Evidence map›Paper›PMID 21887341›Full record

ArticlePloS one2011

Inverse association between methylation of human papillomavirus type 16 DNA and risk of cervical intraepithelial neoplasia grades 2 or 3.

Long Fu Xi, Mingjun Jiang, Zhenping Shen, Ayaka Hulbert, Xiao-Hua Zhou, Ying-Ying Lin, Nancy B Kiviat, Laura A Koutsky

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 17% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Overview of genetic and epigenetic regulation of human papillomavirus and apoptosis in cervical cancer.Apoptosis : an international journal on programmed cell death · 2023
    Review
  4. Article
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  12. Human papillomavirus DNA methylation as a potential biomarker for cervical cancer.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2012
    Review
  13. 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 at 1 institution in 1 country.

Long Fu XiDepartment of Pathology, School of Medicine, School of Public Health, University of Washington, Seattle, Washington, United States of America. longfu@u.washington.edu
Mingjun Jiang
Zhenping Shen
Ayaka Hulbert
Xiao-Hua Zhou
Ying-Ying Lin
Nancy B Kiviat
Laura A Koutsky
University of Washington · US

Funding

ETIOLOGY AND NATURAL HISTORY OF CERVICAL NEOPLASIAR01CA034493 · NCI · UNIVERSITY OF WASHINGTON · PI KOUTSKY, LAURA A · 1985 to 2007
$4.3M
DNA Methylation as a Risk Factor for Cervical NeoplasiaR01CA120680 · NCI · UNIVERSITY OF WASHINGTON · PI XI, LONG FU · 2006 to 2009
$1.1M
NCI NIH HHS CA120680NCI NIH HHS CA34493NCI NIH HHS R01 CA034493NCI NIH HHS R01 CA120680
6 · The paper itself

Abstract

backgroundThe clinical relevance of human papillomavirus type 16 (HPV16) DNA methylation has not been well documented, although its role in modulation of viral transcription is recognized.

methodsStudy subjects were 211 women attending Planned Parenthood clinics in Western Washington for routine Papanicolaou screening who were HPV16 positive at the screening and/or subsequent colposcopy visit. Methylation of 11 CpG dinucleotides in the 3' end of the long control region of the HPV16 genome was examined by sequencing the cloned polymerase chain reaction products. The association between risk of CIN2/3 and degree of CpG methylation was estimated using a logistic regression model.

resultsCIN2/3 was histologically confirmed in 94 (44.5%) of 211 HPV16 positive women. The likelihood of being diagnosed as CIN2/3 increased significantly with decreasing numbers of methylated CpGs (meCpGs) in the 3' end of the long control region (P(for trend) = 0.003). After adjusting for HPV16 variants, number of HPV16-positive visits, current smoking status and lifetime number of male sex partners, the odds ratio for the association of CIN2/3 with ≥4 meCpGs was 0.31 (95% confidence interval, 0.12-0.79). The proportion of ≥4 meCpGs decreased appreciably as the severity of the cervical lesion increased (P(for trend) = 0.001). The inverse association remained similar when CIN3 was used as the clinical endpoint. Although not statistically significant, the ≥4 meCpGs-related risk reduction was more substantial among current, as compared to noncurrent, smokers.

conclusionResults suggest that degree of the viral genome methylation is related to the outcome of an HPV16 cervical infection.

Indexed as

DNA MethylationPredictive Value of TestsCpG IslandsDNA, ViralFemaleHuman papillomavirus 16HumansRiskUterine Cervical DysplasiaUterine Cervical NeoplasmsDNA, Viral

Identifiers

PMID21887341
PMCPMC3161083
OpenAlexW2060153909

What OpenQuestion holds

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LicenceCC BY
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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.