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[痴呆诊断中生物标志物的未来]

[The future of biomarkers in dementia diagnostics].

作者信息

Zimmermann R, Kornhuber J, Lewczuk P

机构信息

Psychiatrische und Psychotherapeutische Klinik, Universitätsklinikum Erlangen, Deutschland.

出版信息

Nervenarzt. 2011 Nov;82(11):1385-6, 1388, 1390, passim. doi: 10.1007/s00115-011-3348-x.

Abstract

Neurochemical dementia diagnostics (NDD) is a routine laboratory tool in the diagnostic process of patients with neurodegenerative disorders, such as Alzheimer's disease (AD). Currently, two groups of biomarkers analyzed in the cerebrospinal fluid (CSF) are being considered, namely amyloid β (Aβ) peptides and tau proteins, along with the hyperphosphorylated forms of the latter (p-tau). Current directions in the development of NDD include the following: 1. search for novel biomarkers with improved analytical or diagnostic performance; 2. search for biomarkers in the blood; 3. applications of novel technologies enabling better management of patient samples; 4. optimization of the analysis of the biomarkers already available (for example, by improved quality control and inter-laboratory comparison of results). This review presents the state of the art in the field of CSF-based NDD and also summarizes some of the hypotheses of how the future development of NDD tools might look.

摘要

神经化学性痴呆诊断(NDD)是神经退行性疾病患者诊断过程中的一种常规实验室工具,如阿尔茨海默病(AD)。目前,正在考虑分析脑脊液(CSF)中的两组生物标志物,即淀粉样β(Aβ)肽和tau蛋白,以及后者的过度磷酸化形式(p-tau)。NDD的当前发展方向包括:1. 寻找具有更好分析或诊断性能的新型生物标志物;2. 在血液中寻找生物标志物;3. 应用能够更好管理患者样本的新技术;4. 优化现有生物标志物的分析(例如,通过改进质量控制和实验室间结果比较)。本综述介绍了基于脑脊液的NDD领域的现状,并总结了NDD工具未来发展可能的一些假设。

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