Evidence map›Paper›PMID 38349613›Full record

ArticleAmerican journal of clinical pathology2024

Assessing the feasibility of a multimodal liquid biopsy for the diagnosis of HPV-associated oropharyngeal squamous cell carcinoma.

James S Lewis, Saskia Naegele, Vasileios Efthymiou, Mitra Mehrad, Kim A Ely, Tim Waterboer, Krystle A Lang Kuhs, Seth J Davis, Kelsey Richard, Dipon Das and 1 more

Open access · bronzeAbstract read
In one paragraph

Article in American journal of clinical pathology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
3.5field-weighted citation impact, top 8% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Guideline
  2. Review
  3. Review
  4. Article
  5. Direct Comparison of Alternative Blood-Based Approaches for Early Detection and Diagnosis of HPV-Associated Head and Neck Cancers.Clinical cancer research : an official journal of the American Association for Cancer Research · 2025
    Article
  6. Article
  7. 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

11 authors at 6 institutions in 3 countries.

James S LewisDepartment of Pathology, Microbiology, and Immunology and Vanderbilt University Medical Center, Nashville, TN, US.ORCID 0000-0001-9002-1283
Saskia NaegeleMass Eye and Ear, Boston, MA, US.
Vasileios EfthymiouMass Eye and Ear, Boston, MA, US.
Mitra MehradDepartment of Pathology, Microbiology, and Immunology and Vanderbilt University Medical Center, Nashville, TN, US.ORCID 0000-0003-4180-8180
Kim A ElyDepartment of Pathology, Microbiology, and Immunology and Vanderbilt University Medical Center, Nashville, TN, US.
Tim WaterboerDivision of Infections and Cancer Epidemiology, German Cancer Research Center (DFKZ), Heidelberg, Germany.
Krystle A Lang KuhsDepartment of Epidemiology and Environmental Health, College of Public Health and.
Seth J DavisDepartment of Otolaryngology-Head and Neck Surgery, Vanderbilt University Medical Center, Nashville, TN, US.
Kelsey RichardVanderbilt University School of Medicine, Nashville, TN, US.ORCID 0000-0001-7609-737X
Dipon DasMass Eye and Ear, Boston, MA, US.
Daniel L FadenMass Eye and Ear, Boston, MA, US.ORCID 0000-0001-5284-7762
Vanderbilt University Medical Center · USMassachusetts Eye and Ear Infirmary · USBroad Institute · USGerman Cancer Research Center · DEUniversity of Kentucky · USVanderbilt University · US

Funding

Tumor Immunology and Microenvironment Research ProgramP30CA068485 · NCI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI STACIE B DUSETZINA · 1995 to 2026
$172.8M
Oral Cavity Quantitative Histomorphometric Risk Classifier (OHbIC) in Oral Cavity Squamous Cell Carcinoma (OC-SCC)R01CA249992 · NCI · EMORY UNIVERSITY · PI LEWIS, JAMES, MADABHUSHI, ANANT · 2021 to 2025
$3.2M
Quantitative Histomorphometric Risk Classifier (QuHbIC) in HPV + Oropharyngeal CarcinomaR01CA220581 · NCI · CASE WESTERN RESERVE UNIVERSITY · PI KOYFMAN, SHLOMO, LEWIS, JAMES · 2018 to 2023
$3.1M
Dissecting temporal and spatial dynamics of immunotherapy resistanceK23DE029811 · NIDCR · MASSACHUSETTS EYE AND EAR INFIRMARY · PI FADEN, DANIEL · 2021 to 2025
$869k
Human Papillomavirus-Specific Biomarkers for the Prediction of Oropharyngeal Cancer RecurrenceK07CA218247 · NCI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI KUHS, KRYSTLE A. · 2018 to 2021
$594k
Pannoramic 250 BF Flash Tissue Microarray systemS10OD016355 · OD · VANDERBILT UNIVERSITY · PI BOYD, KELLI L. · 2014 to 2014
$453k
Circulating HPV DNA as a Prediagnostic Marker of Oropharyngeal CancerR21CA267152 · NCI · UNIVERSITY OF KENTUCKY · PI FADEN, DANIEL, KUHS, KRYSTLE A. · 2022 to 2023
$431k
Cell free HPV DNA detection in the diagnostic and surgical settingsR03DE030550 · NIDCR · MASSACHUSETTS EYE AND EAR INFIRMARY · PI FADEN, DANIEL · 2022 to 2023
$336k
Leica Bond RXS10OD023475 · OD · VANDERBILT UNIVERSITY MEDICAL CENTER · PI BOYD, KELLI L. · 2018 to 2018
$213k
Department of Defense # W81XWH2110160Leica Bond RXNCI NIH HHS K07 CA218247NCI NIH HHS P30 CA068485NCI NIH HHS P30CA068485NCI NIH HHS R01 CA220581NCI NIH HHS R01 CA249992NCI NIH HHS R21 CA267152NIDCR NIH HHS K23 DE029811NIDCR NIH HHS R03 DE030550NIH HHS K23DE029811NIH HHS S10 OD016355NIH HHS S10 OD023475Shared Instrumentation S10 OD023475-01A1Vanderbilt Tissue Pathology Shared Resource
6 · The paper itself

Abstract

objectivesIn this feasibility study, we explored the combined use of circulating tumor human papillomavirus (HPV) DNA (ctHPVDNA) and HPV serology as diagnostic tests for HPV-associated oropharyngeal squamous cell carcinoma (OPSCC).

methodsAmong patients with research-banked serum or plasma at diagnosis, IgG antibodies to oncoproteins from HPV types 16, 18, 31, 33, 35, 45, 52, and 58 were detected with multiplex serology. Positivity for HPV 16 was defined based on detection of combinations of anti-E6, E1, E2, and E7 and for other high-risk types on detection of anti-E6 and anti-E7. Circulating tumor HPV DNA was detected by custom digital droplet polymerase chain reaction (ddPCR) assays for HPV types 16, 18, 33, 35, and 45. p16 immunohistochemistry and high-risk HPV RNA in situ hybridization (ISH) using a cocktail of 18 high-risk HPV types were performed on tissue.

resultsOf 75 patients, 67 (89.3%) were HPV-associated (p16 and HPV RNA ISH positive) and 8 (10.7%) were HPV-independent. All 8 HPV-independent patients were seronegative and negative for ctHPVDNA (100% specificity). Serology was positive in 53 (79.1%) of 67 HPV-associated patients, while ddPCR was positive for ctHPVDNA in 59 (88.6%) of 67 HPV-associated patients. Requiring both tests to be positive resulted in a sensitivity of 50 (74.6%) of 67 while combining assays (either positive) improved sensitivity to 62 (92.6%) of 67.

conclusionsCompared to HPV RNA ISH, HPV serology and ctHPVDNA are sensitive and highly specific biomarkers for HPV-associated OPSCC at the time of presentation.

Indexed as

DNA, ViralFeasibility StudiesOropharyngeal NeoplasmsPapillomavirus InfectionsAdultAgedAged, 80 and overCarcinoma, Squamous CellFemaleHumansIn Situ HybridizationLiquid BiopsyMaleMiddle AgedPapillomaviridaeSensitivity and SpecificityDNA, Viralcirculating tumor DNAhuman papillomavirusoropharyngeal squamous cell carcinomap16serology

Identifiers

PMID38349613
PMCPMC11144969
OpenAlexW4391775612

What OpenQuestion holds

Textmetadata
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.