Evidence map›Paper›PMID 37343083›Full record

ArticleScience translational medicine2023

An integrated isothermal nucleic acid amplification test to detect HPV16 and HPV18 DNA in resource-limited settings.

Kathryn A Kundrod, Maria Barra, Alexis Wilkinson, Chelsey A Smith, Mary E Natoli, Megan M Chang, Jackson B Coole, Akshaya Santhanaraj, Cesaltina Lorenzoni, Celda Mavume and 6 more

Open access · greenAbstract read
In one paragraph

Article in Science translational medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
9.9field-weighted citation impact, top 1% 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, 46 citations in OpenAlex.

  1. Article
  2. Review
  3. High-sensitivity, protein-independent detection of dsDNA sequences.Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  4. Article
  5. Article
  6. Review
  7. A Field-Deployable RotEx-LAMP-LFA Platform for Molecular Triage of HPV-Driven Oncogenesis.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2025
    Article
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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

16 authors at 5 institutions in 2 countries.

Kathryn A KundrodDepartment of Bioengineering, Rice University, Houston, TX, USA.ORCID 0000-0001-8580-3977
Maria BarraDepartment of Bioengineering, Rice University, Houston, TX, USA.ORCID 0000-0002-7195-5133
Alexis WilkinsonDepartment of Bioengineering, Rice University, Houston, TX, USA.ORCID 0000-0002-7890-9818
Chelsey A SmithDepartment of Bioengineering, Rice University, Houston, TX, USA.ORCID 0000-0002-9341-0580
Mary E NatoliDepartment of Bioengineering, Rice University, Houston, TX, USA.ORCID 0000-0001-8115-4746
Megan M ChangDepartment of Bioengineering, Rice University, Houston, TX, USA.ORCID 0000-0003-3272-8226
Jackson B CooleDepartment of Bioengineering, Rice University, Houston, TX, USA.ORCID 0000-0002-8821-4139
Akshaya SanthanarajDepartment of Bioengineering, Rice University, Houston, TX, USA.
Cesaltina LorenzoniMinistério da Saúde de Moçambique (MISAU), Hospital Central de Maputo, Hospital Geral de Mavalane, Universidade Eduardo Mondlane (UEM), Maputo, Mozambique.
Celda MavumeMinistério da Saúde de Moçambique (MISAU), Hospital Central de Maputo, Hospital Geral de Mavalane, Universidade Eduardo Mondlane (UEM), Maputo, Mozambique.ORCID 0009-0007-2686-6653
Hira AtifMinistério da Saúde de Moçambique (MISAU), Hospital Central de Maputo, Hospital Geral de Mavalane, Universidade Eduardo Mondlane (UEM), Maputo, Mozambique.
Jane Richards MontealegreDepartment of Pediatrics-Hematology/Oncology, Baylor College of Medicine, Houston, TX, USA.
Michael E ScheurerDepartment of Pediatrics-Hematology/Oncology, Baylor College of Medicine, Houston, TX, USA.
Philip E CastleDivision of Cancer Epidemiology and Genetics, National Cancer Institute, Rockville, MD, USA.ORCID 0000-0002-6408-5985
Kathleen M SchmelerDepartment of Gynecologic Oncology and Reproductive Medicine, University of Texas MD Anderson Cancer Center, Houston, TX, USA.ORCID 0000-0002-9670-4189
Rebecca R Richards-KortumDepartment of Bioengineering, Rice University, Houston, TX, USA.ORCID 0000-0003-2347-9467
Rice University · USMaputo Central Hospital · MZBaylor College of Medicine · USNational Cancer Institute · USThe University of Texas MD Anderson Cancer Center · US

Funding

Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Scott Kopetz · 1985 to 2026
$290.8M
Point-of-care HPV mRNA test for cervical cancer screening in low-resource settingsR21CA249367 · NCI · RICE UNIVERSITY · PI RICHARDS-KORTUM, REBECCA R. · 2021 to 2022
$418k
NCI NIH HHS P30 CA016672NCI NIH HHS R21 CA249367
6 · The paper itself

Abstract

High-risk human papillomavirus (HPV) DNA testing is widely acknowledged as the most sensitive cervical cancer screening method but has limited availability in resource-limited settings, where the burden of cervical cancer is highest. Recently, HPV DNA tests have been developed for use in resource-limited settings, but they remain too costly for widespread use and require instruments that are often limited to centralized laboratories. To help meet the global need for low-cost cervical cancer screening, we developed a prototype, sample-to-answer, point-of-care test for HPV16 and HPV18 DNA. Our test relies on isothermal DNA amplification and lateral flow detection, two technologies that reduce the need for complex instrumentation. We integrated all test components into a low-cost, manufacturable platform, and performance of the integrated test was evaluated with synthetic samples, provider-collected clinical samples in a high-resource setting in the United States, and self-collected clinical samples in a low-resource setting in Mozambique. We demonstrated a clinically relevant limit of detection of 1000 HPV16 or HPV18 DNA copies per test. The test requires six user steps, yields results in 45 min, and can be performed using a benchtop instrument and minicentrifuge by minimally trained personnel. The projected per-test cost is <$5, and the projected instrumentation cost is <$1000. These results show the feasibility of a sample-to-answer, point-of-care HPV DNA test. With the inclusion of other HPV types, this test has the potential to fill a critical gap for decentralized and globally accessible cervical cancer screening.

Indexed as

Papillomavirus InfectionsUterine Cervical NeoplasmsDNA, ViralEarly Detection of CancerFemaleHuman papillomavirus 16Human papillomavirus 18HumansNucleic Acid Amplification TechniquesResource-Limited SettingsDNA, Viral

Identifiers

PMID37343083
PMCPMC10566637
OpenAlexW4381488456

What OpenQuestion holds

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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.