1
|
Aalami AH, Abdeahad H, Aalami F, Sathyapalan T, Sahebkar A. Investigating angiogenin/ribonuclease 5 as a diagnostic biomarker for bladder cancer: In-depth analysis from a systematic review and meta-analysis. Clin Biochem 2024; 130:110780. [PMID: 38906363 DOI: 10.1016/j.clinbiochem.2024.110780] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/06/2024] [Revised: 05/27/2024] [Accepted: 06/13/2024] [Indexed: 06/23/2024]
Abstract
Bladder cancer (BC) represents a prevalent malignancy in North America and Europe, posing significant health burdens. The identification of a reliable biomarker for early BC detection is imperative to enhance prognostic outcomes. Our aim for this study is to determine the diagnostic accuracy and potential clinical utility of Angiogenin/Ribonuclease 5 (ANG/RNase 5) as a biomarker for detection of BC. A systematic literature search across multiple databases up to March 20, 2024, was conducted. CMA 3.7 and Meta-disk 1.4 were used to analyze specificity, sensitivity, AUC, DOR, LR+, LR-, Q*index, and SROC for ANG as a urinary biomarker in BC patients. Publication bias was assessed using Egger's regression asymmetry and Begg's rank correlation tests. Additional diagnosing analyses were performed using Python programming language version 3.12.1. In this meta-analysis of seven case-control studies comprising 1,051 participants (576 cases and 481 controls), pooled sensitivity was 0.701 (95 % CI: 0.662-0.738), specificity was 0.787 (95 % CI: 0.752-0.819), LR + was 3.582 (95 % CI: 2.260-5.676), LR- was 0.398 (95 % CI: 0.327-0.485), and DOR was 10.637 (95 % CI: 6.106-18.529). The AUC and Q* index values were 0.823 and 0.756, respectively. Both Begg and Mazumdar Rank Correlation Test (p = 0.229) and Egger's Test of the Intercept (p = 0.135) revealed no significant evidence of publication bias. Our meta-analysis confirms ANG/RNase 5 as a reliable biomarker for early bladder cancer detection, showing strong diagnostic accuracy and no publication bias.
Collapse
Affiliation(s)
- Amir Hossein Aalami
- Department of Nutrition and Integrative Physiology, College of Health, University of Utah, Salt Lake City, UT 84112, USA; Division of Nephrology and Hypertension, Department of Internal Medicine, School of Medicine, University of Utah, Salt Lake City, UT 84132, USA.
| | - Hossein Abdeahad
- Department of Nutrition and Integrative Physiology, College of Health, University of Utah, Salt Lake City, UT 84112, USA
| | - Farnoosh Aalami
- Student Research Committee, Faculty of Medicine, North Khorasan University of Medical Sciences, Bojnurd, Iran
| | - Thozhukat Sathyapalan
- Academic Diabetes, Endocrinology and Metabolism, Hull York Medical School, University of Hull, UK
| | - Amirhossein Sahebkar
- Biotechnology Research Center, Pharmaceutical Technology Institute, Mashhad University of Medical Sciences, Mashhad, Iran; Applied Biomedical Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
| |
Collapse
|
2
|
Permyakova ES, Manakhov A, Kiryukhantsev-Korneev PV, Konopatsky AS, Makarets YA, Kotyakova KY, Filippovich SY, Ignatov SG, Solovieva AO, Shtansky DV. Self-Sanitizing Polycaprolactone Electrospun Nanofiber Membrane with Ag Nanoparticles. J Funct Biomater 2023; 14:336. [PMID: 37504830 PMCID: PMC10381801 DOI: 10.3390/jfb14070336] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2023] [Revised: 06/16/2023] [Accepted: 06/21/2023] [Indexed: 07/29/2023] Open
Abstract
The objective of this research was to develop an environment-friendly and scalable method for the production of self-sanitizing electrospun nanofibers. This was achieved by immobilizing silver nanoparticles (Ag NPs) onto plasma-treated surfaces of biodegradable polycaprolactone (PCL) nanofibers. The plasma deposited polymer layer containing carboxyl groups played a critical role in providing a uniform distribution of Ag NPs on the nanofiber surface. Ag ions were absorbed by electrostatic interaction and then reduced under the action of UV-light. The concentration and release of Ag ions were analyzed using the EDXS/XPS and ICP AES methods, respectively. Although high levels of Ag ions were detected after 3 h of immersion in water, the material retained a sufficient amount of silver nanoparticles on the surface (~2.3 vs. 3.5 at.% as determined by XPS), and the release rate subsequently decreased over the next 69 h. The antipathogenic properties of PCL-Ag were tested against gram-negative and gram-positive bacteria, fungi, and biofilm formation. The results showed that the PCL-Ag nanofibers exhibit significant antimicrobial activity against a wide range of microorganisms, including those that cause human infections. The incorporation of Ag NPs into PCL nanofibers resulted in a self-sanitizing material that can be used in variety of applications, including wound dressings, water treatment, and air filtration. The development of a simple, scalable, and environmentally friendly method for the fabrication of these nanofibers is essential to ensure their widespread use in various industries. The ability to control the concentration and release rate of Ag ions in the PCL nanofibers will be critical to optimize their efficacy while minimizing their potential toxicity to human cells and the environment.
