Chang Junli, Yao Min, Li Yimian, Zhao Dongfeng, Hu Shaopu, Cui Xuejun, Liu Gang, Shi Qi, Wang Yongjun, Yang Yanping
Longhua Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai, China.
Spine Institute, Shanghai University of Traditional Chinese Medicine, Shanghai, China.
Oncotarget. 2016 Dec 20;7(51):85650-85674. doi: 10.18632/oncotarget.13333.
Osteosarcoma (OS) is the most common primary malignant bone carcinoma with high morbidity that happens mainly in children and young adults. As the key components of gene-regulatory networks, microRNAs (miRNAs) control many critical pathophysiological processes, including initiation and progression of cancers. The objective of this study is to summarize and evaluate the potential of miRNAs as targets for prevention and treatment of OS in mouse models, and to explore the methodological quality of current studies. We searched PubMed, Web of Science, Embase, Wan Fang Database, VIP Database, China Knowledge Resource Integrated Database, and Chinese BioMedical since their beginning date to 10 May 2016. Two reviewers separately screened the controlled studies, which estimate the effects of miRNAs on osteosarcoma in mice. A pair-wise analysis was performed. Thirty six studies with enough randomization were selected and included in the meta-analysis. We found that blocking oncogenic or restoring decreased miRNAs in cancer cells could significantly suppress the progression of OS in vivo, as assessed by tumor volume and tumor weight. This meta-analysis suggests that miRNAs are potential therapeutic targets for OS and correction of the altered expression of miRNAs significantly suppresses the progression of OS in mouse models, however, the overall methodological quality of studies included here was low, and more animal studies with the rigourous design must be carried out before a miRNA-based treatment could be translated from animal studies to clinical trials.
骨肉瘤(OS)是最常见的原发性恶性骨癌,发病率高,主要发生于儿童和青年。作为基因调控网络的关键组成部分,微小RNA(miRNA)控制着许多关键的病理生理过程,包括癌症的发生和发展。本研究的目的是总结和评估miRNA作为小鼠模型中骨肉瘤预防和治疗靶点的潜力,并探讨当前研究的方法学质量。我们检索了PubMed、科学网、Embase、万方数据库、维普数据库、中国知网和中国生物医学数据库,检索时间从各数据库建库至2016年5月10日。两名评价者分别筛选了评估miRNA对小鼠骨肉瘤影响的对照研究,并进行了两两分析。选取36项随机化充分的研究纳入荟萃分析。我们发现,通过肿瘤体积和肿瘤重量评估,阻断癌细胞中致癌性miRNA或恢复降低的miRNA可显著抑制体内骨肉瘤的进展。本荟萃分析表明,miRNA是骨肉瘤潜在的治疗靶点,纠正miRNA表达改变可显著抑制小鼠模型中骨肉瘤的进展,然而,本研究纳入的整体方法学质量较低,在基于miRNA的治疗从动物研究转化为临床试验之前,必须开展更多设计严谨的动物研究。