Summary of biomarkers for NASH diagnosis in patients with NAFLD
Parameters measures | Non-invasive test abbreviation | AUROC | Sensitivity | Specificity | Study population, reference |
---|---|---|---|---|---|
ALT | 0.62 | 72% | 51% | 222 NAFLD, [39] | |
ALT, insulin resistance, hypertension | HAIR | 0.9 | 80% | 89% | 105 Bsp, [45] |
0.68 | 57% | 77% | 213 T2DM, [46] | ||
Hypertension, T2DM, AST, ALT, OSAS, nonblack race | NASH Clinical Scoring System for Morbid Obesity | 0.8 | 200 Bsp, [33, 57] | ||
T2DM, OSAS, ALT, TG | 0.79 | 253 Bsp, [44] | |||
Age, sex, weight, height, TG, cholesterol, alfa2-macroglobulin, ApoA1, haptoglobin, total bilirubin, GGT, ALT, AST | NASH test | 0.79 | 33% | 94% | 257 NAFLD + 383 cp, [48] |
0.74 | 14.1% | 95.8% | 494 obese, [49] | ||
0.69 | 71% | 60% | 222 T2DM, [51] | ||
IL-6 | 0.92 | 58% | 100% | 83 NAFLD, [53] | |
0.72 | 63% | 80% | 79 NAFLD, [54] | ||
Adiponectin, ghrelin, leptin | 0.78 | 81.8% | 76.1% | 82 NAFLD, [55] | |
CK18-M30 | 0.83 | 139 NAFLD, [58] | |||
0.83 | 66% | 82% | 822 NAFLD, [56] | ||
CK18 fragments (M30 and M65 pooled) | 0.82 | 78% | 87% | 9 studies (856 NAFLD), [57] | |
IL-6, CK18-M65, adiponectin | 0.9 | 84% | 85% | 79 NAFLD, [54] | |
T2DM, sex, BMI, TG, CK18-M30, CK18-M65 | 0.81 | 79 NAFLD, [59] | |||
ALT, PLT, CK18-M30 | 0.92 | 89% | 86% | 95 NAFLD, [61] | |
CK18-M30, ALT, presence of MS | Nice model | 0.88–0.83 | 454 NAFLD, [60] | ||
CK18-M30, CK18-M65, adiponectin, resistin | NASH diagnostics | 0.91 | 96% | 70% | 101 NAFLD, [62] |
Golgi protein 73, CK18-M30 | G-NASH | 0.84 | 345 NAFLD, [63] | ||
Mac-2bp, Fuc-HPT | 0.84 | 71.4% | 82.3% | 124 + 382 NAFLD, [64] | |
PIIINP | 0.85–0.87 | 172 NAFLD, [91] | |||
Type IV collagen S, ferritin, fasting insulin | NAFIC score | 0.78–0.85 | 177 + 442 NAFLD, [99] | ||
Type IV collagen S, AST | CA Index | 0.85–0.76 | 94 + 62 NAFLD, [98] | ||
PNPLA3, AST, fasting insulin | NASH Score | 0.77 | 71.6% | 73.5% | 296 Bsp |
0.76 | 39.1% | 89.1 | 380 NAFLD, [144] | ||
PNPLA3, AST, fasting insulin, 5 metabolites (Glu, Ile, Gly, Tyr, Ser) 3 lipides (PE, TG, LysoPC) | NASH ClinLipMet Score | 0.86 | 85.5% | 72.1% | 318 NAFLD, [143] |
Panel of 20 TG (lipidomic profile) | OWliver Test | 0.81 | 73% | 80% | 467 NAFLD, [150] |
Pyroglutamate | 0.88 | 72% | 85% | 21 NASH, 38 NAFL, 31 cp, [148] | |
N-glycan (NGA2F, NA2) | GlycoNashTest | 0.74 | 47 NAFLD + 13 cp, [152] | ||
0.75–0.66 | 51 Bsp + 224 NAFLD, [153] | ||||
0.72 | 51 Pediatric NAFLD, [154] | ||||
miR-34a | 0.81 | 111 NAFLD, [164] | |||
0.78 | 6 studies (406 NAFLD), [165] |
ApoA1: apolipoprotein A1; Bsp: bariatric surgery patients; cp: control patients; Glu: glutamate; Gly: glycine; Ile: isoleucine; LysoPC: lysophosphatidylcholine; miR: micro RNA; OSAS: obstructive sleep apnea syndrome; PE: phosphatidylethanolamine; PIIINP: N-terminal type III collagen pro-peptide; Ser: serine; Tyr: tyrosine; PNPLA3: patatin-like phospholipase domain containing 3 protein
The authors thank Giulio Mirabella for his contribution in the graphic support of the production of the figures in this paper.
VR, MM, AA and MP contributed conception and design of the study, VR and MM retrieved and selected the bibliographic references, VR and MM wrote the first draft of the manuscript, AA and MP revised it and wrote specific sessions. All authors contributed to manuscript revision, read and approved the submitted version.
The authors declare that they have no conflicts of interest.
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© The Author(s) 2020.