膀癌中外体非编码RNA的诊断和预后潜力:系统性审查和元分析
Yani Chen1, Kesong Shi1, Xinyao Fu1
1State Key Laboratory of Reproductive Regulation and Breeding of Grassland Livestock, School of Life Sciences, Inner Mongolia University, Hohhot, Inner Mongolia, China.
Frontiers in oncology
|March 19, 2024
概括
非编码RNAs (ncRNAs) 显示为膀癌诊断和预后的生物标志物具有前途. 较高的ncRNA表达与更好的整体存活率和无疾病存活率有关,表明潜在的临床实用性.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 分子生物学分子生物学
- 生物标志物 生物标志物
背景情况:
- 膀癌是主要的泌尿器官恶性瘤,对公共卫生产生重大影响.
- 非编码RNAs (ncRNAs) 正在成为膀癌的潜在诊断和预后生物标志物.
- 在膀癌中ncRNAs的确切作用需要进一步阐明.
研究的目的:
- 进行元分析以澄清ncRNAs在膀癌中的意义和相关性.
- 为了评估ncRNAs的诊断性能.
- 评估ncRNAs与整体存活率 (OS) 和无病存活率 (DFS) 的关联.
主要方法:
- 对ncRNA诊断性能和生存关联的研究进行系统的元分析.
- 提取和聚合危险比率,灵敏度,特异性和诊断几率比率.
- 使用Deeks的漏斗图和灵敏度分析评估出版偏差.
主要成果:
- 增加的ncRNA表达与改善的OS (HR=0.82) 和DFS (HR=0.86) 相相关.
- 诊断分析显示,聚合灵敏度为0.76,特异性为0.83,诊断几率比为2.71,AUC为0.85.
- 分析证实了ncRNA表达和膀癌结局之间的显著关联.
结论:
- 外体ncRNAs在膀癌的诊断和预后中显示出潜在的临床实用性.
- ncRNAs作为预测膀癌患者生存结果的生物标志物具有前途.
- 进一步的研究是必要的,以充分确定ncRNAs在个性化膀癌症管理中的作用.
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