GGTLC1 and Hepatic fibrosis: Recently, the gamma-glutamyl transpeptidase (GGT) to platelet ratio (GPR) had been developed to be a novel and more accurate routine laboratory marker than classical biomarkers APRI and FIB-4 to estimate liver fibrosis in patients with chronic hepatitis B (CHB) in West Africa cohorts (Gambia cohort and Senegal cohort), but it was not superior to APRI and FIB-4 in a French cohort15.