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Biomark Insights. 2012;7:105-17. doi: 10.4137/BMI.S10009. Epub 2012 Jul 23.

Molecular serum markers of liver fibrosis.

Biomarker insights

Tianhui Liu, Xiaoming Wang, Morten A Karsdal, Diana J Leeming, Federica Genovese

Affiliations

  1. Liver Research Center, Beijing Friendship Hospital, Capital Medical University, Beijing, China.

PMID: 22872786 PMCID: PMC3412619 DOI: 10.4137/BMI.S10009

Abstract

Fibrosis is a hallmark histologic event of chronic liver diseases and is characterized by the excessive accumulation and reorganization of the extracellular matrix (ECM). The gold standard for assessment of fibrosis is liver biopsy. As this procedure has various limitations, including risk of patient injury and sampling error, a non-invasive serum marker for liver fibrosis is desirable. The increasing understanding of the pathogenesis of hepatic fibrosis has suggested several markers which could be useful indicators of hepatic fibrogenesis and fibrosis. These markers include serum markers of liver function, ECM synthesis, fibrolytic processes, ECM degradation and fibrogenesis related cytokines. Recently, neo-epitopes, which are post-translational modifications of proteins, have been successfully used in bone and cartilage diseases which are characterized by extensive ECM remodeling. Increasing numbers of studies are being undertaken to identify neo-epitopes generated during liver fibrosis, and which ultimately might be useful for diagnosing and monitoring fibrogenesis. To date, the metalloproteinases generated fragment of collagen I, III, IV and VI have been proven to be elevated in two rat models of fibrosis. This review summarizes the recent efforts that have been made to identify potentially reliable non-invasive serum markers. We used the recently proposed BIPED (Burden of disease, Investigative, Prognostic, Efficacy and Diagnostic) system to characterize potential serum markers and neo-epitope markers that have been identified to date.

