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Analytical and Clinical Evaluation of a Chemiluminescent Immunoassay to Detect Serum Chitinase-3-like Protein 1 in HBV-Related Liver Diseases

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机构: [1]Sanmen Hosp Tradit Chinese Med, Dept Lab Med, Taizhou 519125, Zhejiang, Peoples R China [2]Guangdong Prov Hosp Chinese Med, Zhuhai Hosp, Dept Lab Med, Zhuhai 519015, Peoples R China [3]Guangdong Prov Hosp Chinese Med, Zhuhai Hosp, Dept Radiol, Zhuhai 519015, Peoples R China [4]Zhuhai Seesheen Med Technol Co Ltd, Zhuhai 519060, Peoples R China
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Serum chitinase-3-like protein 1 (CHI3L1) is a diagnostic marker for liver diseases, such as hepatocellular carcinoma (HCC). Herein, we aimed to evaluate the analytical performance of a chemiluminescent immunoassay (CLIA) for the quantitative detection of CHI3L1 and its application in hepatitis B virus (HBV)-related liver diseases. The CLIA for CHI3L1 detection presented good analytical performance, with a linear range of 1.50-2000.00 ng/mL and a detection limit of 0.98 ng/mL. To evaluate its clinical application, serum CHI3L1 levels were detected in 82 patients with chronic hepatitis B (CHB) and in 21 healthy controls. The patients with CHB and HCC had higher CHI3L1 levels than the healthy controls and the patients with CHB without HCC. However, CHI3L1 levels did not change significantly with the increase in liver fibrosis stages. The area under the receiver operating characteristic curve for the diagnosis of HBV-related HCC was 0.808, representing a moderate diagnostic value. Correlation analysis revealed a significant association between CHI3L1 and alpha-fetoprotein (AFP) levels, the fibrosis-4 (FIB-4) index, and the aspartate aminotransferase-to-platelet ratio index (APRI). In conclusion, compared with currently reported methods for CHI3L1 detection, the CLIA has a high sensitivity, a wide linear range, and an acceptable accuracy, precision, and reference intervals, making it valuable in the diagnosis of HBV-related HCC.

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出版当年[2023]版:
大类 | 4 区 化学
小类 | 4 区 分析化学
最新[2025]版:
大类 | 4 区 化学
小类 | 4 区 分析化学
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出版当年[2022]版:
Q3 CHEMISTRY, ANALYTICAL
最新[2023]版:
Q3 CHEMISTRY, ANALYTICAL

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第一作者机构: [1]Sanmen Hosp Tradit Chinese Med, Dept Lab Med, Taizhou 519125, Zhejiang, Peoples R China
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