Evidence map›Paper›PMID 36013065›Full record

ArticleJournal of clinical medicine2022

HPV-Positive and -Negative Cervical Cancers Are Immunologically Distinct.

Andris M Evans, Mikhail Salnikov, Steven F Gameiro, Saman Maleki Vareki, Joe S Mymryk

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
2.4field-weighted citation impact, top 10% 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

19 citing papers in PubMed, 28 citations in OpenAlex.

  1. Review
  2. Article
  3. HPV-Independent Cervical Cancer-A New Challenge of Modern Oncology.International journal of molecular sciences · 2025
    Review
  4. Review
  5. Review
  6. NK cells in HPV-related tumorigenesis: mechanisms and clinical applications.Frontiers in cellular and infection microbiology · 2025
    Review
  7. Review
  8. Review
  9. Review
  10. Journal of clinical medicine · 2023
    Review
  11. Article
  12. Article
  13. Review
  14. Review
  15. Review
  16. Article
  17. Review
  18. Article
  19. Article
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

5 authors at 1 institution in 1 country.

Andris M EvansDepartment of Microbiology and Immunology, The University of Western Ontario, London, ON N6A 3K7, Canada.ORCID 0000-0002-8113-9834
Mikhail SalnikovDepartment of Microbiology and Immunology, The University of Western Ontario, London, ON N6A 3K7, Canada.
Steven F GameiroDepartment of Microbiology and Immunology, The University of Western Ontario, London, ON N6A 3K7, Canada.ORCID 0000-0002-1328-6250
Saman Maleki VarekiDepartment of Oncology, The University of Western Ontario, London, ON N6A 5W9, Canada.ORCID 0000-0002-9615-7779
Joe S MymrykDepartment of Microbiology and Immunology, The University of Western Ontario, London, ON N6A 3K7, Canada.ORCID 0000-0002-3521-8005
Western University · CA

Funding

CIHR PJT-173496
6 · The paper itself

Abstract

Although infection with human papillomavirus (HPV) is associated with nearly all cervical cancers (CC), a small proportion are HPV-negative. Recently, it has become clear that HPV-negative CC represent a distinct disease phenotype compared to HPV-positive disease and exhibit increased mortality. In addition, variations between different HPV types associated with CC have been linked to altered molecular pathology and prognosis. We compared the immune microenvironments of CC caused by HPV α9 species (HPV16-like), HPV α7 species (HPV18-like) and HPV-negative disease. HPV-negative CC appeared distinct from other subtypes, with greatly reduced levels of lymphocyte infiltration compared to either HPV α9 or α7 CC. Besides reduced levels of markers indicative of B, T, and NK lymphocytes, the expression of T-cell effector molecules, activation/exhaustion markers, and T-cell receptor diversity were also significantly lower in HPV-negative CC. Interestingly, HPV-negative CC expressed much higher levels of potential neoantigens than HPV-positive CC. These results identify profound differences between the immune landscape of HPV-positive and HPV-negative CC as well as modest differences between HPV α9 and α7 CC. These differences may contribute to altered patient outcomes between HPV-negative and HPV-positive CC and potentially between CC associated with different HPV types.

Indexed as

cervical cancergene expressionhuman papillomavirusimmune exhaustionimmune landscapeneoantigensT-cell functionTCGATCR repertoiretumor immunology

Identifiers

PMID36013065
PMCPMC9410291
OpenAlexW4292246884

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.