Evidence map›Paper›PMID 35034659›Full record

ArticleDiagnostic pathology2022

In situ analysis of hepatitis B virus (HBV) antigen and DNA in HBV-induced hepatocellular carcinoma.

Ye Zheng, Mingzhu Xu, Dong Zeng, Haitao Tong, Yuhan Shi, Yanling Feng, Xiaonan Zhang

Open access · goldAbstract read
In one paragraph

Article in Diagnostic pathology, 2022. 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
0.9field-weighted citation impact, top 27% 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, 6 citations in OpenAlex.

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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

7 authors at 2 institutions in 2 countries.

Ye Zheng *Shanghai Public Health Clinical Center, Fudan University, Shanghai, China.
Mingzhu Xu *Shanghai Public Health Clinical Center, Fudan University, Shanghai, China.
Dong ZengShanghai Public Health Clinical Center, Fudan University, Shanghai, China.
Haitao TongShanghai Public Health Clinical Center, Fudan University, Shanghai, China.
Yuhan ShiShanghai Public Health Clinical Center, Fudan University, Shanghai, China.
Yanling FengShanghai Public Health Clinical Center, Fudan University, Shanghai, China. fengyanling@shphc.org.cn.
Xiaonan ZhangShanghai Public Health Clinical Center, Fudan University, Shanghai, China. Xiaonan.Zhang@canberra.edu.au.
Shanghai Public Health Clinical Center · CNUniversity of Canberra · AU

Funding

National Natural Science Foundation 32070152National Natural Science Foundation 81671998National Natural Science Foundation 81873962Nation Science and Technology Major project of china 2017ZX10302201001005
6 · The paper itself

Abstract

aimsHepatitis B Virus (HBV) infection is the major risk factor for hepatocellular carcinoma (HCC) in East Asia. Here we aimed to further investigate the abundance of viral antigen and DNA within HBV-related HCC and surrounding tissues at histological level.

methodIn addition to routine histopathology, in situ hybridization (ISH) of HBV DNA and immunohistochemistry (IHC) of HBsAg were performed in tissues from 131 HBsAg-positive HCC patients undergoing liver resection. Serum α-fetoprotein together with basic biochemical and immunological parameter was also measured.

resultsOverall, the ISH of HBV DNA and IHC of HBsAg showed 31.3% and 92.9% positive rate respectively (p < 0.0001). The level of correlation between these two markers was much more significant in tumor (p < 0.0001) than in tumor-surrounding tissue (p = 0.01). HBsAg exhibited a much higher positive rate in tumor-adjacent tissue than in tumor tissue (86.6% versus 29.9%, p < 0.0001) with significantly different staining pattern. By contrast, the positive rate of HBV DNA ISH was comparable in tumor and surrounding tissue (17.6% versus 22.9%, p = 0.36). Yet the HBV DNA signal in tumor tissue showed predominant nuclear localization (87.0%) whereas staining pattern in adjacent tissue was mixed (43.3% nuclear localization, p = 0.0015). Finally, no significant association between intra-tumor HBV DNA/HBsAg positivity and major histological markers (microvascular invasion, tumor differentiation, etc.) or recurrence after surgery was observed.

conclusionsThese data confirmed the largely integrated state of HBV DNA, weaker expression and altered localization of surface antigen in tumor compared with surrounding tissue. The strikingly different prevalence and localization of HBsAg and HBV DNA reflected the complex and heterogeneous mechanisms leading to HBV-induced tumorigenesis.

Indexed as

Carcinoma, HepatocellularHepatitis BLiver NeoplasmsDNA, ViralHepatitis B Surface AntigensHepatitis B virusHumansDNA, ViralHepatitis B Surface AntigensHBsAgHBV DNAHBV-related HCCIn situ hybridizationIntegration

Identifiers

PMID35034659
PMCPMC8761330
OpenAlexW4206427404

What OpenQuestion holds

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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.