Evidence map›Paper›PMID 40204948›Full record

ArticleBritish journal of cancer2025

The triage role of cytological DNA methylation in women with non-16/18, specifically genotyping high-risk HPV infection.

Haiqi Su, Xitong Jin, Linghua Kong, Yan You, Huanwen Wu, Yuligh Liou, Lei Li

Abstract read
In one paragraph

Article in British journal of cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 citing papers in PubMed.

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  5. Review
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  8. Frontiers in medicine · 2025
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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

7 authors.

Haiqi SuDepartment of Obstetrics and Gynecology, Peking Union Medical College Hospital, Beijing, China.ORCID http://orcid.org/0000-0001-8014-7915
Xitong JinDepartment of Medical Laboratory, Beijing Origin-Poly Bio-Tec Co. Ltd, Beijing, China.ORCID http://orcid.org/0000-0002-8561-046X
Linghua KongDepartment of Obstetrics and Gynecology, Peking Union Medical College Hospital, Beijing, China.ORCID http://orcid.org/0000-0002-0270-0540
Yan YouDepartment of Pathology, Peking Union Medical College Hospital, Beijing, China.ORCID http://orcid.org/0000-0003-4971-7830
Huanwen WuDepartment of Pathology, Peking Union Medical College Hospital, Beijing, China.ORCID http://orcid.org/0000-0002-3996-3176
Yuligh LiouDepartment of Medical Laboratory, Beijing Origin-Poly Bio-Tec Co. Ltd, Beijing, China.ORCID http://orcid.org/0000-0003-3994-6250
Lei LiDepartment of Obstetrics and Gynecology, Peking Union Medical College Hospital, Beijing, China. lileigh@163.com.ORCID http://orcid.org/0000-0001-8723-3461

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo evaluate cytological DNA methylation testing methods for risk stratification in women with non-16/18 HPV, focusing on high-risk HPV (hrHPV) genotyping.

methodsThis study compared the triage performance of liquid-based cytology (LBC) testing, hrHPV genotyping, and PAX1/JAM3 gene methylation (CISCER) testing. The absolute risks of cervical intraepithelial neoplasia grade 2 or worse (CIN2+), grade 3 or worse (CIN3+), and colposcopy referral rates were calculated.

resultsThe CISCER test showed a CIN3+ risk of 39.1% for positive and 0.9% for negative results. In comparison, LBC ≥ ASCUS and HPV33/35 genotyping had CIN3+ risks of 9.8% and 19.3%, respectively, for positive result. The colposcopy referral rates were 17.4% for CISCER+, 61.9% for LBC ≥ ASCUS, and 8.9% for HPV33/35+ genotyping. The CIN3+ risks were 40.0% and 50.0% when CISCER+ was combined with LBC ≥ ASCUS and HPV33/35+, respectively. The CIN3+ risks were 0.0% and 1.0% when CISCER- was combined with LBC with no intraepithelial lesions or malignancy (NILM) and non-HPV33/35, respectively. Our analysis of CIN2+ patients yielded similar results.

conclusionsDNA methylation testing outperformed LBC in triaging women with non-16/18 hrHPV infections, significantly reducing unnecessary colposcopy referrals, particularly when combined with HPV33/35 genotyping.

Indexed as

DNA MethylationPapillomavirus InfectionsUterine Cervical DysplasiaUterine Cervical NeoplasmsAdultColposcopyFemaleGenotypeHumansMiddle AgedPaired Box Transcription FactorsPapillomaviridaeTriagePaired Box Transcription FactorsPAX1 transcription factor

Identifiers

PMID40204948
PMCPMC12119919

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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.