Review Article

Noninvasive Biomarkers of Liver Fibrosis: An Overview

Table 1

AUROC for the direct markers that have been used in assessment of fibrosis in various liver diseases.

MarkerLiver disease evaluated by the markers AURCO for advanced fibrosis AURCO for cirrhosis References
CHCCHBNAFLDALD

PCICPNANANANA[2830, 82]
PCIIINP 0.69–0.78NA0.67–0.8670.67–0.8670.734 [31, 36, 37, 58, 154, 159]
Type IV collagen 0.73–0.830.82NA0.583–0.83NA[30, 41, 42, 58, 154, 159]
HA*0.821–0.920.980.970.69–0.930.69–0.980.85–0.93[31, 32, 41, 44, 4648, 115, 154, 159162]
Laminin0.542–0.82NANA0.46–0.82NA[30, 33, 42, 56, 159]
YXL-400.7–0.81NANA0.7–0.810.79[5759, 154]
MMP-20.590.590.97[47, 62]
MMP-30.880.88NA[152]
MMP-9**NANA[64, 65]
TIMP-10.71–0.773 0.68–0.730.91[31, 62, 63, 154]
TIMP-20.730.73NA[63]
TGF- 1NA[70, 71]
TGF- NA[70, 71]
PDGFNA[72, 73]

HA: Hyaluronic acid.
**Negative association, MMP-9 decreases with the progression of fibrosis.
NA: Area under receiver operating characteristic (AUROC) is not available.