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微小RNA-9在癌症中的预后价值:一项系统评价和荟萃分析。

Prognostic value of microRNA-9 in cancers: a systematic review and meta-analysis.

作者信息

Sun Han, Shao Yingjie, Huang Jin, Sun Siwei, Liu Yijie, Zhou Pinghui, Yang Huilin

机构信息

Department of Orthopedic Surgery, The First Affiliated Hospital of Soochow University, Suzhou, 215006, P.R. China.

Department of Radiation Oncology, The Third Affiliated Hospital of Soochow University, Changzhou, 213003, P.R. China.

出版信息

Oncotarget. 2016 Oct 11;7(41):67020-67032. doi: 10.18632/oncotarget.11466.

Abstract

Recent studies revealed that different microRNA-9 (miR-9) expressions were associated with prognoses of different cancers. We conducted this meta-analysis to evaluate the prognostic value of miR-9. PubMed, Embase, Web of Science, and Cochrane Library (last update by November 30, 2015) were searched for literatures. A total of 17 studies from 16 articles were finally qualified and enrolled in this meta-analysis. Pooled analyses showed that a higher expression of miR-9 might predict poor overall survival (HR: 2.17, 95% CI: 1.39 - 3.41, P < 0.001 (7.23 * 10-4)), disease-free survival (HR: 5.22, 95% CI: 2.17 - 12.53, P < 0.001 (2.21 * 10-4)), and recurrence-free survival (HR: 1.57, 95% CI: 1.32 - 1.85, P < 0.001 (1.8010-7)) in various carcinomas. However, results of subgroup analyses revealed that down-regulated miR-9 was associated with poor overall survival (HR: 0.45, 95% CI: 0.28 - 0.73, P < 0.001 (1.1310-3)) and progress-free survival (HR: 0.46, 95% CI: 0.34 - 0.62, P < 0.001 (5.03*10-7)) in ovarian cancer patients. By subgroup analyses we also found that sample collecting time and patients' origin had little influence on the result of OS. These results indicate that in most cancer types the highly expressed miR-9 is associated with poor survival of patients, whereas the down-regulated miR-9 may predict poor prognosis in patients with ovarian cancer.

摘要

近期研究表明,不同的微小RNA-9(miR-9)表达与不同癌症的预后相关。我们进行了这项荟萃分析以评估miR-9的预后价值。通过检索PubMed、Embase、科学网和考克兰图书馆(截至2015年11月30日的最新更新)查找文献。最终,来自16篇文章的17项研究符合条件并纳入本荟萃分析。汇总分析显示,miR-9的高表达可能预示总体生存期较差(风险比:2.17,95%置信区间:1.39 - 3.41,P < 0.001(7.23×10⁻⁴))、无病生存期较差(风险比:5.22,95%置信区间:2.17 - 12.53,P < 0.001(2.21×10⁻⁴))以及在各种癌症中无复发生存期较差(风险比:1.57,95%置信区间:1.32 - 1.85,P < 0.001(1.80×10⁻⁷))。然而,亚组分析结果显示,在卵巢癌患者中,miR-9表达下调与总体生存期较差(风险比:0.45,95%置信区间:0.28 - 0.73,P < 0.001(1.13×10⁻³))和无进展生存期较差(风险比:0.46,95%置信区间:0.34 - 0.62,P < 0.001(5.03×10⁻⁷))相关。通过亚组分析我们还发现,样本采集时间和患者来源对总生存期结果影响不大。这些结果表明,在大多数癌症类型中,高表达的miR-9与患者的不良生存相关,而miR-9表达下调可能预示卵巢癌患者的预后不良。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/63b2/5341854/21582f08427e/oncotarget-07-67020-g001.jpg

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