神经退行性疾病的分子生物标志物:在临床实践中适当使用和解释的实用指南
Luisa Agnello1, Caterina Maria Gambino1,2, Anna Maria Ciaccio3
1Institute of Clinical Biochemistry, Clinical Molecular Medicine, and Clinical Laboratory Medicine, Department of Biomedicine, Neurosciences and Advanced Diagnostics, University of Palermo, 90127 Palermo, Italy.
International journal of molecular sciences
|April 27, 2024
概括
早期诊断神经退行性疾病 (NDs) 是很困难的. 本综述涵盖了NDs的当前分子生物标志物,突出了研究进展以及实验室医学中需要更可靠的标志物.
科学领域:
- 神经学 神经学
- 生物化学 生物化学
- 实验室医学 实验室医学
背景情况:
- 神经退行性疾病 (NDs) 涉及神经系统细胞的渐进性退化.
- 由于非特异性临床表现,早期诊断NDs具有挑战性.
- 实验室医学提供了通过生物标志物早期检测和区分ND的潜力.
研究的目的:
- 为在临床实践中使用的神经退行性疾病的分子生物标志物提供概述.
- 评估ND生物标志物检测的当前状态和局限性.
- 确定在NDs生物标志物发现方面未来研究的领域.
主要方法:
- 对神经退行性疾病生物标志物的当前临床实践的文献综述.
- 在脑脊液 (CSF) 和替代生物流体中分析已建立和新兴的生物标志物.
- 评估诊断挑战和进步在实验室医学NDs.
主要成果:
- 确立的生物标志物存在于一些NDs,如阿尔茨海默氏症和多发性硬化症.
- 脑脊液 (CSF) 是一种理想的生物流体,但在广泛使用方面存在局限性.
- 研究正在积极寻求敏感的方法来检测血液和唾液中的ND生物标志物.
结论:
- 分子生物标志物对于诊断和区分神经退行性疾病至关重要.
- 虽然已经确立了一些生物标志物,但许多不确定的生物标志物缺乏可靠和特定的标志物.
- 分析方法的进步是利用非侵入性生物流体用于ND生物标志物检测的关键.
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