Published online Jun 18, 2015. doi: 10.4254/wjh.v7.i11.1581
Peer-review started: December 13, 2014
First decision: January 8, 2015
Revised: January 30, 2015
Accepted: April 16, 2015
Article in press: April 20, 2015
Published online: June 18, 2015
Processing time: 187 Days and 20.6 Hours
Hepatocellular carcinoma (HCC) is one of the most common tumors worldwide. The survival rate after the onset of symptoms is generally less than one year for the late presentation of HCC, and reliable tools for early diagnosis are lacking. Therefore, novel biomarkers for the early detection of HCC are urgently required. Recent studies show that the abnormal release of proteins by tumor cells can elicit humoral immune responses to self-antigens called tumor-associated antigens (TAAs). The corresponding autoantibodies can be detected before the clinical diagnosis of cancer. Therefore, there is growing interest in using serum autoantibodies as cancer biomarkers. In this review, we focus on the advances in research on autoantibodies against TAAs as serum biomarker for detection of HCC, the mechanism of the production of TAAs, and the association of autoantibodies with patients’ clinical characteristics.
Core tip: There is growing interest in using serum autoantibodies as cancer biomarkers. However, the mechanism and clinical association of autoantibodies in hepatocellular carcinoma (HCC) remains unclear. In this review, we focus on the advances in research on autoantibodies against tumor-associated antigens (TAAs) as serum biomarker for detection of HCC, the mechanism of the production of TAAs, and the association of autoantibodies with patients’ clinical characteristics.