Evidence map›Paper›PMID 41855211›Full record

ArticlePloS one2026

Non-invasive host transcriptome and HPV oncogene expression map the molecular landscape of HPV-driven cervical lesions.

Mohamad Ammar Ayass, Naila Zaman, Natalya Griko, Victor Pashkov, Kevin Zhu, Ghulam Abbas, Melesse Ghelan, Ramya Ramankutty Nair, Tutku Okyay, Jin Zhang and 1 more

Abstract read
In one paragraph

Article in PloS one, 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. Exploring the molecular basis ofBioinformatics advances · 2026
    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

11 authors.

Mohamad Ammar AyassAyass Bioscience LLC, Frisco, Texas, United States of America.
Naila ZamanAyass Bioscience LLC, Frisco, Texas, United States of America.
Natalya GrikoAyass Bioscience LLC, Frisco, Texas, United States of America.
Victor PashkovAyass Bioscience LLC, Frisco, Texas, United States of America.
Kevin ZhuAyass Bioscience LLC, Frisco, Texas, United States of America.
Ghulam AbbasAyass Bioscience LLC, Frisco, Texas, United States of America.ORCID https://orcid.org/0000-0001-8476-2181
Melesse GhelanAyass Bioscience LLC, Frisco, Texas, United States of America.
Ramya Ramankutty NairAyass Bioscience LLC, Frisco, Texas, United States of America.
Tutku OkyayAyass Bioscience LLC, Frisco, Texas, United States of America.
Jin ZhangAyass Bioscience LLC, Frisco, Texas, United States of America.
Lina Abi-MoslehAyass Bioscience LLC, Frisco, Texas, United States of America.ORCID https://orcid.org/0000-0002-4665-9690

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cervical cancer remains a significant global health burden. Current screening methods are not yet capable of detecting molecular alterations preceding cytological abnormalities. In this study, we performed integrative transcriptomic profiling of 132 HPV-positive cervical Pap Smear specimens (NILM, ASCUS, LSIL, HSIL), combining HPV genotyping, and E6/E7 mRNA quantification to map molecular progression. Our analysis revealed stage-specific signatures: NILM displayed a "stealth infection" profile marked by upregulated protein synthesis and growth signaling (EGFR/ERBB2) alongside immune suppression. ASCUS presented a critical tipping point with introduction of early oncogenic drivers (CCND1, SHH), while LSIL prioritized viral productivity with suppressed antimicrobial defenses (MPO, DEFA1). HSIL was distinct from earlier stages and defined by cell cycle hyperactivation (CDK1, PLK1), replication licensing (MCMs), and epithelial dedifferentiation. Pathway crosstalk analysis demonstrated minimal overlap between HSIL and earlier stages (OC < 0.07), highlighting molecular discontinuity during malignant transformation. Additionally, E6/E7 mRNA Ct levels were significantly associated with lesion severity (X2 = 24.407, df = 9, p = 0.003), indicating higher viral mRNA expression are associated with more severe cytological abnormalities. These findings highlight the transformative potential of transcriptomic profiling in cervical cancer prevention, offering stage-specific biomarkers to refine risk stratification. By integrating transcriptomics profiling with current clinical testing, clinicians can distinguish transient infections from high-risks lesions likely to progress. This combined approach addresses the critical limitations of morphology and DNA-based methods, enabling more precise therapeutic interventions and reducing unnecessary overtreatment, and the risk of undertreatment or dismissal of high-risk cases.

Indexed as

Human Papillomavirus VirusesOncogene Proteins, ViralPapillomaviridaePapillomavirus InfectionsTranscriptomeUterine Cervical NeoplasmsFemaleGene Expression ProfilingHumansUterine Cervical DysplasiaOncogene Proteins, Viral

Identifiers

PMID41855211
PMCPMC13001926

What OpenQuestion holds

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LicenceCC BY
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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.