The Association Between Serum Gamma‐Glutamyl Transferase and Gastrointestinal Cancer Risk: A Systematic Review and Meta‐Analysis
ABSTRACT Background Gamma‐glutamyl transferase (GGT) has been shown to have associations with several diseases including cancers. Previous studies have investigated the effect of GGT levels on the gastrointestinal (GI) cancer incidence. We aim to systematically investigate these studies to provide b...
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| Format: | Article |
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Wiley
2025-01-01
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| Series: | Cancer Medicine |
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| Online Access: | https://doi.org/10.1002/cam4.70581 |
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| author | Alireza Ramandi Jacob George Amir Hossein Behnoush Alireza Delavari Zahra Mohammadi Hossein Poustchi Reza Malekzadeh |
| author_facet | Alireza Ramandi Jacob George Amir Hossein Behnoush Alireza Delavari Zahra Mohammadi Hossein Poustchi Reza Malekzadeh |
| author_sort | Alireza Ramandi |
| collection | DOAJ |
| description | ABSTRACT Background Gamma‐glutamyl transferase (GGT) has been shown to have associations with several diseases including cancers. Previous studies have investigated the effect of GGT levels on the gastrointestinal (GI) cancer incidence. We aim to systematically investigate these studies to provide better insights into the interrelationship between GGT and GI cancers. Methods Online databases were searched to find relevant studies investigating different GGT levels' effects on the incidence of GI cancers including colorectal, esophageal, liver, pancreas, gastric, and biliary duct cancers. Random‐effect meta‐analysis was conducted to pool the hazard ratios (HRs) of GGT quartiles (Qs) effect on cancer incidence. Results A total of 26 studies were included in the final review, 12 of which underwent meta‐analysis that investigated 11 million patients. Based on the meta‐analysis, Q4 patients had a 69% higher hazard of GI cancer incidence (HR 1.69, 95% CI 1.41–2.02, p‐value < 0.001). The hazard ratio significance was also similar for Q3 (HR 1.22, 95% CI 1.15–1.30, p‐value < 0.001) and Q2 (HR 1.10, 95% CI 1.05–1.16, p‐value =0.002) of GGT. Colorectal and liver cancers showed a higher hazard ratio among Q2, Q3, and Q4 of GGT compared to Q1. In pancreas and bile duct cancers, only Q4 of GGT had significantly higher HR. Q3 and Q4 of GGT levels had statistically significant associations with gastric cancer incidence. Conclusion Higher GGT levels correlate with higher rates of GI cancer incidence, especially in colorectal and hepatic cancers. Future studies should investigate this biomarker's potential role in risk assessment for digestive cancers. |
| format | Article |
| id | doaj-art-4bd69c6c63cb4e0fbd6768c956fb62fa |
| institution | Kabale University |
| issn | 2045-7634 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Cancer Medicine |
| spelling | doaj-art-4bd69c6c63cb4e0fbd6768c956fb62fa2025-01-24T08:46:07ZengWileyCancer Medicine2045-76342025-01-01142n/an/a10.1002/cam4.70581The Association Between Serum Gamma‐Glutamyl Transferase and Gastrointestinal Cancer Risk: A Systematic Review and Meta‐AnalysisAlireza Ramandi0Jacob George1Amir Hossein Behnoush2Alireza Delavari3Zahra Mohammadi4Hossein Poustchi5Reza Malekzadeh6Division of Gastroenterology and Hepatology Weill Cornell Medicine New York New York USAStorr Liver Centre Westmead Institute for Medical Research, Westmead Hospital and University of Sydney Westmead New South Wales AustraliaDigestive Disease Research Center Digestive Disease Research Institute, Tehran University of Medical Sciences, Shariati Hospital Tehran IranLiver and Pancreatobiliary Diseases Research Center, Digestive Diseases Research Institute Tehran University of Medical Sciences Tehran IranLiver and Pancreatobiliary Diseases Research Center, Digestive Diseases Research Institute Tehran University of Medical Sciences Tehran IranLiver and Pancreatobiliary Diseases Research Center, Digestive Diseases Research Institute Tehran University of Medical Sciences Tehran IranDigestive Disease Research Center Digestive Disease Research Institute, Tehran University of Medical Sciences, Shariati Hospital Tehran IranABSTRACT Background Gamma‐glutamyl transferase (GGT) has been shown to have associations with several diseases including cancers. Previous studies have investigated the effect of GGT levels on the gastrointestinal (GI) cancer incidence. We aim to systematically investigate these studies to provide better insights into the interrelationship between GGT and GI cancers. Methods Online databases were searched to find relevant studies investigating different GGT levels' effects on the incidence of GI cancers including colorectal, esophageal, liver, pancreas, gastric, and biliary duct cancers. Random‐effect meta‐analysis was conducted to pool the hazard ratios (HRs) of GGT quartiles (Qs) effect on cancer incidence. Results A total of 26 studies were included in the final review, 12 of which underwent meta‐analysis that investigated 11 million patients. Based on the meta‐analysis, Q4 patients had a 69% higher hazard of GI cancer incidence (HR 1.69, 95% CI 1.41–2.02, p‐value < 0.001). The hazard ratio significance was also similar for Q3 (HR 1.22, 95% CI 1.15–1.30, p‐value < 0.001) and Q2 (HR 1.10, 95% CI 1.05–1.16, p‐value =0.002) of GGT. Colorectal and liver cancers showed a higher hazard ratio among Q2, Q3, and Q4 of GGT compared to Q1. In pancreas and bile duct cancers, only Q4 of GGT had significantly higher HR. Q3 and Q4 of GGT levels had statistically significant associations with gastric cancer incidence. Conclusion Higher GGT levels correlate with higher rates of GI cancer incidence, especially in colorectal and hepatic cancers. Future studies should investigate this biomarker's potential role in risk assessment for digestive cancers.https://doi.org/10.1002/cam4.70581cancergamma‐glutamyl transferase (GGT)gastrointestinalincidencemeta‐analysissystematic review |
| spellingShingle | Alireza Ramandi Jacob George Amir Hossein Behnoush Alireza Delavari Zahra Mohammadi Hossein Poustchi Reza Malekzadeh The Association Between Serum Gamma‐Glutamyl Transferase and Gastrointestinal Cancer Risk: A Systematic Review and Meta‐Analysis Cancer Medicine cancer gamma‐glutamyl transferase (GGT) gastrointestinal incidence meta‐analysis systematic review |
| title | The Association Between Serum Gamma‐Glutamyl Transferase and Gastrointestinal Cancer Risk: A Systematic Review and Meta‐Analysis |
| title_full | The Association Between Serum Gamma‐Glutamyl Transferase and Gastrointestinal Cancer Risk: A Systematic Review and Meta‐Analysis |
| title_fullStr | The Association Between Serum Gamma‐Glutamyl Transferase and Gastrointestinal Cancer Risk: A Systematic Review and Meta‐Analysis |
| title_full_unstemmed | The Association Between Serum Gamma‐Glutamyl Transferase and Gastrointestinal Cancer Risk: A Systematic Review and Meta‐Analysis |
| title_short | The Association Between Serum Gamma‐Glutamyl Transferase and Gastrointestinal Cancer Risk: A Systematic Review and Meta‐Analysis |
| title_sort | association between serum gamma glutamyl transferase and gastrointestinal cancer risk a systematic review and meta analysis |
| topic | cancer gamma‐glutamyl transferase (GGT) gastrointestinal incidence meta‐analysis systematic review |
| url | https://doi.org/10.1002/cam4.70581 |
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