PMID- 36924407 OWN - NLM STAT- MEDLINE DCOM- 20230403 LR - 20230512 IS - 1573-4935 (Electronic) IS - 0144-8463 (Print) IS - 0144-8463 (Linking) VI - 43 IP - 3 DP - 2023 Mar 31 TI - HOTAIR as a diagnostic and prognostic biomarker of gastrointestinal cancers: an updated meta-analysis and bioinformatics analysis based on TCGA data. LID - 10.1042/BSR20222174 [doi] LID - BSR20222174 AB - Gastrointestinal cancers are the most common type of cancer affecting humans. High expression of HOX transcript antisense intergenic RNA (HOTAIR), a long noncoding RNA (lncRNA), in various types of different tumors may be associated with poor prognosis. In the present study, we performed a meta-analysis of the relationship between HOTAIR expression and gastrointestinal cancers. Five databases were comprehensively searched for all literature until January 2023. Moreover, the target genes of HOTAIR were predicted by coexpression analysis based on The Cancer Genome Atlas (TCGA) gene expression matrix for six gastrointestinal cancer types. Finally, the mechanism through which HOTAIR affects tumors of the digestive system was systematically reviewed. Our results showed that the high HOTAIR expression group had worse outcomes with a pooled hazard ratio (HR) of 1.56 (95% confidence interval [CI] = 1.38-1.75, P<0.001). Furthermore, HOTAIR was identified as an unfavorable prognostic factor for overall survival (OS) in the esophageal carcinoma (ESCA) and gastric cancer (GC), as the HR were 1.94 and 1.58, respectively. The high correlation between the expression of homeobox C (HOXC) family genes and HOTAIR, with correlation coefficients of 0.863 (HOXC11), 0.664 (HOXC10), 0.645 (HOXC8), and 0.581 (HOXC12). The 'cell cycle' pathway and pathways relating to infections, namely 'herpes simplex virus 1 infection' and 'complement and coagulation cascades' were significantly enriched in Kyoto Encyclopedia of Genes and Genomes (KEGG) analysis. Also, we perform a systematic review to summarize the related oncogenic mechanism of HOTAIR. In conclusion, the HOTAIR has been identified as a potential prognostic factor in patients with gastrointestinal cancers. CI - (c) 2023 The Author(s). FAU - Yang, Jinyou AU - Yang J AD - Department of Health and Rehabilitation, Jiangsu College of Nursing, Huai'an, Jiangsu 223005, P. R. China. FAU - Xu, Shuyu AU - Xu S AD - Key Lab of Modern Toxicology of Ministry of Education, Center for Global Health, Department of Occupational Medicine and Environmental Health, School of Public Health, Nanjing Medical University, 101 Longmian Avenue, Nanjing 211166, P. R. China. FAU - Wang, Shaozhuo AU - Wang S AD - Key Lab of Modern Toxicology of Ministry of Education, Center for Global Health, Department of Occupational Medicine and Environmental Health, School of Public Health, Nanjing Medical University, 101 Longmian Avenue, Nanjing 211166, P. R. China. FAU - Zou, Xuyan AU - Zou X AD - Key Lab of Modern Toxicology of Ministry of Education, Center for Global Health, Department of Occupational Medicine and Environmental Health, School of Public Health, Nanjing Medical University, 101 Longmian Avenue, Nanjing 211166, P. R. China. FAU - Duan, Mingxiu AU - Duan M AD - Key Lab of Modern Toxicology of Ministry of Education, Center for Global Health, Department of Occupational Medicine and Environmental Health, School of Public Health, Nanjing Medical University, 101 Longmian Avenue, Nanjing 211166, P. R. China. FAU - Zhang, Qiaoling AU - Zhang Q AD - Department of Nursing and Midwifery, Jiangsu College of Nursing, Huai'an, Jiangsu 223005, P. R. China. FAU - Wang, Chao AU - Wang C AUID- ORCID: 0000-0001-8452-1214 AD - Key Lab of Modern Toxicology of Ministry of Education, Center for Global Health, Department of Occupational Medicine and Environmental Health, School of Public Health, Nanjing Medical University, 101 Longmian Avenue, Nanjing 211166, P. R. China. LA - eng PT - Journal Article PT - Meta-Analysis PT - Research Support, Non-U.S. Gov't PT - Systematic Review PL - England TA - Biosci Rep JT - Bioscience reports JID - 8102797 RN - 0 (Biomarkers) RN - 0 (Homeodomain Proteins) RN - 0 (HOXC10 protein, human) RN - 0 (HOXC11 protein, human) RN - 0 (RNA, Long Noncoding) RN - 0 (HOTAIR long untranslated RNA, human) SB - IM MH - Humans MH - Biomarkers MH - *Esophageal Neoplasms/genetics MH - Gene Expression Regulation, Neoplastic MH - Homeodomain Proteins/genetics MH - Prognosis MH - *RNA, Long Noncoding/genetics/metabolism MH - *Stomach Neoplasms/diagnosis/genetics PMC - PMC10064413 OTO - NOTNLM OT - Hox transcript antisense intergenic RNA OT - cancer OT - digestive system OT - long noncoding RNA OT - meta-analysis OT - prognosis COIS- The authors declare that there are no competing interests associated with the manuscript. EDAT- 2023/03/17 06:00 MHDA- 2023/03/30 06:11 PMCR- 2023/03/29 CRDT- 2023/03/16 06:52 PHST- 2022/10/25 00:00 [received] PHST- 2023/03/02 00:00 [revised] PHST- 2023/03/13 00:00 [accepted] PHST- 2023/03/30 06:11 [medline] PHST- 2023/03/17 06:00 [pubmed] PHST- 2023/03/16 06:52 [entrez] PHST- 2023/03/29 00:00 [pmc-release] AID - 232737 [pii] AID - BSR20222174 [pii] AID - 10.1042/BSR20222174 [doi] PST - ppublish SO - Biosci Rep. 2023 Mar 31;43(3):BSR20222174. doi: 10.1042/BSR20222174.