Evidence map›Paper›PMID 39959756›Full record

ArticleInternational journal of women's health2025

High-Grade Cervical Intraepithelial Neoplasia: Impact of Colposcopic Lesion Area on Systemic Immune Responses.

Priscila Thaís Silva Mantoani, Douglas Côbo Micheli, Millena Prata Jammal, Julia Hailer Vieira, Márcia Antoniazi Michelin, Caroline Gabriela Xavier Ferreira, Henrique Nascimento Silva, Eddie Fernando Candido Murta, Rosekeila Simões Nomelini

Abstract read
In one paragraph

Article in International journal of women's health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

9 authors.

Priscila Thaís Silva MantoaniGraduate Program in Gynecology and Obstetrics of the Ribeirão Preto Medical School of the University of São Paulo (FMRP-USP), Ribeirão Preto, SP, Brazil.ORCID 0000-0002-3192-413X
Douglas Côbo MicheliLaboratory of Applied Sciences for Women (LaCam)/Department of Gynecology and Obstetrics; Federal University of Triângulo Mineiro, Uberaba, MG, Brazil.ORCID 0009-0001-1618-1470
Millena Prata JammalLaboratory of Applied Sciences for Women (LaCam)/Department of Gynecology and Obstetrics; Federal University of Triângulo Mineiro, Uberaba, MG, Brazil.ORCID 0000-0003-2693-8817
Julia Hailer VieiraResearch Institute of Oncology (IPON); Discipline of Immunology; Federal University of Triângulo Mineiro, Uberaba, MG, Brazil.ORCID 0009-0005-4103-8771
Márcia Antoniazi MichelinResearch Institute of Oncology (IPON); Discipline of Immunology; Federal University of Triângulo Mineiro, Uberaba, MG, Brazil.ORCID 0000-0003-0842-8805
Caroline Gabriela Xavier FerreiraLaboratory of Applied Sciences for Women (LaCam)/Department of Gynecology and Obstetrics; Federal University of Triângulo Mineiro, Uberaba, MG, Brazil.ORCID 0009-0005-1171-0002
Henrique Nascimento SilvaLaboratory of Applied Sciences for Women (LaCam)/Department of Gynecology and Obstetrics; Federal University of Triângulo Mineiro, Uberaba, MG, Brazil.ORCID 0009-0004-9163-7636
Eddie Fernando Candido MurtaLaboratory of Applied Sciences for Women (LaCam)/Department of Gynecology and Obstetrics; Federal University of Triângulo Mineiro, Uberaba, MG, Brazil.ORCID 0000-0003-4014-1345
Rosekeila Simões NomeliniGraduate Program in Gynecology and Obstetrics of the Ribeirão Preto Medical School of the University of São Paulo (FMRP-USP), Ribeirão Preto, SP, Brazil.ORCID 0000-0001-6591-7619

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The progression of high-grade cervical intraepithelial neoplasia (CIN) and cervical cancer is accompanied by a reduction in the immune response. The objectives of the study were to determine whether colposcopic lesion area is associated with serum levels of cytokines IL (interleukin) -1, IL-6, IL-8, IL-10, IL-12 and TNF-α in precursor lesions of cervical cancer. Methods: The study population comprised patients with high-grade squamous intraepithelial lesion who had undergone colposcopy, cervical biopsy, and measurements of serum cytokines by ELISA Results: There were 71 patients with CIN 2/3. ROC curves were calculated to verify a cut-off value for serum cytokine levels that could be used to distinguish between lesion areas <1 cm2 vs ≥1 cm2. Values with statistical significance were IL-1 >13.3 pg/mL and IL-12 ≤349.6 pg/mL. In the multivariable analysis, the independent variables associated with colposcopic lesion area greater than 1cm Conclusion: Although CIN 2/3 is a local uterine cervix lesion, there is a systemic immunological response. Our results are unprecedented and could be the target of new important studies in public health and cervical cancer prevention.

Indexed as

cytokinesuterine cervical dysplasiauterine cervical neoplasms

Identifiers

PMID39959756
PMCPMC11827493

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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.