Evidence map›Paper›PMID 25184628›Full record

SynthesisPloS one2014

The prognostic value of global DNA hypomethylation in cancer: a meta-analysis.

Jinhui Li, Qingyuan Huang, Fangfang Zeng, Wenxue Li, Zhini He, Wen Chen, Wei Zhu, Bo Zhang

Abstract readMeta-Analysis
In one paragraph

Synthesis in PloS one, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
51citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

51 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Major air pollutants and risk of COPD exacerbations: a systematic review and meta-analysis.International journal of chronic obstructive pulmonary disease · 2016
    Pooled it
  2. Review
  3. Decoding the Epigenome of Breast Cancer.International journal of molecular sciences · 2025
    Review
  4. Article
  5. Review
  6. Article
  7. Article
  8. Animals : an open access journal from MDPI · 2023
    Article
  9. Melatonin: A Potential Regulator of DNA Methylation.Antioxidants (Basel, Switzerland) · 2023
    Review
  10. Article
  11. Review
  12. Article
  13. Review
  14. LINE-1 and Alu Methylation in hrHPV-Associated Precancerous Cervical Samples.Asian Pacific journal of cancer prevention : APJCP · 2022
    Article
  15. Review
  16. Article
  17. Article
  18. The Role of DNA Methylation and DNA Methyltransferases in Cancer.Advances in experimental medicine and biology · 2022
    Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Jinhui LiDepartment of Preventive Medicine, School of Public Health, Sun Yat-sen University, Guangzhou, P.R. China; Department of Toxicology, Guangzhou Center for Disease Control and Prevention, Guangzhou, P.R. China.
Qingyuan HuangDepartment of Thoracic Oncology, State Key Laboratory of Oncology in South China, Sun Yat-sen University Cancer Center, Guangzhou, P.R. China.
Fangfang ZengDepartment of Epidemiology, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, P.R. China; Guangdong Provincial Key Laboratory of Food, Nutrition and Health, Department of Medical Statistics & Epidemiology, School of Public Health, Sun Yat-sen University, Guangzhou, P.R. China.
Wenxue LiDepartment of Toxicology, Guangzhou Center for Disease Control and Prevention, Guangzhou, P.R. China.
Zhini HeDepartment of Preventive Medicine, School of Public Health, Sun Yat-sen University, Guangzhou, P.R. China.
Wen ChenDepartment of Preventive Medicine, School of Public Health, Sun Yat-sen University, Guangzhou, P.R. China.
Wei ZhuDepartment of Toxicology, Guangzhou Center for Disease Control and Prevention, Guangzhou, P.R. China.
Bo ZhangDepartment of Preventive Medicine, School of Public Health, Sun Yat-sen University, Guangzhou, P.R. China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAberrant methylation of the global genome has been investigated as a prognostic indicator in various cancers, but the results are controversial and ambiguous. METHODS AND

findingsThis meta-analysis presents pooled estimates of the evidence to elucidate this issue. We searched the electronic databases: PubMed, Embase, ISI Web of Science and the Cochrane library (up to August 2013) to identify all of the relevant studies. The association between the level of surrogates' indexes of genome-wide hypomethylation (LINE-1, Alu and Sat-α) and the overall survival (OS) of cancer patients was examined. In addition, the pooled hazard ratios (HRs) with their 95% confidence interval (95%CI) were calculated to estimate the influences through fixed-effects and random-effects model. Finally, twenty studies with total population of 5447 met the inclusion criteria. The results indicate that the summary HRs for the studies employing LINE-1, Alu, and Sat-α repetitive elements also show that the global DNA hypomethylation have significant desirable effects on the tumour prognostic value. The pooled HRs (and CIs) of LINE-1, Alu and Sat-α were 1.83 (1.38-2.44), 2.00 (1.16-3.45), and 2.92 (1.04-8.25), with a heterogeneity measure index of I2 (and p-value) shows of 66.6% (p = 0.001), 57.1% (p = 0.053) and 68.2% (p = 0.076) respectively. The meta-regression and subgroup analysis indicated that the percentage of hypomethylated sample of cancer patients is one source of heterogeneity.

conclusionOur meta-analysis findings support the hypothesis that the global DNA hypomethylation is associated with a detrimental prognosis in tumour patients.

Indexed as

DNA MethylationAlu ElementsBiomarkers, TumorDNA, NeoplasmDNA, SatelliteEpigenesis, GeneticGenome, HumanHumansLong Interspersed Nucleotide ElementsNeoplasmsPrognosisSurvival AnalysisBiomarkers, TumorDNA, NeoplasmDNA, Satellite

Identifiers

PMID25184628
PMCPMC4153632

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.