Evidence map›Paper›PMID 35177798›Full record

ArticleBritish journal of cancer2022

HOXD8 hypermethylation as a fully sensitive and specific biomarker for biliary tract cancer detectable in tissue and bile samples.

Eleonora Loi, Cesare Zavattari, Alessandro Tommasi, Loredana Moi, Matteo Canale, Agnese Po, Claudia Sabato, Ana Florencia Vega-Benedetti, Pina Ziranu, Marco Puzzoni and 14 more

Open access · hybridAbstract read
In one paragraph

Article in British journal of cancer, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
6.8field-weighted citation impact, top 2% 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

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
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  6. Article
  7. Article
  8. Review
  9. Mutational Analysis of Bile Cell-Free DNA in Primary Sclerosing Cholangitis: A Pilot Study.Liver international : official journal of the International Association for the Study of the Liver · 2025
    Article
  10. Review
  11. Review
  12. Article
  13. Observational
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  15. Article
  16. Article
  17. Review
  18. Article
  19. Article
  20. DNA methylation alterations caused byFrontiers in cellular and infection microbiology · 2022
    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

24 authors at 9 institutions in 2 countries.

Eleonora LoiDepartment of Biomedical Sciences, Unit of Biology and Genetics, University of Cagliari, 09042, Cagliari, Italy.
Cesare Zavattari *Tennis Commander Srl, 56123, Pisa, Italy.
Alessandro Tommasi *Tennis Commander Srl, 56123, Pisa, Italy.
Loredana Moi *Department of Biomedical Sciences, Unit of Biology and Genetics, University of Cagliari, 09042, Cagliari, Italy.
Matteo CanaleBiosciences Laboratory - IRCCS Istituto Romagnolo per lo Studio dei Tumori (IRST) "Dino Amadori", 47014, Meldola, Italy.
Agnese PoDepartment of Molecular Medicine, Sapienza University of Rome, 00161, Rome, Italy.
Claudia SabatoDepartment of Experimental Medicine, Sapienza University of Rome, 00161, Rome, Italy.
Ana Florencia Vega-BenedettiDepartment of Biomedical Sciences, Unit of Biology and Genetics, University of Cagliari, 09042, Cagliari, Italy.
Pina ZiranuDepartment of Medical Oncology, University Hospital of Cagliari, 09042, Cagliari, Italy.
Marco PuzzoniDepartment of Medical Oncology, University Hospital of Cagliari, 09042, Cagliari, Italy.
Eleonora LaiDepartment of Medical Oncology, University Hospital of Cagliari, 09042, Cagliari, Italy.
Luca FaloppiMedical Oncology Unit, Macerata General Hospital, ASUR Marche AV3, 62100, Macerata, Italy.
María RullánDepartment of Gastroenterology and Hepatology, Navarra University Hospital Complex, 31008, Pamplona, Spain.
Juan CarrascosaDepartment of Gastroenterology and Hepatology, Navarra University Hospital Complex, 31008, Pamplona, Spain.
Irene AmatInstituto de Investigaciones Sanitarias de Navarra IdiSNA, 31008, Pamplona, Spain.
Jesús M UrmanDepartment of Gastroenterology and Hepatology, Navarra University Hospital Complex, 31008, Pamplona, Spain.
Maria ArechederraInstituto de Investigaciones Sanitarias de Navarra IdiSNA, 31008, Pamplona, Spain.
Carmen BerasainInstituto de Investigaciones Sanitarias de Navarra IdiSNA, 31008, Pamplona, Spain.ORCID http://orcid.org/0000-0001-7075-2476
Elisabetta FerrettiDepartment of Experimental Medicine, Sapienza University of Rome, 00161, Rome, Italy.
Andrea Casadei-GardiniVita-Salute San Raffaele University, 20132, Milan, Italy.ORCID http://orcid.org/0000-0001-6289-7202
Matías A AvilaInstituto de Investigaciones Sanitarias de Navarra IdiSNA, 31008, Pamplona, Spain.ORCID http://orcid.org/0000-0001-6570-3557
Sergio Alonso *Program of Predictive and Personalized Medicine of Cancer, Germans Trias i Pujol Research Institute (PMPPC-IGTP), Badalona, Spain. salonsou@igtp.cat.ORCID http://orcid.org/0000-0001-6497-892X
Mario Scartozzi *Department of Medical Oncology, University Hospital of Cagliari, 09042, Cagliari, Italy.
Patrizia Zavattari *Department of Biomedical Sciences, Unit of Biology and Genetics, University of Cagliari, 09042, Cagliari, Italy. pzavattari@unica.it.ORCID http://orcid.org/0000-0002-0481-092X
University of Cagliari · ITNavarre Institute of Health Research · ESSapienza University of Rome · ITInstituto de Salud Carlos III · ESComplejo Hospitalario de Navarra · ESInstitute of Predictive and Personalized Medicine of Cancer · ESIstituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori · ITUniversity of Macerata · ITVita-Salute San Raffaele University · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBiliary tract cancers (BTC) are rare but highly aggressive tumours with poor prognosis, usually detected at advanced stages. Herein, we aimed at identifying BTC-specific DNA methylation alterations.

methodsStudy design included statistical power and sample size estimation. A genome-wide methylation study of an explorative cohort (50 BTC and ten matched non-tumoral tissue samples) has been performed. BTC-specific altered CpG islands were validated in over 180 samples (174 BTCs and 13 non-tumoral controls). The final biomarkers, selected by a machine-learning approach, were validated in independent tissue (18 BTCs, 14 matched non-tumoral samples) and bile (24 BTCs, five non-tumoral samples) replication series, using droplet digital PCR.

resultsWe identified and successfully validated BTC-specific DNA methylation alterations in over 200 BTC samples. The two-biomarker panel, selected by an in-house algorithm, showed an AUC > 0.97. The best-performing biomarker (chr2:176993479-176995557), associated with HOXD8, a pivotal gene in cancer-related pathways, achieved 100% sensitivity and specificity in a new series of tissue and bile samples.

conclusionsWe identified a novel fully efficient BTC biomarker, associated with HOXD8 gene, detectable both in tissue and bile by a standardised assay ready-to-use in clinical trials also including samples from non-invasive matrices.

Indexed as

Biliary Tract NeoplasmsDNA MethylationHomeodomain ProteinsTranscription FactorsBileBiomarkers, TumorHumansMutationBiomarkers, TumorHomeodomain ProteinsHOXD8 protein, humanTranscription Factors

Identifiers

PMID35177798
PMCPMC9174245
OpenAlexW4213363886

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.