The Potential microRNA Prognostic Signature in HNSCCs: A Systematic Review.

IF 3.6 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Non-Coding RNA Pub Date : 2023-09-14 DOI:10.3390/ncrna9050054
Mario Dioguardi, Francesca Spirito, Giovanna Iacovelli, Diego Sovereto, Enrica Laneve, Luigi Laino, Giorgia Apollonia Caloro, Ari Qadir Nabi, Andrea Ballini, Lorenzo Lo Muzio, Giuseppe Troiano
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Abstract

Head and neck squamous cell carcinomas (HNSCCs) are often diagnosed at advanced stages, incurring significant high mortality and morbidity. Several microRNAs (miRs) have been identified as pivotal players in the onset and advancement of HNSCCs, operating as either oncogenes or tumor suppressors. Distinctive miR patterns identified in tumor samples, as well as in serum, plasma, or saliva, from patients have significant clinical potential for use in the diagnosis and prognosis of HNSCCs and as potential therapeutic targets. The aim of this study was to identify previous systematic reviews with meta-analysis data and clinical trials that showed the most promising miRs in HNSCCs, enclosing them into a biomolecular signature to test the prognostic value on a cohort of HNSCC patients according to The Cancer Genome Atlas (TCGA). Three electronic databases (PubMed, Scopus, and Science Direct) and one registry (the Cochrane Library) were investigated, and a combination of keywords such as "signature microRNA OR miR" AND "HNSCC OR LSCC OR OSCC OR oral cancer" were searched. In total, 15 systematic literature reviews and 76 prognostic clinical reports were identified for the study design and inclusion process. All survival index data were extracted, and the three miRs (miR-21, miR-155, and miR-375) most investigated and presenting the largest number of patients included in the studies were selected in a molecular biosignature. The difference between high and low tissue expression levels of miR-21, miR-155, and miR-375 for OS had an HR = 1.28, with 95% CI: [0.95, 1.72]. In conclusion, the current evidence suggests that miRNAs have potential prognostic value to serve as screening tools for clinical practice in HNSCC follow-up and treatment. Further large-scale cohort studies focusing on these miRNAs are recommended to verify the clinical utility of these markers individually and/or in combination.

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HNSCCs潜在的微小RNA预后特征:系统综述。
头颈部鳞状细胞癌(HNSCC)通常在晚期被诊断,导致显著的高死亡率和发病率。一些微小RNA(miR)已被确定为HNSCCs发生和发展的关键参与者,作为致癌基因或肿瘤抑制剂发挥作用。在患者的肿瘤样本以及血清、血浆或唾液中发现的独特miR模式在HNSCC的诊断和预后以及作为潜在的治疗靶点方面具有重要的临床潜力。本研究的目的是根据癌症基因组图谱(TCGA),通过荟萃分析数据和临床试验确定先前的系统综述,这些综述显示了HNSCC中最有前途的miR,将其封闭在生物分子标记中,以测试HNSCC患者队列的预后价值。研究了三个电子数据库(PubMed、Scopus和Science Direct)和一个注册表(Cochrane图书馆),并搜索了“特征性微小RNA或miR”和“HNSCC或LSCC或OSCC或口腔癌症”等关键词组合。研究设计和纳入过程总共确定了15篇系统文献综述和76份预后临床报告。提取所有生存指数数据,并在分子生物学信号中选择研究最多、患者人数最多的三种miR(miR-21、miR-155和miR-375)。OS的miR-21、miR-155和miR-375的高和低组织表达水平之间的差异HR=1.28,95%CI:[0.95,1.72]。总之,目前的证据表明,miRNA具有潜在的预后价值,可作为HNSCC随访和治疗的临床实践筛选工具。建议对这些miRNA进行进一步的大规模队列研究,以验证这些标志物单独和/或组合的临床效用。
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来源期刊
Non-Coding RNA
Non-Coding RNA Biochemistry, Genetics and Molecular Biology-Genetics
CiteScore
6.70
自引率
4.70%
发文量
74
审稿时长
10 weeks
期刊介绍: Functional studies dealing with identification, structure-function relationships or biological activity of: small regulatory RNAs (miRNAs, siRNAs and piRNAs) associated with the RNA interference pathway small nuclear RNAs, small nucleolar and tRNAs derived small RNAs other types of small RNAs, such as those associated with splice junctions and transcription start sites long non-coding RNAs, including antisense RNAs, long ''intergenic'' RNAs, intronic RNAs and ''enhancer'' RNAs other classes of RNAs such as vault RNAs, scaRNAs, circular RNAs, 7SL RNAs, telomeric and centromeric RNAs regulatory functions of mRNAs and UTR-derived RNAs catalytic and allosteric (riboswitch) RNAs viral, transposon and repeat-derived RNAs bacterial regulatory RNAs, including CRISPR RNAS Analysis of RNA processing, RNA binding proteins, RNA signaling and RNA interaction pathways: DICER AGO, PIWI and PIWI-like proteins other classes of RNA binding and RNA transport proteins RNA interactions with chromatin-modifying complexes RNA interactions with DNA and other RNAs the role of RNA in the formation and function of specialized subnuclear organelles and other aspects of cell biology intercellular and intergenerational RNA signaling RNA processing structure-function relationships in RNA complexes RNA analyses, informatics, tools and technologies: transcriptomic analyses and technologies development of tools and technologies for RNA biology and therapeutics Translational studies involving long and short non-coding RNAs: identification of biomarkers development of new therapies involving microRNAs and other ncRNAs clinical studies involving microRNAs and other ncRNAs.
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