NAMPT and metastatic malignant neoplasm in the lymph nodes: In another study, elevated plasma visfatin levels in gastric cancer patients was found to be correlated with invasion depth, lymph node metastasis, distant metastasis, peritoneal dissemination, tumor size, and tumor node metastasis stage; furthermore, multivariate Cox regression analysis identified plasma visfatin level as an independent predictor of overall survival [28].