Collapse
Affiliation(s)
| | - Anton Manakhov
- National University of Science and Technology "MISIS", Moscow 119049, Russia
- Research Institute of Clinical and Experimental Lymphology-Branch of the ICG SB RAS, 2 Timakova st., Novosibirsk 630060, Russia
| | | | - Anton S Konopatsky
- National University of Science and Technology "MISIS", Moscow 119049, Russia
| | - Yulia A Makarets
- National University of Science and Technology "MISIS", Moscow 119049, Russia
| | | | | | - Sergey G Ignatov
- State Research Center for Applied Microbiology and Biotechnology, Obolensk 142279, Russia
| | - Anastasiya O Solovieva
- Research Institute of Clinical and Experimental Lymphology-Branch of the ICG SB RAS, 2 Timakova st., Novosibirsk 630060, Russia
| | - Dmitry V Shtansky
- National University of Science and Technology "MISIS", Moscow 119049, Russia
| |
Collapse
|
3
|
Immobilization and Release of Platelet-Rich Plasma from Modified Nanofibers Studied by Advanced X-ray Photoelectron Spectroscopy Analyses. Polymers (Basel) 2023; 15:polym15061440. [PMID: 36987220 PMCID: PMC10056793 DOI: 10.3390/polym15061440] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/06/2023] [Revised: 03/02/2023] [Accepted: 03/07/2023] [Indexed: 03/15/2023] Open
Abstract
Platelet-rich Plasma (PRP) is an ensemble of growth factors, extracellular matrix components, and proteoglycans that are naturally balanced in the human body. In this study, the immobilization and release of PRP component nanofiber surfaces modified by plasma treatment in a gas discharge have been investigated for the first time. The plasma-treated polycaprolactone (PCL) nanofibers were utilized as substrates for the immobilization of PRP, and the amount of PRP immobilized was assessed by fitting a specific X-ray Photoelectron Spectroscopy (XPS) curve to the elemental composition changes. The release of PRP was then revealed by measuring the XPS after soaking nanofibers containing immobilized PRP in buffers of varying pHs (4.8; 7.4; 8.1). Our investigations have proven that the immobilized PRP would continue to cover approximately fifty percent of the surface after eight days.
Collapse
|
4
|
Electrospun Polycaprolactone/ZnO Nanocomposite Membranes with High Antipathogen Activity. Polymers (Basel) 2022; 14:polym14245364. [PMID: 36559729 PMCID: PMC9780843 DOI: 10.3390/polym14245364] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/03/2022] [Revised: 12/03/2022] [Accepted: 12/05/2022] [Indexed: 12/13/2022] Open
Abstract
The spread of bacterial, fungal, and viral diseases by airborne aerosol flows poses a serious threat to human health, so the development of highly effective antibacterial, antifungal and antiviral filters to protect the respiratory system is in great demand. In this study, we developed ZnO-modified polycaprolactone nanofibers (PCL-ZnO) by treating the nanofiber surface with plasma in a gaseous mixture of Ar/CO2/C2H4 followed by the deposition of ZnO nanoparticles (NPs). The structure and chemical composition of the composite fibers were characterized by SEM, TEM, EDX, FTIR, and XPS methods. We demonstrated high material stability. The mats were tested against Gram-positive and Gram-negative pathogenic bacteria and pathogenic fungi and demonstrated high antibacterial and antifungal activity.
