Prognostic value of high-expression of miR-17-92 cluster in various tumors: evidence from a meta-analysis

Abstract The prognostic value of miR-17-92 cluster high-expression in various tumors remains controversial. Therefore, we conducted this meta-analysis by searching literatures in PubMed, Embase, Cochrane Library, China Biology Medicine disc, China National Knowledge Infrastructure to identify eligib...

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Autores principales: Kaiping Zhang, Li Zhang, Meng Zhang, Yin Zhang, Dengxin Fan, Jiabin Jiang, Liqin Ye, Xiang Fang, Xianguo Chen, Song Fan, Min Chao, Chaozhao Liang
Formato: article
Lenguaje:EN
Publicado: Nature Portfolio 2017
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Acceso en línea:https://doaj.org/article/e85c65eb8c6b48be891b1625217c0932
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Sumario:Abstract The prognostic value of miR-17-92 cluster high-expression in various tumors remains controversial. Therefore, we conducted this meta-analysis by searching literatures in PubMed, Embase, Cochrane Library, China Biology Medicine disc, China National Knowledge Infrastructure to identify eligible studies. Eventually, we analyzed 36 articles that examined 17 tumor types from 4965 patients. Consequently, high-expression of miR-17-92 cluster in various tumors was associated with unfavorable overall survival in both univariate (HR = 2.05, 95%CI: 1.58–2.65, P<0.001) and multivariate (HR = 2.14, 95%CI: 1.75–2.61, P<0.001) analyses. Likewise, similar results were found in different subgroups of country, test method, miR-17-92 cluster component, sample source and size. Additionally, high-expression of miR-17-92 cluster was linked with poor disease-free survival (Univariate: HR = 1.96, 95%CI: 1.55–2.48, P<0.001; Multivariate: HR = 2.18, 95%CI: 1.63–2.91, P<0.001), favorable progression-free survival (Univariate: HR = 0.36, 95%CI: 0.16–0.80, P = 0.012; Multivariate: HR = 1.55, 95%CI: 0.79–3.05, P = 0.201) and poor cancer specific survival in univariate rather than multivariate analyses (Univariate: HR = 1.77, 95%CI: 1.21–2.60, P = 0.004; Multivariate: HR = 1.77, 95%CI: 0.80–3.92, P = 0.160). However, no association of miR-17-92 cluster high-expression was detected with recurrence or relapse-free survival. In summary, this meta-analysis towards high-expression of miR-17-92 cluster has indicated poor prognosis of various cancers. Notably, future studies comprising large cohort size from multicenter are required to confirm our conclusions.