Evidence map›Paper›PMID 41499228›Full record

ArticleCancer medicine2026

Predictive Value of Serum Autotaxin for Hepatocellular Carcinoma Recurrence After Curative Radiofrequency Ablation.

Takanobu Iwadare, Hiroyuki Kobayashi, Takefumi Kimura, Taiki Okumura, Taro Nakajima, Shun-Ichi Wakabayashi, Yuki Yamashita, Naoyuki Fujimori, Hideo Kunimoto, Satoshi Shimamoto and 4 more

Abstract read
In one paragraph

Article in Cancer medicine, 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. 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

14 authors.

Takanobu IwadareDepartment of Medicine, Division of Gastroenterology and Hepatology, Shinshu University School of Medicine, Nagano, Japan.
Hiroyuki KobayashiDepartment of Medicine, Division of Gastroenterology and Hepatology, Shinshu University School of Medicine, Nagano, Japan.
Takefumi KimuraDepartment of Medicine, Division of Gastroenterology and Hepatology, Shinshu University School of Medicine, Nagano, Japan.ORCID https://orcid.org/0000-0002-1481-1029
Taiki OkumuraDepartment of Medicine, Division of Gastroenterology and Hepatology, Shinshu University School of Medicine, Nagano, Japan.
Taro NakajimaDepartment of Medicine, Division of Gastroenterology and Hepatology, Shinshu University School of Medicine, Nagano, Japan.
Shun-Ichi WakabayashiDepartment of Medicine, Division of Gastroenterology and Hepatology, Shinshu University School of Medicine, Nagano, Japan.
Yuki YamashitaDepartment of Medicine, Division of Gastroenterology and Hepatology, Shinshu University School of Medicine, Nagano, Japan.
Naoyuki FujimoriDepartment of Hepatology, Shinshu Ueda Medical Center, Nagano, Japan.
Hideo KunimotoDepartment of Hepatology, Nagano Municipal Hospital, Nagano, Nagano, Japan.
Satoshi ShimamotoBioscience Division, TOSOH Corporation, Ayase, Kanagawa, Japan.
Koji IgarashiBioscience Division, TOSOH Corporation, Ayase, Kanagawa, Japan.
Takuro UchidaDivision of Travel Medicine and Health, Research Center for GLOBAL and LOCAL Infectious Diseases, Oita University, Yufu, Oita, Japan.ORCID https://orcid.org/0000-0002-6002-5213
Takeji UmemuraShinshu University School of Medicine, Nagano, Japan.ORCID https://orcid.org/0000-0001-7985-919X
Naoki TanakaDepartment of Global Medical Research Promotion, Shinshu University Graduate School of Medicine, Nagano, Japan.ORCID https://orcid.org/0000-0002-3212-3836

Funding

Japan Agency for Medical Research and DevelopmentJapan Society for the Promotion of Sciencethe Research Center for GLOBAL and LOCAL Infectious Diseases, Oita University
6 · The paper itself

Abstract

backgroundDespite recent treatment advancements, the high recurrence rate of hepatocellular carcinoma (HCC) following curative therapy remains a significant challenge. Autotaxin (ATX) is a key biomarker in chronic liver disease that has a yet unclarified role in predicting HCC recurrence. This study examined whether precurative radiofrequency ablation (RFA) serum ATX level could serve as a predictor of HCC recurrence after treatment.

methodsFifty-six HCC patients (37 [66%] male; median age: 74 years) treated by curative RFA were retrospectively analyzed.

resultsTwenty-one patients experienced HCC recurrence during follow-up. ATX demonstrated superior predictive performance for HCC recurrence after RFA, with an area under the receiver operating characteristic curve of 0.729, sensitivity of 0.857, and specificity of 0.629. Kaplan-Meier analysis revealed that patients with high ATX had a significantly higher incidence of HCC recurrence than those with low ATX (p = 0.0006). In univariate analysis, the significant predictors of HCC recurrence included ATX (≥ 1.323 mg/L; hazard ratio [HR]: 6.49; 95% confidence interval [CI]: 1.90-22.13; p = 0.003), fibrosis-4 index (≥ 3.524; HR: 2.75; 95% CI: 1.00-7.55; p = 0.050), and mac-2 binding protein glycosylation isomer (≥ 3.85; HR: 2.12; 95% CI: 1.08-4.19; p = 0.030). According to multivariate Cox proportional hazards analysis with seven different models adjusting for age and various established biomarkers, ATX consistently emerged as the only significant independent predictor of HCC recurrence, with HR values ranging from 6.38 to 10.50 (all p < 0.05).

conclusionSerum ATX is a promising biomarker for predicting HCC recurrence post-RFA treatment that may outperform conventional markers.

Indexed as

Biomarkers, TumorCarcinoma, HepatocellularLiver NeoplasmsNeoplasm Recurrence, LocalPhosphoric Diester HydrolasesRadiofrequency AblationAgedAged, 80 and overFemaleHumansKaplan-Meier EstimateLysophospholipase DMaleMiddle AgedPrognosisRetrospective StudiesBiomarkers, TumorLysophospholipase DPhosphoric Diester Hydrolasesautotaxinbiomarkerhepatocellular carcinomaradiofrequency ablationrecurrence

Identifiers

PMID41499228
PMCPMC12778304

What Socratic 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 Socratic graph.