Collapse
|
5
|
Silver Ions Incorporation into Nanofibers for Enhanced hMSC Viability. CHEMISTRY 2022. [DOI: 10.3390/chemistry4030064] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Antimicrobial properties of silver have been known for a long time, but there is also cytotoxicity of high concentrations of silver. Therefore, it is important to select the concentration and shape of silver depending on the goals. The ideal wound dressing should ensure that the wound remains optimally moist, protected from infections, has no toxic compounds, and stimulates regeneration. In the present work, we obtained a series of polycaprolactone-based nanomaterials fabricated by electrospinning and incorporated with silver ions (up to 0.6 at.%). By adjusting the magnetron current (0.3 A) and implanter voltage (5 kV), the deposition of TiO2 and Ag+ implantation into PCL/PEO nanofibers was optimized to achieve implantation of Ag+ without damaging the nanofibrous structure of the biodegradable nanofibers. The obtained results allow us to predict significant protection properties of the developed material not only from mechanical influence but also thanks to the antimicrobial effect due to silver ions, which is important for chronic wounds and injuries with a large area of damage and can activate host cells proliferation.
Collapse
|
6
|
Permyakova ES, Konopatsky AS, Ershov KI, Bakhareva KI, Sitnikova NA, Shtansky DV, Solovieva AO, Manakhov AM. Ag-Contained Superabsorbent Curdlan–Chitosan Foams for Healing Wounds in a Type-2 Diabetic Mice Model. Pharmaceutics 2022; 14:pharmaceutics14040724. [PMID: 35456559 PMCID: PMC9032745 DOI: 10.3390/pharmaceutics14040724] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/12/2022] [Revised: 03/16/2022] [Accepted: 03/23/2022] [Indexed: 12/13/2022] Open
Abstract
This study focused on the synthesis and characterization of pure curdlan–chitosan foams (CUR/CS), as well as foams containing Ag nanoparticles (CUR/CS/Ag), and their effect on the skin repair of diabetic mice (II type). The layer of antibacterial superabsorbent foam provides good oxygenation, prevents bacterial infection, and absorbs exudate, forming a soft gel (moist environment). These foams were prepared from a mixture of hydrolyzed curdlan and chitosan by lyophilization. To enhance the antibacterial properties, an AgNO3 solution was added to the curdlan/chitosan mixture during the polymerization and was then reduced by UV irradiation. The membranes were further investigated for their structure and composition using optical microscopy, scanning electron microscopy, energy-dispersive spectroscopy, FT-IR spectroscopy, and XPS analysis and modeling. In vivo tests demonstrated that CUR/CS/Ag significantly boosted the regeneration process compared with pure CUR/CS and the untreated control.
Collapse
Affiliation(s)
- Elizaveta S. Permyakova
- Laboratory of Inorganic Nanomaterials, National University of Science and Technology “MISiS”, Leninsky Prospekt 4, 119049 Moscow, Russia; (A.S.K.); (D.V.S.)
- Laboratory of Pharmacological Active Compounds, Research Institute of Clinical and Experimental Lymphology—Branch of the ICG SB RAS, 2 Timakova Str., 630060 Novosibirsk, Russia; (K.I.E.); (K.I.B.); (N.A.S.); (A.O.S.)
- Correspondence: (E.S.P.); (A.M.M.); Tel.: +7-916-278-01-99 (E.S.P.)
| | - Anton S. Konopatsky
- Laboratory of Inorganic Nanomaterials, National University of Science and Technology “MISiS”, Leninsky Prospekt 4, 119049 Moscow, Russia; (A.S.K.); (D.V.S.)
| | - Konstantin I. Ershov
- Laboratory of Pharmacological Active Compounds, Research Institute of Clinical and Experimental Lymphology—Branch of the ICG SB RAS, 2 Timakova Str., 630060 Novosibirsk, Russia; (K.I.E.); (K.I.B.); (N.A.S.); (A.O.S.)
