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多发性硬化症诊断实验室生物标志物的最新进展。

An Update on Diagnostic Laboratory Biomarkers for Multiple Sclerosis.

机构信息

Cedars-Sinai Medical Center Department of Neurology, 127 S. San Vicente Blvd, A6600, Los Angeles, CA, 90048, USA.

Mellen Center for Multiple Sclerosis, Neurological Institute, Cleveland Clinic, 9500 Euclid Ave. U10 Mellen Center, Cleveland, OH, 44106, USA.

出版信息

Curr Neurol Neurosci Rep. 2022 Oct;22(10):675-688. doi: 10.1007/s11910-022-01227-1. Epub 2022 Oct 21.

DOI:10.1007/s11910-022-01227-1
PMID:36269540
Abstract

PURPOSE

For many patients, the multiple sclerosis (MS) diagnostic process can be lengthy, costly, and fraught with error. Recent research aims to address the unmet need for an accurate and simple diagnostic process through discovery of novel diagnostic biomarkers. This review summarizes recent studies on MS diagnostic fluid biomarkers, with a focus on blood biomarkers, and includes discussion of technical limitations and practical applicability.

RECENT FINDINGS

This line of research is in its early days. Accurate and easily obtainable biomarkers for MS have not yet been identified and validated, but several approaches to uncover them are underway. Continue efforts to define laboratory diagnostic biomarkers are likely to play an increasingly important role in defining MS at the earliest stages, leading to better long-term clinical outcomes.

摘要

目的

对于许多患者来说,多发性硬化症(MS)的诊断过程可能既漫长又昂贵,而且容易出错。最近的研究旨在通过发现新的诊断生物标志物来满足对准确而简单的诊断过程的需求。这篇综述总结了多发性硬化症诊断液生物标志物的最新研究,重点是血液生物标志物,并讨论了技术局限性和实际适用性。

最近的发现

这一研究领域还处于早期阶段。尚未确定和验证用于 MS 的准确且易于获取的生物标志物,但正在采用几种方法来发现它们。继续努力定义实验室诊断生物标志物可能在早期阶段对定义 MS 发挥越来越重要的作用,从而带来更好的长期临床结局。

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本文引用的文献

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How does Epstein-Barr virus trigger MS?爱泼斯坦-巴尔病毒如何引发多发性硬化症?
Immunity. 2022 Mar 8;55(3):390-392. doi: 10.1016/j.immuni.2022.02.008.
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CNS endothelial derived extracellular vesicles are biomarkers of active disease in multiple sclerosis.中枢神经系统内皮细胞衍生的细胞外囊泡是多发性硬化症活动期的生物标志物。
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Blood GFAP as an emerging biomarker in brain and spinal cord disorders.血液 GFAP 作为脑和脊髓疾病的新兴生物标志物。
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Identification of Y‒linked biomarkers and exploration of immune infiltration of normal-appearing gray matter in multiple sclerosis by bioinformatic analysis.通过生物信息学分析鉴定Y连锁生物标志物并探索多发性硬化症中正常外观灰质的免疫浸润情况。
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Biomarkers in autoimmune diseases of the central nervous system.中枢神经系统自身免疫性疾病的生物标志物。
Front Immunol. 2023 Apr 5;14:1111719. doi: 10.3389/fimmu.2023.1111719. eCollection 2023.
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Cerebrospinal Fluid Biomarkers in Differential Diagnosis of Multiple Sclerosis and Systemic Inflammatory Diseases with Central Nervous System Involvement.脑脊液生物标志物在多发性硬化症和累及中枢神经系统的全身性炎症性疾病鉴别诊断中的应用
Biomedicines. 2023 Feb 1;11(2):425. doi: 10.3390/biomedicines11020425.
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A first step towards preventive medicine in multiple sclerosis.迈向多发性硬化症预防医学的第一步。
Nat Rev Neurol. 2023 Mar;19(3):134-135. doi: 10.1038/s41582-022-00769-9.
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Apoptotic protease activating factor-1 gene and MicroRNA-484: A possible interplay in relapsing remitting multiple sclerosis.凋亡蛋白酶激活因子-1 基因与 MicroRNA-484:在复发缓解型多发性硬化中的可能相互作用。
Mult Scler Relat Disord. 2022 Feb;58:103502. doi: 10.1016/j.msard.2022.103502. Epub 2022 Jan 6.
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Longitudinal analysis reveals high prevalence of Epstein-Barr virus associated with multiple sclerosis.纵向分析显示,多发性硬化症与 Epstein-Barr 病毒的高患病率相关。
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Lack of association between C282Y and H63D polymorphisms in the hemochromatosis gene and risk of multiple sclerosis: A meta-analysis.血色素沉着症基因中C282Y和H63D多态性与多发性硬化症风险之间无关联:一项荟萃分析。
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CSF Kappa Free Light Chains: Cutoff Validation for Diagnosing Multiple Sclerosis.脑脊液κ游离轻链:用于诊断多发性硬化症的临界值验证
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Central vein sign: A diagnostic biomarker in multiple sclerosis (CAVS-MS) study protocol for a prospective multicenter trial.中央静脉征:一项用于前瞻性多中心试验的多发性硬化症(CAVS-MS)研究方案中的诊断生物标志物。
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