Evidence map›Paper›PMID 21704589›Full record

ArticleGastroenterology2011

Hepatitis B virus core promoter mutations contribute to hepatocarcinogenesis by deregulating SKP2 and its target, p21.

Yuehua Huang, Shuping Tong, Andrew W Tai, Munira Hussain, Anna S F Lok

Open access · bronzeAbstract read
In one paragraph

Article in Gastroenterology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 2 pooled it
4.6field-weighted citation impact, top 5% of its field
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

44 citing papers in PubMed, 2 syntheses or guidelines pooled it, 75 citations in OpenAlex.

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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

5 authors at 3 institutions in 1 country.

Yuehua HuangDivision of Gastroenterology and Hepatology, University of Michigan Health Systems, Ann Arbor, Michigan 48109, USA.
Shuping Tong
Andrew W Tai
Munira Hussain
Anna S F Lok
Michigan Medicine · USRhode Island Hospital · USUniversity of Michigan–Ann Arbor · US

Funding

Characterization of a host hepatocyte factor that regulates HCV replicationK08AI083785 · NIAID · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI TAI, ANDREW W. · 2010 to 2012
$397k
Hepatitis B virus immune escape mutantsR21CA133976 · NCI · RHODE ISLAND HOSPITAL · PI TONG, SHUPING · 2008 to 2009
$393k
NCI NIH HHS R21 CA133976NCI NIH HHS R21CA133976NIAID NIH HHS K08 AI083785NIAID NIH HHS K08AI083785
6 · The paper itself

Abstract

BACKGROUND &

aimsClinical studies have associated hepatitis B virus core promoter (CP) mutations with an increased risk of hepatocellular carcinoma. The CP region overlaps with the HBV X (HBx) gene, which has been implicated in hepatocarcinogenesis. The cyclin kinase inhibitor p21WAF1/CIP1 is an important regulator of cell cycle progression and proliferation. We determined whether HBx mutants that result from mutations in the CP deregulate p21 and these processes.

methodsWe constructed a series of HBx mutants with changes in the CP region that correspond to A1762T/G1764A (TA), T1753A, T1768A, or a combination of these (combo) and expressed them, along with wild-type HBx under control of its endogenous promoter, in primary human hepatocytes (PHHs) and HepG2 cells. We then analyzed the effects of CP mutations on expression and degradation of p21 and the effects on cell cycle progression and proliferation.

resultsThe combo mutant decreased levels of p21 and increased cyclin E expression in PHHs and HepG2 cells. The combo mutant, but not HBx with single or double CP mutations, accelerated p21 degradation in HepG2 cells. The combo mutant increased expression of S-phase kinase-associated protein 2 (SKP2) in PHHs and Huh7 cells. Silencing of SKP2 abrogated the effects of CP mutations on p21 expression. The kinetics of p21 expression correlated with changes in cell cycle distribution. The combo mutant accelerated cell cycle progression; p21 overexpression restored G1 arrest.

conclusionsHBx mutants with changes that correspond to a combination of CP mutations up-regulate SKP2, which then down-regulates p21 via ubiquitin-mediated proteasomal degradation. CP mutations might increase the risk of hepatocellular carcinoma via this pathway.

Indexed as

Cell Transformation, ViralMutationPromoter Regions, GeneticCarcinoma, HepatocellularCell CycleCell ProliferationCyclin-Dependent Kinase Inhibitor p21Gene Expression Regulation, NeoplasticGenes, ReporterHepatitis BHep G2 CellsHumansLiver NeoplasmsMutagenesis, Site-DirectedProteasome Endopeptidase ComplexProtein Processing, Post-TranslationalCDKN1A protein, humanCyclin-Dependent Kinase Inhibitor p21hepatitis B virus X proteinProteasome Endopeptidase ComplexS-Phase Kinase-Associated ProteinsTrans-ActivatorsViral Regulatory and Accessory Proteins

Identifiers

PMID21704589
PMCPMC3186859
OpenAlexW2003198308

What OpenQuestion holds

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Registered trials

None linked

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.