Evidence map›Paper›PMID 40544239›Full record

ArticleGut pathogens2025

Mutational landscape of the surface antigen of hepatitis B virus in patients with hepatocellular carcinoma.

Arwa Bagasi, Fatimah Alghnnam, Marie Bohol, Fatimah Alhamlan, Arwa Al-Qahtani, Hani Alothaid, Ayman Abdo, Faisal Sanai, Ahmad Al-Qahtani

Abstract read
In one paragraph

Article in Gut pathogens, 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.

Arwa BagasiDepartment of Clinical Laboratory Sciences, College of Applied Medical Sciences, King Saud University, Riyadh, 11433, Saudi Arabia.
Fatimah AlghnnamDepartment of Infection and Immunity, Research Centre, King Faisal Specialist Hospital & Research Centre, Riyadh, Saudi Arabia.
Marie BoholDepartment of Infection and Immunity, Research Centre, King Faisal Specialist Hospital & Research Centre, Riyadh, Saudi Arabia.
Fatimah AlhamlanDepartment of Infection and Immunity, Research Centre, King Faisal Specialist Hospital & Research Centre, Riyadh, Saudi Arabia.
Arwa Al-QahtaniDepartment of Family Medicine, College of Medicine, Al-Imam Mohammad Ibn Saud Islamic University, Riyadh, 11432, Saudi Arabia.
Hani AlothaidDepartment of Basic Medical Sciences, Faculty of Applied Medical Sciences, Al-Baha University, Al-Baha, Saudi Arabia.
Ayman AbdoDepartment of Medicine, College of Medicine, King Saud University, Riyadh, 11433, Saudi Arabia.
Faisal SanaiDepartment of Medicine, King Abdulaziz Medical City, Jeddah, Saudi Arabia.
Ahmad Al-QahtaniDepartment of Infection and Immunity, Research Centre, King Faisal Specialist Hospital & Research Centre, Riyadh, Saudi Arabia. aqahtani@kfshrc.edu.sa.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Mutations within the hepatitis B virus surface antigen (HBsAg) were found to correlate with progressive liver diseases, including hepatocellular carcinoma (HCC). Mutations in this region can impact viral morphogenesis, virus-host interactions, and immune responses. In this cross-sectional study, we screened for mutations in the pre-S/S regions of HBsAg in sequences retrospectively generated from samples collected in Saudi Arabia. We analyzed 304 full-length HBsAg sequences isolated from samples collected from four clinical groups: inactive (n = 180), active (n = 62), liver cirrhosis (LC) (n = 36), and HCC (n = 26). Three mutations (N103D, Q30K, and I208T) in HBsAg showed significantly higher frequencies in the HCC group compared to other clinical groups. Additionally, the presence of the three mutations combined was significantly associated with HCC in a multivariate analysis. The evolutionary analysis further revealed that these mutation sites are subjected to positive selection within the HCC group. The structural analysis suggested that position 103 within HBsAg pre-S

Indexed as

Chronic HBVHBsAgHepatocellular CarcinomaViral adaptation

Identifiers

PMID40544239
PMCPMC12182673

What OpenQuestion holds

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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.