The present invention relates to methods for detecting the presence and / or predicting the severity or stage of chronic
liver fibrosis in an individual, comprising the analysis of the expression levels of at least two markers selected from the group consisting of matricellular
fibrosis marker
thrombospondin-2 (TSP2),
insulin like
growth factor binding protein 7 (IGFBP7),
growth differentiation factor 15 (GDF-15), macrophage marker CD163, matricellular
fibrosis markers
thrombospondin-4 (TSP4),
ADAMTS9, ADAPT, ADAPTI, ADAPT-2, FIB-4 or Pro-C3 in a biological sample obtained from said individual. The invention also relates to methods for predicting the
efficacy of a treatment of a chronic
liver fibrosis in an individual, comprising the analysis of said at least two markers. The invention furthermore relates to diagnostic or therapeutic test systems, comprising reagents and material that allow the analysis of said at least two markers. The diagnostic or therapeutic test
system according to the present invention are suitable for use in the diagnosis of chronic
liver fibrosis in an individual. The invention further relates to a composition of said at least two markers for use in the treatment of chronic liver diseases by predicting the
response to treatment with a candidate agent and / or monitoring the fibrogenesis of chronic liver
fibrosis under such therapy, or with, e.g., nutritional or
life style intervention. The invention also relates to methods of selecting or qualifying a pharmaceutically active candidate agent or a nutritional or
life style intervention for inhibiting the progression or inducing the regression of a chronic fibrotic
liver disease in a patient, and a candidate agent or intervention derived from said methods.