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微小 RNA-375 作为人类癌症检测生物标志物的潜在作用:一项荟萃分析。

Potential Role of MicroRNA-375 as Biomarker in Human Cancers Detection: A Meta-Analysis.

机构信息

Department of Gastroenterology, The First Affiliated Hospital with Nanjing Medical University, Nanjing, Jiangsu, China.

The First Clinical Medical College, Nanjing Medical University, Nanjing, Jiangsu, China.

出版信息

Biomed Res Int. 2017;2017:1875843. doi: 10.1155/2017/1875843. Epub 2017 Nov 13.

Abstract

The association between circulating microRNA-375 (miR-375) expression and cancers has been studied; however, the results are inconsistent. We searched PubMed, Embase, and Web of Science for studies concerning the diagnostic value of miR-375 for cancer. The bivariate meta-analysis model was employed to summarize sensitivity, specificity, and diagnostic odds ratio (DOR) for miR-375 in the diagnosis of cancer. Summary receiver operating characteristic (SROC) curve analysis and the area under the curve (AUC) were also used to check the overall test performance. A total of 645 cancer patients and 421 cancer-free individuals from 12 studies were contained in this meta-analysis. The summary estimates revealed that the pooled sensitivity was 78% (95% confidence interval (CI): 64%-87%), the specificity was 74% (95% CI: 62%-84%), the DOR was 10.04 (95% CI: 6.01-16.77), and the AUC was 0.82 (95% CI: 0.79-0.85). In addition, we found that the diagnostic effect of miR-375 varies according to the race and cancer type. Our data suggest that miR-375 profiling has a potential to be used as a screening test for cancers but the specific race and cancer should be considered. More studies on the diagnostic value of miR-375 for cancer are needed in the future.

摘要

循环 microRNA-375(miR-375)表达与癌症之间的关联已经得到研究;然而,结果并不一致。我们检索了 PubMed、Embase 和 Web of Science,以获取有关 miR-375 对癌症诊断价值的研究。采用双变量 meta 分析模型来总结 miR-375 对癌症诊断的敏感性、特异性和诊断比值比(DOR)。汇总受试者工作特征(SROC)曲线分析和曲线下面积(AUC)也用于检查总体测试性能。这项荟萃分析共纳入了来自 12 项研究的 645 名癌症患者和 421 名无癌症个体。汇总估计表明,合并敏感性为 78%(95%置信区间[CI]:64%-87%),特异性为 74%(95% CI:62%-84%),DOR 为 10.04(95% CI:6.01-16.77),AUC 为 0.82(95% CI:0.79-0.85)。此外,我们发现 miR-375 的诊断效果因种族和癌症类型而异。我们的数据表明,miR-375 谱分析有可能被用作癌症的筛查试验,但应考虑具体的种族和癌症。未来需要更多关于 miR-375 对癌症诊断价值的研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/826a/5702930/f5516dc1bd58/BMRI2017-1875843.001.jpg

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