“…Aldo-keto reductase family 1 member B10 (AKR1B10) is a novel secretory protein that is overexpressed in multiple tumors, including lung cancer, breast cancer, and colorectal cancer (68,69), and is a potential diagnostic and prognostic biomarker for HCC (70)(71)(72)(73). A multicenter study (74) with 1,244 participants found that serum AKR1B10 levels were significantly increased in HCC patients compared with those in non-HCC and were associated with AFP, alanine aminotransaminase, aspartate aminotransaminase, and tumor size, but not with tumor number, vascular invasion, and TNM stage, with an AUROC of 0.896, sensitivity of 72.7%, and specificity of 95.7% for the diagnosis of HCC, and these values were better than those of AFP (AUROC 0.816, sensitivity 65.1%, and specificity 88.9%), and for ANHC cases, AKR1B10 exhibited a promising diagnostic value (AUROC 0.891, sensitivity 71.2%, and specificity 92.6%), and a similar diagnostic performance was observed in AFP-negative early-stage HCC (AUROC 0.839, sensitivity 63.4%, and specificity 90.7%).…”