Evidence map›Paper›PMID 37452202›Full record

ArticleJournal of cancer research and clinical oncology2023

Digital droplet PCR-based quantification of ccfHPV-DNA as liquid biopsy in HPV-driven cervical and vulvar cancer.

Fabinshy Thangarajah, Jana Busshoff, Janina Salamon, Marie-Sandrine Pruss, Caroline Lenz, Bernd Morgenstern, Martin Hellmich, Hans Anton Schlößer, Maximilian Lenz, Christian Domröse and 10 more

Open access · hybridAbstract read
In one paragraph

Article in Journal of cancer research and clinical oncology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
6.2field-weighted citation impact, top 3% 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

15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 29 citations in OpenAlex.

  1. Pooled it
  2. Liquid Biopsy Biomarkers for Cervical Cancer: A Systematic Review.International journal of molecular sciences · 2025
    Pooled it
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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

20 authors at 5 institutions in 1 country.

Fabinshy ThangarajahDepartment of Gynecology and Obstetrics, University Hospital of Essen, University of Duisburg Essen, Faculty of Medicine, Essen, Germany. Fabinshy.Thangarajah@uk-essen.de.
Jana BusshoffDepartment of Obstetrics and Gynecology, University of Cologne, Faculty of Medicine and University Hospital Cologne, Cologne, Germany.
Janina SalamonDepartment of Obstetrics and Gynecology, University of Cologne, Faculty of Medicine and University Hospital Cologne, Cologne, Germany.
Marie-Sandrine PrussDepartment of Obstetrics and Gynecology, University of Cologne, Faculty of Medicine and University Hospital Cologne, Cologne, Germany.
Caroline LenzDepartment of Obstetrics and Gynecology, University of Cologne, Faculty of Medicine and University Hospital Cologne, Cologne, Germany.
Bernd MorgensternDepartment of Obstetrics and Gynecology, University of Cologne, Faculty of Medicine and University Hospital Cologne, Cologne, Germany.
Martin HellmichInstitute of Medical Statistics, Informatics and Epidemiology, University of Cologne, Cologne, Germany.
Hans Anton SchlößerCenter for Molecular Medicine Cologne and Department of General, Visceral and Cancer Surgery, University Hospital of Cologne, Medical Faculty, Cologne, Germany.
Maximilian LenzDepartment for Orthopaedic and Trauma Surgery, University Hospital of Cologne, Medical Faculty, Cologne, Germany.
Christian DomröseDepartment of Obstetrics and Gynecology, University of Cologne, Faculty of Medicine and University Hospital Cologne, Cologne, Germany.
Michael R MallmannDepartment of Obstetrics and Gynecology, University of Cologne, Faculty of Medicine and University Hospital Cologne, Cologne, Germany.
Peter MallmannDepartment of Obstetrics and Gynecology, University of Cologne, Faculty of Medicine and University Hospital Cologne, Cologne, Germany.
Jonathan WeißDepartment I of Internal Medicine, Center for Integrated Oncology Aachen Bonn Cologne Duesseldorf, University Hospital of Cologne, Medical Faculty, Cologne, Germany.
Fabian FranzenDepartment I of Internal Medicine, Center for Integrated Oncology Aachen Bonn Cologne Duesseldorf, University Hospital of Cologne, Medical Faculty, Cologne, Germany.
Sabine Merkelbach-BruseInstitute of Pathology, University Hospital of Cologne, Medical Faculty, Cologne, Germany.
Elke BinotInstitute of Pathology, University Hospital of Cologne, Medical Faculty, Cologne, Germany.
Marie-Lisa EichInstitute of Pathology, University Hospital of Cologne, Medical Faculty, Cologne, Germany.
Reinhardt BüttnerInstitute of Pathology, University Hospital of Cologne, Medical Faculty, Cologne, Germany.
Anne Maria Schultheis *Institute of Pathology, University Hospital of Cologne, Medical Faculty, Cologne, Germany. Anne.Schultheis@uk-koeln.de.
Christina Alidousty *Institute of Pathology, University Hospital of Cologne, Medical Faculty, Cologne, Germany.
University Hospital Cologne · DEUniversity of Cologne · DEDüsseldorf University Hospital · DEHeinrich Heine University Düsseldorf · DEUniversity of Duisburg-Essen · DE

Funding

Marga und Walter Boll-Stiftung 210-09.02.21
6 · The paper itself

Abstract

purposeMore than 99% of cervical cancers and up to 40% of vulvar cancers are human papillomavirus (HPV) related. HPV 16 and 18 are the most relevant subtypes. Novel technologies allow the detection of minimal amounts of circulating cell-free HPV DNA (ccfHPV-DNA). The aim of this study was to evaluate ccfHPV-DNA assessed by droplet digital PCR (ddPCR) as a biomarker for molecular therapy monitoring in early, advanced, relapsed and metastatic HPV-driven cervical and vulvar cancer.

methodsInclusion criteria of the study were histologically proven HPV 16/18-driven cervical and vulvar cancer with first diagnosed disease, newly diagnosed recurrence, or progression of disease. Blood samples were taken pre- and post-therapeutically. Circulating cell-free HPV DNA was quantified using ddPCR and the results were correlated with clinical data.

resultsThe mean copy number of ccfHPV-DNA was 838.6 (± 3089.1) in pretreatment and 2.3 (± 6.4) in post-treatment samples (p < 0.05). The copy number of ccfHPV-DNA increased with higher FIGO stages (p < 0.05), which are commonly used for clinical staging/assessment. Furthermore, we compared the distribution of copy numbers between T-stage 1 versus T-stage 2/3. We could show higher copy number level of ccfHPV-DNA in T-stage 2/3 (p < 0.05).

conclusionsTherapy monitoring with determination of ccfHPV-DNA by ddPCR with a small amount of plasma reflects response to therapy and appears feasible for patients in advanced cancer stages of cervical and vulvar cancer. This promising tool should be examined as marker of therapy monitoring in particular in novel HPV-directed therapies.

Indexed as

Cell-Free Nucleic AcidsDNA, ViralHuman papillomavirus 16Human papillomavirus 18Papillomavirus InfectionsPolymerase Chain ReactionUterine Cervical NeoplasmsVulvar NeoplasmsAdultAgedBiomarkers, TumorFemaleHumansLiquid BiopsyMiddle AgedBiomarkers, TumorCell-Free Nucleic AcidsDNA, ViralCervical cancercfDNAcHPVddPCRLiquid biopsyVulvar cancer

Identifiers

PMID37452202
PMCPMC10587338
OpenAlexW4384282439

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.