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2018 ; 9
(17
): 13948-13958
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MiR-486 as an effective biomarker in cancer diagnosis and prognosis: a systematic
review and meta-analysis
#MMPMID29568407
Jiang M
; Li X
; Quan X
; Yang X
; Zheng C
; Hao X
; Qu R
; Zhou B
Oncotarget
2018[Mar]; 9
(17
): 13948-13958
PMID29568407
show ga
PURPOSE: MiR-486 was found to be associated with cancer's diagnosis and
prognosis. This meta-analysis aimed to investigate the potential effect of
miR-486 on cancer detection and prognosis. MATERIALS AND METHODS: We searched
PubMed, Cochrane library, Embase, Chinese National Knowledge Infrastructure
(CNKI) and Wanfang databases to find all correlated articles. The STATA 11.0 was
applied to estimate the pooled effects, heterogeneity and publication bias.
RESULTS: The pooled sensitivity (SEN), specificity (SPE) and Area under the curve
(AUC) were 82% (95% CI: 78-85%), 88% (95% CI: 83-92%) and 0.91 (95% CI:
0.88-0.93). Subgroup analysis indicated miR-486 from circulating samples
exhibited higher diagnostic accuracy with the AUC was 0.90 (95% CI: 0.87-0.92)
than miR-486 from other specimen with the AUC of 0.78 (95% CI: 0.75-0.82) and
miR-486 obtained a better diagnostic value in the Asian population with the AUC
of 0.94 (95% CI: 0.91-0.95) than the Caucasian and Caucasian/African population
with the AUC of 0.80 (95% CI: 0.76-0.83) and 0.89 (95% CI: 0.86-0.91)
respectively. MiR-486 obtained high value for the diagnosis of non-small cell
lung cancer with SEN, SPE and AUC were 0.82 (95% CI: 0.0.77-0.87), 0.90 (95% CI:
0.84-0.94) as well as 0.92 (95% CI: 0.89-0.94) respectively. For the 7 prognostic
tests, the pooled hazard ratio (HR) was 0.48 (95% CI: -0.13-1.08) for low versus
high miR-486 expression. CONCLUSIONS: This meta-analysis indicated that miR-486
can be used as ideal biomarkers in the cancer's diagnosis. However, Low miR-486
expression did not increase the risk of poor outcome.