Evidence map›Paper›PMID 27486882›Full record

ArticleOncotarget2016

Occult HBV infection in HCC and cirrhotic tissue of HBsAg-negative patients: a virological and clinical study.

Nicola Coppola, Lorenzo Onorato, Valentina Iodice, Mario Starace, Carmine Minichini, Nunzia Farella, Giulia Liorre, Pietro Filippini, Evangelista Sagnelli, Giorgio de Stefano

Open access · diamondAbstract read
In one paragraph

Article in Oncotarget, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
7.4field-weighted citation impact, top 2% 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, 49 citations in OpenAlex.

  1. Occult hepatitis B virus infection.Nature reviews. Gastroenterology & hepatology · 2026
    Review
  2. [Evaluation of the efficacy and safety profile of tenofovir amibufenamide at 48 weeks during the treatment of hepatitis B virus-related cirrhosis].Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology · 2024
    Article
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  8. Occult hepatitis B virus infection in hepatitis C virus negative chronic liver diseases.Liver international : official journal of the International Association for the Study of the Liver · 2022
    Review
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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

10 authors at 2 institutions in 1 country.

Nicola CoppolaDepartment of Mental Health and Public Medicine, Second University of Naples, Naples, Italy.
Lorenzo OnoratoDepartment of Mental Health and Public Medicine, Second University of Naples, Naples, Italy.
Valentina IodiceDepartment of Mental Health and Public Medicine, Second University of Naples, Naples, Italy.
Mario StaraceDepartment of Mental Health and Public Medicine, Second University of Naples, Naples, Italy.
Carmine MinichiniDepartment of Mental Health and Public Medicine, Second University of Naples, Naples, Italy.
Nunzia FarellaNinth Interventional Ultrasound Unit for Infectious Diseases, Cotugno Hospital, Naples, Italy.
Giulia LiorreNinth Interventional Ultrasound Unit for Infectious Diseases, Cotugno Hospital, Naples, Italy.
Pietro FilippiniDepartment of Mental Health and Public Medicine, Second University of Naples, Naples, Italy.
Evangelista SagnelliDepartment of Mental Health and Public Medicine, Second University of Naples, Naples, Italy.
Giorgio de StefanoNinth Interventional Ultrasound Unit for Infectious Diseases, Cotugno Hospital, Naples, Italy.
University of Campania "Luigi Vanvitelli" · ITOspedale D. Cotugno · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo evaluate the virological and clinical characteristics of occult HBV infection (OBI) in 68 consecutive HBsAg-negative patients with biopsy-proven cirrhosis and HCC.

methodsHBV DNA was sought and sequenced in plasma, HCC tissue and non-HCC liver tissue by PCRs using primers for HBV core, surface and x regions. OBI was identified by the presence of HBV DNA in at least two different PCRs.

resultsOBI was detected in HCC tissue of 13 (20%) patients and in non-HCC liver tissue of 3 of these 13. OBI was detected in HCC tissue of 54.5% of 11 anti-HBs- negative/anti-HBc-positive patients, in 29.4% of 17 anti-HBs/anti-HBc-positive and in 5% of 40 anti-HBs/anti-HBc-negative (p < 0.0005). The 13 patients with OBI in HCC tissue more frequently than the 55 without showed Child-B or -C cirrhosis (53.9% vs. 5.5%, p < 0.0001) and BCLC-B or -C stages (46.1% vs. 1.8%, p < 0.0001). The pre-S1, pre-S2 and S region sequences in HCC tissue showed amino acid (AA) substitutions (F19L, P24L, S59F, T131I, Q129H) and deletions (in positions 4,8, 17 and 86) in the S region, AA substitutions (T40S, P124K, L54P, G76A, N222T and I273L) in pre-S1 region and AA substitutions in pre-S2 region (P41H and P66L). In the 3 patients showing OBI also in non-HCC liver tissue the S, pre-S1 and pre-S2 sequencing displayed patterns of mutations different.

conclusionsThe study showed a significant correlation between OBI and the severity of liver damage, several patterns of mutations in the S, pre-S1 and pre-S2 regions in HCC tissue, some at their first description.

Indexed as

AgedBiopsyCarcinoma, HepatocellularDNA, ViralFemaleGene DeletionGenotypeHepatitis BHepatitis B Surface AntigensHepatitis B virusHumansLiverLiver CirrhosisLiver NeoplasmsMaleMiddle AgedDNA, ViralHepatitis B Surface Antigensanti-HBc positivityHBsAg mutantshepatocellular carcinomaliver cirrhosisoccult HBV infection

Identifiers

PMID27486882
PMCPMC5308760
OpenAlexW2475481560

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.