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Hyaluronic acid as a non-invasive biomarker of liver fibrosis.

Abstract：

UNLABELLED:Chronic liver diseases may cause inflammation and progressive scarring, over time leading to irreversible hepatic damage (cirrhosis). As a result, the need to assess and closely monitor individuals for risk factors of components of matrix deposition and degradation, as well as the severity of the fibrosis using biomarkers, has been increasingly recognized. AIM:Our aim is to review the use of biomarker for diagnosing and defining the severity of liver fibrosis. METHODS:A systematic literature review was done using the terms "hyaluronic acid" and "liver fibrosis" as well as the name of each biomarker or algorithm known to be employed. PubMed and Google Scholar were searched, and English language articles indexed between January 2010 and October 2014 in which HA was used as a marker of liver fibrosis were retrieved, regardless of the underlying liver disease. Each author read the publications separately and the results were analyzed and discussed. RESULTS:Biomarkers offer a potential prognostic or diagnostic indicator for disease manifestation, progression, or both. Serum biomarkers, including HA, have been used for many years. Emerging biomarkers such as metalloproteinases have been proposed as tools that provide valuable complementary information to that obtained from traditional biomarkers. Moreover, markers of extracellular matrix degradation provide powerful predictions of risk. In order for biomarkers to be clinically useful in accurately diagnosing and treating disorders, age-specific reference intervals that account for differences in gender and ethnic origin are a necessity. CONCLUSIONS:This review attempts to provide a comprehensive analysis of the emerging risk biomarkers of liver fibrosis and to describe the clinical significance and analytical considerations of each biomarker pointing out sentinel features of disease progression.

journal_name

Clin Biochem

journal_title

Clinical biochemistry

authors

Neuman MG,Cohen LB,Nanau RM

doi

10.1016/j.clinbiochem.2015.07.019

subject

Has Abstract

pub_date

2016-02-01 00:00:00

pages

302-15

issue

3

eissn

0009-9120

issn

1873-2933

pii

S0009-9120(15)00280-5

journal_volume

49

pub_type

杂志文章,评审

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