SCI REP:在各种肿瘤中miR-17-92基因簇高表达的预后价值分析!

2017-08-21 xing.T MedSci原创

总之,这一荟萃分析表明miR-17-92基因簇的高表达提示各种癌症患者的预后不良。值得注意的是,未来需要包括来自多中心的大规模队列研究来进一步证实这一结论。

在各种肿瘤中miR-17-92基因簇高表达的预后价值仍存在争议。近日,Scientific reports 杂志上针对这一问题发表了一篇荟萃分析文章。

研究人员检索了PubMed、EMBASE、Cochrane图书馆、中国生物医学光盘以及中国国家知识基础设施数据库来确定符合条件的研究。

研究人员共分析了36篇文章,评估了4965例17类肿瘤患者,研究人员发现在各种肿瘤中miR-17-92基因簇高表达与不良的总生存率相关,无论是在单因素分析(风险比为 2.05,95%可信区间为1.58-2.65,P<0.001)还是多因素分析中(风险比为 2.14,95%可信区间为1.75-2.61,P<0.001)。同样地,在不同的国家、检测方法、miR-17-92基因簇组成、样品来源和大小的不同亚组中也得到了类似的结果。


研究人员发现miR-17-92基因簇的高表达与较差的无病生存期相关(单因素分析的风险比为1.96,95%可信区间为1.55-2.48,P<0.001;多因素分析风险比为2.18,95%可信区间为1.63-2.91,P<0.001);另外,在单因素分析中,与良好的无进展生存期(单因素风险比为 0.36,95%可信区间为0.16-0.80,P=0.012 ;多因素分析风险比为1.55,95%可信区间为0.79-3.05,P=0.201)和较差的癌症特异性生存率(单因素分析风险比为1.77,95%可信区间为1.21-2.60,P=0.004;多因素分析风险比为1.77,95%可信区间为0.80-3.92,P=0.160)相关,而在多因素分析中无关。然而,miR-17-92基因簇的高表达在复发或无复发生存率之间没有检测到相关性。

总之,这一荟萃分析表明miR-17-92基因簇的高表达提示各种癌症患者的预后不良。值得注意的是,未来需要包括来自多中心的大规模队列研究来进一步证实这一结论。

原始出处:

Kaiping Zhang,et al. Prognostic value of high-expression of miR-17-92 cluster in various tumors: evidence from a meta-analysis.Scientific reports. 2017. https://www.nature.com/articles/s41598-017-08349-4

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    2018-06-16 smallant2002
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    2017-08-23 龙胆草

    学习谢谢分享

    0

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    2017-08-23 luominglian113

    学习了.谢谢分享

    0

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    2017-08-22 飛歌

    学习了很有用不错

    0

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    2017-08-21 tanxingdoctor

    学习啦!谢谢分享

    0

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