Dou Zhe, Lin Shuai, Dai Cong, Lu Ye, Tian Tian, Wang Meng, Liu Xinghan, Zheng Yi, Xu Peng, Li Shanli, Sheng Qianwen, Deng Yujiao, Dai Zhijun
Department of Oncology, Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710004, China.
Department of Student Affairs, Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710004, China.
Oncotarget. 2017 Jun 27;8(37):62703-62715. doi: 10.18632/oncotarget.18697. eCollection 2017 Sep 22.
Many studies manifested miRNA-100 was deregulated in various cancers, which indicated that miRNA-100 might be a potential biomarker of cancer diagnosis and prognosis. However, the role of miRNA-100 was still uncertain. We searched for qualified studies using PubMed, EMBASE, Web of Science, Cochrane library and CNKI databases. The diagnostic effect was evaluated by the pooled sensitivity, specificity, and other indexes. Pooled hazard ratios (HRs) with 95% confidence intervals (CIs) for overall survival (OS) were calculated to assess the prognostic value. This meta-analysis included 7 and 19 studies about diagnosis and prognosis, respectively. The results of pooled sensitivity, specificity, positive likelihood ratio (PLR), negative likelihood ratio (NLR) and diagnostic odds ratio (DOR) were 0.75 (95%CI: 0.71-0.78), 0.74 (95%CI: 0.69-0.78), 2.61 (95%CI: 1.81-3.76), 0.33 (95%CI: 0.24-0.45), 8.46 (95%CI: 4.85-14.77), respectively. And, the area under SROC curve (AUC) was 0.8141. We also found that lower expression of miRNA-100 in cancer tissues could significantly predict poorer prognosis in overall cancer (HR = 0.59, 95%CI: 0.39-0.90), especially in genital system tumors (HR = 0.42, 95%CI: 0.27-0.66, P = 0.431), bladder cancer (HR = 0.21, 95%CI: 0.06-0.73, P = 0.143) and esophageal squamous cell carcinoma (HR = 0.26, 95%CI: 0.13-0.52, P = 0.164). Our studies concluded that miRNA-100 has a certain value in diagnosis and it may indicate a poor prognosis of cancers.
许多研究表明,miRNA - 100在多种癌症中表达失调,这表明miRNA - 100可能是癌症诊断和预后的潜在生物标志物。然而,miRNA - 100的作用仍不明确。我们使用PubMed、EMBASE、Web of Science、Cochrane图书馆和CNKI数据库搜索合格的研究。通过合并敏感性、特异性和其他指标来评估诊断效果。计算总生存期(OS)的合并风险比(HRs)及其95%置信区间(CIs)以评估预后价值。这项荟萃分析分别纳入了7项和19项关于诊断和预后的研究。合并敏感性、特异性、阳性似然比(PLR)、阴性似然比(NLR)和诊断比值比(DOR)的结果分别为0.75(95%CI:0.71 - 0.78)、0.74(95%CI:0.69 - 0.78)、2.61(95%CI:1.81 - 3.76)、0.33(95%CI:0.24 - 0.45)、8.46(95%CI:4.85 - 14.77)。并且,SROC曲线下面积(AUC)为0.8141。我们还发现,癌症组织中miRNA - 100的低表达可显著预测总体癌症的较差预后(HR = 0.59,95%CI:0.39 - 0.90),尤其是在生殖系统肿瘤(HR = 0.42,95%CI:0.27 - 0.66,P = 0.431)、膀胱癌(HR = 0.21,95%CI:0.06 - 0.73,P = 0.143)和食管鳞状细胞癌(HR = 0.26,95%CI:0.13 - 0.52,P = 0.164)中。我们的研究得出结论,miRNA - 100在诊断中具有一定价值,并且可能预示癌症预后不良。