Evidence map›Paper›PMID 41629879›Full record

ArticleBMC cancer2026

Integrated and clinical validation of helicase-like transcription factor as a biomarker for hepatocellular carcinoma.

Zhiyu Ni, Junpeng Gu, Qingyue Qiu, Yang Li, Zhen Tian, Guoping Liu, Jie Mei, Jiayue Yang, Li Sun

Abstract read
In one paragraph

Article in BMC cancer, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

9 authors.

Zhiyu NiDepartment of Endocrinology, Wuxi Medical Center, The Affiliated Wuxi People's Hospital of Nanjing Medical University, Nanjing Medical University, No. 299 Qingyang Road, Wuxi, 214023, China.
Junpeng GuDepartment of Endocrinology, Wuxi Medical Center, The Affiliated Wuxi People's Hospital of Nanjing Medical University, Nanjing Medical University, No. 299 Qingyang Road, Wuxi, 214023, China.
Qingyue QiuDepartment of Endocrinology, Wuxi Medical Center, The Affiliated Wuxi People's Hospital of Nanjing Medical University, Nanjing Medical University, No. 299 Qingyang Road, Wuxi, 214023, China.
Yang LiDepartment of Endocrinology, Wuxi Medical Center, The Affiliated Wuxi People's Hospital of Nanjing Medical University, Nanjing Medical University, No. 299 Qingyang Road, Wuxi, 214023, China.
Zhen TianDepartment of Medical Laboratory Sciences, Wuxi Medical Center, The Affiliated Wuxi People's Hospital of Nanjing Medical University, Nanjing Medical University, No. 299 Qingyang Road, Wuxi, 214023, China.
Guoping LiuDepartment of Endocrinology, Wuxi Medical Center, The Affiliated Wuxi People's Hospital of Nanjing Medical University, Nanjing Medical University, No. 299 Qingyang Road, Wuxi, 214023, China.
Jie MeiThe First Clinical Medicine College, Nanjing Medical University, Nanjing, Jiangsu, 210029, PR China. meijie1996@njmu.edu.cn.
Jiayue YangDepartment of Endocrinology, Wuxi Medical Center, The Affiliated Wuxi People's Hospital of Nanjing Medical University, Nanjing Medical University, No. 299 Qingyang Road, Wuxi, 214023, China. yangjiayue@njmu.edu.cn.
Li SunDepartment of Hepatobiliary Surgery, Wuxi Medical Center, The Affiliated Wuxi People's Hospital of Nanjing Medical University, Nanjing Medical University, No. 299 Qingyang Road, Wuxi, 214023, China. sunli192025@163.com.

Funding

Postgraduate Research & Practice Innovation Program of Jiangsu Province JX13514525Scientific Research Project of Jiangsu Health Commission Z2023075Top Talent Support Program for young and middle-aged people of Wuxi Health Committee BJ2023011
6 · The paper itself

Abstract

Immune checkpoint inhibitors (ICIs) have reshaped the treatment landscape for advanced cancers; however, a substantial proportion of patients fail to benefit from ICI therapy, and reliable predictive biomarkers remain limited. This study aimed to investigate the immunological relevance of helicase-like transcription factor (HLTF) and its potential therapeutic implications in hepatocellular carcinoma (HCC).HLTF expression was elevated across multiple cancer types, with particularly high levels observed in HCC. Increased HLTF expression was significantly associated with advanced tumor stage, higher histological grade, TP53 mutations, and lymph node metastasis. Moreover, high HLTF expression correlated with poorer overall survival, disease-specific survival, and progression-free interval in patients with HCC, indicating its potential value as a prognostic biomarker. Consistent with data from the Human Protein Atlas, HLTF protein expression was 74.51% higher in HCC tissues than in adjacent non-tumor tissues, and a similar pattern was observed at the transcriptional level. Immune infiltration analysis revealed a negative association between HLTF expression and CD8⁺ T cell infiltration, despite notable HLTF enrichment within CD8⁺ T cells themselves. Clear differences in pDC/CD8+ T cells were observed between HLTF-high and HLTF-low subgroups, further supporting an inverse relationship between HLTF and CD8⁺ T cells in HCC TMA cohorts. In addition, we observed that tumor tissues from nonresponders displayed greater levels of HLTF compared to those from responders in our cohort.Taken together, our study points out that HLTF acts as a critical marker that dwindles the effectiveness of ICIs in HCC sufferers. More trials with large numbers of patients are imperative to validate its application as a beneficial biomarker for ICIs.

Indexed as

Biomarkers, TumorCarcinoma, HepatocellularDNA-Binding ProteinsLiver NeoplasmsTranscription FactorsAgedCD8-Positive T-LymphocytesFemaleGene Expression Regulation, NeoplasticHumansLymphocytes, Tumor-InfiltratingMaleMiddle AgedPrognosisBiomarkers, TumorDNA-Binding ProteinsHLTF protein, humanTranscription FactorsCD8+ T cellsHelicase-like transcription factorHepatocellular carcinomaImmune checkpoint inhibitorsImmunotherapy responses

Identifiers

PMID41629879
PMCPMC12958712

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.