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Let-7 和 HMGA2 在肺癌发生发展中的作用:系统评价和荟萃分析。

The role of let-7 and HMGA2 in the occurrence and development of lung cancer: a systematic review and meta-analysis.

机构信息

Department of Respiratory Medicine, The Second Hospital of Jilin University, Changchun, Jilin, China.

出版信息

Eur Rev Med Pharmacol Sci. 2018 Dec;22(23):8353-8366. doi: 10.26355/eurrev_201812_16533.

Abstract

OBJECTIVE

To evaluate the prognostic role of microRNA let-7 in lung cancer and the relationship between the expression of HMGA2 and clinical significance of lung cancer by meta-analysis.

MATERIALS AND METHODS

The studies on the correlation between the low expression of let-7 and the prognosis of lung cancer, and between the expression of HMGA2 and the occurrence and development of NSCLC were identified by searching PubMed, Web of the Science, Medline, Cochrane Library, Google Scholar, CNKI, CBM, and VIP databases. The StataSE12.0 software was used for meta-analysis.

RESULTS

A total of 10 studies correlating the low expression of let-7 with the lung cancer prognosis were analyzed. The results suggest that the low expression of let-7 indicates a poor overall survival rate, with a hazard ratio value of 1.55 (95%CI:1.16-2.09, p<0.05). Furthermore, nine case-control studies of HMGA2 expression in NSCLC tissues were evaluated. The results showed that the expression of HMGA2 in lung cancer is significantly higher than in normal paraneoplastic tissues. High expression of HMAG2 has been observed in patients with late TNM stages and lymph node metastasis.

CONCLUSIONS

Low expression of let-7 is closely related to the poor prognosis of lung cancer patients. The higher expression of HMGA2 in lung tissues correlates positively with the occurrence and invasiveness of lung cancer. Among malignant tumors, lung cancer is the leading cause of mortality. Early diagnosis and accurate prognosis are the keys to improving the survival rate of patients with this disease.

摘要

目的

通过荟萃分析评估 microRNA let-7 在肺癌中的预后作用,以及 HMGA2 的表达与非小细胞肺癌(NSCLC)发生发展的关系。

材料与方法

通过检索 PubMed、Web of Science、Medline、Cochrane Library、Google Scholar、CNKI、CBM 和 VIP 数据库,确定了与 let-7 低表达与肺癌预后相关,以及 HMGA2 表达与 NSCLC 发生发展相关的研究。采用 StataSE12.0 软件进行荟萃分析。

结果

共分析了 10 项与 let-7 低表达与肺癌预后相关的研究。结果表明,let-7 低表达提示总生存率较差,风险比为 1.55(95%CI:1.16-2.09,p<0.05)。此外,还评估了 9 项 HMGA2 在 NSCLC 组织中表达的病例对照研究。结果表明,HMGA2 在肺癌中的表达明显高于正常癌旁组织。HMAG2 的高表达与晚期 TNM 分期和淋巴结转移的患者有关。

结论

let-7 的低表达与肺癌患者的不良预后密切相关。HMGA2 在肺组织中的高表达与肺癌的发生和侵袭性呈正相关。在恶性肿瘤中,肺癌是导致死亡的主要原因。早期诊断和准确的预后是提高此类疾病患者生存率的关键。

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