Effects of FABP5 Expression on Clinicopathological and Survival Characteristics in Digestive System Malignancies: A Systematic Review and Meta‐Analysis

ABSTRACT Background Digestive system malignancies are a major global health burden, and the role of fatty acid binding protein 5 (FABP5) in these tumors remains controversial. Aims This meta‐analysis aimed to evaluate the correlation between FABP5 expression and clinicopathological features, as well...

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Main Authors: Miaoqing Li, Xiaoxia Wang, Jia Guo, Junchen Qu, Yu Cao, Qingkun Song, Jun Lu
Format: Article
Language:English
Published: Wiley 2025-04-01
Series:Cancer Medicine
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Online Access:https://doi.org/10.1002/cam4.70794
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author Miaoqing Li
Xiaoxia Wang
Jia Guo
Junchen Qu
Yu Cao
Qingkun Song
Jun Lu
author_facet Miaoqing Li
Xiaoxia Wang
Jia Guo
Junchen Qu
Yu Cao
Qingkun Song
Jun Lu
author_sort Miaoqing Li
collection DOAJ
description ABSTRACT Background Digestive system malignancies are a major global health burden, and the role of fatty acid binding protein 5 (FABP5) in these tumors remains controversial. Aims This meta‐analysis aimed to evaluate the correlation between FABP5 expression and clinicopathological features, as well as survival outcomes in digestive system malignancies. Materials and Methods Data from 11 studies (1207 patients) retrieved from PubMed, Embase, Cochrane Library, CNKI, and WanFang were analyzed. Results FABP5 overexpression was associated with poorer overall survival (OS), larger tumor size, advanced UICC stage, and increased risk of vascular invasion and lymph node metastasis. Notably, FABP5 overexpression is particularly associated with poorer OS in the subgroup of digestive tract malignancies and larger tumor sizes in the subgroup of Chinese patients. Discussion Cellular experiments demonstrated that FABP5 overexpression enhances proliferation, migration, and invasion in hepatocellular carcinoma (Huh7) and gastric cancer (HGC‐27) cell lines, while FABP5 knockdown reduces these effects. Mechanistically, FABP5 may drive tumor progression through PPARβ/δ signaling, epithelial‐mesenchymal transition induction, angiogenesis regulation, and potential effects on fatty acid metabolism and hypoxia‐related pathways. Conclusion FABP5 overexpression correlates with adverse clinicopathological features and prognosis in digestive system malignancies, suggesting its potential as a biomarker for these tumors. Further research is warranted.
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spelling doaj-art-a320ef218ea0408891e754804c9faaea2025-08-20T02:28:23ZengWileyCancer Medicine2045-76342025-04-01147n/an/a10.1002/cam4.70794Effects of FABP5 Expression on Clinicopathological and Survival Characteristics in Digestive System Malignancies: A Systematic Review and Meta‐AnalysisMiaoqing Li0Xiaoxia Wang1Jia Guo2Junchen Qu3Yu Cao4Qingkun Song5Jun Lu6Department of Medical Oncology, Laboratory for Clinical Medicine Beijing YouAn Hospital, Capital Medical University Beijing ChinaDepartment of Medical Oncology, Laboratory for Clinical Medicine Beijing YouAn Hospital, Capital Medical University Beijing ChinaDepartment of Medical Oncology, Laboratory for Clinical Medicine Beijing YouAn Hospital, Capital Medical University Beijing ChinaDepartment of Medical Oncology, Laboratory for Clinical Medicine Beijing YouAn Hospital, Capital Medical University Beijing ChinaDepartment of Clinical Epidemiology Research Beijing YouAn Hospital, Capital Medical University Beijing ChinaDepartment of Clinical Epidemiology Research Beijing YouAn Hospital, Capital Medical University Beijing ChinaDepartment of Medical Oncology, Laboratory for Clinical Medicine Beijing YouAn Hospital, Capital Medical University Beijing ChinaABSTRACT Background Digestive system malignancies are a major global health burden, and the role of fatty acid binding protein 5 (FABP5) in these tumors remains controversial. Aims This meta‐analysis aimed to evaluate the correlation between FABP5 expression and clinicopathological features, as well as survival outcomes in digestive system malignancies. Materials and Methods Data from 11 studies (1207 patients) retrieved from PubMed, Embase, Cochrane Library, CNKI, and WanFang were analyzed. Results FABP5 overexpression was associated with poorer overall survival (OS), larger tumor size, advanced UICC stage, and increased risk of vascular invasion and lymph node metastasis. Notably, FABP5 overexpression is particularly associated with poorer OS in the subgroup of digestive tract malignancies and larger tumor sizes in the subgroup of Chinese patients. Discussion Cellular experiments demonstrated that FABP5 overexpression enhances proliferation, migration, and invasion in hepatocellular carcinoma (Huh7) and gastric cancer (HGC‐27) cell lines, while FABP5 knockdown reduces these effects. Mechanistically, FABP5 may drive tumor progression through PPARβ/δ signaling, epithelial‐mesenchymal transition induction, angiogenesis regulation, and potential effects on fatty acid metabolism and hypoxia‐related pathways. Conclusion FABP5 overexpression correlates with adverse clinicopathological features and prognosis in digestive system malignancies, suggesting its potential as a biomarker for these tumors. Further research is warranted.https://doi.org/10.1002/cam4.70794clinicopathological featuresdigestive system malignanciesFABP5fatty acid binding protein 5meta‐analysissurvival analysis
spellingShingle Miaoqing Li
Xiaoxia Wang
Jia Guo
Junchen Qu
Yu Cao
Qingkun Song
Jun Lu
Effects of FABP5 Expression on Clinicopathological and Survival Characteristics in Digestive System Malignancies: A Systematic Review and Meta‐Analysis
Cancer Medicine
clinicopathological features
digestive system malignancies
FABP5
fatty acid binding protein 5
meta‐analysis
survival analysis
title Effects of FABP5 Expression on Clinicopathological and Survival Characteristics in Digestive System Malignancies: A Systematic Review and Meta‐Analysis
title_full Effects of FABP5 Expression on Clinicopathological and Survival Characteristics in Digestive System Malignancies: A Systematic Review and Meta‐Analysis
title_fullStr Effects of FABP5 Expression on Clinicopathological and Survival Characteristics in Digestive System Malignancies: A Systematic Review and Meta‐Analysis
title_full_unstemmed Effects of FABP5 Expression on Clinicopathological and Survival Characteristics in Digestive System Malignancies: A Systematic Review and Meta‐Analysis
title_short Effects of FABP5 Expression on Clinicopathological and Survival Characteristics in Digestive System Malignancies: A Systematic Review and Meta‐Analysis
title_sort effects of fabp5 expression on clinicopathological and survival characteristics in digestive system malignancies a systematic review and meta analysis
topic clinicopathological features
digestive system malignancies
FABP5
fatty acid binding protein 5
meta‐analysis
survival analysis
url https://doi.org/10.1002/cam4.70794
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