Tian Liyuan, Chen Xian, Lun Limin, Tian Qingwu, Wang Qing, Li Hui, Song Junying, Jing Xuran, Zhang Yunyuan, Tian Runhua
Clin Lab. 2019 Jan 1;65(1). doi: 10.7754/Clin.Lab.2018.180622.
Mounting evidence from recent studies has revealed the association of lncRNA PANDAR expression levels with outcomes in several types of cancer. However, inconsistent results have also been reported, which rationalized a meta-analysis of available data to analyze the prognostic value of lncRNA PANDAR.
From inception to May 26, 2018, electronic literature databases including PubMed (medline), the Cochrane Library, ScienceDirect, Springer, ISI Web of Knowledge, Wiley Online library, BioMed Central, and Embase were searched for literature collections. The hazard ratios (HR) with 95% confidence interval (95% CI) were utilized to calculate pooled effect size.
A total of 1,132 cancer patients were enrolled in the present meta-analysis to assess the prognostic value of PANDAR in various carcinomas. Promoted PANDAR expression was demonstrated to significantly predict unfavorable OS (HR = 1.77, 95% CI: 1.12 - 2.80, p = 0.014) by the random effects model. According to the stratified analyses and meta-regression results, the heterogeneity of present analysis may be attributed to the differences of cancer resources. Furthermore, over-expression of PANDAR was revealed to be effectively predictive of cancer progression (HR = 1.70, 95% CI: 1.41 - 2.05, p < 0.00001) and LNM (HR = 1.71, 95% CI: 1.39 - 2.10, p < 0.00001).
The present findings indicate that increased PANDAR is associated with poor OS in patients with general carcinomas and may serve as a useful clinical prognostic biomarker.
近期研究的越来越多证据揭示了长链非编码RNA PANDAR表达水平与几种癌症预后的关联。然而,也有不一致的结果报道,这使得有必要对现有数据进行荟萃分析,以分析长链非编码RNA PANDAR的预后价值。
从数据库建立至2018年5月26日,检索包括PubMed(医学索引数据库)、Cochrane图书馆、ScienceDirect、Springer、ISI 科学网、Wiley在线图书馆、BioMed Central和Embase在内的电子文献数据库以收集文献。采用风险比(HR)及95%置信区间(95%CI)计算合并效应量。
本荟萃分析共纳入1132例癌症患者,以评估PANDAR在各种癌症中的预后价值。随机效应模型显示,PANDAR表达升高显著预示不良总生存期(HR = 1.77,95%CI:1.12 - 2.80,p = 0.014)。根据分层分析和荟萃回归结果,本分析的异质性可能归因于癌症来源的差异。此外,PANDAR过表达被证实可有效预测癌症进展(HR = 1.70,95%CI:1.41 - 2.05,p < 0.0000¹)和淋巴结转移(HR = 1.71,95%CI:1.39 - 2.10,p < 0.0000¹)。
本研究结果表明,PANDAR升高与一般癌症患者的不良总生存期相关,可能是一种有用的临床预后生物标志物。