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Copyright ©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Oct 27, 2025; 17(10): 106414
Published online Oct 27, 2025. doi: 10.4240/wjgs.v17.i10.106414
Association between hepatitis B virus markers and liver fibrosis staging in patients with chronic hepatitis B
Xiao-Jing Huang, Xiao Zheng, Kai Wang
Xiao-Jing Huang, Xiao Zheng, Kai Wang, Department of Infection, Hangzhou Linping District First People’s Hospital, Hangzhou 311100, Zhejiang Province, China
Author contributions: Huang XJ contributed to the conception and design, writing, review, and revision of the manuscript; all authors contributed to the analysis and interpretation of data, acquisition of data (acquired and managed patients), and final approved the manuscript.
Institutional review board statement: This study was approved by the Ethic Committee of Hangzhou Linping District First People’s Hospital.
Informed consent statement: Due to the retrospective and de-identified nature of this study, written informed consent was waived.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Data sharing statement: No additional data are available.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Xiao-Jing Huang, Department of Infection, Hangzhou Linping District First People’s Hospital, No. 369 Yingbin Road, Nanyuan Street, Linping District, Hangzhou 311100, Zhejiang Province, China. 13306521018@163.com
Received: May 16, 2025
Revised: June 17, 2025
Accepted: August 22, 2025
Published online: October 27, 2025
Processing time: 160 Days and 16.6 Hours
Core Tip

Core Tip: By combining three serum biomarkers, hepatitis B core antibody, hepatitis B virus-DNA, and hepatitis B surface antigen, this study proposes a cost-effective, non-invasive diagnostic approach for assessing chronic hepatitis B-related liver fibrosis (LF) staging, providing advantages in operational convenience and repeatability. The multi-parameter model demonstrated superior diagnostic performance without compromising either sensitivity or specificity. Further, a strong correlation of hepatitis B core antibody and hepatitis B virus-DNA with LF progression was determined. Altogether, a promising non-invasive serological tool for LF staging is proposed in this study, providing a cost-effective solution to improve clinical diagnostics and patient care.