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This summary reviews the association between CBX4 and hepatocellular carcinoma. Multiple case–control studies have assessed genetic variations in CBX4 and demonstrated statistically significant correlations with disease risk and prognosis. In one study, 334 HCC cases and 321 controls were analyzed, and in a separate two‑phase study 598 screening patients and 328 validation patients were evaluated (PMID:31211140, PMID:34856763).
The genetic evidence centers on single nucleotide polymorphisms, with one study highlighting that the rs77447679 variant (with the mutant AA genotype) is associated with poorer survival and more aggressive tumor characteristics in HCC patients (PMID:34856763). Such findings support a moderate level of genetic evidence despite the absence of traditional familial segregation data.
In assessing the genetic data, no explicit HGVS‐formatted variant was provided. However, the cohort sizes and significant associations from independent case–control studies lend further support to the clinical relevance of CBX4 alterations, meriting a Moderate rating of genetic evidence.
Functional investigations in HCC are relatively limited. Although prior reports have suggested that CBX4 overexpression can promote angiogenesis and tumor progression in hepatocellular carcinoma, direct experimental manipulation in HCC models has not been extensively performed. Thus, functional evidence is considered Limited in its contribution to validating the association.
No conflicting studies were identified in the provided evidence, and the data consistently indicate that CBX4 variants influence HCC prognosis. In parallel, while several functional studies of CBX4 have been conducted in other contexts (such as osteoarthritis and T‑cell regulation), these do not directly alter the clinical interpretation within hepatocellular carcinoma.
In conclusion, the convergence of case–control genetic association studies—with significant patient numbers—and suggestive functional correlations, albeit indirect, supports a Moderate clinical validity for the association between CBX4 and hepatocellular carcinoma. This evidence underlines the potential for CBX4 to serve as a prognostic biomarker and as a candidate for targeted therapeutic strategies.
Key Take‑Home: CBX4 genetic variants appear to influence hepatocellular carcinoma outcomes and may hold clinical utility in prognostication and future precision therapies.
Gene–Disease AssociationModerateCase–control studies in cohorts of 334 and 598/328 patients (PMID:31211140, PMID:34856763) demonstrate significant association between CBX4 SNPs and hepatocellular carcinoma prognosis despite limited segregation evidence. Genetic EvidenceModerateSNP analyses, including the rs77447679 variant, consistently correlate with HCC outcomes (PMID:34856763), supporting a moderate level of genetic evidence even though no explicit HGVS‐formatted variant is available. Functional EvidenceLimitedAlthough CBX4 overexpression has been implicated in promoting tumor progression in HCC, direct functional assays in hepatocellular carcinoma are sparse, limiting the contribution of experimental evidence. |