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吉兰-巴雷综合征的生物标志物:近期的一些进展,仍有更多有待探索。

Biomarkers of Guillain-Barré Syndrome: Some Recent Progress, More Still to Be Explored.

作者信息

Wang Ying, Sun Shuang, Zhu Jie, Cui Li, Zhang Hong-Liang

机构信息

Neuroscience Center, Department of Neurology, The First Hospital of Jilin University, Changchun 130000, China.

Department of Neurology, Heilongjiang Provincial Hospital, Harbin, China.

出版信息

Mediators Inflamm. 2015;2015:564098. doi: 10.1155/2015/564098. Epub 2015 Sep 16.

Abstract

Guillain-Barré syndrome (GBS), the axonal subtype of which is mainly triggered by C. jejuni with ganglioside-mimicking lipooligosaccharides (LOS), is an immune-mediated disorder in the peripheral nervous system (PNS) accompanied by the disruption of the blood-nerve barrier (BNB) and the blood-cerebrospinal fluid barrier (B-CSF-B). Biomarkers of GBS have been extensively explored and some of them are proved to assist in the clinical diagnosis and in monitoring disease progression as well as in assessing the efficacy of immunotherapy. Herein, we systemically review the literature on biomarkers of GBS, including infection-/immune-/BNB, B-CSF-B, and PNS damage-associated biomarkers, aiming at providing an overview of GBS biomarkers and guiding further investigations. Furthermore, we point out further directions for studies on GBS biomarkers.

摘要

吉兰-巴雷综合征(GBS),其轴索性亚型主要由空肠弯曲菌携带模拟神经节苷脂的脂寡糖(LOS)引发,是一种外周神经系统(PNS)的免疫介导性疾病,伴有血神经屏障(BNB)和血脑脊液屏障(B-CSF-B)的破坏。GBS的生物标志物已得到广泛研究,其中一些被证明有助于临床诊断、监测疾病进展以及评估免疫治疗效果。在此,我们系统回顾了关于GBS生物标志物的文献,包括感染/免疫/BNB、B-CSF-B以及PNS损伤相关的生物标志物,旨在提供GBS生物标志物的概述并指导进一步研究。此外,我们指出了GBS生物标志物研究的进一步方向。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a895/4588351/8a994aed0427/MI2015-564098.001.jpg

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