Prognostic value of miR-21 in gliomas: comprehensive study based on meta-analysis and TCGA dataset validation
Open accessAbstract
Recent studies have highlighted the value of microRNA-21 (miR-21) as a prognostic biomarker in gliomas. However, the role of miR-21 in predicting prognosis remains controversial. We performed a comprehensive study based upon a meta-analysis and The Cancer Genome Atlas (TCGA) glioma dataset validation to clarify the prognostic significance of miR-21 in glioma patients. In this study, we searched Embase, PubMed, Web of science, CNKI, SinoMed, and Wanfang databases for records up to May 2018. Relevant data were extracted to assess the correlation between miR-21 expression and survival in glioma patients. Pooled hazard ratios (HRs) with 95% confidence intervals (CIs) were used to describe association strength. We further used multivariate Cox regression analysis to assess miR-21 expression in the TCGA glioma dataset to validate the relationship between miR-21 expression and survival. Nine studies were included in the meta-analysis. Among them, eight studies provided data on overall survival (OS) with a pooled HR of 1.91 (95% CI: 1.34, 2.73), indicating that higher expression of miR-21 was significantly associated with worse OS in glioma patients; for the other study, which provided data on progression-free survival (PFS), no statistically significant HR was reported for PFS in the glioma patients (HR = 1.23, 95% CI: 0.41, 3.72). A multivariate Cox regression analysis of the miR-21 expression in the TCGA glioma dataset revealed that overexpression of miR-21 was a potential independent prognostic biomarker of poorer OS (HR = 1.27, 95% CI: 1.01, 1.59) and poorer PFS (HR = 1.46, 95% CI: 1.17, 1.82). Our findings suggest that higher expression of miR-21 is correlated with poorer glioma prognosis.
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Extracellular microRNAs are stable and detectable in body fluids such as serum, plasma, urine, and cerebrospinal fluid, making them suitable as biomarkers.
“Extracellular miRs are notably stable and detectable in various body fluids such as serum, plasma, urine, and cerebrospinal fluid (CSF), making them ideal for use as biomarkers [8].”
From miR-21 as a diagnostic and prognostic biomarker in glioma: tissue and serum expression analysis in a Pakistani cohort (2026) · cites this paper as [8]
The Discussion (page not available in our copy) says miRNAs can be easily and stably detected in plasma, serum, and cerebrospinal fluid and are therefore potential tumor biomarkers. It does not mention urine, so the full list of body fluids in the citing sentence is not supported. (LLM, conf=0.88)
Experimental — accuracy not yet measuredmiR-21 has been reported to be associated with GBM aggressiveness in previous studies.
“We explored miR-21 as a potential biomarker due to its reported association with GBM aggressiveness in previous studies by various research groups [8,23,24].”
From miR-21 as a diagnostic and prognostic biomarker in glioma: tissue and serum expression analysis in a Pakistani cohort (2026) · cites this paper as [8]
Low miR-21 expression is significantly related to better overall survival in tissue samples of glioma patients.
“These findings align with our results and acknowledge that low miR-21 expression is significantly related to better overall survival (OS) in tissue samples of glioma patients [8].”
From miR-21 as a diagnostic and prognostic biomarker in glioma: tissue and serum expression analysis in a Pakistani cohort (2026) · cites this paper as [8]
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Cites
MicroRNA-21 expression is associated with overall survival in patients with glioma
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Laghari, A. A., Sufiyan, S., Amin, W., Ilyas, S., Naeem, S., Adnan, U., Abidi, S. H., Uddin, S., Enam, S. A., & Mughal, N. (2026) · Journal of Neuro-Oncology · doi:10.1007/s11060-025-05287-4 · Cited by 1 · see citing works
“We explored miR-21 as a potential biomarker due to its reported association with GBM aggressiveness in previous studies by various research groups [8, 23, 24].”
- Authors
- Jiang, G., Mu, J., Liu, X., Peng, X., Zhong, F., Yuan, W., Deng, F., Peng, X., Peng, S., & Zeng, X.
- Affiliations
- Central South University (CN)
- Jishou University (CN)
- Wuhan University (CN)
- Shanghai Ocean University (CN)
- Corresponding author
- Peng, Xiangni
- Peng, Sihua
- Zeng, Xiaomin
- Venue
- Scientific Reports
- Published
- 2020-03-06
- Volume
- 10
- Issue
- 1
- Pages
- 4220-4220
- ISSN
- 2045-2322 (ISSN-L)
- PMC
- PMC7060265
- OpenAlex
- W3009255790
- Cited by
- 33
- References
- 1
- Citations by year
- 2026: 5 · 2025: 5 · 2024: 10 · 2023: 4 · 2022: 5 · 2021: 3 · 2020: 1
- FWCI
- 0.33
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Scientific Reports (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Funders
- The National Natural Science Foundation of China
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cancer Research › MicroRNA in disease regulation
- Health Sciences › Medicine › Genetics › Glioma Diagnosis and Treatment
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cancer Research › Cancer-related molecular mechanisms research
- Keywords
- miR-21, glioma, prognostic factors, microRNA, overall survival, progression-free survival, microRNA overexpression
- MeSH terms
- Brain Neoplasms, Glioma, Humans, Prognosis, Biomarkers, Tumor, Gene Expression Regulation, Neoplastic, Survival Rate, MicroRNAs, Validation Studies as Topic
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