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环状 RNA 浆细胞瘤变异易位 1 在多种癌症中的临床病理和预后作用。

Clinicopathologic and prognostic roles of circular RNA plasmacytoma variant translocation 1 in various cancers.

机构信息

Department of Orthopedics, The Second Xiangya Hospital, Central South University, Changsha, Hunan, China.

Hunan Key Laboratory of Tumor Models and Individualized Medicine, The Second Xiangya Hospital, Central South University, Changsha, Hunan, China.

出版信息

Expert Rev Mol Diagn. 2021 Oct;21(10):1095-1104. doi: 10.1080/14737159.2021.1964959. Epub 2021 Aug 20.

Abstract

OBJECTIVE

To explore the clinicopathologic and prognostic significance of circular RNA plasmacytoma variant translocation 1 (circPVT1) in various cancers.

METHODS

Several databases were searched for eligible studies published before March 01, 2021. The pooled odds ratios (ORs) with 95% confidence interval (95% CI) were calculated to assess the association between circPVT1 expression and prognostic outcomes of tumor including age, gender, clinical stage, tumor size, metastasis and overall survival. Begg's funnel plots and Egger's test were used to evaluate the publication bias. The robustness of our results was assessed using sensitivity analysis.

RESULTS

Ten studies comprising a total of 878 patients with cancer were included in this meta-analysis. The results showed that the high expression of circPVT1 was significantly related to clinical stage (OR=3.44, 95% CI: 2.40-4.94, P<0.05), tumor size (OR=2.29, 95% CI: 1.38-3.79, P<0.05), metastasis (OR=2.97, 95% CI: 2.06-4.28, p<0.05) and overall survival of cancer (OR=3.30, 95% CI: 2.26-4.84, p<0.05), but not associated with age and gender of patients with tumor. No publication bias was found.

CONCLUSIONS

High expression of circPVT1 may predict an advanced clinical stage and poor prognosis of tumor, suggesting that circPVT1 may serve as a potential prognostic marker in cancers.

摘要

目的

探讨环状 RNA 浆细胞瘤变异易位 1(circPVT1)在多种癌症中的临床病理和预后意义。

方法

检索了截至 2021 年 3 月 1 日之前发表的合格研究的多个数据库。使用合并的 odds ratios(ORs)及其 95%置信区间(95%CI)来评估 circPVT1 表达与肿瘤的预后结果(包括年龄、性别、临床分期、肿瘤大小、转移和总生存期)之间的关联。使用 Begg 漏斗图和 Egger 检验来评估发表偏倚。使用敏感性分析来评估我们结果的稳健性。

结果

本荟萃分析共纳入了 10 项研究,共 878 例癌症患者。结果表明,circPVT1 的高表达与临床分期(OR=3.44,95%CI:2.40-4.94,P<0.05)、肿瘤大小(OR=2.29,95%CI:1.38-3.79,P<0.05)、转移(OR=2.97,95%CI:2.06-4.28,P<0.05)和癌症的总生存期(OR=3.30,95%CI:2.26-4.84,P<0.05)显著相关,但与肿瘤患者的年龄和性别无关。未发现发表偏倚。

结论

circPVT1 的高表达可能预示着肿瘤的临床分期较晚和预后较差,提示 circPVT1 可能是癌症的一个潜在的预后标志物。

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