Evidence map›Paper›PMID 27170766›Full record

ArticleInternational journal of epidemiology2016

Helicobacter pylori blood biomarker for gastric cancer risk in East Asia.

Hui Cai, Fei Ye, Angelika Michel, Gwen Murphy, Shizuka Sasazuki, Philip R Taylor, You-Lin Qiao, Sue K Park, Keun-Young Yoo, Sun Ha Jee and 10 more

Open access · bronzeAbstract read
In one paragraph

Article in International journal of epidemiology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed, 2 pooled it
7.2field-weighted citation impact, top 3% 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

47 citing papers in PubMed, 2 syntheses or guidelines pooled it, 68 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Exposure-response relationship of ramucirumab in East Asian patients from RAINBOW: a randomized clinical trial in second-line treatment of gastric cancer.Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association · 2018
    Trial
  4. Article
  5. International journal of molecular sciences · 2025
    Review
  6. Article
  7. Article
  8. World journal of gastrointestinal oncology · 2025
    Review
  9. Review
  10. Reply to S. Sorscher.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2024
    Article
  11. Article
  12. Article
  13. Review
  14. Diagnostic Methods for Helicobacter pylori.Medical principles and practice : international journal of the Kuwait University, Health Science Centre · 2024
    Review
  15. Article
  16. Review
  17. Cancer Progress and Priorities: Gastric Cancer.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2023
    Article
  18. Article
  19. Prediction of gastric cancer risk by a polygenic risk score ofWorld journal of gastrointestinal oncology · 2022
    Article
  20. 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

20 authors at 12 institutions in 4 countries.

Hui CaiVanderbilt Epidemiology Center and Vanderbilt-Ingram Cancer Center.
Fei YeVanderbilt Center for Quantitative Sciences, Vanderbilt University Medical Center, Nashville, TN, USA.
Angelika MichelDivision of Molecular Diagnostics of Oncogenic Infections, German Cancer Research Center (DFKZ), Heidelberg, Germany.
Gwen MurphyDivision of Cancer Epidemiology and Genetics, National Cancer Institute, Bethesda, MD, USA.
Shizuka SasazukiEpidemiology and Prevention Group, National Cancer Center, Tokyo, Japan.
Philip R TaylorDivision of Cancer Epidemiology and Genetics, National Cancer Institute, Bethesda, MD, USA.
You-Lin QiaoDepartment of Cancer Epidemiology, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
Sue K ParkCancer Research Institute, Department of Biomedical Sciences and Department of Preventive Medicine.
Keun-Young YooDepartment of Preventive Medicine, Seoul National University College of Medicine, Seoul, Korea.
Sun Ha JeeDepartment of Epidemiology and Health Promotion, Institute for Health Promotion, Yonsei University, Seoul, Korea.
Eo Rin ChoDepartment of Epidemiology and Health Promotion, Institute for Health Promotion, Yonsei University, Seoul, Korea.
Jeongseon KimDivision of Cancer Epidemiology and Prevention, Research Institute, National Cancer Center, Goyang, Korea.
Sheau-Chiann ChenVanderbilt Center for Quantitative Sciences, Vanderbilt University Medical Center, Nashville, TN, USA.
Christian C AbnetDivision of Cancer Epidemiology and Genetics, National Cancer Institute, Bethesda, MD, USA.
Shoichiro TsuganeEpidemiology and Prevention Group, National Cancer Center, Tokyo, Japan.
Qiuyin CaiVanderbilt Epidemiology Center and Vanderbilt-Ingram Cancer Center.
Xiao-Ou ShuVanderbilt Epidemiology Center and Vanderbilt-Ingram Cancer Center.
Wei ZhengVanderbilt Epidemiology Center and Vanderbilt-Ingram Cancer Center.
Michael PawlitaDivision of Molecular Diagnostics of Oncogenic Infections, German Cancer Research Center (DFKZ), Heidelberg, Germany.
Meira EppleinVanderbilt Epidemiology Center and Vanderbilt-Ingram Cancer Center meira.epplein@vanderbilt.edu.
Vanderbilt-Ingram Cancer CenterNational Cancer Institute · USVanderbilt University · USVanderbilt University Medical Center · USChinese Academy of Medical Sciences & Peking Union Medical College · CNDivision of Cancer Epidemiology and GeneticsGerman Cancer Research Center · DEHeidelberg University · DEKorea Health Promotion Institute · KRNational Cancer Center · KRSeoul National University · KRYonsei University · KR

Funding

Tumor Immunology and Microenvironment Research ProgramP30CA068485 · NCI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI MATTHEW J TYSKA · 1995 to 2026
$172.8M
Shanghai Womens Health StudyUM1CA182910 · NCI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI ZHENG, WEI · 2014 to 2018
$5.9M
Shanghai Men's Health StudyUM1CA173640 · NCI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI SHU, XIAO-OU · 2013 to 2017
$4.9M
Helicobacter pylori blood biomarker for gastric cancer risk in East AsiaR01CA174853 · NCI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI EPPLEIN, MEIRA · 2013 to 2016
$2.3M
Helicobacter pylori subtypes, inflammation, and gastric cancer riskK07CA151782 · NCI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI EPPLEIN, MEIRA · 2011 to 2015
$629k
NCI NIH HHS K07 CA151782NCI NIH HHS P30 CA068485NCI NIH HHS R01 CA174853NCI NIH HHS UM1 CA173640NCI NIH HHS UM1 CA182910
6 · The paper itself

Abstract

backgroundIncidence and mortality rates for gastric cancer, the fifth most commonly diagnosed and third most deadly cancer worldwide, are highest in East Asia. We sought to identify gastric cancer risk biomarkers among eight prospective studies from China, Japan and Korea.

methodsThis pooled nested case-control study included 1608 incident non-cardia gastric cancer cases and 1958 matched controls. Pre-diagnostic antibody levels to 15 Helicobacter pylori proteins were assessed using multiplex serology. Conditional logistic regression models were used to calculate odds ratios (ORs) and 95% confidence intervals (CIs).

resultsSero-positivity to 10 H. pylori antigens (Omp, CagA, VacA, HcpC, HP 0305, GroEL, NapA, HyuA, Cad, HpaA) was associated with a 1.29- to 3.26-fold increase in odds of gastric cancer. Omp and HP 0305 consistently remained associated with gastric cancer risk after mutually adjusting for all other markers. Sero-positivity to both Omp and HP 0305 was associated with an over 4-fold increase in gastric cancer incidence (OR, 4.09; 95% CI 3.26-5.13). When limited to only those who are CagA+ H. pylori+, Omp/HP 0305 sero-positivity remained strongly associated with an over 3-fold increase in the odds of gastric cancer (OR, 3.34; 95% CI 2.27-4.91). The results were highly consistent among the cohorts.

conclusionsWe have confirmed new H. pylori biomarkers that are strongly associated with gastric cancer risk, even among those infected with the known H. pylori virulence factor CagA. These results may help to design cost-efficient prevention strategies to reduce gastric cancer incidence in East Asia.

Indexed as

Antibodies, BacterialAsia, EasternBiomarkersCase-Control StudiesFemaleHelicobacter InfectionsHelicobacter pyloriHumansIncidenceLogistic ModelsMaleMiddle AgedOdds RatioProspective StudiesRisk FactorsStomach NeoplasmsAntibodies, BacterialBiomarkersbiomarkersEast Asiagastric cancerHelicobacter pyloristomach neoplasms

Identifiers

PMID27170766
PMCPMC5841796
OpenAlexW2374439411

What OpenQuestion holds

Textmetadata
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.