Copyright: ©Author(s) 2026.
World J Gastrointest Oncol. Sep 15, 2026; 18(9): 117335
Published online Sep 15, 2026. doi: 10.4251/wjgo.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-SMA | Activated HSCs/CAFs | None | Approximately 1.5-2.5 | Most widely used; marks myofibroblastic activation | Extensive validation |
| GFAP (total) | Quiescent/early HSCs | None | Not established | Marks early HSC activation; less prognostic | Limited |
| Desmin | HSCs | None | Approximately 1.6-2.0 | HSC cytoskeletal marker | Moderate |
| cit-GFAP | Activated HSCs/CAFs | Citrullination | 2.75 | Posttranslational modification; independent of AFP | Hypothesisgenerating (single study) |
| Citrullinated fibronectin | ECM | Citrullination | Not reported in HCC | Promotes invasion in breast cancer | Preclinical only |
- Citation: Xu ZF, Yao YR, Ye SY, Zhao CF. Citrullinated matrisome: An emerging stromal determinant in hepatocellular carcinoma prognostication. World J Gastrointest Oncol 2026; 18(9): 117335
- URL: https://www.wjgnet.com/1948-5204/full/v18/i9/117335.htm
- DOI: https://dx.doi.org/10.4251/wjgo.117335