Evidence map›Paper›PMID 36973448›Full record

ArticleBritish journal of cancer2023

Detection of circulating cell-free HPV DNA of 13 HPV types for patients with cervical cancer as potential biomarker to monitor therapy response and to detect relapse.

Suzana Mittelstadt, Olga Kelemen, Jakob Admard, Axel Gschwind, André Koch, Sarah Wörz, Ernst Oberlechner, Tobias Engler, Irina Bonzheim, Annette Staebler and 7 more

Open access · hybridAbstract read
In one paragraph

Article in British journal of cancer, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
8.4field-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

26 citing papers in PubMed, 1 synthesis or guideline pooled it, 35 citations in OpenAlex.

  1. Liquid Biopsy Biomarkers for Cervical Cancer: A Systematic Review.International journal of molecular sciences · 2025
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  12. Iranian journal of basic medical sciences · 2026
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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

17 authors at 5 institutions in 1 country.

Suzana MittelstadtDepartment of Women's Health, University Hospital Tübingen, Tübingen, Germany. suzana.mittelstadt@med.uni-tuebingen.de.ORCID 0000-0002-0833-0544
Olga KelemenInstitute of Medical Genetics and Applied Genomics, University of Tübingen, Tübingen, Germany.
Jakob AdmardInstitute of Medical Genetics and Applied Genomics, University of Tübingen, Tübingen, Germany.
Axel GschwindInstitute of Medical Genetics and Applied Genomics, University of Tübingen, Tübingen, Germany.
André KochDepartment of Women's Health, University Hospital Tübingen, Tübingen, Germany.
Sarah WörzDepartment of Women's Health, University Hospital Tübingen, Tübingen, Germany.
Ernst OberlechnerDepartment of Women's Health, University Hospital Tübingen, Tübingen, Germany.
Tobias EnglerDepartment of Women's Health, University Hospital Tübingen, Tübingen, Germany.
Irina BonzheimInstitute of Pathology and Neuropathology, University Hospital Tübingen, Tübingen, Germany.ORCID 0000-0002-7732-0788
Annette StaeblerInstitute of Pathology and Neuropathology, University Hospital Tübingen, Tübingen, Germany.
Nicola WeidnerDepartment of Radiooncology, University Hospital Tübingen, Tübingen, Germany.
Frank StubenrauchInstitute for Medical Virology and Epidemiology of Viral Disease, University Hospital Tübingen, Tübingen, Germany.
Thomas IftnerInstitute for Medical Virology and Epidemiology of Viral Disease, University Hospital Tübingen, Tübingen, Germany.
Olaf RiessInstitute of Medical Genetics and Applied Genomics, University of Tübingen, Tübingen, Germany.
Christopher SchroederInstitute of Medical Genetics and Applied Genomics, University of Tübingen, Tübingen, Germany.
Stefan KommossDepartment of Women's Health, University Hospital Tübingen, Tübingen, Germany.
Stephan OssowskiInstitute of Medical Genetics and Applied Genomics, University of Tübingen, Tübingen, Germany.
University Children's Hospital Tübingen · DEUniversity of Tübingen · DEGerman Cancer Research Center · DEInstitute of Medical Microbiology and Hygiene · DEBernstein Center for Computational Neuroscience Tübingen · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHPV-related cervical cancer (CC) is the fourth most frequent cancer in women worldwide. Cell-free tumour DNA is a potent biomarker to detect treatment response, residual disease, and relapse. We investigated the potential use of cell-free circulating HPV-DNA (cfHPV-DNA) in plasma of patients with CC.

methodscfHPV-DNA levels were measured using a highly sensitive next-generation sequencing-based approach targeting a panel of 13 high-risk HPV types.

resultsSequencing was performed in 69 blood samples collected from 35 patients, of which 26 were treatment-naive when the first liquid biopsy sample was retrieved. cfHPV-DNA was successfully detected in 22/26 (85%) cases. A significant correlation between tumour burden and cfHPV-DNA levels was observed: cfHPV-DNA was detectable in all treatment-naive patients with advanced-stage disease (17/17, FIGO IB3-IVB) and in 5/9 patients with early-stage disease (FIGO IA-IB2). Sequential samples revealed a decrease of cfHPV-DNA levels in 7 patients corresponding treatment response and an increase in a patient with relapse.

conclusionsIn this proof-of-concept study we demonstrated the potential of cfHPV-DNA as a biomarker for therapy monitoring in patients with primary and recurrent CC. Our findings facilitate the development of a sensitive and precise, non-invasive, inexpensive, and easily accessible tool in CC diagnosis, therapy monitoring and follow-up.

Indexed as

Cell-Free Nucleic AcidsCirculating Tumor DNAPapillomavirus InfectionsUterine Cervical NeoplasmsBiomarkersChronic DiseaseFemaleHumansNeoplasm Recurrence, LocalBiomarkersCell-Free Nucleic AcidsCirculating Tumor DNA

Identifiers

PMID36973448
PMCPMC10206065
OpenAlexW4360994833

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.