| | - Ksenia I. Bakhareva
- Laboratory of Pharmacological Active Compounds, Research Institute of Clinical and Experimental Lymphology—Branch of the ICG SB RAS, 2 Timakova Str., 630060 Novosibirsk, Russia; (K.I.E.); (K.I.B.); (N.A.S.); (A.O.S.)
| | - Natalya A. Sitnikova
- Laboratory of Pharmacological Active Compounds, Research Institute of Clinical and Experimental Lymphology—Branch of the ICG SB RAS, 2 Timakova Str., 630060 Novosibirsk, Russia; (K.I.E.); (K.I.B.); (N.A.S.); (A.O.S.)
| | - Dmitry V. Shtansky
- Laboratory of Inorganic Nanomaterials, National University of Science and Technology “MISiS”, Leninsky Prospekt 4, 119049 Moscow, Russia; (A.S.K.); (D.V.S.)
| | - Anastasiya O. Solovieva
- Laboratory of Pharmacological Active Compounds, Research Institute of Clinical and Experimental Lymphology—Branch of the ICG SB RAS, 2 Timakova Str., 630060 Novosibirsk, Russia; (K.I.E.); (K.I.B.); (N.A.S.); (A.O.S.)
| | - Anton M. Manakhov
- Laboratory of Pharmacological Active Compounds, Research Institute of Clinical and Experimental Lymphology—Branch of the ICG SB RAS, 2 Timakova Str., 630060 Novosibirsk, Russia; (K.I.E.); (K.I.B.); (N.A.S.); (A.O.S.)
- Correspondence: (E.S.P.); (A.M.M.); Tel.: +7-916-278-01-99 (E.S.P.)
| |
Collapse
|
7
|
Angiogenin Levels and Their Association with Cardiometabolic Indices Following Vitamin D Status Correction in Saudi Adults. BIOLOGY 2022; 11:biology11020286. [PMID: 35205153 PMCID: PMC8868634 DOI: 10.3390/biology11020286] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/28/2021] [Revised: 02/10/2022] [Accepted: 02/10/2022] [Indexed: 11/23/2022]
Abstract
Simple Summary Angiogenin (ANG) is a small 123 amino acid protein which in normal growth is associated with formation of new blood vessels in a process called angiogenesis; however, the abnormal levels of this protein in blood has been associated with diseases such as cancer, neurological disorders, and cardiovascular diseases. Vitamin D deficiency and elevated levels of blood lipids have also been associated with many diseases including cardiovascular diseases. In this study, the investigators tried to evaluate the relationship between the circulating levels of ANG, vitamin D, and lipids. The model used was vitamin D supplementation of deficient Saudi adults in order to find the effect of vitamin D correction on circulating levels of ANG and blood lipids. With vitamin D supplementation, modest but non-significant elevation in ANG was observed, as well as significant increase in apolipoproteins CIII and E and significant decrease in apo B. In addition, the correlation between circulating levels of ANG and apolipoproteins especially apo E observed in this study are interesting and should be investigated more as both are linked with neurologic disorders like Alzheimer’s and Parkinson’s diseases. Abstract Angiogenin (ANG), a multifunctional protein known to induce blood vessel formation, is a potential biomarker for cardiovascular diseases; however, whether it is affected by vitamin D supplementation is not known. This interventional study in vitamin D-deficient Saudi adults was designed to investigate it. A total of 100 vitamin D-deficient Saudi adults aged 30–50 years were randomly selected to undergo 6-month vitamin D supplementation. Circulating levels of fasting glucose, lipids, vitamin D, apolipoproteins (AI, AII, B, CI, CII, CIII, E, and H), and ANG were measured using commercially available assays at baseline and after six months. Overall, vitamin D levels increased significantly post intervention. With this, levels of apo-CIII and apo-E significantly increased (p-values of 0.001 and 0.009, respectively) with a significant parallel decrease in apo-B (p = 0.003). ANG levels were significantly positively associated with most apolipoproteins and inversely correlated with HDL-cholesterol. Post intervention, the changes in ANG levels were positively correlated with apo-E (r = 0.32; p < 0.01 in all subjects and r = 0.40; p < 0.05 in males). Vitamin D supplementation may modestly affect ANG levels. The association observed between ANG and apo-E is worthy of further investigation since both biomarkers have been linked to neurodegenerative disorders.
