Background
Methods
Literature search strategy
Selection criteria
Data extraction and quality assessment
Statistical analysis
Results
Characteristics of included studies
ID | Study | country | LncRNA name | Sample number | Tumor stage | Distant metastasis | Follow-up (months) | Detected sample | Detection method | Cut-off value | Survival analysis | Outcome measure | HR (95% CI) |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1 | Ju L (2016) [20] | China | BCAR4 | 168 | IIA-IIB/III | 48 | 70 | tissue | qRT–PCR | median | Multivariate analysis | OS | 3.22 (0.89, 7.88) |
2 | Chen F (2016) [21] | China | BCAR4 | 60 | I-III | 13 | 60 | tissue | qRT–PCR | median | N/A | OS/RFS | 1.83 (0.68, 4.96) |
3 | Ruan R (2018) [22] | China | CCAT2 | 50 | IA-III | 16 | 70 | tissue | qRT–PCR | median | N/A | OS | 1.30 (0.60, 2.84) |
4 | Yan L (2018) [23] | China | CCAT2 | 40 | N/A | N/A | 60 | tissue | qRT–PCR | N/A | N/A | OS/RFS | 3.57 (1.25, 5.31) |
5 | Jiang N (2017) [24] | China | DANCR | 34 | N/A | 18 | 60 | tissue | qRT–PCR | N/A | Multivariate analysis | OS/DFS | 1.08 (1.23, 5.79) |
6 | Wang Y (2018) [25] | China | DANCR | 95 | I-III | 58 | 60 | tissue | qRT–PCR | Optimal | N/A | OS | 2.4 (0.85, 3.25) |
7 | Fei D (2018) [26] | China | FER1L4 | 48 | I-IV | 10 | 60 | tissue | qRT–PCR | median | N/A | OS/PFS | 0.45 (0.17, 0.97) |
8 | Chen Z (2018) [27] | China | FER1L4 | 73 | I-IV | 25 | 60 | tissue | qRT–PCR | N/A | N/A | OS/PFS | 0.43 (0.05, 0.86) |
9 | Ren Z (2019) [28] | China | FOXD2-AS1 | 35 | I-III | N/A | 60 | tissue | qRT–PCR | N/A | N/A | OS | 1.66 (0.47, 5.82) |
10 | Zhang H (2019) [29] | China | FOXD2-AS1 | 40 | N/A | N/A | 70 | tissue | qRT–PCR | N/A | N/A | OS | 1.55 (0.3, 7.86) |
11 | Cai L (2017) [30] | China | HNF1A-AS1 | 72 | IIA-III | 42 | <60 | tissue | qRT–PCR | median | Multivariate analysis | OS | 2.63 (1.55, 5.65) |
12 | Zhao H (2016) [31] | China | HNF1A-AS1 | 43 | I-III | 11 | 60 | tissue | qRT–PCR | median | Multivariate analysis | OS | 2.64 (1.39, 7.42) |
13 | Cao K (2019) [32] | China | HOXA11-AS | 61 | I-III | 17 | 60 | tissue | qRT–PCR | median | N/A | OS | 1.5 (0.43, 5.26) |
14 | Cui M (2017) [33] | China | HOXA11-AS | 51 | I-III | 13 | 60 | tissue | qRT–PCR | median | N/A | OS | 3.22 (0.31, 33.42) |
15 | Gu W (2018) [34] | China | HOXD-AS1 | 43 | I-III | N/A | 60 | tissue | qRT–PCR | N/A | N/A | OS | 1.39 (0.28, 7.02) |
16 | Qu Y (2018) [35] | China | HOXD-AS1 | 46 | I-IV | 11 | 60 | tissue | qRT–PCR | median | N/A | OS | 1.63 (1.19, 2.96) |
17 | Maciel Uzan (2016) [36] | Brazil | HULC | 33 | I-IV | 10 | 100 | tissue | qRT–PCR | optimal | Multivariate analysis | OS/EFS | 22.01 (2.26, 16.13) |
18 | Sun X (2015) [37] | China | HULC | 78 | IIA-III | 21 | 60 | tissue | qRT–PCR | median | Multivariate analysis | OS | 2.28 (1.48, 5.43) |
19 | He W (2019) [38] | China | LSINCT5 | 124 | I-III | 22 | 72 | tissue | qRT–PCR | median | Multivariate analysis | OS | 1.68 (1.02, 2.76) |
