Evidence map›Paper›PMID 41398391›Full record

ArticleBritish journal of cancer2026

CD44 upregulation in chronic liver disease marks the transition to hepatocellular carcinoma and portends poor prognosis.

Rui Dong, Akshaya Srikanth, Umesh Tharehalli, Thomas Seufferlein, Reinhold Schirmbeck, André Lechel

Abstract read
In one paragraph

Article in British journal of cancer, 2026. 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. 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

6 authors.

Rui DongDepartment of Internal Medicine I, University Hospital Ulm, Ulm, Germany.
Akshaya SrikanthDepartment of Internal Medicine I, University Hospital Ulm, Ulm, Germany.
Umesh TharehalliDepartment of Internal Medicine I, University Hospital Ulm, Ulm, Germany.
Thomas SeufferleinDepartment of Internal Medicine I, University Hospital Ulm, Ulm, Germany.
Reinhold SchirmbeckDepartment of Internal Medicine I, University Hospital Ulm, Ulm, Germany.
André LechelDepartment of Internal Medicine I, University Hospital Ulm, Ulm, Germany. andre.lechel@uni-ulm.de.ORCID http://orcid.org/0000-0003-0221-6959

Funding

Deutsche Forschungsgemeinschaft (German Research Foundation) Graduiertenkolleg 2254
6 · The paper itself

Abstract

backgroundHepatocellular carcinoma (HCC) often arises from chronic liver disease, but early biomarkers of malignant transformation are lacking. CD44, a transmembrane glycoprotein with multiple isoforms, has been implicated in cancer progression and immune modulation.

methodsWe analysed CD44 expression in mouse models of chronic and acute liver injury and assessed its clinical relevance in human HCC using bulk and single-cell transcriptomic datasets.

resultsCD44 and its isoforms v6 and v10 were progressively upregulated in chronic liver injury, peaking in HCC. CD44-positive hepatocytes increased with fibrosis severity and were abundant in murine liver tumours. In human HCC, CD44 expression was significantly elevated compared to non-tumorous liver and was associated with reduced overall survival. CD44

conclusionsCD44 is a promising early biomarker of hepatocarcinogenesis and a potential therapeutic target. Its expression reflects disease progression from fibrosis to cancer and is associated with poor prognosis and immune evasion in HCC.

Indexed as

Carcinoma, HepatocellularHyaluronan ReceptorsLiver NeoplasmsAnimalsBiomarkers, TumorChronic DiseaseDisease ProgressionFemaleGene Expression Regulation, NeoplasticHumansMaleMicePrognosisTumor MicroenvironmentUp-RegulationBiomarkers, TumorCD44 protein, humanHyaluronan Receptors

Identifiers

PMID41398391
PMCPMC12858952

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.