffe1cda0a |
institution | Directory Open Access Journal |
issn | 2072-6694 |
language | English |
last_indexed | 2024-03-10T13:10:18Z |
publishDate | 2021-03-01 |
publisher | MDPI AG |
record_format | Article |
series | Cancers |
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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