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长链非编码 RNA MNX1-AS1 在人类癌症中的临床意义:基于 TCGA 数据集的队列研究和生物信息学分析的荟萃分析。

Clinical significance of long noncoding RNA MNX1-AS1 in human cancers: a meta-analysis of cohort studies and bioinformatics analysis based on TCGA datasets.

机构信息

Department of General Surgery, Lanzhou University Second Hospital, Lanzhou University, Lanzhou, China.

Department of Anesthesiology, The Third Affiliated Hospital, Sun Yat-sen University, Guangzhou, China.

出版信息

Bioengineered. 2021 Dec;12(1):875-885. doi: 10.1080/21655979.2021.1888596.

Abstract

MNX1-AS1 expression has been proposed to be abnormally upregulated in multiple human malignancies and be linked with the survival outcome of patients. However, relevant conclusions were yielded based on the limited samples. Therefore, we herein implemented a meta-analysis of the published cohort studies to further decipher the relationship of MNX1-AS1 level to prognosis and clinicopathological features in various cancers. Additionally, using The Cancer Genome Atlas (TCGA) datasets we carried out a bioinformatics analysis to make a further evaluation on the prognostic value of MNX1-AS1 expression. The results of meta-analysis indicated elevated MNX1-AS1 level closely correlated with poorer overall survival (OS) (HR = 1.97, 95% CI, 1.73-2.24; P < 0.00001), and disease-free survival (DFS) (HR = 2.24, 95% CI, 1.48-3.38; P = 0.0001) in cancers, which was confirmed by the bioinformatics analysis. Besides, it was observed the upregulated MNX1-AS1 level was significantly related to invasion depth, disease stage, tumor metastasis, and differentiation. Collectively, high MNX1-AS1 level correlated with poor survival outcome and aggressive clinicopathological characteristics in various cancers, suggesting that MNX1-AS1 may be applied as a prognostic marker and even a therapeutic target. Nevertheless, more high-quality studies designed with a large sample size should be conducted to further determine the clinical role of MNX1-AS1 in specific cancer types.

摘要

MNX1-AS1 的表达被提出在多种人类恶性肿瘤中异常上调,并与患者的生存结局相关。然而,相关结论是基于有限的样本得出的。因此,我们进行了一项荟萃分析,对已发表的队列研究进行分析,以进一步阐明 MNX1-AS1 水平与各种癌症的预后和临床病理特征的关系。此外,我们使用癌症基因组图谱 (TCGA) 数据集进行了生物信息学分析,以进一步评估 MNX1-AS1 表达的预后价值。荟萃分析的结果表明,MNX1-AS1 水平升高与较差的总生存期 (OS) (HR = 1.97, 95% CI, 1.73-2.24; P < 0.00001) 和无病生存期 (DFS) (HR = 2.24, 95% CI, 1.48-3.38; P = 0.0001) 密切相关,这一结果通过生物信息学分析得到了验证。此外,还观察到上调的 MNX1-AS1 水平与浸润深度、疾病分期、肿瘤转移和分化显著相关。总之,高 MNX1-AS1 水平与各种癌症不良的生存结局和侵袭性临床病理特征相关,表明 MNX1-AS1 可作为一种预后标志物,甚至是治疗靶点。然而,需要更多设计合理、样本量大的高质量研究来进一步确定 MNX1-AS1 在特定癌症类型中的临床作用。

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