Evidence map›Paper›PMID 34286851›Full record

ArticleAlimentary pharmacology & therapeutics2021

Immunologic markers and risk of hepatocellular carcinoma in hepatitis B virus- and hepatitis C virus-infected individuals.

Jill Koshiol, Ilona Argirion, Zhiwei Liu, Tram Kim Lam, Thomas R O'Brien, Kelly Yu, Katherine A McGlynn, Jessica L Petrick, Ligia Pinto, Chien-Jen Chen and 4 more

Open access · greenAbstract read
In one paragraph

Article in Alimentary pharmacology & therapeutics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
3.0field-weighted citation impact, top 8% 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

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

  1. Pooled it
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  4. Oncology research · 2025
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  6. The human factor H protein family - an update.Frontiers in immunology · 2024
    Review
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  10. Review
  11. Review
  12. Assessing Biomarkers in Viral Infection.Advances in experimental medicine and biology · 2023
    Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Review
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

14 authors at 6 institutions in 2 countries.

Jill KoshiolDivision of Cancer Epidemiology and Genetics, National Cancer Institute, Bethesda, MD, USA.ORCID 0000-0002-3832-6204
Ilona ArgirionDivision of Cancer Epidemiology and Genetics, National Cancer Institute, Bethesda, MD, USA.ORCID 0000-0002-4925-5296
Zhiwei LiuDivision of Cancer Epidemiology and Genetics, National Cancer Institute, Bethesda, MD, USA.ORCID 0000-0002-0136-651X
Tram Kim LamDivision of Cancer Control and Population Sciences, National Cancer Institute, Bethesda, MD, USA.
Thomas R O'BrienDivision of Cancer Epidemiology and Genetics, National Cancer Institute, Bethesda, MD, USA.
Kelly YuDivision of Cancer Epidemiology and Genetics, National Cancer Institute, Bethesda, MD, USA.
Katherine A McGlynnDivision of Cancer Epidemiology and Genetics, National Cancer Institute, Bethesda, MD, USA.
Jessica L PetrickDivision of Cancer Epidemiology and Genetics, National Cancer Institute, Bethesda, MD, USA.
Ligia PintoHPV Immunology Laboratory, Frederick National Laboratory for Cancer Research, Leidos, Biomedical Research, Inc, Frederick, MD, USA.
Chien-Jen ChenGenomics Research Center, Academia Sinica, Taipei, Taiwan.
Allan HildesheimDivision of Cancer Epidemiology and Genetics, National Cancer Institute, Bethesda, MD, USA.
Ruth M PfeifferDivision of Cancer Epidemiology and Genetics, National Cancer Institute, Bethesda, MD, USA.
Mei-Hsuan LeeNational Yang Ming Chiao Tung University, Taipei, Taiwan.ORCID 0000-0002-0222-2251
Hwai-I YangGenomics Research Center, Academia Sinica, Taipei, Taiwan.ORCID 0000-0002-3433-942X
National Cancer Institute · USBoston University · USGenomics Research Center, Academia Sinica · TWLeidos (United States) · USNational Taiwan University · TWNational Yang Ming Chiao Tung University · TW

Funding

Etiology of Biliary Tract CancerZIACP010218 · NCI · DIVISION OF CANCER EPIDEMIOLOGY AND GENETICS · PI KOSHIOL, JILL · 2011 to 2025
$30.4M
Infections, immunity, and inflammation in cancerZIACP010150 · NCI · DIVISION OF CANCER EPIDEMIOLOGY AND GENETICS · PI ENGELS, ERIC A · 2009 to 2025
$24.0M
Intramural NIH HHS Z99 CA999999Intramural NIH HHS ZIA CP010218
6 · The paper itself

Abstract

backgroundClinical and experimental studies suggest immunologic proteins contribute to hepatocellular carcinoma (HCC) development.

aimTo evaluate circulating immunologic markers and HCC risk.

methodsFrom a Taiwanese cohort of chronically hepatitis B virus (HBV)-infected individuals followed over time (REVEAL-HBV), we sampled 175 who developed HCC, 117 cirrhosis only, and 165 non-cirrhotic controls. From a similar Taiwanese cohort of chronically hepatitis C virus (HCV)-infected individuals (REVEAL-HCV), we included 94 individuals who developed HCC, 68 cirrhosis only and 100 non-cirrhotic controls. We compared pre-diagnostic plasma levels of 102 markers in HCC cases to non-cirrhotic and cirrhotic controls using polytomous logistic regression. A priori markers included insulin-like growth factor binding protein-3 (IGFBP-3), intercellular adhesion molecule 1 (ICAM-1) and interleukin 6 (IL-6). P-values for other markers were corrected for multiple testing (false discovery rate = 10%).

resultsIn both REVEAL-HBV and REVEAL-HCV, increasing levels of ICAM-1 were associated with increased risk of HCC compared to non-cirrhotic controls (P-trend 0.02 and 0.001, respectively). In both REVEAL-HBV and REVEAL-HCV, two novel markers [C-X-C motif chemokine 11 (CXCL11) and hepatocyte growth factor (HGF)] were positively associated [strongest odds ratio

conclusionsWe confirmed the association for ICAM-1 and identified 4 additional proteins associated with HBV- and HCV-related HCC. These findings highlight the importance of immunologic processes in HBV- and HCV-related HCC.

Indexed as

Carcinoma, HepatocellularHepatitis BHepatitis CLiver NeoplasmsBiomarkersHepacivirusHepatitis B virusHumansLiver CirrhosisBiomarkers

Identifiers

PMID34286851
PMCPMC12332984
OpenAlexW3186328135

What OpenQuestion holds

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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.