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miR-34家族在卵巢癌中的预后价值:一项系统评价与荟萃分析

The prognostic value of miR-34 family in ovarian cancer: a systematic review and meta-analysis.

作者信息

Luo Xiulan, Li Xiaolu, Chen Chaolin, Yang Jing, Zheng Hong

机构信息

Department of Pathology, Affiliated Hospital of Zunyi Medical University, Zunyi, Guizhou, China.

出版信息

Front Oncol. 2025 Mar 17;15:1499163. doi: 10.3389/fonc.2025.1499163. eCollection 2025.

Abstract

BACKGROUND

The aim of this study was to evaluate the association between miR-34 family expression and overall survival (OS) and progression-free survival (PFS) in women with ovarian cancer.

METHODS

Literature searches were conducted using databases such as PubMed, Cochrane Library, EMBASE, Web of Science, Wanfang, and CNKI to identify studies reporting pooled hazard ratios (HRs) and 95% confidence intervals (CIs) examining the relationship between miR-34 family expression and overall survival (OS) or progression-free survival (PFS) in female patients with ovarian cancer. All potentially relevant studies were assessed and then pooled.

RESULTS

There were a total of seven literatures included in this systematic review and meta-analysis, which included 672 women. There was a significant improvement in survival for women with ovarian cancer when miR-34s expression was higher (OS, HR = 0.70, 95% CI:0.57-0.86; PFS, HR = 0.48, 95% CI:0.31-0.75). A subgroup analysis of miR-34 family members showed that differences between groups greatly affected PFS (HR = 0.50, 95% CI: 0.40-0.63).

CONCLUSION

Based on the results of this review, it appears that ovarian cancer women with high expression of miR-34s may have a better chance of surviving.Systematic Review Registration: PROSPERO (CRD42024499203).

SYSTEMATIC REVIEW REGISTRATION

https://www.crd.york.ac.uk/PROSPERO/, identifier CRD42024499203.

摘要

背景

本研究旨在评估miR-34家族表达与卵巢癌女性患者总生存期(OS)和无进展生存期(PFS)之间的关联。

方法

使用PubMed、Cochrane图书馆、EMBASE、Web of Science、万方和中国知网等数据库进行文献检索,以确定报告合并风险比(HRs)和95%置信区间(CIs)的研究,这些研究考察了miR-34家族表达与女性卵巢癌患者总生存期(OS)或无进展生存期(PFS)之间的关系。对所有潜在相关研究进行评估,然后进行汇总。

结果

本系统评价和荟萃分析共纳入7篇文献,涉及672名女性。当miR-34s表达较高时,卵巢癌女性患者的生存期有显著改善(OS,HR = 0.70,95% CI:0.57 - 0.86;PFS,HR = 0.48,95% CI:0.31 - 0.75)。miR-34家族成员的亚组分析表明,组间差异对PFS有很大影响(HR = 0.50,95% CI:0.40 - 0.63)。

结论

基于本综述结果,miR-34s高表达的卵巢癌女性患者可能有更好的生存机会。系统评价注册:PROSPERO(CRD42024499203)。

系统评价注册

https://www.crd.york.ac.uk/PROSPERO/,标识符CRD42024499203。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/469b/11959189/52ec188b77f5/fonc-15-1499163-g001.jpg

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