Skip to main content
. 2015 Jul 23;9:555. doi: 10.3332/ecancer.2015.555

Table 4. Epidemiological studies on liver metabolisms and cancer.

Publication Study population Study design No. of subjects, follow-up Exposure Outcome Main results Adjustments
Zhang et al 2011 [121] Cancer registry Cohort 277 GGT Hepatocellular carcinoma prognosis The one-year and three-year OS rates were 71.6 and 38.5% in patients with normal GGT and 48.8 and 16.9% in patients with high GGT (P = 0.002).
Yin et al 2013 [127] Cancer registry Cohort 411 GGT Intrahepatic cholangiocar-cinoma prognosis GGT was an independent predictor of a poor prognosis (hazard ratio =2.36, 95% confidence interval: 1.67–3.34, P = 0.001)
Tsuboya et al 2012 [123] Ohsaki Cohort Study Cohort 15 031 GGT Overall cancer incidence Highest quartile (GGT ≥31.0 IU/mL), the multivariate HR for any cancer was 1.28 (95% CI, 1.08–1.53; P for trend, <0.001), the HR for colorectal cancer was significantly greater than unity. This positive trend was observed only in current drinkers Adjusted for age sex, drinking habit, self-reported history of liver disease, smoking habit body mass index, education, exercise.
Seebacher et al 2012 [122] Multicenter database Multicenter trial 874 GGT Endometrial Cancer prognosis Elevated serum GGT levels (P = 0.03 and P = 0.005), tumour stage (P < 0.001 and P < 0.001), grade (P < 0.001 and P = 0.02) and age (P < 0.001 and P < 0.001) were independently associated with progression-free survival in univariate and multivariable survival analyses Patients were stratified in GGT risk groups
Hofbauer et al 2014 [128] Cancer registry Cohort 921 GGT Renal cell carcinoma prognosis Gamma-glutamyltransferase levels increased with advancing T (P < 0.001), N (P¼ 0.006) and M stages (Po0.001), higher grades (P < 0.001), and presence of tumour necrosis (Po0.001). An increase of GGT by 10Ul 1 was associated with an increase in the risk of death from RCC by 4% (HR 1.04, P < 0.001). Adjusted for T stage, N stage, M stage, Fuhrman grade, necrosis histologic subtype.
Hernaez et al 2013 [124] MJ Health Study Case-Cohort 3961 GGT Hepatocellular carcinoma mortality High levels of GGT were associated with cancer mortality (HR1.8–2.8) and HCC mortality (HR 5.5–36.1). Adjusted for age at baseline, body mass index, physical activity, smoking and alcohol use, education, systolic and diastolic blood pressure, total cholesterol, HDL, C-reactive protein HBsAg
He et al 2013 [120] Cancer registry Cohort 239 GGT Colorectal Carcinoma prognosis GGT (P < 0.001) statistically significant prognostic factor of overall survival validated as independent predictor. On univariate analysis, GGT (P < 0.001) statistically significant predictive factor of progression-free survival (PFS) in patients having first-line chemotherapy
Grimm et al 2013 [125] Cancer registry Multicenter study 634 GGT Ovarian cancer prognosis High GGT serum levels were associated with advanced FIGO stage (P < 0.001) and with worse overall survival in univariate (P < 0.001) and multivariable analysis (P = 0.02, HR 1.2 (1.1–1.5) Adjusted for continuous GGT values and survival
Edlinger et al 2013 [126] Vorarlberg Health Monitoring and Promotion Programme Sub-Cohort 318 GGT Endometrial cancer prognosis GGT associated with cancer-related mortality (HR = 3.35, 95% CI 1.12–10.03) Adjusted for age, tumour-staging (FIGO) and histology, together with the examination year, body mass index, hypertension, triglycerides, total cholesterol, glucose.