Department of Spine Surgery, The First Affiliated Hospital of Gannan Medical University, Ganzhou, P.R. China.
Medicine (Baltimore). 2023 Jun 2;102(22):e33970. doi: 10.1097/MD.0000000000033970.
As a newly discovered lncRNA, lncRNA High expression in hepatocellular carcinoma (HEIH) has been reported to correlate with poor clinical outcomes in several different cancers, In addition, studies have shown that HEIH is overexpressed in a variety of cancers and plays an oncogenic role. The present meta-analysis aims to elucidate the relationship between HEIH expression and prognosis and clinicopathological features among cancer patients.
PubMed, Web of Science, Cochrane Library, and EMBASE database were comprehensively and systematically searched. pooled odds ratios (ORs) and hazard ratios (HRs) with 95% confidence interval (CI) were employed to assess the relationship between HEIH expression and clinical outcomes and clinicopathological features in cancer patients.
The present study finally enrolled 11 studies which included 1227 cancer patients. The combined results indicated that HEIH overexpression was significantly associated with shorter overall survival (OS) (pooled HR = 2.03, 95% CI 1.74-2.38, P < .00001).Meanwhile, regarding clinicopathology of cancer patients, upregulated HEIH expression was closely related to larger tumor size (OR = 2.65, 95% CI: 1.52-4.65, P = .0006), advanced tumor T stage (OR = 2.41, 95 % CI: 1.54-3.77, P = .0001), advanced TNM stage (OR = 4.76, 95% CI: 2.73-8.29, P < .00001), distant metastasis (OR = 2.94, 95% CI: 1.75-4.96, P < .0001) and lymph node metastasis (OR = 2.07, 95% CI: 1.05-4.07, P = .04), respectively.
High expression of HEIH in some cancers predicts shorter overall survival and higher clinical stage as well as larger tumor size. HEIH has great potential to become a prognostic marker for cancer patients.
作为一种新发现的长非编码 RNA,lncRNA 肝癌高表达(HEIH)已被报道与多种癌症的不良临床结局相关。此外,研究表明 HEIH 在多种癌症中过度表达,发挥致癌作用。本荟萃分析旨在阐明 HEIH 表达与癌症患者预后和临床病理特征之间的关系。
系统全面地检索了 PubMed、Web of Science、Cochrane Library 和 EMBASE 数据库。采用合并优势比(OR)和风险比(HR)及其 95%置信区间(CI)评估 HEIH 表达与癌症患者临床结局和临床病理特征的关系。
本研究最终纳入了 11 项研究,共纳入 1227 例癌症患者。合并结果表明,HEIH 过表达与总生存期(OS)缩短显著相关(合并 HR=2.03,95%CI 1.74-2.38,P<.00001)。同时,关于癌症患者的临床病理特征,上调的 HEIH 表达与更大的肿瘤大小(OR=2.65,95%CI:1.52-4.65,P=0.0006)、肿瘤 T 分期较高(OR=2.41,95%CI:1.54-3.77,P=0.0001)、TNM 分期较晚(OR=4.76,95%CI:2.73-8.29,P<.00001)、远处转移(OR=2.94,95%CI:1.75-4.96,P<.0001)和淋巴结转移(OR=2.07,95%CI:1.05-4.07,P=0.04)密切相关。
某些癌症中 HEIH 的高表达预示着总生存期更短、临床分期更高以及肿瘤更大。HEIH 有很大潜力成为癌症患者的预后标志物。