Keywords: extracellular matrix; liver fibrosis; neo-epitope; serum marker

References

  1. J Gastroenterol. 1996 Apr;31(2):242-8 - PubMed
  2. J Pathol. 2008 Jan;214(2):199-210 - PubMed
  3. Cytokine Growth Factor Rev. 2004 Aug;15(4):255-73 - PubMed
  4. Eur J Gastroenterol Hepatol. 2001 Feb;13(2):137-41 - PubMed
  5. Eur J Gastroenterol Hepatol. 2004 Sep;16(9):891-6 - PubMed
  6. Hepatology. 2006 Apr;43(4):788-95 - PubMed
  7. World J Gastroenterol. 2006 Jun 21;12(23):3682-94 - PubMed
  8. Lancet. 2008 Mar 8;371(9615):838-51 - PubMed
  9. Hepatology. 2005 Jun;41(6):1376-82 - PubMed
  10. BMC Gastroenterol. 2010 Sep 09;10:103 - PubMed
  11. J Hepatol. 2007 Nov;47(5):699-710 - PubMed
  12. Virol J. 2011 Feb 08;8:53 - PubMed
  13. Clin Chim Acta. 1994 Jun;227(1-2):37-43 - PubMed
  14. Matrix Biol. 1999 Aug;18(4):373-80 - PubMed
  15. Clin Chem. 2003 Mar;49(3):450-4 - PubMed
  16. Dig Dis. 1991;9(5):303-16 - PubMed
  17. Dan Med Bull. 2006 May;53(2):172-209 - PubMed
  18. Fibrogenesis Tissue Repair. 2010 Apr 01;3(1):5 - PubMed
  19. J Hepatol. 2003;38 Suppl 1:S38-53 - PubMed
  20. Gastroenterology. 2008 May;134(6):1655-69 - PubMed
  21. Inflamm Res. 2003 Jun;52(7):277-82 - PubMed
  22. Presse Med. 1996 Jan 20;25(2):59-62 - PubMed
  23. Hepatogastroenterology. 2002 Sep-Oct;49(47):1369-72 - PubMed
  24. Semin Liver Dis. 2001 Aug;21(3):351-72 - PubMed
  25. J Hepatol. 2009 Feb;50(2):370-6 - PubMed
  26. J Cell Mol Med. 2007 Sep-Oct;11(5):1031-51 - PubMed
  27. Trans Am Clin Climatol Assoc. 2009;120:361-8 - PubMed
  28. World J Gastroenterol. 2005 Jun 7;11(21):3260-3 - PubMed
  29. Hepatology. 2008 Nov;48(5):1549-57 - PubMed
  30. JAMA. 2002 Oct 23-30;288(16):1974 - PubMed
  31. Gastroenterology. 2009 Jan;136(1):160-7 - PubMed
  32. Hepatology. 2011 Mar;53(3):726-36 - PubMed
  33. Hepatogastroenterology. 1999 Nov-Dec;46(30):3263-70 - PubMed
  34. Arch Intern Med. 2003 Jan 27;163(2):218-24 - PubMed
  35. Semin Liver Dis. 1999;19(2):129-40 - PubMed
  36. Z Gastroenterol. 2006 Jan;44(1):57-66 - PubMed
  37. Fibrogenesis Tissue Repair. 2011 Aug 03;4:19 - PubMed
  38. Biomark Insights. 2011 Mar 24;6:49-58 - PubMed
  39. Clin Chim Acta. 2007 Jun;381(2):107-13 - PubMed
  40. Hepatology. 2007 Sep;46(3):912-21 - PubMed
  41. Gastroenterology. 2004 Dec;127(6):1704-13 - PubMed
  42. Clin Chem. 2000 Dec;46(12):2027-49 - PubMed
  43. Clin Biochem Rev. 2007 Feb;28(1):3-10 - PubMed
  44. Transplantation. 1999 Apr 27;67(8):1099-105 - PubMed
  45. Hepatology. 2006 Feb;43(2):373-4; author reply 375-6 - PubMed
  46. Comp Hepatol. 2004 Sep 23;3(1):8 - PubMed
  47. Clin Chim Acta. 2002 Feb;316(1-2):71-81 - PubMed
  48. J Hepatol. 2001 Feb;34(2):248-53 - PubMed
  49. Clin Biochem. 2010 Jul;43(10-11):793-804 - PubMed
  50. Am J Gastroenterol. 2000 Sep;95(9):2328-32 - PubMed
  51. Alcohol Clin Exp Res. 2005 Nov;29(11 Suppl):180S-8S - PubMed
  52. J Hepatol. 2007 May;46(5):775-82 - PubMed
  53. Semin Liver Dis. 2001 Aug;21(3):397-416 - PubMed
  54. Clin Gastroenterol Hepatol. 2006 May;4(5):645-52 - PubMed
  55. J Viral Hepat. 2009 Sep;16(9):612-20 - PubMed
  56. J Gastroenterol Hepatol. 2000 Apr;15(4):386-90 - PubMed
  57. Biochem J. 1989 Feb 1;257(3):875-84 - PubMed
  58. Hepatology. 2009 Apr;49(4):1257-66 - PubMed
  59. Alcohol Alcohol Suppl. 1991;1:369-74 - PubMed
  60. World J Gastroenterol. 2009 May 28;15(20):2433-40 - PubMed
  61. Clin Microbiol Infect. 2005 Jun;11(6):507-10 - PubMed
  62. Gastroenterology. 2008 May;134(6):1670-81 - PubMed
  63. Tohoku J Exp Med. 1997 Feb;181(2):285-95 - PubMed
