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Prognostic and diagnostic value of circRNA expression in cervical cancer: a meta analysis.

作者信息

Xu Yi, Li Changxia, Cheng Lifang, Wang Shaoheng, Wu Yuqing, Li Shiyang, Liu Mingqiang, Tao Xiaohua

机构信息

Dermatology Hospital of Jiangxi Province, Jiangxi Provincial Clinical Research Center For Skin Diseases, Candidate Branch of National Clinical Research Center for Skin Diseases, Dermatology Institute of Jiangxi Province, The Affiliated Dermatology Hospital of Nanchang University, Nanchang, China.

Third Clinical Medical College, Nanchang University, Nanchang, China.

出版信息

Front Oncol. 2025 Jan 13;14:1488040. doi: 10.3389/fonc.2024.1488040. eCollection 2024.


DOI:10.3389/fonc.2024.1488040
PMID:39871946
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11769824/
Abstract

INTRODUCTION: Cervical cancer (CC) is a highly prevalent malignancy of the reproductive system. This study aimed to methodically assess the function of circular RNAs (circRNAs) as possible indicators of CC, with a specific emphasis on their usefulness in the identification, prediction, and correlation with clinicopathological elements. METHODS: A comprehensive literature search was conducted using databases such as PubMed, Cochrane Library, Web of Science, Embase, and the China National Knowledge Infrastructure (CNKI). The latest data were extracted on May 3, 2024. The diagnostic potential of circRNA expression was evaluated using a range of metrics including sensitivity, specificity, and area under the receiver operating characteristic curve (AUC). The importance of circRNAs was further evaluated in terms of clinical relevance, pathological features, and prognostic value using pooled odds ratios (ORs) and hazard ratios (HRs). RESULTS: The meta-analysis included 27 studies, which were categorised based on diagnostic applications (n=3), clinicopathological correlations (n=15), and prognostic evaluations (n=23). Elevated expression levels of oncogenic circRNAs were significantly associated with poor clinical indicators, including tumour size (odds ratio [OR] = 0.425, 95% confidence interval [CI]: 0.267-0.676), International Federation of Gynaecology and Obstetrics (FIGO) stage (OR = 0.315, 95% CI: 0.224-0.443), and lymph node metastasis (OR = 2.975, 95% CI: 1.816-4.872). This upregulation of oncogenic circRNA was also identified as a predictor of worse survival outcomes, with a hazard ratio (HR) of 2.13 (95% CI: 1.73-2.62, < 0.001). The downregulation of circRNAs with tumour-suppressor properties was similarly associated with poor clinical parameters, such as tumour size (OR = 0.310, 95% CI: 0.102-0.941), FIGO stage (OR = 0.231, 95% CI: 0.101-0.527), and lymph node metastasis (OR = 2.430, 95% CI: 1.156-5.110), and was indicative of a worsened prognosis (HR = 2.20, 95% CI: 1.03-4.70, = 0.042). In terms of diagnostic value, the pooled sensitivity, specificity, and area under the curve (AUC) were calculated to be 0.85, 0.83, and 0.91, respectively. CONCLUSION: The results of our meta-analysis indicate that circRNAs have the potential to serve as promising biomarkers for CC diagnosis, prognosis, and clinicopathology. SYSTEMATIC REVIEW REGISTRATION: https://www.crd.york.ac.uk/PROSPERO/, identifier CRD42024544997.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/87a4/11769824/13c61fcc3ec5/fonc-14-1488040-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/87a4/11769824/7ef55ddb37a0/fonc-14-1488040-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/87a4/11769824/7a2b74cd326f/fonc-14-1488040-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/87a4/11769824/c00228cb22a9/fonc-14-1488040-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/87a4/11769824/9e72055ad8ef/fonc-14-1488040-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/87a4/11769824/58bb49b37741/fonc-14-1488040-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/87a4/11769824/984ee832db13/fonc-14-1488040-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/87a4/11769824/1b14325dca9d/fonc-14-1488040-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/87a4/11769824/beab66b93541/fonc-14-1488040-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/87a4/11769824/13c61fcc3ec5/fonc-14-1488040-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/87a4/11769824/7ef55ddb37a0/fonc-14-1488040-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/87a4/11769824/7a2b74cd326f/fonc-14-1488040-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/87a4/11769824/c00228cb22a9/fonc-14-1488040-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/87a4/11769824/9e72055ad8ef/fonc-14-1488040-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/87a4/11769824/58bb49b37741/fonc-14-1488040-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/87a4/11769824/984ee832db13/fonc-14-1488040-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/87a4/11769824/1b14325dca9d/fonc-14-1488040-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/87a4/11769824/beab66b93541/fonc-14-1488040-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/87a4/11769824/13c61fcc3ec5/fonc-14-1488040-g009.jpg

