Evidence map›Paper›PMID 26238200›Full record

ArticleDiagnostic pathology2015

Combination of serum RASSF1A methylation and AFP is a promising non-invasive biomarker for HCC patient with chronic HBV infection.

Xueyan Dong, Hui He, Weiying Zhang, Daojun Yu, Xianjun Wang, Yueming Chen

Open access · goldAbstract read
In one paragraph

Article in Diagnostic pathology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 3 pooled it
1.7field-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

25 citing papers in PubMed, 3 syntheses or guidelines pooled it, 43 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

6 authors at 2 institutions in 1 country.

Xueyan DongDepartment of Laboratory Medicine, Hangzhou First People's Hospital, 310006, Hangzhou, China. biodxy82@gmail.com.
Hui HeThe Second Clinical Medical College, Zhejiang Chinese Medical University, 310053, Hangzhou, China. hehui577@126.com.
Weiying ZhangDepartment of Laboratory Medicine, Hangzhou First People's Hospital, 310006, Hangzhou, China. Zhangweiying369@163.com.
Daojun YuDepartment of Laboratory Medicine, Hangzhou First People's Hospital, 310006, Hangzhou, China. Yudaojun98@163.com.
Xianjun WangDepartment of Laboratory Medicine, Hangzhou First People's Hospital, 310006, Hangzhou, China. wangxj0525@hotmail.com.
Yueming ChenDepartment of Laboratory Medicine, Hangzhou First People's Hospital, 310006, Hangzhou, China. hzsylab@163.com.
Hangzhou First People's Hospital · CNZhejiang Chinese Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHypermethylation of the promoter region of the RAS association domain family 1A gene (RASSF1A) occurs widely in hepatocellular carcinoma (HCC) tissues. While the diagnostic performance of the use of RASSF1A methylation as a serum or plasma marker in patients with HCC has varied largely in the literature,we confirmed the clinical application value of serum RASSF1A methylation for HBV related HCC in this study.

methodsA total of 584 participants were recruited into this study, including 190 patients with HCC, 114 patients with liver cirrhosis (LC), 120 patients with chronic hepatitis B (CHB) and 160 healthy individuals. Serum RASSF1A methylation was determined by the MethyLight method. In addition, we followed up 43 HCC patients who were unable to undergo surgery for 24 months.

resultsSerum RASSF1A methylation occurred significantly more frequently in patients with HCC (122/190, 64.2%) than in patients with LC (20/114, 17.5%), patients with CHB (6/120, 5.0%) and in healthy individuals (0/160, 0) (P < 0.001); moreover, it allowed for the discrimination of patients with HCC from those with CHB with an areas under the ROC curves (AUC) of 0.796 (64.2% sensitivity and 89.8% specificity). Furthermore, the AUC for the combination of serum RASSF1A methylation and AFP level (≥20 ng/L) was 0.876 (80.9% sensitivity and 93.4% specificity). Serum RASSF1A methylation positive in patients with HCC was associated with more malignant clinical characteristics and a worse overall survival (OS) (P < 0.05).

conclusionSerum RASSF1A methylation demonstrated a satisfactory value for in the diagnosis of HBV related HCC, and could predict clinical progression and prognosis. In addition, our findings suggested that the combination of serum RASSF1A methylation and AFP level may be a promising non-invasive biomarker for the discrimination of patients with HCC from those with CHB. VIRTUAL SLIDES: The virtual slides for this article can be found here: http://www.diagnosticpathology.diagnomx.eu/vs/13000_DPAT-D-15-00090.1.

Indexed as

AdultAgedalpha-FetoproteinsArea Under CurveBiomarkers, TumorCarcinoma, HepatocellularDNA MethylationFemaleHepatitis B, ChronicHumansKaplan-Meier EstimateLiver NeoplasmsMaleMiddle AgedPolymerase Chain ReactionPromoter Regions, Geneticalpha-FetoproteinsBiomarkers, TumorRASSF1 protein, humanTumor Suppressor Proteins

Identifiers

PMID26238200
PMCPMC4545862
OpenAlexW1908943485

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.