Abstract
The emergence of novel pharmacologic therapies for hepatic fibrosis holds promise for the management of this condition. Furthermore, novel, biological indices—in addition to liver biopsy—may improve our ability to assess the unique pharmacological effects generated by these agents. This article will attempt to highlight the potential for emerging biomarkers to serve as end points in clinical studies that target salient features of hepatic fibrogenesis.
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References
Ghiassi-Nejad, Z. & Friedman, S. L. Advances in antifibrotic therapy. Expert Rev. Gastroenterol. Hepatol. 2, 803–816 (2008).
Friedman, S. L. Molecular regulation of hepatic fibrosis, an integrated cellular response to tissue injury. J. Biol. Chem. 275, 2247–2250 (2000).
Shiratori, Y. et al. Histologic improvement of fibrosis in patients with hepatitis C who have sustained response to interferon therapy. Ann. Intern. Med. 132, 517–524 (2000).
Bedossa, P. & Carrat, F. Liver biopsy: the best, not the gold standard. J. Hepatol. 50, 1–3 (2009).
Manning, D. S. & Afdhal, N. H. Diagnosis and quantitation of fibrosis. Gastroenterology 134, 1670–1681 (2008).
Fontana, R. J. et al. Serum fibrosis marker levels decrease after successful antiviral treatment in chronic hepatitis C patients with advanced fibrosis. Clin. Gastroenterol. Hepatol. 7, 219–226 (2009).
Talwalkar, J. A. et al. Magnetic resonance imaging of hepatic fibrosis: emerging clinical applications. Hepatology 47, 332–342 (2008).
Lim, A. K. et al. Hepatic vein transit times using a microbubble agent can predict disease severity non-invasively in patients with hepatitis C. Gut 54, 128–133 (2005).
Castera, L., Forns, X. & Alberti, A. Non-invasive evaluation of liver fibrosis using transient elastography. J. Hepatol. 48, 835–847 (2008).
Talwalkar, J. A., Kurtz, D. M., Schoenleber, S. J., West, C. P. & Montori, V. M. Ultrasound-based transient elastography for the detection of hepatic fibrosis: systematic review and meta-analysis. Clin. Gastroenterol. Hepatol. 5, 1214–1220 (2007).
Yin, M. et al. Assessment of hepatic fibrosis with magnetic resonance elastography. Clin. Gastroenterol. Hepatol. 5, 1207–1213 (2007).
Huwart, L. et al. Magnetic resonance elastography for the noninvasive staging of liver fibrosis. Gastroenterology 135, 32–40 (2008).
Vizzutti, F., Arena, U., Marra, F. & Pinzani, M. Elastography for the non-invasive assessment of liver disease: limitations and future developments. Gut 58, 157–160 (2009).
Girometti, R. et al. Relevance of b-values in evaluating liver fibrosis: a study in healthy and cirrhotic subjects using two single-shot spin-echo echo-planar diffusion-weighted sequences. J. Magn. Reson. Imaging 28, 411–419 (2008).
Strijbos, M. H. et al. Circulating endothelial cells in oncology: pitfalls and promises. Br. J. Cancer 98, 1731–1735 (2008).
Boos, C. J., Lip, G. Y. & Blann, A. D. Circulating endothelial cells in cardiovascular disease. J. Am. Coll. Cardiol. 48, 1538–1547 (2006).
Dome, B. et al. Identification and clinical significance of circulating endothelial progenitor cells in human non-small cell lung cancer. Cancer Res. 66, 7341–7347 (2006).
Corretti, M. C. et al. Guidelines for the ultrasound assessment of endothelial-dependent flow-mediated vasodilation of the brachial artery: a report of the International Brachial Artery Reactivity Task Force. J. Am. Coll. Cardiol. 39, 257–265 (2002).
Wright, S. A. et al. A randomised interventional trial of omega-3-polyunsaturated fatty acids on endothelial function and disease activity in systemic lupus erythematosus. Ann. Rheum. Dis. 67, 841–848 (2008).
Chong, A. Y. et al. Endothelial dysfunction and damage in congestive heart failure: relation of flow-mediated dilation to circulating endothelial cells, plasma indexes of endothelial damage, and brain natriuretic peptide. Circulation 110, 1794–1798 (2004).
Fernández, M. et al. Angiogenesis in liver disease. J. Hepatol. 50, 604–620 (2009).
Assy, N., Paizi, M., Gaitini, D., Baruch, Y. & Spira, G. Clinical implication of VEGF serum levels in cirrhotic patients with or without portal hypertension. World J. Gastroenterol. 5, 296–300 (1999).
O'Connor, J. P., Jackson, A., Parker, G. J. & Jayson, G. C. DCE-MRI biomarkers in the clinical evaluation of antiangiogenic and vascular disrupting agents. Br. J. Cancer 96, 189–195 (2007).
Textor, S. C. et al. The use of magnetic resonance to evaluate tissue oxygenation in renal artery stenosis. J. Am. Soc. Nephrol. 19, 780–788 (2008).
Diab, D. L. et al. Cytokeratin 18 fragment levels as a noninvasive biomarker for nonalcoholic steatohepatitis in bariatric surgery patients. Clin. Gastroenterol. Hepatol. 6, 1249–1254 (2008).
Blankenberg, F. G. In vivo detection of apoptosis. J. Nucl. Med. 49 (Suppl. 2), 81S–95S (2008).
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Talwalkar, J. Antifibrotic therapies—emerging biomarkers as treatment end points. Nat Rev Gastroenterol Hepatol 7, 59–61 (2010). https://doi.org/10.1038/nrgastro.2009.197
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DOI: https://doi.org/10.1038/nrgastro.2009.197
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