首页膀胱肿瘤病因/危险因素证据详情

Diagnostic significance of microRNAs as novel biomarkers for bladder cancer: a meta-analysis of ten articles

原文: 2017 年 发布于 Journal of Urology 浏览量:215次

作者: Shi H. B. Yu J. X. Yu J. X. Feng Z. Zhang C. Li G. Y. Zhao R. N. Yang X. B.

作者单位: Lanzhou University Second Hospital, Lanzhou City, Gansu Province, China. Sanya People's Hospital, Sanya City, Hainan Province, China. Lanzhou University Second Hospital, Lanzhou City, Gansu Province, China. 562691313@qq.com.

归属分类: 膀胱肿瘤病因/危险因素证据

DOI: 10.22037/uj.v18i.6254]

文献简介

BACKGROUND: Despite adequate treatment and follow-up, around one fifth of patients with localized bladder cancer will present with disease progression. Adequate prognostic biomarkers are lacking to define patients who are at risk. Mutations in chromatin remodeling genes are more frequently found in bladder cancer than in any other solid tumor. However, the prognostic relevance of epigenetic dysregulation has not been established and may offer an opportunity for biomarker discovery. METHODS: Looking for prognostic epigenetic factors, we performed a comprehensive PubMed search using keywords such as `bladder cancer`, `chromatin remodeling`, `gene methylation` and `epigenetics`. We only included studies reporting on the association of epigenetic markers with prognostic outcomes such as recurrence, progression or survival. RESULTS: Of 1113 results, 87 studies met the inclusion criteria, which represented a total of 85 epigenetic markers with potential prognostic relevance. No prospective studies were identified. Seventy-three percent (64/87) of the studies involved mixed cohorts of muscle invasive and non-muscle invasive bladder cancer. Promoter methylation of genes with putative prognostic value affected cellular processes such as cell cycle, apoptosis, cell-adhesion or migration, as well as critical pathways such as MAP-kinase or Wnt. Alteration of chromatin regulatory elements suggest a prognostic relevance alterations leading to a predominantly silenced chromatin state. CONCLUSIONS: The prognostic impact of epigenetic alterations in bladder cancer is still unclear. Prospective evaluation of methylation marks and chromatin remodeling gene alterations using consistent methods and criteria is warranted.

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