Circulating adiponectin and leptin and risk of overall and aggressive prostate cancer: a systematic review and meta-analysis

Abstract Obesity is associated with an increased risk of advanced, recurrent and fatal prostate cancer. Adipokines may mediate this relationship. We conducted a systematic review and meta-analysis of associations of leptin and adiponectin with overall and aggressive prostate cancer. Bibliographic da...

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Autores principales: Anya J. Burton, Rebecca Gilbert, Kate Tilling, Ryan Langdon, Jenny L. Donovan, Jeff M. P. Holly, Richard M. Martin
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Publicado: Nature Portfolio 2021
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spelling oai:doaj.org-article:145bbe39284f41248a4c7106d89d69782021-12-02T15:23:02ZCirculating adiponectin and leptin and risk of overall and aggressive prostate cancer: a systematic review and meta-analysis10.1038/s41598-020-79345-42045-2322https://doaj.org/article/145bbe39284f41248a4c7106d89d69782021-01-01T00:00:00Zhttps://doi.org/10.1038/s41598-020-79345-4https://doaj.org/toc/2045-2322Abstract Obesity is associated with an increased risk of advanced, recurrent and fatal prostate cancer. Adipokines may mediate this relationship. We conducted a systematic review and meta-analysis of associations of leptin and adiponectin with overall and aggressive prostate cancer. Bibliographic databases were systematically searched up to 1st April 2017. Log Odds Ratios (ORs) per 2.5 unit increase in adiponectin or leptin levels were derived and pooled. All analyses were stratified by study type (cross-sectional/prospective). 746 papers were retrieved, 34 eligible studies identified, 31 of these could be included in the meta-analysis. Leptin was not consistently associated with overall prostate cancer (pooled OR 1.00, 95%CI 0.98–1.02, per 2.5 ng/ml increase, prospective study OR 0.97, 95%CI 0.95–0.99, cross-sectional study OR 1.19, 95%CI 1.13–1.26) and there was weak evidence of a positive association with aggressive disease (OR 1.03, 95%CI 1.00–1.06). There was also weak evidence of a small inverse association of adiponectin with overall prostate cancer (OR 0.96, 95%CI 0.93–0.99, per 2.5 µg/ml increase), but less evidence of an association with aggressive disease (OR 0.98, 95%CI 0.94–1.01). The magnitude of any effects are small, therefore levels of circulating adiponectin or leptin alone are unlikely to be useful biomarkers of risk or prognosis.Anya J. BurtonRebecca GilbertKate TillingRyan LangdonJenny L. DonovanJeff M. P. HollyRichard M. MartinNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-16 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Anya J. Burton
Rebecca Gilbert
Kate Tilling
Ryan Langdon
Jenny L. Donovan
Jeff M. P. Holly
Richard M. Martin
Circulating adiponectin and leptin and risk of overall and aggressive prostate cancer: a systematic review and meta-analysis
description Abstract Obesity is associated with an increased risk of advanced, recurrent and fatal prostate cancer. Adipokines may mediate this relationship. We conducted a systematic review and meta-analysis of associations of leptin and adiponectin with overall and aggressive prostate cancer. Bibliographic databases were systematically searched up to 1st April 2017. Log Odds Ratios (ORs) per 2.5 unit increase in adiponectin or leptin levels were derived and pooled. All analyses were stratified by study type (cross-sectional/prospective). 746 papers were retrieved, 34 eligible studies identified, 31 of these could be included in the meta-analysis. Leptin was not consistently associated with overall prostate cancer (pooled OR 1.00, 95%CI 0.98–1.02, per 2.5 ng/ml increase, prospective study OR 0.97, 95%CI 0.95–0.99, cross-sectional study OR 1.19, 95%CI 1.13–1.26) and there was weak evidence of a positive association with aggressive disease (OR 1.03, 95%CI 1.00–1.06). There was also weak evidence of a small inverse association of adiponectin with overall prostate cancer (OR 0.96, 95%CI 0.93–0.99, per 2.5 µg/ml increase), but less evidence of an association with aggressive disease (OR 0.98, 95%CI 0.94–1.01). The magnitude of any effects are small, therefore levels of circulating adiponectin or leptin alone are unlikely to be useful biomarkers of risk or prognosis.
format article
author Anya J. Burton
Rebecca Gilbert
Kate Tilling
Ryan Langdon
Jenny L. Donovan
Jeff M. P. Holly
Richard M. Martin
author_facet Anya J. Burton
Rebecca Gilbert
Kate Tilling
Ryan Langdon
Jenny L. Donovan
Jeff M. P. Holly
Richard M. Martin
author_sort Anya J. Burton
title Circulating adiponectin and leptin and risk of overall and aggressive prostate cancer: a systematic review and meta-analysis
title_short Circulating adiponectin and leptin and risk of overall and aggressive prostate cancer: a systematic review and meta-analysis
title_full Circulating adiponectin and leptin and risk of overall and aggressive prostate cancer: a systematic review and meta-analysis
title_fullStr Circulating adiponectin and leptin and risk of overall and aggressive prostate cancer: a systematic review and meta-analysis
title_full_unstemmed Circulating adiponectin and leptin and risk of overall and aggressive prostate cancer: a systematic review and meta-analysis
title_sort circulating adiponectin and leptin and risk of overall and aggressive prostate cancer: a systematic review and meta-analysis
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/145bbe39284f41248a4c7106d89d6978
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