Evidence map›Paper›PMID 41899583›Full record

ReviewCancers2026

Analysis of Molecular Markers of HPV Infection Persistence: A Narrative Review.

Dominik Pruski, Sonja Millert-Kalińska, Katarzyna Wszołek, Victoria Musiałowicz, Jacek P Grabowski, Robert Jach, Mustafa Zelal Muallem, Jalid Sehouli, Marcin Przybylski

Erratum issuedAbstract readReview
In one paragraph

Review in Cancers, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

Dominik PruskiDepartment of Obstetrics and Gynecology, District Public Hospital in Poznan, 60-479 Poznan, Poland.ORCID 0000-0001-5821-5731
Sonja Millert-KalińskaDepartment of Obstetrics and Gynecology, District Public Hospital in Poznan, 60-479 Poznan, Poland.ORCID 0000-0002-8291-3879
Katarzyna WszołekDepartment of Obstetrics and Gynecology, District Public Hospital in Poznan, 60-479 Poznan, Poland.ORCID 0000-0001-9336-7060
Victoria MusiałowiczDepartment of Obstetrics and Gynecology, District Public Hospital in Poznan, 60-479 Poznan, Poland.
Jacek P GrabowskiDepartment of Gynecology with Center for Oncological Surgery, Charité-University Medicine of Berlin, Campus Virchow Klinikum, 13353 Berlin, Germany.ORCID 0009-0007-2765-3342
Robert JachDivision of Gynecologic Endocrinology, Jagiellonian University Medical College, 31-501 Krakow, Poland.ORCID 0000-0001-5512-763X
Mustafa Zelal MuallemDepartment of Gynecology with Center for Oncological Surgery, Charité-University Medicine of Berlin, Campus Virchow Klinikum, 13353 Berlin, Germany.
Jalid SehouliDepartment of Gynecology with Center for Oncological Surgery, Charité-University Medicine of Berlin, Campus Virchow Klinikum, 13353 Berlin, Germany.ORCID 0000-0002-5963-6623
Marcin PrzybylskiDepartment of Obstetrics and Gynecology, District Public Hospital in Poznan, 60-479 Poznan, Poland.ORCID 0000-0002-9679-0822

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPersistent infection with high-risk human papillomavirus (hr-HPV) is the necessary agent of cervical cancer, yet its molecular definition remains heterogeneous. Multiple molecular approaches have been developed to characterize HPV persistence, including repeated detection of viral DNA, assessment of viral oncogene expression, and analysis of HPV-related DNA methylation. These approaches originate from different scientific traditions and reflect distinct conceptualizations of persistence.

objectiveTo synthesize and compare molecular methods used to detect persistent HPV infection through a narrative review and to clarify how different biomarkers conceptualize HPV persistence and disease progression.

methodsWe conducted a narrative review in accordance with the RAMESES guidelines. Medline, Scopus, and the Cochrane Library were searched for original studies published between 2016 and 2025 investigating molecular markers of HPV persistence. An interpretive synthesis was performed to identify research traditions, underlying assumptions, and clinical implications.

resultsThree major molecular narratives were identified. Persistent DNA positivity defines persistence as repeated detection of the same HR-HPV genotype over time and reflects an epidemiological-virological perspective with high sensitivity but limited specificity. Persistent oncogene expression, assessed by E6/E7 mRNA detection, conceptualizes persistence as active viral oncogenic activity and shows improved specificity for clinically relevant lesions. Persistent epigenetic imprint, measured by DNA methylation of viral and host genes, captures cumulative biological effects of long-term infection and is strongly associated with high-grade lesions and cervical cancer. These narratives represent complementary stages along a continuum of molecular persistence.

conclusionsMolecular markers of HPV persistence reflect the evolving understanding of cervical carcinogenesis, progressing from repeated viral DNA detection to oncogenic activity and stable epigenetic alterations. These complementary biomarkers represent different biological stages of persistent infection and may improve risk stratification in HPV-based screening and triage strategies.

Indexed as

HPVHPV DNA methylation testHPV DNA testingHPV infection persistenceHPV mRNA testingnarrative review

Identifiers

PMID41899583
PMCPMC13024428

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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.