Tumor Biology

, Volume 36, Issue 4, pp 2983–2992 | Cite as

Serum adiponectin levels may be associated with the pathogenesis of hepatocellular carcinoma

  • Rong-Rong Song
  • Xiao-Lin Gu
Research Article


The aim of the meta-analysis described below was to investigate the correlation between serum levels of adiponectin (ADPN) and the pathogenesis of hepatocellular carcinoma (HCC). Relevant studies about serum ADPN levels and the pathogenesis of HCC were identified by searching electric databases and by manual search. The included studies were selected in strict accordance with the inclusion and exclusion criteria. Detailed criteria were described in “Materials and methods” section. Statistical analyses were conducted with the STATA 12.0 statistical software (StataCorp, College Station, TX, USA). A total of nine studies were incorporated into this meta-analysis after careful consideration, including 705 HCC patients and 1390 healthy controls. This meta-analysis demonstrated that the serum ADPN levels in HCC patients were significantly higher than those in healthy controls (standard mean difference (SMD) = 0.97, 95 % confidence intervals (CI) = 0.02∼1.93, P < 0.05). The result of subgroup analysis by ethnicity revealed that serum ADPN levels in Caucasians and Asians were both obviously higher than those in healthy controls (Caucasians: SMD = 0.51, 95 % CI = 0.30∼0.73, P < 0.001; Asians: SMD = 0.49, 95 % CI = 0.06∼0.91, P < 0.05), but in Africans, the differences between HCC patients and controls had no statistical significance (SMD = 2.64, 95 % CI = −3.01∼8.30, P = 0.36). The evidence obtained by this meta-analysis suggests that serum ADPN levels are associated with the pathogenesis of HCC. Further conclusion might be that increased serum levels of ADPN can inhibit tumor growth and play a protective role in the development of HCC.


Serum adiponectin levels Hepatocellular carcinoma Meta-analysis 



We would like to acknowledge the reviewers for their useful comments on this paper.

Conflicts of interest



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Copyright information

© International Society of Oncology and BioMarkers (ISOBM) 2014

Authors and Affiliations

  1. 1.Intensive Care UnitJiangsu Province Nantong Tongzhou District People’s HospitalNantongChina
  2. 2.Department of OncologyJiangsu Province Nantong Tongzhou District People’s HospitalNantongChina

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