20 | Kong D (2018) [39] | China | LSINCT5 | 42 | I-IV | 18 | 60 | tissue | qRT–PCR | N/A | N/A | OS/DFS | 1.39 (1.13, 5.68) |
21 | Chen Y (2018) [40] | China | MALAT1 | 68 | N/A | N/A | 60 | tissue | qRT–PCR | N/A | Multivariate analysis | OS/DFS | 1.73 (1.10, 2.54) |
22 | Gao K (2016) [41] | China | MALAT1 | 162 | IIA-III | 44 | 70 | tissue | qRT–PCR | median | Multivariate analysis | OS | 2.8 (1.76, 7.84) |
23 | Huo Y (2017) [42] | China | MALAT1 | 68 | I-IV | 22 | 80 | serum | qRT–PCR | median | N/A | OS/PFS | 3.33 (1.43, 4.91) |
24 | Li Q (2017) [43] | China | MALAT1 | 64 | I-IV | 33 | 60 | tissue | qRT–PCR | optimal | Multivariate analysis | OS | 2.22 (0.3, 16.44) |
25 | Sun Y (2018) [44] | China | MALAT1 | 42 | I-III | 20 | 60 | tissue | qRT–PCR | N/A | N/A | OS | 2.2 (1.15, 4.21) |
26 | Sun Z (2019) [45] | China | MALAT1 | 76 | I-III | 46 | 120 | tissue | qRT–PCR | N/A | N/A | OS | 2.51 (0.79, 7.99) |
27 | Wang J (2017) [46] | China | MALAT1 | 70 | N/A | N/A | <60 | tissue | qRT–PCR | N/A | N/A | OS | 2.34 (0.55, 9.92) |
28 | Wang Y (2017b) [47] | China | MALAT1 | 55 | I-III | 31 | 60 | tissue | qRT–PCR | median | N/A | OS | 1.01 (0.25, 4.03) |
29 | Shen B (2019) [48] | China | MEG3 | 204 | I-III | 80 | 50 | tissue | qRT–PCR | median | Multivariate analysis | OS | 0.56 (0.36, 0.87) |
30 | Tian Z (2015) [49] | China | MEG3 | 64 | I-III | 17 | 60 | tissue | qRT–PCR | median | Multivariate analysis | OS | 0.45 (0.11, 1.81) |
31 | Ji S (2019) [50] | China | NEAT1 | 72 | N/A | N/A | 160 | tissue | qRT–PCR | median | N/A | OS | 2.09 (0.84, 5.22) |
32 | Li Y (2018) [51] | China | NEAT1 | 76 | I-III | 38 | 60 | tissue | qRT–PCR | median | N/A | OS | 1.88 (0.47, 7.49) |
33 | Tan H (2019) [52] | China | NEAT1 | 47 | I-III | 11 | 50 | tissue | qRT–PCR | median | N/A | OS | 1.84 (0.61, 5.57) |
34 | Zhu K (2019) [53] | China | OIP5-AS1 | 80 | N/A | N/A | 60 | tissue | qRT–PCR | N/A | N/A | OS | 1.48 (0.42, 5.15) |
35 | Dai J (2018) [54] | China | OIP5-AS1 | 48 | I-III | N/A | 60 | tissue | qRT–PCR | median | N/A | OS | 1.77 (1.17, 2.94) |
36 | Zhang C (2016) [55] | China | ODRUL | 60 | N/A | 12 | 80 | tissue | qRT–PCR | median | N/A | OS | 1.21 (0.36, 4.06) |
37 | Zhu K (2017) [56] | China | ODRUL | 80 | N/A | 48 | 100 | tissue | qRT–PCR | N/A | N/A | OS | 2.35 (1.08, 5.15) |
38 | Huang J (2018) [57] | China | PCAT1 | 62 | I-III | 35 | 60 | tissue | qRT–PCR | N/A | Multivariate analysis | OS/PFS | 1.53 (1.37, 2.92) |
39 | Zhang X (2018) [58] | China | PCAT1 | 30 | I-III | 17 | 60 | tissue | qRT–PCR | mean | Multivariate analysis | OS | 4.01 (1.56, 4.57) |
40 | Song J (2017) [59] | China | PVT1 | 46 | I-III | N/A | 70 | tissue | qRT–PCR | mean | N/A | OS | 1.63 (0.05, 5.39) |
41 | Zhou Q (2016) [60] | China | PVT1 | 53 | N/A | 13 | 60 | tissue | qRT–PCR | N/A | N/A | OS | 1.70 (0.66, 4.37) |
42 | Zhou B (2018) [61] | China | SNHG12 | 64 | N/A | N/A | 80 | tissue | qRT–PCR | N/A | N/A | OS | 2.10 (0.66, 6.64) |
