Evidence map›Paper›PMID 40143337›Full record

ArticleViruses2025

The Role of cf-HPV DNA as an Innovative Biomarker for Predicting the Recurrence or Persistence of Cervical Cancer.

Márcia Poinho, Laura L M S Dias, Layane S Pinheiro, Flávia Níniver O Gomes, Heidy H M F Rondon, Mikele P de Oliveira, Jhonnatan S Souza, Higino F Figueiredo, Daniel L Lira, José E Levi and 2 more

Abstract read
In one paragraph

Article in Viruses, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 2 pooled it
–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, 2 syntheses or guidelines pooled it.

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

12 authors.

Márcia PoinhoPrograma de Pós-Graduação em Imunologia Básica e Aplicada-PPGIBA, Universidade Federal do Amazonas, Manaus 69080-900, AM, Brazil.
Laura L M S DiasFaculdade de Ciências Farmacêuticas-FCF, Universidade Federal do Amazonas, Manaus 69080-900, AM, Brazil.
Layane S PinheiroFaculdade de Ciências Farmacêuticas-FCF, Universidade Federal do Amazonas, Manaus 69080-900, AM, Brazil.
Flávia Níniver O GomesPrograma de Pós-Graduação em Imunologia Básica e Aplicada-PPGIBA, Universidade Federal do Amazonas, Manaus 69080-900, AM, Brazil.ORCID 0009-0000-6499-2190
Heidy H M F RondonPrograma de Pós-Graduação em Imunologia Básica e Aplicada-PPGIBA, Universidade Federal do Amazonas, Manaus 69080-900, AM, Brazil.
Mikele P de OliveiraPrograma de Pós-Graduação em Imunologia Básica e Aplicada-PPGIBA, Universidade Federal do Amazonas, Manaus 69080-900, AM, Brazil.ORCID 0009-0004-7366-784X
Jhonnatan S SouzaPrograma de Pós-Graduação em Imunologia Básica e Aplicada-PPGIBA, Universidade Federal do Amazonas, Manaus 69080-900, AM, Brazil.
Higino F FigueiredoFundação Centro de Controle de Oncologia do Estado do Amazonas, Manaus 69040-010, AM, Brazil.ORCID 0000-0001-8964-810X
Daniel L LiraFundação Centro de Controle de Oncologia do Estado do Amazonas, Manaus 69040-010, AM, Brazil.
José E LeviInstituto de Medicina Tropical de São Paulo, Faculdade de Medicina da USP, São Paulo 05403-000, SP, Brazil.
Valquíria C A MartinsPrograma de Pós-Graduação em Imunologia Básica e Aplicada-PPGIBA, Universidade Federal do Amazonas, Manaus 69080-900, AM, Brazil.ORCID 0000-0003-1259-9738
Kátia L TorresPrograma de Pós-Graduação em Imunologia Básica e Aplicada-PPGIBA, Universidade Federal do Amazonas, Manaus 69080-900, AM, Brazil.ORCID 0000-0003-0922-5866

Funding

Fundação de Amparo à Pesquisa do Estado do Amazonas PPSUS: Grant number: EFP_00014145 and PAIC: Grant number: TO: 057/2021 and PRÓ-ESTADO- REGESAM: Grant number: TO: 216/2019 and POSGRAD Program #002/2024National Council for Scientific and Technological Development PDPG-CONSOLIDAÇÃO 3-4 Program-#88887.707248/2022-00
6 · The paper itself

Abstract

backgroundCervical cancer is highly prevalent among women in Amazonas, Brazil, mainly due to low screening coverage, and is diagnosed at a late stage, which compromises the treatment efficacy and survival rates. After treatment, recurrence is frequent, and there are few follow-up options to detect it. This highlights the urgent need for less-invasive biomarkers to monitor affected patients.

methodsThis study employed real-time PCR, targeting the E7 gene of HPV types 16 and 18 to analyze cell-free DNA from plasma samples from 39 cervical cancer patients treated at the Oncology Control Center Foundation in Amazonas, Brazil.

resultscf-HPV 16 DNA was detected in 54% of the samples before treatment. The socioeconomic and behavioral data showed that 46.2% of the patients had low educational levels, 77% reported having a low income, 79.5% experienced an early sexual activity onset, and 15.4% had never undergone cytological screening. Persistence or recurrence occurred in 30.8% of cases over 4-33 months of follow-up, with cf-HPV DNA detectable in 75% of these cases.

conclusionscf-HPV DNA in plasma is a promising biomarker for post-treatment surveillance, facilitating the earlier detection of persistence/recurrence. Incorporating this biomarker into clinical protocols could enhance outcomes and survival, particularly in underserved regions like the Amazon, where the access to healthcare is limited.

Indexed as

Biomarkers, TumorDNA, ViralHuman papillomavirus 16Neoplasm Recurrence, LocalPapillomavirus InfectionsUterine Cervical NeoplasmsAdultAgedBrazilEarly Detection of CancerFemaleHuman papillomavirus 18HumansMiddle AgedBiomarkers, TumorDNA, ViralAmazonian populationcell-free DNAcervical cancerHPVpersistencepost-treatment surveillancerecurrence

Identifiers

PMID40143337
PMCPMC11946245

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.