Zheng Wen, Zhou Ya, Lu Jia, Xu Hualin, Lei Liangyu, Chen Chao, Zhao Juanjuan, Xu Lin
Department of Immunology, Zunyi Medical College, Guizhou, 563000 People's Republic of China.
Department of Medical Physics, Zunyi Medical College, Guizhou, 563000 China.
Cancer Cell Int. 2017 Jul 14;17:71. doi: 10.1186/s12935-017-0440-8. eCollection 2017.
Non-small cell lung cancer (NSCLC) is a leading cause of cancer-related death. Growing evidence from recent studies have shown indicated that microRNA-126 (miR-126) played an important role in the progression of NSCLC. However, the potential value of miR-126 expression in prognosis of NSCLC remains to be fully elucidated. Here, we carried out a meta-analysis to assess the potential prognostic value of miR-126 for NSCLC.
PubMed, Embase, the Cochrane library, Web of Science, CNKI and WanFang database, as well as the reference of included studies, were searched to recognize pertinent studies until April 30, 2017. New castle-Ottawa scale was used to evaluate the quality of studies. Pooled hazard ratio (HR) with 95% confidence interval (CI) for overall survival (OS) was extracted by using a fixed-effects or a random-effects model on the basis of heterogeneity. Publication bias was evaluated by using Begg's tests.
We identified four eligible trials involving 666 non-small-cell lung cancer patients in this meta-analysis. The results indicated that a high level of miR-126 played a favorable role in the overall survival (HR 0.73, 95% CI 0.61-0.86, fixed-effects model). There was no bias existed in this study.
Our study showed that high expression level of miR-126 was a promising positive factor for OS for non-small cell lung cancer patients, and miR-126 might be a potential target for non-small-cell lung cancer therapy in the future.
非小细胞肺癌(NSCLC)是癌症相关死亡的主要原因。近期研究的越来越多证据表明,微小RNA-126(miR-126)在NSCLC进展中起重要作用。然而,miR-126表达在NSCLC预后中的潜在价值仍有待充分阐明。在此,我们进行了一项荟萃分析,以评估miR-126对NSCLC的潜在预后价值。
检索了PubMed、Embase、Cochrane图书馆、Web of Science、中国知网和万方数据库以及纳入研究的参考文献,以识别相关研究,检索截至2017年4月30日。使用纽卡斯尔-渥太华量表评估研究质量。根据异质性,采用固定效应或随机效应模型提取总生存(OS)的合并风险比(HR)及95%置信区间(CI)。采用Begg检验评估发表偏倚。
在这项荟萃分析中,我们确定了四项符合条件的试验,涉及666例非小细胞肺癌患者。结果表明,高水平的miR-126在总生存中起有利作用(HR 0.73,95%CI 0.61-0.86,固定效应模型)。本研究不存在偏倚。
我们的研究表明,miR-126高表达水平是NSCLC患者总生存的一个有前景的积极因素,并且miR-126可能是未来非小细胞肺癌治疗的一个潜在靶点。