Evidence map›Paper›PMID 37174056›Full record

ArticleCancers2023

Circulating HPV DNA as a Biomarker for Pre-Invasive and Early Invasive Cervical Cancer: A Feasibility Study.

Stacey J Bryan, Jen Lee, Richard Gunu, Allison Jones, Adeola Olaitan, Adam N Rosenthal, Ros J Cutts, Isaac Garcia-Murillas, Nick Turner, Susan Lalondrelle and 1 more

Open access · goldAbstract read
In one paragraph

Article in Cancers, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
2.4field-weighted citation impact, top 11% 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

8 citing papers in PubMed, 11 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

11 authors at 4 institutions in 1 country.

Stacey J BryanUCL Elizabeth Garrett Anderson Institute for Women's Health, Faculty of Population Health Sciences, University College London, Medical School Building, 74 Huntley Street, London WC1E 6AU, UK.ORCID 0000-0002-7680-1096
Jen LeeThe Institute of Cancer Research, Fulham Road, London SW3 6JB, UK.
Richard GunuTranslational Research Lab, Department of Women's Cancer, IfWH, Ground Floor POGB, 72 Huntley Street, London WC1E 6DD, UK.
Allison JonesTranslational Research Lab, Department of Women's Cancer, IfWH, Ground Floor POGB, 72 Huntley Street, London WC1E 6DD, UK.
Adeola OlaitanUCL Elizabeth Garrett Anderson Institute for Women's Health, Faculty of Population Health Sciences, University College London, Medical School Building, 74 Huntley Street, London WC1E 6AU, UK.
Adam N RosenthalUCL Elizabeth Garrett Anderson Institute for Women's Health, Faculty of Population Health Sciences, University College London, Medical School Building, 74 Huntley Street, London WC1E 6AU, UK.ORCID 0000-0001-6924-0721
Ros J CuttsThe Institute of Cancer Research, Fulham Road, London SW3 6JB, UK.
Isaac Garcia-MurillasThe Institute of Cancer Research, Fulham Road, London SW3 6JB, UK.ORCID 0000-0001-8183-7969
Nick TurnerThe Institute of Cancer Research, Fulham Road, London SW3 6JB, UK.
Susan LalondrelleThe Institute of Cancer Research, Fulham Road, London SW3 6JB, UK.ORCID 0000-0002-1147-3618
Shreerang A BhideThe Institute of Cancer Research, Fulham Road, London SW3 6JB, UK.ORCID 0000-0001-6535-6516
Royal Marsden NHS Foundation Trust · GBUniversity College Hospital · GBLondon Women's Clinic · GBInstitute of Cancer Research · GB

Funding

National Institute for Health Research A67Royal Marsden and Imperial confidence in concept grant iCiC5
6 · The paper itself

Abstract

backgroundHigh-risk HPV infection is responsible for >99% of cervix cancers (CC). In persistent infections that lead to cancer, the tumour breaches the basement membrane, releasing HPV-DNA into the bloodstream (cHPV-DNA). A next-generation sequencing assay (NGS) for detection of plasma HPV circulating DNA (cHPV-DNA) has demonstrated high sensitivity and specificity in patients with locally advanced cervix cancers. We hypothesised that cHPV-DNA is detectable in early invasive cervical cancers but not in pre-invasive lesions (CIN).

methodsBlood samples were collected from patients with CIN (

resultsNone of the patients with pre-invasive lesions were positive for CHPV-DNA. In invasive tumours, plasma from one patient (10%) reached the threshold of positivity for cHPV-DNA in plasma.

conclusionLow detection of cHPV-DNA in early CC may be explained by small tumour size, poorer access to lymphatics and circulation, and therefore little shedding of cHPV-DNA in plasma at detectable levels. The detection rate of cHPV-DNA in patients with early invasive cervix cancer using even the most sensitive of currently available technologies lacks adequate sensitivity for clinical utility.

Indexed as

cervical cancercirculating DNAhuman papillomavirusliquid biopsynext generation sequencingplasma

Identifiers

PMID37174056
PMCPMC10177194
OpenAlexW4368405121

What OpenQuestion holds

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LicenceCC BY
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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.