miRNA-122 has recently been explored as a biomarker for various hepatic conditions, including drug induced liver injury (DILI) as well as for hepatitis, non-alcoholic liver disease/non-alcoholic steatosis (NAFLD/NASH) and liver cancer. A change in levels of miRNA-122 in the blood has been reliably confirmed as an indicator of liver injury. In acute situation, this change is observed before the increase in amino-transferase activity, making it an early indicator of liver disease. The assay works with cell based culture, animal models, with patients and companion animals such as dogs.