Evidence map›Paper›PMID 32399086›Full record

ArticleDisease markers2020

Upregulation of FEN1 Is Associated with the Tumor Progression and Prognosis of Hepatocellular Carcinoma.

Yingying Zhang, Xin Liu, Liwen Liu, Jianan Chen, Qiuyue Hu, Shen Shen, Yongjian Zhou, Siyu Chen, Chen Xue, Guangying Cui and 1 more

Open access · hybridAbstract read
In one paragraph

Article in Disease markers, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
1.8field-weighted citation impact, top 15% 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

16 citing papers in PubMed, 38 citations in OpenAlex.

  1. Article
  2. Flap endonuclease-1 promotes pancreatic cancer progressionWorld journal of gastrointestinal oncology · 2025
    Article
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  16. Expression and clinical significance of miR-3615 in hepatocellular carcinoma.The Journal of international medical research · 2021
    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

11 authors at 1 institution in 1 country.

Yingying Zhang *Precision Medicine Center, The First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China.ORCID https://orcid.org/0000-0003-2579-2174
Xin Liu *Precision Medicine Center, The First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China.
Liwen LiuPrecision Medicine Center, The First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China.
Jianan ChenPrecision Medicine Center, The First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China.
Qiuyue HuPrecision Medicine Center, The First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China.
Shen ShenPrecision Medicine Center, The First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China.
Yongjian ZhouPrecision Medicine Center, The First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China.
Siyu ChenPrecision Medicine Center, The First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China.
Chen XuePrecision Medicine Center, The First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China.
Guangying CuiPrecision Medicine Center, The First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China.ORCID https://orcid.org/0000-0003-3656-8100
Zujiang YuPrecision Medicine Center, The First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China.ORCID https://orcid.org/0000-0003-0954-5472
First Affiliated Hospital of Zhengzhou University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundStudies show that patients with hepatocellular carcinoma (HCC) have poor prognosis, particularly when patients are diagnosed at late stages of the disease development. The flap endonuclease 1 (FEN1) gene is overexpressed in multiple malignant tumors and may promote tumor aggressiveness. However, its expression profile and functional roles in HCC are still unclear. Here, we evaluated the molecular mechanisms of FEN1 in HCC.

methodsThe expression of FEN1 in HCC was evaluated using HCC mRNA expression data from TCGA and GEO databases. The expression of FEN1 was also confirmed by immunohistochemistry (IHC) using a tissue microarray (TMA) cohort with a total of 396 HCC patients. Kaplan-Meier analysis and univariate and multivariate Cox regression analyses were used to determine the correlation between FEN1 expression and survival rate of HCC patients. The molecular mechanism and biological functions of FEN1 in HCC were predicted using functional and pathway enrichment analysis

resultsFEN1 was overexpressed in multiple HCC cohorts at both mRNA and protein levels. The receiver operating characteristic (ROC) curve showed that FEN1 can serve as a diagnostic predictor of HCC. Meanwhile, patients with high FEN1 expression levels showed lower overall survival (OS) and relapse-free survival (RFS) rates than those with low FEN1 expression. More importantly, we found that FEN1 elevation was an independent prognostic factor for OS and RFS in HCC patients based on univariate and multivariate analyses, indicating that FEN1 might be a potential prognostic marker in HCC. Furthermore, knocking down FEN1 resulted in suppressed cell proliferation and migration

conclusionOur study indicated that high FEN1 expression might function as a biomarker for diagnosis and prognosis. In addition, the study confirms that FEN1 is an oncogene in HCC progression.

Indexed as

AdultBiomarkers, TumorCarcinoma, HepatocellularCell ProliferationCohort StudiesCyclin D1Delayed DiagnosisDisease ProgressionFemaleFlap EndonucleasesGene Expression Regulation, NeoplasticHep G2 CellsHumansKaplan-Meier EstimateLiver NeoplasmsMaleBiomarkers, TumorBIRC5 protein, humanCCND1 protein, humanCyclin D1FEN1 protein, humanFlap EndonucleasesMYC protein, humanProto-Oncogene Proteins c-mycRNA, Small InterferingSurvivin

Identifiers

PMID32399086
PMCPMC7201445
OpenAlexW2998871098

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.