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Review of Serum Biomarkers and Models Derived from Them in HBV-Related Liver Diseases
1Department of Clinical Laboratory, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, Zhejiang Province 310003, China.
Insights
New serum biomarkers offer simple, cost-effective methods for assessing liver disease severity and prognosis in Hepatitis B Virus (HBV)-related liver diseases. These models provide valuable clinical insights beyond traditional scoring systems.
Area of Science:
- Hepatology
- Biomarker Discovery
- Liver Disease Prognosis
Background:
- Hepatitis B Virus (HBV)-related liver diseases require accurate severity stratification and prognosis assessment.
- Traditional scoring systems exist but may be complex or costly.
- Serum biomarkers are emerging as promising tools for evaluating liver conditions.
Purpose of the Study:
- To review nine popular serum biomarkers and their models for HBV-related liver diseases.
- To highlight their utility as diagnostic and prognostic indexes.
- To compare their advantages over traditional scoring systems.
Main Methods:
- Literature review of recent studies on serum biomarkers.
- Focus on nine specific biomarkers: cystatin C, homocysteine, C-reactive protein (CRP), CRP to albumin ratio, AST to platelet ratio index (APRI), FIB-4, GGT to platelet ratio, ALB to bilirubin score, and GGT to albumin ratio.
- Analysis of diagnostic and prognostic performance.
Main Results:
- Nine serum biomarkers and their models show significant clinical interest.
- These biomarkers are easily acquired, simple to use, and relatively inexpensive.
- They demonstrate potential as effective diagnostic and prognostic tools for HBV-related liver diseases.
Conclusions:
- Serum biomarkers represent a valuable, accessible approach for managing HBV-related liver diseases.
- These biomarkers offer a practical alternative or adjunct to traditional prognostic models.
- Further research supports their role in clinical decision-making for liver disease patients.
Abstract:
A series of predictive scoring systems is available for stratifying the severity of conditions and assessing the prognosis in patients with HBV-related liver diseases. We show nine of the most popular serum biomarkers and their models (i.e., serum cystatin C, homocysteine, C-reactive protein, C-reactive protein to albumin ratio, aspartate aminotransferase to platelet ratio index, fibrosis index based on four factors, gamma-glutamyl transpeptidase to platelet ratio, albumin-bilirubin score, and gamma-glutamyl transpeptidase to albumin ratio) that have gained great interest from clinicians. Compared with traditional scoring systems, these serum biomarkers and their models are easily acquired, simple, and relatively inexpensive. In the present review, we summarize the latest studies focused on these serum biomarkers and their models as diagnostic and prognostic indexes in HBV-related liver diseases.
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