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脑性瘫痪生物标志物的研究进展。

Advances in cerebral palsy biomarkers.

机构信息

Department of Obstetrics and Gynecology, Maternal Fetal Medicine Division, Beaumont Health System, Royal Oak, MI, United States; Oakland University-William Beaumont School of Medicine, Beaumont Health, Royal Oak, MI, United States.

Department of Obstetrics and Gynecology, Maternal Fetal Medicine Division, Beaumont Health System, Royal Oak, MI, United States; Oakland University-William Beaumont School of Medicine, Beaumont Health, Royal Oak, MI, United States.

出版信息

Adv Clin Chem. 2021;100:139-169. doi: 10.1016/bs.acc.2020.04.006. Epub 2020 May 23.

DOI:10.1016/bs.acc.2020.04.006
PMID:33453864
Abstract

Cerebral palsy (CP), defined as a group of nonprogressive disorders of movement and posture, is the most common cause of severe neurodisability in children. The prevalence of CP is the same across the globe, affecting approximately 17 million people worldwide. Cerebral Palsy is an umbrella term used to describe the disease due to its inherent heterogeneity. For instance, CP has multiple (1) causes; (2) clinical types; (3) patterns of neuropathology on brain imaging and (4) it's associated with several developmental pathologies such as intellectual disability, autism, epilepsy, and visual impairment. Understanding its physiopathology is crucial to developing protective strategies. Despite its importance, there is still insufficient progress in the areas of CP prediction, early diagnosis, treatment, and prevention. Herein we describe the current risk factors and biomarkers used for the diagnosis and prediction of CP. With the advancement in biomarker discovery, we predict that our understanding of the etiopathophysiology of CP will also increase, lending to more opportunities for developing novel treatments and prognosis.

摘要

脑性瘫痪(CP),定义为一组非进行性运动和姿势障碍,是儿童最常见的严重神经残疾原因。CP 的患病率在全球范围内相同,影响全世界约 1700 万人。脑瘫是一个伞式术语,用于描述由于其固有异质性而导致的疾病。例如,CP 有多种(1)病因;(2)临床类型;(3)脑影像学上的神经病理学模式;(4)它与几种发育病理学相关,如智力残疾、自闭症、癫痫和视力障碍。了解其病理生理学对于制定保护策略至关重要。尽管它很重要,但在 CP 的预测、早期诊断、治疗和预防方面仍然没有取得足够的进展。本文描述了目前用于 CP 诊断和预测的风险因素和生物标志物。随着生物标志物发现的进步,我们预测我们对 CP 的病因发病机制的理解也将增加,为开发新的治疗方法和预后提供更多机会。

相似文献

1
Advances in cerebral palsy biomarkers.脑性瘫痪生物标志物的研究进展。
Adv Clin Chem. 2021;100:139-169. doi: 10.1016/bs.acc.2020.04.006. Epub 2020 May 23.
2
Integrative Multi-Omics Research in Cerebral Palsy: Current Progress and Future Prospects.脑瘫的综合多组学研究:当前进展与未来展望
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Cerebral palsy following term newborn encephalopathy: a population-based study.足月儿新生儿脑病后的脑瘫:一项基于人群的研究。
Dev Med Child Neurol. 2005 May;47(5):293-8. doi: 10.1017/s0012162205000575.
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Dysregulation of multiple signaling pathways: A possible cause of cerebral palsy.多种信号通路失调:脑瘫的可能病因。
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Cerebral palsy: introduction and diagnosis (part I).脑瘫:介绍与诊断(第一部分)
J Pediatr Health Care. 2007 May-Jun;21(3):146-52. doi: 10.1016/j.pedhc.2006.06.007.
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Pathophysiology of cerebral palsy.脑瘫的病理生理学
Handb Clin Neurol. 2013;111:169-76. doi: 10.1016/B978-0-444-52891-9.00016-6.
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Practice parameter: diagnostic assessment of the child with cerebral palsy [RETIRED]: report of the Quality Standards Subcommittee of the American Academy of Neurology and the Practice Committee of the Child Neurology Society.实践参数:脑瘫患儿的诊断评估[已退休]:美国神经病学学会质量标准小组委员会和儿童神经病学会实践委员会报告
Neurology. 2004 Mar 23;62(6):851-63. doi: 10.1212/01.wnl.0000117981.35364.1b.
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Genetic [corrected] insights into the causes and classification of [corrected] cerebral palsies.遗传[修正]见解对脑性瘫痪的病因和分类[修正]。
Lancet Neurol. 2012 Mar;11(3):283-92. doi: 10.1016/S1474-4422(11)70287-3. Epub 2012 Jan 18.
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Evaluation of the child with cerebral palsy.脑瘫患儿的评估
Semin Pediatr Neurol. 2004 Mar;11(1):47-57. doi: 10.1016/j.spen.2004.01.007.
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Cerebral palsy--don't delay.脑瘫——切勿拖延。
Dev Disabil Res Rev. 2011;17(2):114-29. doi: 10.1002/ddrr.1106.

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