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. 2022 May 19:13:865265.
doi: 10.3389/fneur.2022.865265. eCollection 2022.

Association of MicroRNAs With Risk of Stroke: A Meta-Analysis

Affiliations

Association of MicroRNAs With Risk of Stroke: A Meta-Analysis

Yidong Deng et al. Front Neurol. .

Abstract

Objectives: Altered expression of microRNAs (miRNAs) may contribute to disease vulnerability. Studies have reported the involvement of miRNA in the pathophysiology of ischemic stroke.

Methods: We performed a meta-analysis of data from 6 studies that used a panel of miRNAs with altered expressions to diagnose ischemic stroke with the Bayesian framework. The I 2 test and Cochran's Q-statistic were used to assess heterogeneity. Funnel plots were generated and publication bias was assessed using Begg and Egger tests.

Results: On summary receiver operating characteristics (SROC) curve analysis, the pooled sensitivity and specificity of altered miRNA expressions for diagnosis of ischemic stroke was 0.92 (95% confidence interval [CI] 0.80-0.97) and 0.83 (95% CI 0.71-0.90), respectively; the diagnostic odds ratio was 54.35 (95% CI 20.39-144.92), and the area under the SROC curve was 0.93 (95% CI 0.90-0.95).

Conclusions: Our results showed a link between dysregulation of miRNAs and the occurrence of ischemic stroke. Abnormal miRNA expression may be a potential biomarker for ischemic stroke.

Keywords: diagnostic odds ratio; ischemic stroke; meta-analysis; microRNA; sensitivity.

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Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Figures

Figure 1
Figure 1
Schematic illustration of the study selection process.
Figure 2
Figure 2
Forrest plot of estimates of sensitivity and specificity.
Figure 3
Figure 3
Forrest plot of diagnostic odds ratio (DOR).
Figure 4
Figure 4
Summary receiver operating characteristic (SROC) curve.
Figure 5
Figure 5
Fagan's Nomogram for assessment of post-test probabilities.
Figure 6
Figure 6
Forrest plot of risk ratio of miRNAs in different stages of stroke.
Figure 7
Figure 7
Summary receiver operating characteristic curve.

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