Evidence map›Paper›PMID 33244281›Full record

ArticleRisk management and healthcare policy2020

Combined Detection of ACTN4 and SCC-Ag is a Promising Serological Biomarker for Cervical Intraepithelial Neoplasia 3 or Worse: A Case-Control Study.

Bin Zhu, Binhua Dong, Simei Hong, Meihua Wang, Weichao Dai, Qingzhu Zheng, Dan Wu, Yingping Cao

Open access · goldAbstract read
In one paragraph

Article in Risk management and healthcare policy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.6field-weighted citation impact, top 30% 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

6 citing papers in PubMed, 7 citations in OpenAlex.

  1. MicroRNAs as Biomarkers of Cervical Cancers.International journal of molecular sciences · 2026
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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

8 authors at 2 institutions in 1 country.

Bin ZhuDepartment of Clinical Laboratorial Examination, Fujian Medical University Union Hospital, Fuzhou, People's Republic of China.ORCID 0000-0001-7365-1371
Binhua DongDepartment of Gynecology, Laboratory of Gynecologic Oncology, Fujian Provincial Maternity and Children's Hospital, Affiliated Hospital of Fujian Medical University, Fuzhou, People's Republic of China.ORCID 0000-0002-5086-0696
Simei HongDepartment of Pathology, Fujian Provincial Cancer Hospital, Fuzhou, People's Republic of China.ORCID 0000-0002-4304-931X
Meihua WangDepartment of Clinical Laboratorial Examination, Fujian Medical University Union Hospital, Fuzhou, People's Republic of China.ORCID 0000-0002-3597-6631
Weichao DaiDepartment of Gynecology, Fujian Medical University Union Hospital, Fuzhou, People's Republic of China.ORCID 0000-0001-6114-1104
Qingzhu ZhengDepartment of Clinical Laboratorial Examination, Fujian Medical University Union Hospital, Fuzhou, People's Republic of China.
Dan WuDepartment of Pathology, Fujian Medical University Union Hospital, Fuzhou, People's Republic of China.
Yingping CaoDepartment of Clinical Laboratorial Examination, Fujian Medical University Union Hospital, Fuzhou, People's Republic of China.
Fujian Medical University · CNFujian Provincial Cancer Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeCervical cancer (CC) is a common malignancy in women. Squamous cell carcinoma antigen (SCC-Ag) and cancer antigen (CA)-125 are widely used to help diagnose CC, but novel tumour markers with superior sensitivity and specificity are needed. α-Actinin 4(ACTN4) is overexpressed in CC, though its diagnostic value for CC is unclear. This study examined the diagnostic value of ACTN4 and SCC-Ag as biomarkers for cervical intraepithelial neoplasia (CIN) 3 or worse.

methodsWomen screened for CC at Fujian Medical University Union Hospital were recruited from 2017.1 to 2018.5. Cervical tissues and blood were collected at the same time. Patients pathologically diagnosed as CIN3+ or NILM/CIN1/CIN2 were classified into the case and control groups, respectively. ACTN4 mRNA and protein levels were detected through quantitative PCR and immunohistochemistry, respectively, and ACTN4 and SCC-Ag concentrations were analysed by ELISA. The sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), positive likelihood rate (PLR), negative likelihood rate (NLR), and Youden index (YI) of ACTN4 and SCC-Ag were evaluated. The optimum cut-off points for ACTN4 and SCC-Ag were determined by receiver operating characteristic (ROC) curve analysis, and accuracy was evaluated by the area under the ROC curve.

resultsIn total, 105 patients were classified as CIN3+ cases and 106 as controls. The median ACTN4 levels in case and control tissues were 10.6 and 4.15, respectively. The ACTN4 and SCC-Ag concentrations were significantly higher in cases than controls (P

conclusionCombined ACTN4 and SCC-Ag detection is a promising serological biomarker for patients with CIN3 or worse.

Indexed as

ACTN4CIN3 or worseSCC-Agserological biomarker

Identifiers

PMID33244281
PMCPMC7685365
OpenAlexW3098111480

What OpenQuestion holds

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LicenceCC BY-NC
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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.