Evidence map›Paper›PMID 40319271›Full record

ArticleJournal of translational medicine2025

The biomarker potential of circPOLD1 and its binding protein YBX1 in cervical carcinogenesis.

Lu Zhao, Xin Chen, Yanan Zhang, Yixuan Cen, Tingjia Zhu, Lingfang Wang, Lili Xia, Yang Li, Xiaodong Cheng, Xing Xie and 2 more

Abstract read
In one paragraph

Article in Journal of translational medicine, 2025. 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

12 authors.

Lu Zhao *Department of Gynecologic Oncology, Women's Hospital, School of Medicine, Zhejiang University, No.1 Xueshi Road, Hangzhou, 310006, China.
Xin Chen *Zhejiang Provincial Key Laboratory of Precision Diagnosis and Therapy for Major Gynecological Diseases, Women's Hospital, School of Medicine, Zhejiang University, Hangzhou, China.
Yanan Zhang *Department of Gynecologic Oncology, Women's Hospital, School of Medicine, Zhejiang University, No.1 Xueshi Road, Hangzhou, 310006, China.
Yixuan CenDepartment of Gynecologic Oncology, Women's Hospital, School of Medicine, Zhejiang University, No.1 Xueshi Road, Hangzhou, 310006, China.
Tingjia ZhuZhejiang Provincial Key Laboratory of Precision Diagnosis and Therapy for Major Gynecological Diseases, Women's Hospital, School of Medicine, Zhejiang University, Hangzhou, China.
Lingfang WangZhejiang Provincial Key Laboratory of Precision Diagnosis and Therapy for Major Gynecological Diseases, Women's Hospital, School of Medicine, Zhejiang University, Hangzhou, China.
Lili XiaDepartment of Gynecologic Oncology, Women's Hospital, School of Medicine, Zhejiang University, No.1 Xueshi Road, Hangzhou, 310006, China.
Yang LiDepartment of Gynecologic Oncology, Women's Hospital, School of Medicine, Zhejiang University, No.1 Xueshi Road, Hangzhou, 310006, China.
Xiaodong ChengDepartment of Gynecologic Oncology, Women's Hospital, School of Medicine, Zhejiang University, No.1 Xueshi Road, Hangzhou, 310006, China.
Xing XieDepartment of Gynecologic Oncology, Women's Hospital, School of Medicine, Zhejiang University, No.1 Xueshi Road, Hangzhou, 310006, China.
Weiguo LuDepartment of Gynecologic Oncology, Women's Hospital, School of Medicine, Zhejiang University, No.1 Xueshi Road, Hangzhou, 310006, China. lbwg@zju.edu.cn.
Junfen XuDepartment of Gynecologic Oncology, Women's Hospital, School of Medicine, Zhejiang University, No.1 Xueshi Road, Hangzhou, 310006, China. xjfzu@zju.edu.cn.

Funding

National Natural Science Foundation of China 81702552National Natural Science Foundation of China 82072855the Key research and development plan in Zhejiang province No. 2020C03025
6 · The paper itself

Abstract

backgroundCervical cancer progresses through distinct precancerous stages, making early screening and intervention crucial for prevention. However, conventional screening modalities, such as cytology and HPV testing, face challenges related to sensitivity, specificity, and resource dependency. Circular RNAs (circRNAs), owing to their high stability and tissue-specific expression, have emerged as promising biomarkers, though their role in cervical carcinogenesis remains underexplored. In particular, the clinical utility of circRNAs for optimizing cervical cancer screening and early diagnosis has yet to be established. This study aimed to investigate the dynamic expression profiles of circRNAs across various stages of cervical cancer progression and identify potential biomarkers to enhance early detection.

methodsCircRNA sequencing was performed on cervical tissues spanning normal cervical epithelium (NCE), high-grade squamous intraepithelial lesions (HSIL), and cervical squamous cell carcinoma (CSCC). Functional assays, including cell viability, colony formation, and apoptosis, were performed to assess the oncogenic potential of circPOLD1 and its interaction with YBX1 in cervical cancer cells. BaseScope and immunohistochemistry (IHC) were applied to tissue microarrays for clincial validation and ROC curve analysis evaluated the diagnostic performance of circPOLD1 in serum as a liquid biopsy marker.

resultsCircRNA profiling revealed a progressive increase in circPOLD1 expression from NCE to HSIL and CSCC. Mechanistically, circPOLD1 functioned as an oncogene by binding to and phosphorylating YBX1, activating the AKT/mTOR/HIF-1α pathway to enhance glycolysis-driven tumorigenesis. BaseScope and IHC confirmed the stage-specific elevation of circPOLD1 and YBX1 in cervical lesions. The circPOLD1/YBX1 multi-marker panel demonstrated superior diagnostic performance, achieving an AUC of 0.951 for LSIL+ and 0.817 for HSIL+ detection. Furthermore, serum circPOLD1 levels exhibited a progressive increase across disease stages, underscoring its potential as a non-invasive biomarker.

conclusioncircPOLD1 and YBX1 synergistically drive cervical carcinogenesis and exhibit stage-specific expression patterns. Their combined detection significantly enhanced the accuracy for cervical cancer screening and dynamic monitoring. The successful application of BaseScope and IHC highlights the immediate translational potential of these biomarkers, paving the way for refined risk stratification, improved therapeutic targeting, and reduced cervical cancer burden through early intervention.

Indexed as

Biomarkers, TumorCarcinogenesisRNA, CircularUterine Cervical NeoplasmsY-Box-Binding Protein 1ApoptosisCell Line, TumorFemaleGene Expression Regulation, NeoplasticHumansProtein BindingBiomarkers, TumorRNA, CircularY-Box-Binding Protein 1YBX1 protein, humanBiomarkerCervical cancercircPOLD1ScreeningYBX1

Identifiers

PMID40319271
PMCPMC12049807

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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.