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Letter to the Editor
Copyright ©The Author(s) 2025.
World J Gastrointest Oncol. Oct 15, 2025; 17(10): 106529
Published online Oct 15, 2025. doi: 10.4251/wjgo.v17.i10.106529
Table 1 Significance of various biomarkers in hepatocellular carcinoma
Serial No.
Clinical phase of HCC
HCC biomarkers
Significance of biomarkers in HCC
Ref.
1HCC occurrence, evaluation, progression, recurrenceAFP, AFPL3, Ki67 indexingHCC early detection, progression, recurrence rates, overall survival disease-free survival, and relapse-free survival, response to adjuvant hepatic arterial chemoembolizationSchmilovitz-Weiss et al[4], Ramos-Santillan et al[5]
2Predicting HCC occurrence, progression, evaluationAFP, AFP-L3, DCP, GALAD, microRNAs, long non-coding RNAsHCC early detection, risk stratification, monitoring progression of tumor, and predicting response to therapySchmilovitz-Weiss et al[4], Koike et al[6] Wang et al[7], Huang et al[13]
3Predicting therapy efficacyTGF-β, AFP levels, PD1 signalingPredicting response to immunotherapy, monitoring treatment response, and identifying patients at risk of resistanceHuang et al[13]
4Predicting metastasisCTCs, circulating DNA, CK19Identifying high-risk patients, guiding treatment decisions, predicting recurrence, monitoring treatment responsesZhang et al[8]
5Predicting post-surgical prognosisPrealbumin, NLR, PLR, OV6, CD68, MVIPredicting long-term outcomes, identifying patients at risk of recurrence, and guiding treatment decisionsWang et al[7]
6Diagnosis of HCCOsteopontin Survival, migration, invasion, and metastasis of tumor cellsKhattab et al[9]
7Tumor prognosis, clinical stagemiR-221Clinical TNM stage, tumor capsular infiltration and poor prognosisLi et al[10]
8HCC progression, recurrence, survival parametersKi-67 (MKi-67 gene)Survival parameters, disease stage and progression, adverse histological criteria, and tumor microenvironment proliferative characteristicsRamos-Santillan et al[5]
9Diagnostic biomarker for HCCSerum AFP, methylation of RASSF1AMonitoring progression of tumor, drugs, targeted therapies, immunotherapies etc.Shi et al[11], Jagtap et al[12], Huang et al[13]
10Advance stagesMethylation, proteins, lncRNA, miRNA, metabolomicsResistance, survival, drug, targeted therapies, immunotherapiesShi et al[11], Tateishi et al[14]