Evidence map›Paper›PMID 32167932›Full record

ArticleAging2020

APEX1 is a novel diagnostic and prognostic biomarker for hepatocellular carcinoma.

Lei Cao, Hongwei Cheng, Qiuxia Jiang, Hui Li, Zhixian Wu

Open access · greenAbstract read
In one paragraph

Article in Aging, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 53 papers.

0numbers the graph read from it
0cells of the map it votes in
53citing papers in PubMed
4.1field-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

53 citing papers in PubMed, 71 citations in OpenAlex.

  1. Article
  2. [Sichuan da xue xue bao. Yi xue ban = Journal of Sichuan University. Medical science edition · 2026
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  15. [Research progress on the mechanism and response strategies of molecular targeted drug resistance in liver cancer].Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology · 2023
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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

5 authors at 3 institutions in 2 countries.

Lei CaoDepartment of Hepatobiliary Disease, Dongfang Hospital, Xiamen University, Fuzhou, China.
Hongwei ChengInstitute of Chinese Medical Sciences, University of Macau, Macau SAR, China.
Qiuxia JiangDepartment of Ultrasound, Quanzhou Women's and Children's Hospital, Quanzhou, China.
Hui LiDepartment of Pathology, Quanzhou Women's and Children's Hospital, Quanzhou, China.
Zhixian WuDepartment of Hepatobiliary Disease, Dongfang Hospital, Xiamen University, Fuzhou, China.
117th Hospital of People's Liberation Army · CNUniversity of Macau · MOXiamen University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In this study, we analyzed the expression and clinical significance of apyrimidinic endodeoxyribonuclease 1 (APEX1) in hepatocellular carcinoma (HCC). The APEX1 mRNA and protein levels were significantly higher in HCC than adjacent normal liver tissues in multiple datasets from the Oncomine, GEO and TCGA databases. APEX1 levels were significantly higher in early-stage HCC patients with low alpha-fetoprotein expression. The positive predictive value (PPV) for APEX1 was significantly higher than the PPV for alpha-fetoprotein (67.91% vs. 55.22%) in HCC patients. High APEX1 expression correlated with resistance to sorafenib and anti-programmed death 1 (PD-1) therapies in HCC patients, and it associated with poorer overall survival, disease-specific survival, progression-free survival, and relapse-free survival in early- and advanced-stage HCC patients. High APEX1 expression also associated with poor prognosis in non-alcoholic, vascular invasion-negative, and hepatitis virus-negative HCC patients. These data suggest that APEX1 is a better diagnostic and prognostic biomarker than alpha-fetoprotein in HCC. Gene set enrichment analysis (GSEA) showed that APEX1 expression correlated with the DNA damage repair pathway in HCC tissues. These findings demonstrate that APEX1 is a potential diagnostic and prognostic biomarker in HCC.

Indexed as

Biomarkers, TumorCarcinoma, HepatocellularDNA-(Apurinic or Apyrimidinic Site) LyaseGene Expression Regulation, NeoplasticHumansLiverLiver NeoplasmsPrognosisAPEX1 protein, humanBiomarkers, TumorDNA-(Apurinic or Apyrimidinic Site) Lyasealpha-fetoproteinAPEX1diagnosisoverexpressionprognosis

Identifiers

PMID32167932
PMCPMC7093175
OpenAlexW3011410259

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.