Evidence map›Paper›PMID 39472687›Full record

ArticleCommunications medicine2024

Clinical validation of peripheral blood mononuclear cell DNA methylation markers for accurate early detection of hepatocellular carcinoma in Asian patients.

David Cheishvili, Chifat Wong, Mohammad Mahbubul Karim, Mohammad Golam Kibria, Nusrat Jahan, Pappu Chandra Das, Abul Khair Yousuf, Atikul Islam, Dulal Chandra Das, Sheikh Mohammad Noor-E-Alam and 5 more

Abstract read
In one paragraph

Article in Communications medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
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

6 citing papers in PubMed.

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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

15 authors.

David CheishviliHKG Epitherapeutics Ltd. Unit 313-315, 3/F Biotech Center 2, 11 Science Park West Avenue, Shatin, Hong Kong, SAR, China.ORCID http://orcid.org/0000-0001-9136-8967
Chifat WongHKG Epitherapeutics Ltd. Unit 313-315, 3/F Biotech Center 2, 11 Science Park West Avenue, Shatin, Hong Kong, SAR, China.
Mohammad Mahbubul KarimInternational Centre for Diarrhoeal Disease Research, Bangladesh (icddr, b), Dhaka, Bangladesh.ORCID http://orcid.org/0000-0003-4882-1775
Mohammad Golam KibriaInternational Centre for Diarrhoeal Disease Research, Bangladesh (icddr, b), Dhaka, Bangladesh.ORCID http://orcid.org/0000-0002-7821-2455
Nusrat JahanInternational Centre for Diarrhoeal Disease Research, Bangladesh (icddr, b), Dhaka, Bangladesh.ORCID http://orcid.org/0000-0001-8700-2209
Pappu Chandra DasInternational Centre for Diarrhoeal Disease Research, Bangladesh (icddr, b), Dhaka, Bangladesh.ORCID http://orcid.org/0000-0002-6094-0999
Abul Khair YousufDepartment of Hepatology, Bangabandhu Sheikh Mujib Medical University, Shahbag, Dhaka, Bangladesh.
Atikul IslamDepartment of Hepatology, Bangabandhu Sheikh Mujib Medical University, Shahbag, Dhaka, Bangladesh.
Dulal Chandra DasDepartment of Hepatology, Bangabandhu Sheikh Mujib Medical University, Shahbag, Dhaka, Bangladesh.
Sheikh Mohammad Noor-E-AlamDepartment of Hepatology, Bangabandhu Sheikh Mujib Medical University, Shahbag, Dhaka, Bangladesh.
Sarwar AlamDepartment of Clinical Oncology, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh.
Mustafizur RahmanInternational Centre for Diarrhoeal Disease Research, Bangladesh (icddr, b), Dhaka, Bangladesh.
Wasif A KhanInternational Centre for Diarrhoeal Disease Research, Bangladesh (icddr, b), Dhaka, Bangladesh.ORCID http://orcid.org/0000-0002-7650-8068
Mamun Al-MahtabDepartment of Hepatology, Bangabandhu Sheikh Mujib Medical University, Shahbag, Dhaka, Bangladesh.ORCID http://orcid.org/0000-0003-3728-3879
Moshe SzyfHKG Epitherapeutics Ltd. Unit 313-315, 3/F Biotech Center 2, 11 Science Park West Avenue, Shatin, Hong Kong, SAR, China. moshe.szyf@hkgepitherapeutics.com.ORCID http://orcid.org/0000-0003-3881-8214

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHepatocellular carcinoma (HCC), a leading cause of cancer-related deaths globally, poses significant challenges in early detection. Improved diagnostic accuracy can drastically influence patient outcomes, emphasizing the need for innovative, non-invasive biomarkers.

methodsThis study utilized a cohort of 402 participants, including healthy controls, chronic hepatitis patients, and HCC patients from Bangladesh, to evaluate DNA methylation signatures in peripheral blood mononuclear cells (PBMC). We performed targeted next-generation sequencing on selected genes previously identified to assess their methylation dynamics. The development of M8 and M4 scores was based on these dynamics, using Receiver Operating Characteristic (ROC) analysis to determine their effectiveness in detecting early-stage HCC alongside existing markers such as epiLiver and alpha-fetoprotein (AFP).

resultsIntegration of M8 and M4 scores with epiLiver and AFP significantly enhances diagnostic sensitivity for early-stage HCC. The M4+epiLiver score achieves a sensitivity of 79.4% in Stage A HCC, while combining M4 with AFP increases sensitivity to 88.2-95.7% across all stages, indicating a superior diagnostic performance compared to each marker used alone.

conclusionsOur study confirms that combining gene methylation profiles with established diagnostic markers substantially improves the sensitivity of detecting early-stage HCC. This integrated diagnostic approach holds promise for advancing non-invasive cancer diagnostics, potentially leading to earlier treatment interventions and improved survival rates for high-risk patients.

Identifiers

PMID39472687
PMCPMC11522327

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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.