Evidence map›Paper›PMID 40246934›Full record

ArticleScientific reports2025

Human leukocyte antigen-G in hepatocellular carcinoma driven by chronic viral hepatitis or steatotic liver disease.

Stefano Mocci, Andrea Perra, Roberto Littera, Francesco Pes, Maurizio Melis, Celeste Sanna, Alessia Mascia, Michela Murgia, Caterina Mereu, Michela Lorrai and 12 more

Abstract read
In one paragraph

Article in Scientific reports, 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. Review
  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

22 authors.

Stefano Mocci *Medical Genetics, Department of Medical Sciences and Public Health, University of Cagliari, Cagliari, Italy. Stefano.mocci.9@gmail.com.
Andrea Perra *AART-ODV (Association for the Advancement of Research On Transplantation), Cagliari, Italy.
Roberto Littera *AART-ODV (Association for the Advancement of Research On Transplantation), Cagliari, Italy.
Francesco PesDepartment of Medical Sciences and Public Health, University of Cagliari, Cagliari, Italy.
Maurizio MelisAART-ODV (Association for the Advancement of Research On Transplantation), Cagliari, Italy.
Celeste SannaMedical Genetics, Department of Medical Sciences and Public Health, University of Cagliari, Cagliari, Italy.
Alessia MasciaOncology and Molecular Pathology Unit, Department of Biomedical Sciences, University of Cagliari, Cagliari, Italy.
Michela MurgiaMedical Genetics, Department of Medical Sciences and Public Health, University of Cagliari, Cagliari, Italy.
Caterina MereuMedical Genetics, Department of Medical Sciences and Public Health, University of Cagliari, Cagliari, Italy.
Michela LorraiMedical Genetics, Department of Medical Sciences and Public Health, University of Cagliari, Cagliari, Italy.
Irena Duś-IlnickaDepartment of Oral Pathology, Wrocław Medical University, Wrocław, Poland.
Giorgia ZeddaOncology and Molecular Pathology Unit, Department of Biomedical Sciences, University of Cagliari, Cagliari, Italy.
Sara LaiMedical Genetics, R. Binaghi Hospital, Cagliari, Italy.
Erika GiuressiMedical Genetics, R. Binaghi Hospital, Cagliari, Italy.
Federico GuarinoLiver Unit, Department of Internal Medicine, University Hospital of Cagliari, Cagliari, Italy.
Gianfranco SerraDepartment of Medical Sciences and Public Health, University of Cagliari, Cagliari, Italy.
Michela MigliantiDepartment of Medical Sciences and Public Health, University of Cagliari, Cagliari, Italy.
Roberta StradoniMedical Genetics, Department of Medical Sciences and Public Health, University of Cagliari, Cagliari, Italy.
Monica VaccaAART-ODV (Association for the Advancement of Research On Transplantation), Cagliari, Italy.
Teresa ZolfinoGastroenterology Unit, ARNAS Brotzu, Cagliari, Italy.
Luchino Chessa *Department of Medical Sciences and Public Health, University of Cagliari, Cagliari, Italy.
Sabrina Giglio *Medical Genetics, Department of Medical Sciences and Public Health, University of Cagliari, Cagliari, Italy.

Funding

Fondazione Banco di Sardegna 40974Ministero dell'Istruzione, dell'Università e della Ricerca PE_00000019 "HEAL ITALIA"
6 · The paper itself

Abstract

Hepatocellular carcinoma (HCC) is the sixth most common cancer globally and the third leading cause of cancer-related mortality, primarily driven by viral infections (HCV, HBV) and steatotic liver diseases (SLD). Despite advances in treatment, early detection and accurate prognosis remain challenging. The Human leukocyte antigen G (HLA-G) molecule is dysregulated in various conditions, including cancers and viral infections. This study aimed to investigate HLA-G's role in viral-related and SLD-driven HCC. We analyzed a cohort of 116 HCC patients and 140 healthy controls to assess HLA-G genetic variants and soluble levels. Results showed significantly higher levels of soluble HLA-G in HCC patients compared to controls (Pc = 0.003). Moreover, overall survival (OS) was significantly lower in patients with the extended HLA-G*01:01:01/UTR-1 haplotype (Log-rank test, p = 0.002), a trend consistent in both HCV and/or HBV-related HCC (p = 0.025) and SLD-related HCC (p = 0.018). Elevated sHLA-G levels were associated with shorter OS across both subgroups (p = 0.034 (HBV/HCV) and p = 0.010 (SLD), respectively). The findings suggest that elevated levels of soluble HLA-G and specific genetic variants are associated with poor prognosis in HCC patients, highlighting the potential of HLA-G as a prognostic biomarker in both viral-related and steatotic liver disease-related HCC.

Indexed as

Carcinoma, HepatocellularFatty LiverHepatitis C, ChronicHLA-G AntigensLiver NeoplasmsAdultAgedCase-Control StudiesFemaleHaplotypesHumansMaleMiddle AgedPrognosisHLA-G AntigensCCHBVHCVHLA-GsHLA-GSLD

Identifiers

PMID40246934
PMCPMC12006299

What OpenQuestion holds

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Registered trials

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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.