Collapse
|
8
|
Manakhov AM, Sitnikova NA, Tsygankova AR, Alekseev AY, Adamenko LS, Permyakova E, Baidyshev VS, Popov ZI, Blahová L, Eliáš M, Zajíčková L, Solovieva AO. Electrospun Biodegradable Nanofibers Coated Homogenously by Cu Magnetron Sputtering Exhibit Fast Ion Release. Computational and Experimental Study. MEMBRANES 2021; 11:965. [PMID: 34940466 PMCID: PMC8708309 DOI: 10.3390/membranes11120965] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/17/2021] [Revised: 12/03/2021] [Accepted: 12/04/2021] [Indexed: 11/30/2022]
Abstract
Copper-coated nanofibrous materials are desirable for catalysis, electrochemistry, sensing, and biomedical use. The preparation of copper or copper-coated nanofibers can be pretty challenging, requiring many chemical steps that we eliminated in our robust approach, where for the first time, Cu was deposited by magnetron sputtering onto temperature-sensitive polymer nanofibers. For the first time, the large-scale modeling of PCL films irradiation by molecular dynamics simulation was performed and allowed to predict the ions penetration depth and tune the deposition conditions. The Cu-coated polycaprolactone (PCL) nanofibers were thoroughly characterized and tested as antibacterial agents for various Gram-positive and Gram-negative bacteria. Fast release of Cu2+ ions (concentration up to 3.4 µg/mL) led to significant suppression of E. coli and S. aureus colonies but was insufficient against S. typhimurium and Ps. aeruginosa. The effect of Cu layer oxidation upon contact with liquid media was investigated by X-ray photoelectron spectroscopy revealing that, after two hours, 55% of Cu atoms are in form of CuO or Cu(OH)2. The Cu-coated nanofibers will be great candidates for wound dressings thanks to an interesting synergistic effect: on the one hand, the rapid release of copper ions kills bacteria, while on the other hand, it stimulates the regeneration with the activation of immune cells. Indeed, copper ions are necessary for the bacteriostatic action of cells of the immune system. The reactive CO2/C2H4 plasma polymers deposited onto PCL-Cu nanofibers can be applied to grafting of viable proteins, peptides, or drugs, and it further explores the versatility of developed nanofibers for biomedical applications use.
Collapse
Affiliation(s)
- Anton M. Manakhov
- Research Institute of Clinical and Experimental Lymphology—Branch of the ICG SB RAS, 2 Timakova St., 630060 Novosibirsk, Russia; (N.A.S.); (E.P.)
| | - Natalya A. Sitnikova
- Research Institute of Clinical and Experimental Lymphology—Branch of the ICG SB RAS, 2 Timakova St., 630060 Novosibirsk, Russia; (N.A.S.); (E.P.)
| | - Alphiya R. Tsygankova
- Nikolaev Institute of Inorganic Chemistry SB RAS, 3 Acad. Lavrentiev Ave., 630090 Novosibirsk, Russia;
| | - Alexander Yu. Alekseev
- Research Institute of Virology, The Federal Research Center of Fundamental and Translational Medicine, 2 Timakova St., 630060 Novosibirsk, Russia; (A.Y.A.); (L.S.A.)
- Research Institute of Applied Ecology, Dagestan State University, Dahadaeva 21, 367000 Makhachkala, Russia
| | - Lyubov S. Adamenko
- Research Institute of Virology, The Federal Research Center of Fundamental and Translational Medicine, 2 Timakova St., 630060 Novosibirsk, Russia; (A.Y.A.); (L.S.A.)
| | - Elizaveta Permyakova
- Research Institute of Clinical and Experimental Lymphology—Branch of the ICG SB RAS, 2 Timakova St., 630060 Novosibirsk, Russia; (N.A.S.); (E.P.)