43 | Zhou S (2018) [62] | China | SNHG12 | 31 | I-III | 21 | 60 | tissue | qRT–PCR | mean | N/A | OS | 1.52 (1.00, 18.48) |
44 | Liao S (2019) [63] | China | SNHG16 | 96 | I-III | 51 | 60 | tissue | qRT–PCR | mean | Multivariate analysis | OS | 1.58 (0.65, 3.86) |
45 | Wang X (2019) [64] | China | SNHG16 | 65 | I-III | 28 | 60 | tissue | qRT–PCR | median | N/A | OS | 2.62 (0.82, 8.36) |
46 | Wang W (2018) [65] | China | SNHG20 | 32 | I-III | N/A | 60 | tissue | qRT–PCR | median | N/A | OS | 1.94 (1.19, 3.17) |
47 | Zhang J (2018) [66] | China | SNHG20 | 140 | I-III | 24 | 72 | tissue | qRT–PCR | N/A | Multivariate analysis | OS | 2.05 (0.53, 7.92) |
48 | Chen X (2019) [67] | China | TP73-AS1 | 132 | I-III | 22 | 72 | tissue | qRT–PCR | N/A | Multivariate analysis | OS | 1.89 (1.15, 3.13) |
49 | Yang G (2018) [68] | China | TP73-AS1 | 46 | I-III | 11 | 50 | tissue | qRT–PCR | mean | N/A | OS | 1.98 (0.61, 6.28) |
50 | Ma B (2016) [69] | China | TUG1 | 76 | I-III | 36 | 60 | tissue | qRT–PCR | optomal | Multivariate analysis | OS/PFS | 2.77 (1.29, 5.98) |
51 | Sheng K (2019) [70] | China | TUG1 | 40 | N/A | 26 | 60 | plasma | qRT–PCR | median | N/A | OS | 1.59 (1.36, 1.97) |
52 | Wang Q (2018) [71] | China | TUG1 | 94 | IIA -III | 26 | 70 | tissue | qRT–PCR | median | Multivariate3analysis | OS | 1.10 (0.96, 15.35) |
53 | Wang Y (2017a) [72] | China | TUG1 | 44 | I-III | 28 | 120 | tissue | qRT–PCR | N/A | N/A | OS | 2.12 (1.44, 3.67) |
54 | Yu X (2019) [73] | China | TUG1 | 40 | I-III | 11 | 60 | tissue | qRT–PCR | N/A | N/A | OS/RFS | 1.44 (1.15, 2.54) |
55 | Li W (2016) [74] | China | UCA1 | 135 | I-III | 34 | 60 | tissue | qRT–PCR | median | Multivariate analysis | OS | 2.19 (0.87, 5.55) |
56 | Wen J (2017) [75] | China | UCA1 | 151 | IIA -III | 79 | 60 | tissue | qRT–PCR | optimal | Multivariate analysis | OS | 2.52 (1.34, 4.83) |
57 | Li G (2017) [76] | China | XIST | 145 | I-IV | 44 | 60 | tissue | qRT–PCR | N/A | N/A | OS | 1.75 (1.00, 3.06) |
58 | Wang W (2019) [77] | China | XIST | 64 | IA -III | 15 | 70 | tissue | qRT–PCR | median | N/A | OS | 1.92 (1.25, 3.29) |
59 | Yang C (2018) [78] | China | XIST | 40 | I-III | N/A | 60 | tissue | qRT–PCR | N/A | N/A | OS | 3.07 (1.84, 11.15) |
60 | Zhang R (2017) [79] | China | XIST | 50 | N/A | 26 | 60 | tissue | qRT–PCR | N/A | N/A | OS | 1.59 (1.38, 2.88) |
61 | Li N (2017) [80] | China | ZFAS1 | 53 | I-III | 16 | 60 | tissue | qRT–PCR | median | Multivariate analysis | OS/RFS | 1.14 (0.23, 5.61) |
62 | Liu G (2017) [81] | China | ZFAS1 | 50 | N/A | N/A | 30 | tissue | qRT–PCR | median | N/A | OS | 1.59 (0.64, 3.95) |
Overexpression of lncRNAs indicate different prognosis of osteosarcoma
LncRNA name | No. of patients | No. of studies | HR(95%CI)-model | P value | heterogeneity | |
---|---|---|---|---|---|---|
I2 | P | |||||
BCAR4 | 228 | 2 | 2.36 (1.13, 4.93)-fixed | 0.022 | 0.0% | 0.453 |
CCAT2 | 90 | 2 | 2.18 (0.81, 5.86)-random | 0.123 | 71.2% | 0.062 |