  64. J Rheumatol. 1996 Jun;23(6):974-8 - PubMed
  65. Hepatology. 2005 Dec;42(6):1373-81 - PubMed
  66. J Clin Invest. 2005 Feb;115(2):209-18 - PubMed
  67. Hepatol Res. 2012 May;42(5):482-93 - PubMed
  68. Am J Gastroenterol. 2004 Sep;99(9):1708-17 - PubMed
  69. Clin Biochem. 2010 Jul;43(10-11):899-904 - PubMed
  70. Hepatology. 2006 Feb;43(2 Suppl 1):S113-20 - PubMed
  71. Scand J Clin Lab Invest. 1999 Dec;59(8):627-33 - PubMed
  72. Osteoarthritis Cartilage. 2006 Aug;14(8):723-7 - PubMed
  73. Biomarkers. 2011 Nov;16(7):616-28 - PubMed
  74. Clin Chem. 2006 Sep;52(9):1815-7 - PubMed
  75. Clin Chem. 1996 Apr;42(4):558-63 - PubMed
  76. Liver Int. 2008 Sep;28(8):1065-79 - PubMed
  77. Hepatology. 1998 Apr;27(4):1003-12 - PubMed
  78. Fibrogenesis Tissue Repair. 2011 Oct 05;4:22 - PubMed
  79. Clin Liver Dis. 2008 Nov;12(4):825-52, ix - PubMed
  80. Gastroenterology. 1995 Sep;109(3):889-98 - PubMed
  81. Apoptosis. 2002 Apr;7(2):133-41 - PubMed
  82. J Biol Chem. 2002 Mar 29;277(13):11069-76 - PubMed
  83. Nat Clin Pract Gastroenterol Hepatol. 2004 Dec;1(2):98-105 - PubMed
  84. Eur J Gastroenterol Hepatol. 2003 Sep;15(9):945-50 - PubMed
  85. Clin Rheumatol. 1992 Dec;11(4):502-7 - PubMed
  86. Eur J Gastroenterol Hepatol. 2000 Sep;12(9):989-93 - PubMed
  87. J Biol Chem. 2000 Jan 28;275(4):2247-50 - PubMed
  88. Biochem J. 1992 Nov 1;287 ( Pt 3):701-7 - PubMed
  89. Dig Dis Sci. 1999 Mar;44(3):624-30 - PubMed
  90. Am J Gastroenterol. 2004 Feb;99(2):271-9 - PubMed
  91. Liver Transpl. 2003 Mar;9(3):278-84 - PubMed
  92. World J Gastroenterol. 2005 Jan 28;11(4):476-81 - PubMed
  93. J Clin Invest. 2007 Mar;117(3):524-9 - PubMed
  94. Am J Gastroenterol. 1998 Jan;93(1):44-8 - PubMed
  95. Jpn J Exp Med. 1965 Aug;35(4):305-9 - PubMed
  96. J Gastroenterol. 2009;44(6):608-14 - PubMed
  97. J Viral Hepat. 1998 May;5(3):187-92 - PubMed
  98. J Gastroenterol Hepatol. 2000 Aug;15(8):945-51 - PubMed
  99. Nat Rev Mol Cell Biol. 2002 May;3(5):349-63 - PubMed
  100. Biomarkers. 2009 May;14(3):181-202 - PubMed
  101. Proteome Sci. 2010 Dec 31;8:70 - PubMed
  102. AIDS. 2003 Mar 28;17(5):721-5 - PubMed
  103. Transplantation. 2005 Dec 15;80(11):1550-5 - PubMed
  104. Lancet. 1993 Oct 9;342(8876):895-8 - PubMed
  105. Arch Intern Med. 1991 Feb;151(2):260-5 - PubMed
  106. Gut. 2000 Apr;46(4):443-6 - PubMed
  107. Biomarkers. 2011 Aug;16(5):426-33 - PubMed
  108. Exp Biol Med (Maywood). 2008 Feb;233(2):109-22 - PubMed
  109. J Gastrointestin Liver Dis. 2006 Jun;15(2):149-59 - PubMed
  110. Clin Chim Acta. 1997 Sep 8;265(1):21-31 - PubMed
  111. PLoS One. 2011;6(9):e24753 - PubMed
  112. J Dig Dis. 2009 Feb;10(1):7-14 - PubMed
  113. J Biol Chem. 2007 Apr 27;282(17):12928-39 - PubMed
  114. Health Technol Assess. 2012;16(4):1-174 - PubMed
  115. Gastroenterology. 2003 Aug;125(2):437-43 - PubMed
  116. World J Gastroenterol. 2007 Nov 7;13(41):5481-5 - PubMed
  117. Am J Physiol Gastrointest Liver Physiol. 2000 Aug;279(2):G245-9 - PubMed
  118. Am Fam Physician. 2005 Mar 15;71(6):1105-10 - PubMed
  119. Transplantation. 1999 Jul 15;68(1):89-96 - PubMed
  120. Dis Markers. 2010;28(1):15-28 - PubMed
  121. Hepatology. 2003 Aug;38(2):518-26 - PubMed
  122. Adv Drug Deliv Rev. 2003 Nov 28;55(12):1531-46 - PubMed
  123. World J Gastroenterol. 2003 Nov;9(11):2490-6 - PubMed
  124. J Intern Med. 2005 Nov;258(5):460-6 - PubMed
  125. J Hepatol. 2003 Aug;39(2):179-86 - PubMed
  126. J Viral Hepat. 2001 Nov;8(6):430-7 - PubMed
  127. Dig Dis Sci. 1998 Sep;43(9):2156-9 - PubMed

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