Department of Neurology, College of Medicine, University of Tennessee Health Science Center, Memphis, Tennessee, USA.
Department of Neurology, Memphis Veterans Affairs Medical Center, Memphis, Tennessee, USA.
JCI Insight. 2018 Jan 11;3(1). doi: 10.1172/jci.insight.97105.
Mild traumatic brain injury (mTBI) is a common occurrence, with over 3 million cases reported every year in the United States. While research into the underlying pathophysiology is ongoing, there is an urgent need for better clinical guidelines that allow more consistent diagnosis of mTBI and ensure safe return-to-play timelines for athletes, nonathletes, and military personnel. The development of a suite of biomarkers that indicate the pathogenicity of mTBI could lead to clinically useful tools for establishing both diagnosis and prognosis. Here, we review the current evidence for mTBI biomarkers derived from investigations of the multifactorial pathology of mTBI. While the current literature lacks the scope and size for clarification of these biomarkers' clinical utility, early studies have identified some promising candidates.
轻度创伤性脑损伤(mTBI)较为常见,据报道,美国每年有超过 300 万例此类病例。尽管目前正在对其潜在病理生理学进行研究,但急需更好的临床指南,以便更一致地诊断 mTBI,并确保运动员、非运动员和军人的安全重返比赛时间表。如果能开发出一系列生物标志物来指示 mTBI 的致病性,这将为建立诊断和预后提供有用的临床工具。在这里,我们回顾了源自 mTBI 多因素病理学研究的 mTBI 生物标志物的现有证据。尽管目前的文献缺乏阐明这些生物标志物临床应用的范围和规模,但早期研究已经确定了一些有前途的候选者。