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The clinical utility of microRNA-21 as novel biomarker for diagnosing human cancers

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Tumor Biology

Abstract

With cancer being a major cause of death worldwide, microRNAs (miRNAs) have been investigated as novel and non-invasive biomarkers for cancer diagnosis. Recently, microRNA-21 (miR-21) attracts much attention for its aberrant expression and has been widely studied in various cancers. However, the inconsistent results from studies make it hard to evaluate the diagnostic value of miR-21 in cancer diagnosis, which lead us to conduct this meta-analysis. We conducted a comprehensive literature search in the Medline, Embase, PubMed, CNKI, and Web of Science before July 1, 2014. STATA 12.0 software was used for calculation and statistical analysis. The pooled sensitivity, specificity, positive and negative likelihood ratio (PLR, NLR), and diagnostic odds ratio (DOR) were used to assess the diagnostic performance of miR-21 for cancers. Seventy-three studies in 60 articles were involved in this meta-analysis, with a total of 4684 patients with cancer and 3108 controls. The overall parameters were calculated from all the included studies: sensitivity of 0.78 (95 % confidence interval (CI) 0.74–0.81), specificity of 0.83 (95 % CI 0.80–0.86), PLR of 4.5 (95 % CI 3.8–5.4), NLR of 0.27 (95 % CI 0.23–0.32); DOR of 17 (95 % CI 12–23), and area under the curve (AUC) of 0.88 (95 % CI 0.84–0.90). In addition, we performed subgroup analyses based on ethnicity, cancer types, and sample types. Results from subgroup analysis showed that cancer types and sample types were the sources of heterogeneity in our meta-analysis. The overall diagnostic value of miR-21 is not very high for cancer diagnosis; however, it is affected significantly by the types of cancer and specimen. MiR-21 has a relatively high diagnostic value for detecting breast cancer, and miR-21 assays based on plasma, serum, and tissue achieved relatively higher accuracy.

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Acknowledgments

This work was supported by the National 12th Five-Year Special Grand Project for Infectious Diseases (2012ZX10002004-005).

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Authors and Affiliations

  1. Medical School of Chinese PLA, 28 Fuxing Road, Beijing, China, 100853

    Lijun Shen & Shaojie Xin

  2. Department of the Liver Cirrhosis Diagnosis and Treatment Center, 302 Military Hospital of China, 100 Middle Section of West 4th Ring Road, Beijing, China, 100039

    Lijun Shen & Libing Wu

  3. Liver Failure Treatment and Research Center, 302 Military Hospital of China, 100 Middle Section of West 4th Ring Road, Beijing, China, 100039

    Zhihong Wan, Yuming Ma, Fangfang Liu, Hong Zang & Shaojie Xin

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  1. Lijun Shen
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Shen, L., Wan, Z., Ma, Y. et al. The clinical utility of microRNA-21 as novel biomarker for diagnosing human cancers. Tumor Biol. 36, 1993–2005 (2015). https://doi.org/10.1007/s13277-014-2806-z

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