Lee Kong Chian School of Medicine, Nanyang Technological University, 59 Nanyang Drive, Singapore, 636921, Singapore.
Mol Neurobiol. 2019 Mar;56(3):2256-2277. doi: 10.1007/s12035-018-1151-4. Epub 2018 Jul 14.
Neurological disorders are found to be influencing the peripheral tissues outside CNS. Recent developments in biomarkers for CNS have emerged with various diagnostic and therapeutic shortcomings. The role of central biomarkers including CSF-based and molecular imaging-based probes are still unclear for early diagnosis of major neurological diseases. Current trends show that early detection of neurodegenerative diseases with non-invasive methods is a major focus of researchers, and the development of biomarkers aiming peripheral tissues is in demand. Alzheimer's and Parkinson's diseases are known for the progressive loss in neural structures or functions, including the neural death. Various dysfunctions of metabolic and biochemical pathways are associated with early occurrence of neuro-disorders in peripheral tissues including skin, blood cells, and eyes. This article reviews the peripheral biomarkers explored for early detection of Alzheimer's and Parkinson's diseases including blood cells, skin fibroblast, proteomics, saliva, olfactory, stomach and colon, heart and peripheral nervous system, and others. Graphical Abstract.
神经系统疾病被发现会影响中枢神经系统(CNS)以外的周围组织。目前已经出现了用于中枢神经系统的生物标志物方面的新进展,但仍存在各种诊断和治疗方面的不足。包括基于 CSF 和基于分子成像的探针在内的中枢生物标志物在主要神经疾病的早期诊断中的作用仍不明确。目前的趋势表明,用非侵入性方法早期检测神经退行性疾病是研究人员的主要关注点,而针对周围组织的生物标志物的开发也有需求。阿尔茨海默病和帕金森病是众所周知的会导致神经结构或功能的进行性丧失,包括神经死亡。包括皮肤、血细胞和眼睛在内的外周组织中的神经紊乱与代谢和生化途径的各种功能障碍有关。本文综述了用于早期检测阿尔茨海默病和帕金森病的外周生物标志物的研究进展,包括血细胞、皮肤成纤维细胞、蛋白质组学、唾液、嗅觉、胃和结肠、心脏和周围神经系统等。图表摘要。