DANCR | 129 | 2 | 1.65 (0.76, 3.60)-random | 0.209 | 57.1% | 0.127 |
FER1L4 | 121 | 2 | 0.44 (0.16, 0.72)-fixed | 0.032 | 0.0% | 0.945 |
FOXD2-AS1 | 75 | 2 | 1.62 (0.60, 4.38)-fixed | 0.344 | 0.0% | 0.948 |
HNF1A-AS1 | 115 | 2 | 2.63 (1.58, 4.39)-fixed | 0.000 | 0.0% | 0.994 |
HOXA11-AS | 112 | 2 | 1.78 (0.59, 3.36)-fixed | 0.307 | 0.0% | 0.573 |
HOXD-AS1 | 89 | 2 | 1.61 (1.04, 2.50)-fixed | 0.033 | 0.0% | 0.852 |
HULC | 111 | 2 | 5.38 (0.62, 46.50)-random | 0.126 | 71.5% | 0.061 |
LSINCT5 | 166 | 2 | 1.59 (1.04, 2.44)-fixed | 0.031 | 0.0% | 0.695 |
MALAT1 | 605 | 8 | 2.15 (1.67, 2.76)-fixed | 0.000 | 0.0% | 0.676 |
MEG3 | 268 | 2 | 0.55 (0.36, 0.84)-fixed | 0.005 | 0.0% | 0.770 |
NEAT1 | 195 | 3 | 1.96 (1.05, 3.68)-fixed | 0.035 | 0.0% | 0.983 |
ODRUL | 140 | 2 | 1.73 (1.12, 2.67)-fixed | 0.013 | 0.0% | 0.793 |
OIP5-AS1 | 128 | 2 | 1.93 (1.00, 3.73)-fixed | 0.049 | 0.0% | 0.367 |
PCAT1 | 92 | 2 | 2.43 (1.95, 6.24)-random | 0.065 | 87.9% | 0.004 |
PVT1 | 99 | 2 | 1.69 (0.70, 4.06)-fixed | 0.241 | 0.0% | 0.974 |
SNHG12 | 95 | 2 | 1.85 (0.75, 4.58)-fixed | 0.181 | 0.0% | 0.733 |
SNHG16 | 161 | 2 | 1.91 (0.94, 3.86)-fixed | 0.074 | 0.0% | 0.498 |
SNHG20 | 172 | 2 | 1.95 (1.23, 3.09)-fixed | 0.004 | 0.0% | 0.940 |
TP73 | 178 | 2 | 1.90 (1.20, 3.02)-fixed | 0.006 | 0.0% | 0.943 |
TUG1 | 294 | 5 | 1.64 (1.42, 1.92)-fixed | 0.000 | 0.0% | 0.435 |
UCA1 | 286 | 2 | 2.41 (1.42, 4.07)-fixed | 0.001 | 0.0% | 0.809 |
XIST | 299 | 4 | 1.79 (1.40, 2.30)-fixed | 0.000 | 0.0% | 0.601 |
ZFAS1 | 103 | 2 | 1.47 (0.66, 3.23)-fixed | 0.343 | 0.0% | 0.723 |
LncRNAs expression and osteosarcoma clinicopathologic features
Outcome | No. of Studies | No. of Participants | OR (95% CI) | P value | Model | Heterogeneity Chi2, P-value, I2 |
---|---|---|---|---|---|---|
MALAT1 | ||||||
Age | 3 | 259 | 0.73 (0.43, 1.24) | 0.24 | Fixed | 0.36, 0.84, 0% |
Gender | 3 | 259 | 0.73 (0.44, 1.20) | 0.21 | Fixed | 0.16, 0.92, 0% |
Clinical stage | 3 | 259 | 1.48 (0.27, 7.94) | 0.65 | Random | 15.91, 0.0004, 87% |
Tumor size | 3 | 259 | 0.95 (0.50, 1.81) | 0.89 | Random | 10.77, 0.005, 81% |
Distant metastasis | 3 | 259 | 1.98 (0.32, 12.05) | 0.46 | Random | 16.26, 0.0003, 88% |
TUG1 | ||||||
Age | 5 | 294 | 1.2 (0.48, 3.02) | 0.28 | Fixed | 1.97, 0.74, 0% |
Gender | 5 | 294 | 1.02 (0.62, 1.65) | 0.95 | Fixed | 2.97, 0.56, 0% |
Clinical stage | 4 | 254 | 4.66 (2.47, 8.79) | <0.00001 | Fixed | 0.45, 0.93, 0% |
Tumor size | 4 | 254 | 4.07 (2.33, 7.12) | <0.00001 | Fixed | 2.96, 0.4, 0% |
Distant metastasis | 5 | 294 | 3.53 (1.20, 10.41) | 0.02 | Random | 13.52, 0.009, 70% |
XIST | ||||||
Age | 2 | 209 | 1.18 (0.44, 3.15) | 0.74 | Random | 2.55, 0.11, 61% |
Gender | 3 | 249 | 0.91 (0.56, 1.50) | 0.72 | Fixed | 1.56, 0.46, 0% |
Clinical stage | 3 | 249 | 3.92 (2.31, 6.66) | <0.00001 | Fixed | 0.92, 0.63, 0% |
Tumor size | 3 | 249 | 1.15 (0.41, 3.23) | 0.80 | Random | 6.74, 0.03, 70% |
Distant metastasis | 2 | 209 | 3.10 (1.61, 5.95) | 0.0007 | Fixed | 0.58, 0.45, 0% |