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Prognostic role of microRNA-21 in colorectal cancer: a meta-analysis.


ABSTRACT:

Background

To date, many studies have shown that microRNAs (miRNA) exhibit altered expression in various cancers and may play an important role as prognostic biomarker of cancers. The present meta-analysis summarizes the recent advances in the use of microRNA-21 (miR-21) in the assessment of colorectal cancer and analyzes the prognostic role of miR-21 for survival outcome.

Methodology/principal findings

The present meta-analysis was performed by searching PubMed through multiple search strategies. Data were extracted from studies comparing overall survival (OS) in patients with colorectal cancer who showed higher expression of miR-21 than similar patients. Pooled hazard ratios (HRs) of miR-21 for survival and 95% confidence intervals (CI) were calculated. Seven studies with a total of 1174 patients were included this meta-analysis. For overall survival (OS), the pooled hazard ratio (HR) of higher miR-21 expression in colorectal cancer was 1.76 (95% CI: 1.34-2.32, P=0.000). After elimination of heterogeneity, the pooled HR was 2.32 (95% CI: 1.82-2.97, P=0.000), which was found to significantly predict poorer survival. The subgroup analysis suggested that elevated miR-21 level and patients' survival correlated with III/IV stage (HR=5.35, 95% CI: 3.73-7.66).

Conclusions/significance

The present findings suggest that high expression of miR-21 might predict poor prognosis in patients with colorectal cancer.

SUBMITTER: Xia X 

PROVIDER: S-EPMC3827229 | biostudies-literature | 2013

REPOSITORIES: biostudies-literature

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Publications

Prognostic role of microRNA-21 in colorectal cancer: a meta-analysis.

Xia Xiaochun X   Yang Baixia B   Zhai Xiaogang X   Liu Xiangyang X   Shen Kang K   Wu Zhijun Z   Cai Jing J  

PloS one 20131112 11


<h4>Background</h4>To date, many studies have shown that microRNAs (miRNA) exhibit altered expression in various cancers and may play an important role as prognostic biomarker of cancers. The present meta-analysis summarizes the recent advances in the use of microRNA-21 (miR-21) in the assessment of colorectal cancer and analyzes the prognostic role of miR-21 for survival outcome.<h4>Methodology/principal findings</h4>The present meta-analysis was performed by searching PubMed through multiple s  ...[more]

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