Department of Neuroanaesthesiology and Critical Care, JPNA Trauma Centre, All IndiaInstitute of Medical Sciences (AIIMS), New Delhi 110029, India.
Department of Neurocritical care and Neuroanesthesia, Medanta-The Medicity Hospital, Gurugram, Haryana, India.
Clin Chim Acta. 2018 Dec;487:325-329. doi: 10.1016/j.cca.2018.10.025. Epub 2018 Oct 19.
Brain-specific biomolecules are being increasingly investigated as a viable alternative to the clinical scores and radiological features, on which we still rely upon for stratification, therapy and predicting outcome in traumatic brain injury (TBI). TBI generally leads to release of various chemical compound within the cerebrospinal fluid (CSF) or blood depending on the severity of injury, which were studied variedly in last decades. However, most of these compounds being non-specific to brain, their applicability was challenged further. This review encompasses the novel and promising biomarkers being studied in the present decade, with encouraging results in laboratory and animal or human models.
脑特异性生物分子作为一种可行的替代方法,正在越来越多地被研究用于创伤性脑损伤(TBI)的分层、治疗和预后预测,而我们目前仍然依赖于临床评分和影像学特征。TBI 通常会导致脑脊液(CSF)或血液中各种化学物质的释放,具体取决于损伤的严重程度,这些物质在过去几十年中得到了不同程度的研究。然而,由于这些化合物大多数对大脑没有特异性,因此其适用性进一步受到了挑战。本综述涵盖了目前十年中正在研究的新型有前途的生物标志物,这些标志物在实验室、动物或人类模型中取得了令人鼓舞的结果。