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@ARTICLE{Yu:137692,
author = {H. Yu$^*$ and Z. Guan$^*$ and K. Cuk$^*$ and H. Brenner$^*$
and Y. Zhang$^*$},
title = {{C}irculating micro{RNA} biomarkers for lung cancer
detection in {W}estern populations.},
journal = {Cancer medicine},
volume = {7},
number = {10},
issn = {2045-7634},
address = {Hoboken, NJ},
publisher = {Wiley},
reportid = {DKFZ-2018-01569},
pages = {4849-4862},
year = {2018},
abstract = {Lung cancer (LC) is a leading cause of cancer-related death
in the Western world. Patients with LC usually have poor
prognosis due to the difficulties in detecting tumors at
early stages. Multiple studies have shown that circulating
miRNAs might be promising biomarkers for early detection of
LC. We aimed to provide an overview of published studies on
circulating miRNA markers for early detection of LC and to
summarize their diagnostic performance in Western
populations. A systematic literature search was performed in
PubMed and ISI Web of Knowledge to find relevant studies
published up to 11 August 2017. Information on study design,
population characteristics, miRNA markers, and diagnostic
accuracy (including sensitivity, specificity, and AUC) were
independently extracted by two reviewers. Overall, 17
studies evaluating 35 circulating miRNA markers and 19 miRNA
panels in serum or plasma were included. The median
sensitivity (range) and specificity (range) were,
respectively, $78.4\%$ $(51.7\%-100\%)$ and $78.7\%$
$(42.9\%-93.5\%)$ for individual miRNAs, and $83.0\%$
$(64.0\%-100\%)$ and $84.9\%$ $(71.0\%-100\%)$ for miRNA
panels. Most studies incorporated individual miRNA markers
as panels (with 2-34 markers), with multiple miRNA-based
panels generally outperforming individual markers. Two
promising miRNA panels were discovered and verified in
prospective cohorts. Of note, both studies exclusively
applied miRNA ratios when building up panels. In conclusion,
circulating miRNAs may bear potential for noninvasive LC
screening, but large studies conducted in screening or
longitudinal settings are needed to validate the promising
results and optimize the marker panels.},
subtyp = {Review Article},
cin = {C070 / G110 / L101},
ddc = {610},
cid = {I:(DE-He78)C070-20160331 / I:(DE-He78)G110-20160331 /
I:(DE-He78)L101-20160331},
pnm = {313 - Cancer risk factors and prevention (POF3-313)},
pid = {G:(DE-HGF)POF3-313},
typ = {PUB:(DE-HGF)16},
pubmed = {pmid:30259714},
doi = {10.1002/cam4.1782},
url = {https://inrepo02.dkfz.de/record/137692},
}