创伤性脑损伤后血浆的一项初步研究中氧化应激指标的升高。

Elevation of oxidative stress indicators in a pilot study of plasma following traumatic brain injury.

作者信息

Halstrom Alison, MacDonald Ellen, Neil Claire, Arendts Glenn, Fatovich Daniel, Fitzgerald Melinda

机构信息

Experimental and Regenerative Neurosciences, School of Animal Biology, The University of Western Australia, Perth 6009, Western Australia, Australia.

Emergency Medicine, Royal Perth Hospital, The University of Western Australia, Perth, Western Australia, Australia; Centre for Clinical Research in Emergency Medicine, Harry Perkins Institute of Medical Research, Perth, Western Australia, Australia.

出版信息

J Clin Neurosci. 2017 Jan;35:104-108. doi: 10.1016/j.jocn.2016.09.006. Epub 2016 Sep 30.

Abstract

Traumatic brain injury (TBI) encompasses a broad range of injury mechanisms and severity. A detailed determination of TBI severity can be a complex challenge, with current clinical tools sometimes insufficient to tailor a clinical response to a spectrum of patient needs. Blood biomarkers of TBI may supplement clinical assessments but currently available biomarkers have limited sensitivity and specificity. While oxidative stress is known to feature in damage mechanisms following TBI, investigation of blood biomarkers of oxidative stress has been limited. This exploratory pilot study of a subset of 18 trauma patients with TBI of varying severity, quantifies circulating concentrations of the structural damage indicators S100b, and myelin basic protein (MBP), and the biomarkers of oxidative stress hydroxynonenal (HNE), malondialdehyde (MDA), carboxy-methyl-lysine (CML), and 8-hydroxy-2'-deoxy-guanosine (8-OHDG). Significant increases in circulating S100b, MBP, and HNE were observed in TBI patient samples compared to 8 uninjured controls, and there was a significant decrease in CML. This small exploratory study supports the current literature on S100b and MBP elevation in TBI, and reveals potential for the use of peripheral oxidative stress markers to assist in determination of TBI severity. Further investigation is required to validate results and confirm trends.

摘要

创伤性脑损伤(TBI)涵盖了广泛的损伤机制和严重程度。对TBI严重程度进行详细测定可能是一项复杂的挑战,当前的临床工具有时不足以根据患者的一系列需求来制定临床应对措施。TBI的血液生物标志物可能会补充临床评估,但目前可用的生物标志物敏感性和特异性有限。虽然已知氧化应激在TBI后的损伤机制中起作用,但对氧化应激血液生物标志物的研究一直有限。这项对18名不同严重程度的TBI创伤患者子集进行的探索性初步研究,对结构损伤指标S100b和髓磷脂碱性蛋白(MBP)以及氧化应激生物标志物羟基壬烯醛(HNE)、丙二醛(MDA)、羧甲基赖氨酸(CML)和8-羟基-2'-脱氧鸟苷(8-OHDG)的循环浓度进行了量化。与8名未受伤的对照相比,在TBI患者样本中观察到循环S100b、MBP和HNE显著增加,且CML显著降低。这项小型探索性研究支持了当前关于TBI中S100b和MBP升高的文献,并揭示了使用外周氧化应激标志物辅助确定TBI严重程度的潜力。需要进一步研究来验证结果并确认趋势。

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索