长非编码RNA作为结性脊柱炎生物标志物的诊断价值:系统性审查和元分析
Ermiyas Alemayehu1, Sintayehu Ambachew2,3, Daniel Asmelash4
1Department of Medical Laboratory Sciences, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia.
PloS one
|July 28, 2025
概括
长非编码RNAs (lncRNAs) 显示出作为诊断结性脊髓炎 (AS) 的非侵入性生物标志物的显著潜力. 这一元分析证实了它们的诊断价值,表明lncRNAs可以改善AS的早期检测和管理.
科学领域:
- 遗传学 遗传学 是一个
- 生物标志物 生物标志物
- 类风湿病学 类风湿病学
背景情况:
- 脊髓缩性脊柱炎 (AS) 是一种使人虚弱的关节炎,导致脊柱不运动和降低生活质量.
- 新的诊断目标对于有效的AS管理至关重要.
- 长非编码RNAs (lncRNAs) 正在成为潜在的生物标志物.
研究的目的:
- 评估 lncRNAs 对结性脊柱炎 (AS) 的诊断潜力.
- 通过系统性审查和元分析来综合现有证据.
主要方法:
- 在多个数据库 (PubMed,Scopus,Embase,Hinari) 中进行系统搜索.
- 使用随机效应模型对聚合灵敏度,特异性,PLR,NLR,DOR和AUC的元分析.
- 评估异质性,出版偏差和临床实用性通过子组分析,迪克斯的漏斗图和法根的名录图.
主要成果:
- 在AS诊断中,lncRNAs的聚合灵敏度和特异性分别为0.81和0.81.
- 汇总的AUC为0.86,表明了良好的诊断准确性.
- 亚组分析强调了PBMC中的lncRNAs的提高准确性,上调的lncRNAs,以及来自中国的研究.
结论:
- lncRNAs对AS具有显著的诊断价值,可以作为有效的非侵入性标记物.
- 建议在更大的纵向研究中进行进一步验证,以提高可靠性和通用性.
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