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Editorial
Copyright: ©Author(s) 2026.
World J Gastrointest Oncol. Sep 15, 2026; 18(9): 117335
Published online Sep 15, 2026. doi: 10.4251/wjgo.117335
Table 1 Comparison of citrullinated glial fibrillary acidic protein with other stromal biomarkers in hepatocellular carcinoma
Biomarker
Cellular source
Posttranslational modification
Prognostic value (HR)
Key feature
Current evidence level
α-SMAActivated HSCs/CAFsNoneApproximately 1.5-2.5Most widely used; marks myofibroblastic activationExtensive validation
GFAP (total)Quiescent/early HSCsNoneNot establishedMarks early HSC activation; less prognosticLimited
DesminHSCsNoneApproximately 1.6-2.0HSC cytoskeletal markerModerate
cit-GFAPActivated HSCs/CAFsCitrullination2.75Posttranslational modification; independent of AFPHypothesisgenerating (single study)
Citrullinated fibronectinECMCitrullinationNot reported in HCCPromotes invasion in breast cancerPreclinical only


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