Summary of biomarkers for NASH diagnosis in patients with NAFLD

Parameters measuresNon-invasive test abbreviationAUROCSensitivitySpecificityStudy population, reference
ALT0.6272%51%222 NAFLD, [39]
ALT, insulin resistance, hypertensionHAIR0.980%89%105 Bsp, [45]
0.6857%77%213 T2DM, [46]
Hypertension, T2DM, AST, ALT, OSAS, nonblack raceNASH Clinical Scoring System for Morbid Obesity0.8200 Bsp, [33, 57]
T2DM, OSAS, ALT, TG0.79253 Bsp, [44]
Age, sex, weight, height, TG, cholesterol, alfa2-macroglobulin, ApoA1, haptoglobin, total bilirubin, GGT, ALT, ASTNASH test0.7933%94%257 NAFLD + 383 cp, [48]
0.7414.1%95.8%494 obese, [49]
0.6971%60%222 T2DM, [51]
IL-60.9258%100%83 NAFLD, [53]
0.7263%80%79 NAFLD, [54]
Adiponectin, ghrelin, leptin0.7881.8%76.1%82 NAFLD, [55]
CK18-M300.83139 NAFLD, [58]
0.8366%82%822 NAFLD, [56]
CK18 fragments (M30 and M65 pooled)0.8278%87%9 studies (856 NAFLD), [57]
IL-6, CK18-M65, adiponectin0.984%85%79 NAFLD, [54]
T2DM, sex, BMI, TG, CK18-M30, CK18-M650.8179 NAFLD, [59]
ALT, PLT, CK18-M300.9289%86%95 NAFLD, [61]
CK18-M30, ALT, presence of MSNice model0.88–0.83454 NAFLD, [60]
CK18-M30, CK18-M65, adiponectin, resistinNASH diagnostics0.9196%70%101 NAFLD, [62]
Golgi protein 73, CK18-M30G-NASH0.84345 NAFLD, [63]
Mac-2bp, Fuc-HPT0.8471.4%82.3%124 + 382 NAFLD, [64]
PIIINP0.85–0.87172 NAFLD, [91]
Type IV collagen S, ferritin, fasting insulinNAFIC score0.78–0.85177 + 442 NAFLD, [99]
Type IV collagen S, ASTCA Index0.85–0.7694 + 62 NAFLD, [98]
PNPLA3, AST, fasting insulinNASH Score0.7771.6%73.5%296 Bsp
0.7639.1%89.1380 NAFLD, [144]
PNPLA3, AST, fasting insulin, 5 metabolites (Glu, Ile, Gly, Tyr, Ser) 3 lipides (PE, TG, LysoPC)NASH ClinLipMet Score0.8685.5%72.1%318 NAFLD, [143]
Panel of 20 TG (lipidomic profile)OWliver Test0.8173%80%467 NAFLD, [150]
Pyroglutamate0.8872%85%21 NASH, 38 NAFL, 31 cp, [148]
N-glycan (NGA2F, NA2)GlycoNashTest0.7447 NAFLD + 13 cp, [152]
0.75–0.6651 Bsp + 224 NAFLD, [153]
0.7251 Pediatric NAFLD, [154]
miR-34a0.81111 NAFLD, [164]
0.786 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