- Laboratory of Inorganic Nanomaterials, National University of Science and Technology “MISiS”, Leninsky Prospekt 4, 119071 Moscow, Russia
| | - Victor S. Baidyshev
- Department of Computer Engineering and Automated Systems Software, Katanov Khakas State University, Pr. Lenin, 90, 655017 Abakan, Russia;
| | - Zakhar I. Popov
- Laboratory of Acoustic Microscopy, Emanuel Institute of Biochemical Physics RAS, Kosygina 4, 119334 Moscow, Russia;
| | - Lucie Blahová
- Central European Institute of Technology CEITEC-BUT, Purkyňova 123, 61200 Brno, Czech Republic; (L.B.); (M.E.); (L.Z.)
| | - Marek Eliáš
- Central European Institute of Technology CEITEC-BUT, Purkyňova 123, 61200 Brno, Czech Republic; (L.B.); (M.E.); (L.Z.)
| | - Lenka Zajíčková
- Central European Institute of Technology CEITEC-BUT, Purkyňova 123, 61200 Brno, Czech Republic; (L.B.); (M.E.); (L.Z.)
- Department Condensed Matter Physics, Faculty of Science, Masaryk University, Kotlářská 2, 61137 Brno, Czech Republic
| | - Anastasiya O. Solovieva
- Research Institute of Clinical and Experimental Lymphology—Branch of the ICG SB RAS, 2 Timakova St., 630060 Novosibirsk, Russia; (N.A.S.); (E.P.)
| |
Collapse
|
9
|
Aalami AH, Abdeahad H, Mesgari M, Sathyapalan T, Sahebkar A. Urinary Angiogenin as a Marker for Bladder Cancer: A Meta-Analysis. BIOMED RESEARCH INTERNATIONAL 2021; 2021:5557309. [PMID: 33997007 PMCID: PMC8099530 DOI: 10.1155/2021/5557309] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/09/2021] [Revised: 02/27/2021] [Accepted: 04/16/2021] [Indexed: 01/20/2023]
Abstract
AIMS Bladder cancer (BCa) is a common cancer in North America and Europe that carries considerable morbidity and mortality. A reliable biomarker for early detection of the bladder is crucial for improving the prognosis of BCA. In this meta-analysis, we examine the diagnostic role of the angiogenin (ANG) protein in patients' urine with bladder neoplasm. METHODS We performed a systematic literature search using ScienceDirect, Web of Science, PubMed/MEDLINE, Scopus, Google Scholar, and Embase, up to 10th October 2020 databases. Meta-Disc V.1.4 and Comprehensive Meta-Analysis V.2.2 software calculated the pooled specificity, sensitivity, area under the curve (AUC), diagnostic odds ratio (DOR), positive likelihood ratio (LR+), negative likelihood ratio (LR-), Q ∗ index, and summary receiver-operating characteristic (SROC) for the role of ANG as a urinary biomarker for BCa patients. RESULTS Four case-control studies were included with 656 participants (417 cases and 239 controls) in this meta-analysis. The pooled sensitivity of 0.71 (95% CI: 0.66-0.75), specificity of 0.78 (95% CI: 0.73-0.81), LR+ of 3.34 (95% CI: 2.02-5.53), LR- of 0.37 (95% CI: 0.32-0.44), DOR of 9.99 (95% CI: 4.69-21.28), and AUC of 0.789 and Q ∗ index of 0.726 demonstrate acceptable diagnostic precision of ANG in identifying BCa. CONCLUSION This meta-analysis showed that ANG could be a fair biomarker for the diagnosis of BCa patients.
Collapse
Affiliation(s)
- Amir Hossein Aalami
- Department of Biology, Mashhad Branch, Islamic Azad University, Mashhad, Iran
| | - Hossein Abdeahad
- Department of Nutrition and Integrative Physiology, Collogue of Health, University of Utah, Salt Lake City, UT, USA
| | - Mohammad Mesgari
- Department of Biology, Faculty of Science, Ferdowsi University of Mashhad, Mashhad 9177948974, Iran
| | - Thozhukat Sathyapalan
- Academic Diabetes, Endocrinology and Metabolism, Hull York Medical School, University of Hull, UK
| | - Amirhossein Sahebkar
- Biotechnology Research Center, Pharmaceutical Technology Institute, Mashhad University of Medical Sciences, Mashhad, Iran
- Applied Biomedical Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
- School of Pharmacy, Mashhad University of Medical Sciences, Mashhad, Iran
| |
Collapse
|