Evidence map›Paper›PMID 35641882›Full record

SynthesisJournal of medical virology2023

Usefulness of high-risk HPV early oncoprotein (E6 and E7) serological markers in the detection of cervical cancer: A systematic review and meta-analysis.

Mwiza Gideon Singini, Elvira Singh, Debbie Bradshaw, Thendo Ramaliba, Wenlong Carl Chen, Melitah Motlhale, Abram Bunya Kamiza, Chantal Babb de Villiers, Mazvita Muchengeti, Christopher G Mathew and 4 more

Open access · hybridAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Journal of medical virology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
3.4field-weighted citation impact, top 7% 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, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

  1. Pooled it
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  9. Article
  10. The potential role of miR-155 in the tumorigenesis of cervical cancer.Frontiers in cell and developmental biology · 2025
    Review
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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

14 authors at 6 institutions in 6 countries.

Mwiza Gideon SinginiNational Cancer Registry, National Health Laboratory Service, Johannesburg, South Africa.ORCID 0000-0002-2897-1728
Elvira SinghNational Cancer Registry, National Health Laboratory Service, Johannesburg, South Africa.ORCID 0000-0003-1259-2122
Debbie BradshawBurden of Disease Research Unit, South African Medical Research Council, Cape Town, South Africa.ORCID 0000-0002-3588-2184
Thendo RamalibaBurden of Disease Research Unit, South African Medical Research Council, Cape Town, South Africa.
Wenlong Carl ChenNational Cancer Registry, National Health Laboratory Service, Johannesburg, South Africa.ORCID 0000-0002-3248-4906
Melitah MotlhaleNational Cancer Registry, National Health Laboratory Service, Johannesburg, South Africa.ORCID 0000-0003-4703-7057
Abram Bunya KamizaSydney Brenner Institute for Molecular Bioscience, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.ORCID 0000-0002-3919-7651
Chantal Babb de VilliersDivision of Human Genetics, School of Pathology, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.ORCID 0000-0003-1334-1819
Mazvita MuchengetiNational Cancer Registry, National Health Laboratory Service, Johannesburg, South Africa.ORCID 0000-0002-1955-923X
Christopher G MathewSydney Brenner Institute for Molecular Bioscience, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
Robert NewtonMRC/UVRI and LSHTM Uganda Research Unit, Entebbe, Uganda.ORCID 0000-0001-6715-9153
Noemi BenderDivision of Infections and Cancer Epidemiology, German Cancer Research Center (DKFZ), Heidelberg, Germany.ORCID 0000-0003-2542-9949
Tim WaterboerDivision of Infections and Cancer Epidemiology, German Cancer Research Center (DKFZ), Heidelberg, Germany.
Freddy SitasBurden of Disease Research Unit, South African Medical Research Council, Cape Town, South Africa.ORCID 0000-0001-9679-1481
National Health Laboratory Service · ZASouth African Medical Research Council · ZAGerman Cancer Research Center · DEUniversity of the Witwatersrand · ZAKing's College London · GBUniversity of York · GB

Funding

Medical Research Council MC_UU_00033/1Medical Research Council MRC-RFA-SHIP 01-2015
6 · The paper itself

Abstract

We reviewed the literature on the importance of selected anti-high-risk human papillomavirus (HR-HPV) antibodies (namely, 16/18 and early oncoproteins E6 and E7) as potential serological markers for early detection of individuals at high risk of cervical cancer. We searched for studies in PubMed and Embase databases published from 2010 to 2020 on antibodies against HR-HPV E6 and E7 early proteins and cervical cancer. Pooled sensitivity and specificity for HPV16 and HPV18 antibodies were calculated using a bivariate hierarchical random-effects model. A total of 69 articles were identified; we included three studies with 1550 participants. For the three HPV16/18 E6 and E7 antibody tests, enzyme-linked immunosorbent assay-based assays had a sensitivity of 18% for detecting CIN2+ (95% confidence interval [CI]: 15-21) and a specificity of 96% (95% CI: 92-98), for slot-blot, sensitivity was 28.9% (95% CI: 23.3-35.1) and specificity was 72% (95% CI: 66.6-77.0) for detecting CIN2+, and for multiplex HPV serology assay based on a glutathione S-transferase, sensitivity was 16% (95% CI: 8.45-28.6) and specificity was 98% (95% CI: 97-99) for detecting invasive cervical cancer. HR-HPV16/18 E6 and E7 serological markers showed high specificity, but sensitivity was suboptimal for the detection of cervical cancer in either population screening settings or as point-of-care screening tests.

Indexed as

Oncogene Proteins, ViralPapillomavirus InfectionsUterine Cervical NeoplasmsEnzyme-Linked Immunosorbent AssayFemaleHuman papillomavirus 16Human papillomavirus 18HumansPapillomaviridaePapillomavirus E7 ProteinsOncogene Proteins, ViralPapillomavirus E7 Proteinscervical cancerE6 and E7 proteins antibodyhuman papillomavirussensitivityspecificity

Identifiers

PMID35641882
PMCPMC10952611
OpenAlexW4281630145

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.