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Review
. 2017 Mar 29;9(4):5473-5479.
doi: 10.18632/oncotarget.16681. eCollection 2018 Jan 12.

miRNA dysregulation and the risk of metastasis and invasion in papillary thyroid cancer: a systematic review and meta-analysis

Affiliations
Review

miRNA dysregulation and the risk of metastasis and invasion in papillary thyroid cancer: a systematic review and meta-analysis

Tiantian Wang et al. Oncotarget. .

Abstract

Thyroid cancer (TC) is the most common endocrine malignancy, with an incidence continuing to grow every year. Although thyroid cancer as a whole is generally indolent and relatively easy to treat, some subtypes carry a higher rate of metastasis and cancer-related mortality. A growing number of studies have focused on the dysregulation of miRNAs in TC. However, differences in methods make comparison of gene profiling data difficult. A meta-analysis of published studies comparing miRNA expression data of invasive thyroid carcinoma with paired non-invasive tumors or normal tissues was performed by searching the literature for "invasion", "thyroid cancer", and "miRNA". This revealed 29 dysregulated miRNAs associated with TC in 16 articles; the presence of invasion was confirmed in each respective article by laboratory research or patient follow-up. Among these miRNAs, miRNA-146b, miRNA-221, and miRNA-222 were analyzed further due to their higher frequencies across multiple studies. Of these studies, 6 were included in the meta-analysis, as they compared invasive PTC with paired normal tissues or non-invasive PTC.

Keywords: invasive thyroid cancer; meta-analysis; metastasis; miRNA.

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Conflict of interest statement

CONFLICTS OF INTEREST The author declares no conflicts of interest.

Figures

Figure 1
Figure 1. Flow chart of search strategy
Figure 2
Figure 2. Quality of selected studies according to QUADAS-2 guidelines
Figure 3
Figure 3. Forest plots for miRNA-146, miRNA-221, and miRNA-222 in the described articles
As I2 > 50%, a random-effects model was used. p < 0.05, indicated that miRNA-146, miRNA-221, and miRNA-222 were all upregulated in invasive tumors compared with paired controls.
Figure 4
Figure 4. Funnel plot to measure publication bias, with regards to miRNA-146
Due to the relative lack of research studies, publication bias is somewhat unavoidable.
Figure 4
Figure 4. Funnel plot to measure publication bias, with regards to miRNA-146
Due to the relative lack of research studies, publication bias is somewhat unavoidable.

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