“…Among 26 studies with a total of 2048 patients, the expression of six circRNAs (circ-0001451, circ-RAPGEF5, circ-AMOTL1L, circ-ESRP1, circ-CYP24A1, and circ-DVL1) was downregulated, 34,43,57,58,62,63 whereas 18 circRNAs (circ-001895, circ-001287, circ-HIPK3, circ-PDK1, circ-MYLK, circ-0085576, circ-PTCH1, circ-400,068, circ-NUP98, circ-001842, circ-RS-7 (two studies), circ-AKT1, circ-SDHC (two studies), circ-TLK1, circ-SNX6, circ-0054537, circ-CHST15, and circ-PPP6R3) were upregulated in the RCC tissue [37][38][39]42,44,[46][47][48][49][50][51][52][53][54][55][56][59][60][61]64 (Table S1). The tumor suppressor (downregulated) circRNAs were associated with smaller tumor size (OR = 0.71 [95% CI 0.58-0.87]; p = 0.001), lower T stage (OR = 0.45 [95% CI 0.27-0.75]; p = 0.002), less lymph node metastasis (OR = 0.29 [95% CI 0.12-0.72]; p = 0.008), less distant metastasis (OR = 0.24 [95% CI 0.14-0.41]; p < 0.001), and lower TNM stage (OR = 0.36 [95% CI 0.24-0.56]; p < 0.001).…”