Evidence map›Paper›PMID 40732715›Full record

ReviewPathogens (Basel, Switzerland)2025

Molecular Features of HPV-Independent Cervical Cancers.

Luca Giannella, Camilla Grelloni, Leonardo Natalini, Gianmarco Sartini, Mila Bordini, Giovanni Delli Carpini, Jacopo Di Giuseppe, Erica Dugo, Francesco Piva, Andrea Ciavattini

Abstract readReview
In one paragraph

Review in Pathogens (Basel, Switzerland), 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.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Review
  6. m6A modification and its clinical applications in gynaecological cancer.Apoptosis : an international journal on programmed cell death · 2026
    Review
  7. Article
  8. HPV-Independent Cervical Cancer-A New Challenge of Modern Oncology.International journal of molecular sciences · 2025
    Review
  9. SCENE: Signature Collection for Endometrial Cancer Prognosis.Journal of cellular and molecular medicine · 2025
    Review
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

10 authors.

Luca GiannellaGynecologic Section, Woman's Health Sciences Department, Polytechnic University of Marche, 60123 Ancona, Italy.ORCID 0000-0002-6405-8522
Camilla GrelloniGynecologic Section, Woman's Health Sciences Department, Polytechnic University of Marche, 60123 Ancona, Italy.
Leonardo NataliniGynecologic Section, Woman's Health Sciences Department, Polytechnic University of Marche, 60123 Ancona, Italy.ORCID 0009-0008-2932-518X
Gianmarco SartiniGynecologic Section, Woman's Health Sciences Department, Polytechnic University of Marche, 60123 Ancona, Italy.
Mila BordiniGynecologic Section, Woman's Health Sciences Department, Polytechnic University of Marche, 60123 Ancona, Italy.
Giovanni Delli CarpiniGynecologic Section, Woman's Health Sciences Department, Polytechnic University of Marche, 60123 Ancona, Italy.
Jacopo Di GiuseppeGynecologic Section, Woman's Health Sciences Department, Polytechnic University of Marche, 60123 Ancona, Italy.ORCID 0000-0002-6162-6299
Erica DugoDepartment of Specialistic Clinical and Odontostomatological Sciences, Polytechnic University of Marche, 60131 Ancona, Italy.ORCID 0009-0000-0454-6930
Francesco PivaDepartment of Specialistic Clinical and Odontostomatological Sciences, Polytechnic University of Marche, 60131 Ancona, Italy.
Andrea CiavattiniGynecologic Section, Woman's Health Sciences Department, Polytechnic University of Marche, 60123 Ancona, Italy.ORCID 0000-0002-8037-4947

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

HPV-independent cervical cancers represent a small proportion of these types of cancers, predominantly glandular lesions. It should be noted that some cases may depend on diagnostic problems that lead to false negative cases. However, the most recent classifications distinguish cervical tumors into HPV-associated and HPV-independent cancers. HPV-negative cervical carcinomas (5-11% of all cases) mainly include rare adenocarcinomas (gastric, mesonephric, clear, serous, and endometrioid) and present distinct clinical and molecular features. These tumors usually affect older women and are diagnosed at more advanced stages than HPV-positive tumors, with an overall worse prognosis. This concerning and notably worse prognosis highlights the need for further research and understanding. Unlike HPV-positive carcinomas (which depend on the viral oncogenes E6/E7), HPV-independent tumors accumulate genomic mutations that activate oncogenes and inactivate suppressor genes. Therefore, a comprehensive overview of these aspects can be the key to a better understanding and developing personalized treatments. In the present review, the main mutated genes, the signaling pathways involved, the differences from HPV-positive tumors, the distinctive immunohistochemical markers, and the diagnostic and therapeutic implications are explored in depth.

Indexed as

PapillomaviridaePapillomavirus InfectionsUterine Cervical NeoplasmsBiomarkers, TumorFemaleHumansPrognosisBiomarkers, Tumorcervical cancerHPV-independentmolecular features

Identifiers

PMID40732715
PMCPMC12301020

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.