Macaluso Matthew, Drevets Wayne C, Preskorn Sheldon H
Department of Psychiatry and Behavioral Sciences, University of Kansas School of Medicine-Wichita, and KU-Wichita Clinical Trials Unit, USA.
J Psychiatr Pract. 2012 Jul;18(4):281-6. doi: 10.1097/01.pra.0000416018.83709.3e.
Part I of this series defined biomarkers and discussed their current use in general medicine and their potential research and clinical utility in psychiatry. In this second column in the series, the authors first discuss the rationale for selecting a biomarker. The second half of the column discusses the potential use of inflammatory biomarkers in depression, with a specific focus on derivatives of the inflammatory biomarker, thromboxane, to illustrate how biomarkers can be developed for use in clinical practice. In the future, biomarkers are likely to become an integral component of psychiatric treatment, providing information about a patient's odds of developing an illness, the severity of illness, and level of response to therapeutic interventions.
本系列的第一部分对生物标志物进行了定义,并讨论了它们目前在普通医学中的应用以及在精神病学中的潜在研究和临床应用价值。在本系列的第二篇专栏文章中,作者首先讨论了选择生物标志物的基本原理。专栏文章的后半部分讨论了炎症生物标志物在抑郁症中的潜在应用,特别关注炎症生物标志物血栓素的衍生物,以说明如何开发生物标志物用于临床实践。未来,生物标志物可能会成为精神科治疗的一个不可或缺的组成部分,提供有关患者患病几率、疾病严重程度以及对治疗干预反应程度的信息。