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血清 microRNA-125b 作为一种潜在的脑胶质瘤诊断生物标志物。

Serum MicroRNA-125b as a Potential Biomarker for Glioma Diagnosis.

机构信息

Department of Neurosurgery, Shengjing Hospital of China Medical University, Shenyang, 110004, China.

出版信息

Mol Neurobiol. 2016 Jan;53(1):163-170. doi: 10.1007/s12035-014-8993-1. Epub 2014 Nov 23.

Abstract

Biomarkers in blood have become increasingly appreciated in the diagnosis of glioma, but most of their diagnostic accuracy was not high enough to be used widely in a clinical context. MicroRNA-125b (miRNA-125b, miR-125b), a member of microRNA cluster, is widely considered as ideal biomarkers for clinical diagnosis in various human cancers. In the current study, we first explored the diagnostic value of serum miR-125b for glioma in a Chinese population, which has not been studied yet. Additionally, we conducted a meta-analysis to assess the diagnostic accuracy of miR-125b in human cancers. Serum miR-125b from the 33 patients with glioma (WHO grades I-IV) and 33 healthy controls were compared. Our results showed that the serum miR-125b level was significantly lower in glioma patients when compared with normal population, and an obvious decreasing trend of miR-125b level along tumor stages was found. The receiver operating characteristic (ROC) curve analysis of the accuracy in distinguishing glioma cancer patients from healthy controls yielded an area under the curve (AUC) value of 0.839 (95 % confidence interval (CI), 0.743-0.935). When glioma patients at different stages were compared with normal controls, the AUC values of WHO grade II (0.868) and WHO grade III-IV (0.959) were higher than WHO grade I (0.691). In the meta-analysis, the overall sensitivity, specificity, and AUC for miR-125b in human cancers diagnosis were 82 % (95 % CI, 76-87 %), 77 % (95 % CI, 70-84 %), and 0.84 (95 % CI, 0.81-0.87), respectively. The results of the present study suggested that miR-125b could be a potential biomarker with relatively high accuracy in the diagnosis of glioma as well as other human cancers.

摘要

血液中的生物标志物在胶质瘤的诊断中越来越受到重视,但它们的大多数诊断准确性都不够高,无法在临床环境中广泛应用。microRNA-125b(miRNA-125b,miR-125b)作为 microRNA 家族的成员,被广泛认为是各种人类癌症临床诊断的理想生物标志物。在本研究中,我们首先探索了血清 miR-125b 在中国人群中对胶质瘤的诊断价值,目前尚未对此进行研究。此外,我们还进行了荟萃分析以评估 miR-125b 在人类癌症中的诊断准确性。比较了 33 例胶质瘤患者(WHO 分级 I-IV)和 33 例健康对照者的血清 miR-125b。结果显示,与正常人群相比,胶质瘤患者血清 miR-125b 水平显著降低,且 miR-125b 水平随肿瘤分期呈明显下降趋势。ROC 曲线分析区分胶质瘤癌症患者与健康对照者的准确性,得出曲线下面积(AUC)值为 0.839(95%置信区间(CI),0.743-0.935)。当比较不同分期的胶质瘤患者与正常对照组时,WHO 分级 II(0.868)和 WHO 分级 III-IV(0.959)的 AUC 值高于 WHO 分级 I(0.691)。荟萃分析中,miR-125b 用于人类癌症诊断的总体敏感性、特异性和 AUC 分别为 82%(95%CI,76-87%)、77%(95%CI,70-84%)和 0.84(95%CI,0.81-0.87)。本研究结果表明,miR-125b 可能是一种潜在的生物标志物,在诊断胶质瘤和其他人类癌症方面具有较高的准确性。

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