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2017 ; 8
(21
): 35234-35243
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Altered long non-coding RNAs predict worse outcome in osteosarcoma patients:
evidence from a meta-analysis
#MMPMID28415638
Yang Y
; Wang S
; Li T
Oncotarget
2017[May]; 8
(21
): 35234-35243
PMID28415638
show ga
Long non-coding RNAs (lncRNAs) are emerging as promising prognostic biomarkers in
an expanding list of malignant neoplasms. Here, we sought to investigate the
strength of associations between lncRNA signatures and clinical outcomes in
osteosarcoma. We conducted a systematic search of the online databases from
inception to July 2016. Hazard ratios (HRs) with corresponding 95% confidence
intervals (CIs) for the primary endpoints of overall survival (OS),
progression-free survival (PFS) or event-free survival (EFS) were extracted and
meta-analyzed. Our results manifested that altered lncRNAs expression was
markedly associated with worse OS (univariate analysis: HR = 3.20, 95% CI:
2.42-4.24, P = 0.000; multivariate analysis: HR = 2.66, 95% CI: 1.92-3.69, P =
0.000), PFS (HR = 2.05, 95% CI: 1.32-3.18, P = 0.001) and EFS (HR = 4.37, 95% CI:
1.64-11.66, P = 0.003) times among osteosarcoma patients. In the pooled analyses
stratified by clinicopathological features, levels of lncRNAs were closely
correlated with tumor size (pooled P = 0.001), tumor stage (pooled P = 0.003),
and distant metastasis (pooled P = 0.002) in osteosarcoma. The results obtained
in our work suggest that altered lncRNA signatures predict unfavorable clinical
outcomes and are acceptable to be potential prognostic biomarkers in forecasting
prognosis of osteosarcoma.