Evidence map›Paper›PMID 26024529›Full record

Trial reportPloS one2015

Chronic Hepatitis B Virus Infection: The Relation between Hepatitis B Antigen Expression, Telomere Length, Senescence, Inflammation and Fibrosis.

Phaedra M Tachtatzis, Aileen Marshall, Aloysious Arvinthan, Aloysius Aravinthan, Suman Verma, Sue Penrhyn-Lowe, Marianna Mela, Cinzia Scarpini, Susan E Davies, Nicholas Coleman and 1 more

Erratum issuedOpen access · goldAbstract readClinical Trial
In one paragraph

Trial report in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
4.8field-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

26 citing papers in PubMed, 56 citations in OpenAlex.

  1. Article
  2. Lower Allele Frequency ofJCO global oncology · 2026
    Article
  3. Review
  4. Role of cellular senescence in hepatic diseases (Review).International journal of molecular medicine · 2025
    Review
  5. Stem cell-based therapeutic strategies for liver aging.Liver research (Beijing, China) · 2025
    Review
  6. Article
  7. Article
  8. Vascular Ageing: Mechanisms, Risk Factors, and Treatment Strategies.International journal of molecular sciences · 2023
    Review
  9. Article
  10. Article
  11. Contribution of viral and bacterial infections to senescence and immunosenescence.Frontiers in cellular and infection microbiology · 2023
    Review
  12. Article
  13. Article
  14. Review
  15. Review
  16. A Network Pharmacology Approach to Explore the Mechanisms ofEvidence-based complementary and alternative medicine : eCAM · 2021
    Article
  17. Review
  18. Article
  19. Article
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 4 institutions in 1 country.

Phaedra M TachtatzisDepartment of Hepatology, St James's University Hospital, Leeds, United Kingdom.
Aileen MarshallDepartment of Hepatology, Royal Free Hospital, London, United Kingdom.
Aloysious Arvinthan
Aloysius AravinthanDivision of Gastroenterology and Hepatology, University of Cambridge, Cambridge, United Kingdom.
Suman VermaInstitute of Liver Studies, King's College Hospital, London, United Kingdom.
Sue Penrhyn-LoweHutchison/MRC Research Centre, University of Cambridge, Cambridge, United Kingdom.
Marianna MelaDivision of Gastroenterology and Hepatology, University of Cambridge, Cambridge, United Kingdom.
Cinzia ScarpiniDepartment of Pathology, University of Cambridge, Cambridge, United Kingdom.
Susan E DaviesPancreatic Cancer Centre, University of Cambridge, Cambridge, United Kingdom.
Nicholas ColemanDepartment of Pathology, University of Cambridge, Cambridge, United Kingdom.
Graeme J M AlexanderDivision of Gastroenterology and Hepatology, University of Cambridge, Cambridge, United Kingdom.
University of Cambridge · GBKing's College Hospital · GBSt James's University Hospital · GBThe Royal Free Hospital · GB

Funding

Cancer Research UK 13080
6 · The paper itself

Abstract

backgroundChronic Hepatitis B virus (HBV) infection can lead to the development of chronic hepatitis, cirrhosis and hepatocellular carcinoma. We hypothesized that HBV might accelerate hepatocyte ageing and investigated the effect of HBV on hepatocyte cell cycle state and biological age. We also investigated the relation between inflammation, fibrosis and cell cycle phase.

methodsLiver samples from patients with chronic HBV (n = 91), normal liver (n = 55) and regenerating liver (n = 15) were studied. Immunohistochemistry for cell cycle phase markers and HBV antigens was used to determine host cell cycle phase. Hepatocyte-specific telomere length was evaluated by quantitative fluorescent in-situ hybridization (Q-FISH) in conjunction with hepatocyte nuclear area and HBV antigen expression. The effects of induced cell cycle arrest and induced cellular senescence on HBV production were assessed in vitro.

results13.7% hepatocytes in chronic HBV had entered cell cycle, but expression of markers for S, G2 and M phase was low compared with regenerating liver. Hepatocyte p21 expression was increased (10.9%) in chronic HBV and correlated with liver fibrosis. Mean telomere length was reduced in chronic HBV compared to normal. However, within HBV-affected livers, hepatocytes expressing HBV antigens had longer telomeres. Telomere length declined and hepatocyte nuclear size increased as HBV core antigen (HBcAg) expression shifted from the nucleus to cytoplasm. Nuclear co-expression of HBcAg and p21 was not observed. Cell cycle arrest induced in vitro was associated with increased HBV production, in contrast to in vitro induction of cellular senescence, which had no effect.

conclusionChronic HBV infection was associated with hepatocyte G1 cell cycle arrest and accelerated hepatocyte ageing, implying that HBV induced cellular senescence. However, HBV replication was confined to biologically younger hepatocytes. Changes in the cellular location of HBcAg may be related to the onset of cellular senescence.

Indexed as

Cellular SenescenceTelomere HomeostasisAntigens, ViralCell Cycle CheckpointsFemaleHepatitis B, ChronicHepatitis B virusHepatocytesHep G2 CellsHumansInflammationLiver CirrhosisMaleAntigens, Viral

Identifiers

PMID26024529
PMCPMC4449162
OpenAlexW1863657770

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.