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精神分裂症生物标志物研究的最新进展:描绘从实验室到临床的道路

Recent advancements in biomarker research in schizophrenia: mapping the road from bench to bedside.

作者信息

Patel Shivangi, Sharma Dilip, Uniyal Ankit, Gadepalli Anagha, Tiwari Vinod

机构信息

Department of Pharmacology, Bombay College of Pharmacy, 400098, Mumbai, India.

Rutgers New Jersey Medical School, 07103, Newark, NJ, United States.

出版信息

Metab Brain Dis. 2022 Oct;37(7):2197-2211. doi: 10.1007/s11011-022-00926-5. Epub 2022 Mar 3.

Abstract

Schizophrenia (SZ) is a severe progressive neurodegenerative as well as disruptive behavior disorder affecting innumerable people throughout the world. The discovery of potential biomarkers in the clinical scenario would lead to the development of effective methods of diagnosis and would provide an understanding of the prognosis of the disease. Moreover, breakthrough inventions for the treatment and prevention of this mysterious disease could evolve as a result of a thorough understanding of the clinical biomarkers. In this review, we have discussed about specific biomarkers of SZ an emphasis has been laid to delineate (1) diagnostic biomarkers like neuroimmune biomarkers, metabolic biomarkers, oligodendrocyte biomarkers and biomarkers of negative and cognitive symptoms, (2) therapeutic biomarkers like various neurotransmitter systems and (3) prognostic biomarkers. All the biomarkers were evaluated in drug-naïve (at least for 4 weeks) patients in order to achieve a clear comparison between schizophrenic patients and healthy controls. Also, an attempt has been made to elucidate the potential genes which serve as predictors and tools for the determination of biomarkers and would ultimately help in the prevention and treatment of this deadly illness.

摘要

精神分裂症(SZ)是一种严重的进行性神经退行性疾病,也是一种扰乱行为的疾病,影响着全世界无数人。在临床情况下发现潜在的生物标志物将有助于开发有效的诊断方法,并能让人了解该疾病的预后。此外,由于对临床生物标志物有透彻的了解,可能会出现治疗和预防这种神秘疾病的突破性发明。在这篇综述中,我们讨论了精神分裂症的特定生物标志物,重点阐述了:(1)诊断性生物标志物,如神经免疫生物标志物、代谢生物标志物、少突胶质细胞生物标志物以及阴性和认知症状的生物标志物;(2)治疗性生物标志物,如各种神经递质系统;(3)预后生物标志物。所有生物标志物均在未服用药物(至少4周)的患者中进行评估,以便在精神分裂症患者和健康对照之间进行明确比较。此外,还尝试阐明那些作为生物标志物测定的预测指标和工具的潜在基因,这最终将有助于预防和治疗这种致命疾病。

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