相似文献

[1]
Prognostic and diagnostic value of circRNA expression in cervical cancer: a meta analysis.

Front Oncol. 2025-1-13

[2]
Prognostic and diagnostic value of circRNA expression in prostate cancer: A systematic review and meta-analysis.

Front Oncol. 2022-11-7

[3]
Prognostic and diagnostic value of circRNA expression in colorectal carcinoma: a meta-analysis.

BMC Cancer. 2020-5-19

[4]
Diagnostic and prognostic role of circRNAs in pancreatic cancer: a meta-analysis.

Front Oncol. 2023-6-8

[5]
Systematic Review With Meta-Analysis: Diagnostic, Prognostic and Clinicopathological Significance of CircRNA Expression in Renal Cancer.

Front Oncol. 2022-1-28

[6]
The predictive value of circular RNAs in the diagnosis, prognosis and clinicopathological features of thyroid cancer: A systematic review and meta-analysis.

Pathol Res Pract. 2022-8

[7]
Diagnostic and prognostic value of circRNAs expression in head and neck squamous cell carcinoma: A meta-analysis.

J Clin Lab Anal. 2022-7

[8]
Prognostic and Diagnostic Significance of circRNA Expression in Esophageal Cancer: A Meta-analysis.

Gastroenterol Res Pract. 2020-12-1

[9]
Dysregulated Expression Levels of Circular RNAs Serve as Prognostic and Clinicopathological Markers in Gastric Cancer: a Meta-Analysis.

Clin Lab. 2021-4-1

[10]
CircRNAs as potential biomarkers for the clinicopathology and prognosis of glioma patients: a meta-analysis.

BMC Cancer. 2020-10-15

本文引用的文献

[1]
Competing endogenous RNAs (ceRNAs) and drug resistance to cancer therapy.

Cancer Drug Resist. 2024-9-25

[2]
crVDAC3 alleviates ferroptosis by impeding HSPB1 ubiquitination and confers trastuzumab deruxtecan resistance in HER2-low breast cancer.

Drug Resist Updat. 2024-11

[3]
Circular RNA: A promising new star of vaccine.

J Transl Int Med. 2023-12-20

[4]
Circular RNA in cervical cancer: Fundamental mechanism and clinical potential.

Noncoding RNA Res. 2023-11-18

[5]
Exosomal non-coding RNAs in glioma progression: insights into tumor microenvironment dynamics and therapeutic implications.

Front Cell Dev Biol. 2023-11-1

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Cervical Cancer Screening.

JAMA. 2023-11-28

[7]
CircRNA Circ_0000118 Regulates Malignancy of Cervical Cancer Cells by Regulating miR-211-5p/miR-377-3p/AKT2 Axis.

Biochem Genet. 2023-8

[8]
CircVPRBP inhibits nodal metastasis of cervical cancer by impeding RACK1 O-GlcNAcylation and stability.

Oncogene. 2023-3

[9]
Global estimates of incidence and mortality of cervical cancer in 2020: a baseline analysis of the WHO Global Cervical Cancer Elimination Initiative.

Lancet Glob Health. 2023-2

[10]
CircRNA hsa_circ_0001627 aggravates cervical cancer progression through upregulation of FNDC3B and activating PI3K/mTOR signaling pathway.

J Cell Commun Signal. 2023-9

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