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Authors Fan Y, He Y, Zhou X, Liu Y, Wang F
Received 27 November 2018
Accepted for publication 30 January 2019
Published 5 March 2019 Volume 2019:11 Pages 2027—2037
DOI https://doi.org/10.2147/CMAR.S196071
Checked for plagiarism Yes
Review by Single-blind
Peer reviewers approved by Dr Amy Norman
Peer reviewer comments 2
Editor who approved publication: Dr Chien-Feng Li
Background: Abnormal
expression of long non-coding RNA anti-differentiation noncoding RNA (lncRNA DANCR ) can frequently
be detected in cancer. Because of this, it is of vital necessity to perform a
meta-analysis to clarify the value of lncRNA DANCR as a prognostic marker in malignant
tumors.
Methods: Related
studies were retrieved from electronic databases including Web of Science,
PubMed, and OVID, from inception to November 21, 2018. The HRs and
corresponding 95% CIs were also calculated to explore the relationship of lncRNA DANCR expression
with patient survival. Moreover, ORs were computed to assess the association
of lncRNA
DANCR expression with the pathological parameters.
Results: A total
of 14 studies involving 1,117 patients were included in this meta-analysis. The
pooled HR suggested that high lncRNA DANCR expression was correlated with poor
overall survival (OS; HR =1.85, 95% CI: 1.56–2.18) and disease-free survival
(DFS; HR =2.49, 95% CI: 1.75–3.56) in cancer patients. Besides, High lncRNA DANCR expression
was related to poor histological grade (PHG; OR =2.01, 95% CI: 1.08–3.75), high
tumor stage (HTS; OR =3.52, 95% CI: 1.67–7.43), lymph node metastasis (LNM; OR
=3.47, 95% CI: 1.42–8.49), and distant metastasis (DM; OR =4.76, 95% CI:
2.39–9.51). However, no evidence of obvious asymmetry was found for DFS
(Pr>|z |=0.308),
PHG (Pr>|z |=0.707),
LNM (Pr>|z |=0.174),
and DM (Pr>|z |=0.734)
using Begg’s funnel plot.
Conclusion: Our
findings suggest that high lncRNA DANCR expression can predict poor OS, DFS,
PHG, HTS, LNM, and DM in cancer patients, implying that high lncRNA DANCR expression
may potentially serve as a new indicator for poor prognosis and metastasis in
cancer.
Keywords: lncRNA,
DANCR, neoplasms, prognosis, metastasis