Biochemistry and Molecular Genetic Department, University Hospital, F-63000 Clermont-Ferrand, France.
Faculty of Medicine of Clermont-Ferrand, Université Clermont Auvergne, CNRS, Inserm, GReD, F-63000 Clermont-Ferrand, France.
Int J Mol Sci. 2023 Apr 1;24(7):6602. doi: 10.3390/ijms24076602.
Mild traumatic brain injury (mTBI) accounts for approximately 80% of all TBI cases and is a growing source of morbidity and mortality worldwide. To improve the management of children and adults with mTBI, a series of candidate biomarkers have been investigated in recent years. In this context, the measurement of blood biomarkers in the acute phase after a traumatic event helps reduce unnecessary CT scans and hospitalizations. In athletes, improved management of sports-related concussions is also sought to ensure athletes' safety. S100B protein has emerged as the most widely studied and used biomarker for clinical decision making in patients with mTBI. In addition to its use as a diagnostic biomarker, S100B plays an active role in the molecular pathogenic processes accompanying acute brain injury. This review describes S100B protein as a diagnostic tool as well as a potential therapeutic target in patients with mTBI.
轻度创伤性脑损伤(mTBI)约占所有 TBI 病例的 80%,是全球发病率和死亡率不断上升的一个原因。为了改善儿童和成人 mTBI 的管理,近年来已经研究了一系列候选生物标志物。在这种情况下,在创伤事件后的急性期测量血液生物标志物有助于减少不必要的 CT 扫描和住院治疗。在运动员中,还寻求改善与运动相关的脑震荡的管理,以确保运动员的安全。S100B 蛋白已成为 mTBI 患者临床决策中研究和使用最广泛的生物标志物。除了用作诊断生物标志物外,S100B 在伴随急性脑损伤的分子发病过程中也发挥着积极作用。本综述将 S100B 蛋白描述为 mTBI 患者的诊断工具以及潜在的治疗靶点。