Lv Xin-Ni, Li Zuo-Qiao, Li Qi
Department of Neurology, The First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China.
Department of Neurology, The Second Affiliated Hospital of Anhui Medical University, Hefei 230601, China.
J Clin Med. 2023 Oct 16;12(20):6562. doi: 10.3390/jcm12206562.
Intracerebral hemorrhage (ICH) is one of the most lethal subtypes of stroke, associated with high morbidity and mortality. Prevention of hematoma growth and perihematomal edema expansion are promising therapeutic targets currently under investigation. Despite recent improvements in the management of ICH, the ideal treatments are still to be determined. Early stratification and triage of ICH patients enable the adjustment of the standard of care in keeping with the personalized medicine principles. In recent years, research efforts have been concentrated on the development and validation of blood-based biomarkers. The benefit of looking for blood candidate markers is obvious because of their acceptance in terms of sample collection by the general population compared to any other body fluid. Given their ease of accessibility in clinical practice, blood-based biomarkers have been widely used as potential diagnostic, predictive, and prognostic markers. This review identifies some relevant and potentially promising blood biomarkers for ICH. These blood-based markers are summarized by their roles in clinical practice. Well-designed and large-scale studies are required to validate the use of all these biomarkers in the future.
脑出血(ICH)是中风最致命的亚型之一,具有高发病率和死亡率。预防血肿扩大和血肿周围水肿是目前正在研究的有前景的治疗靶点。尽管近年来脑出血的治疗有所改善,但理想的治疗方法仍有待确定。对脑出血患者进行早期分层和分诊能够根据个性化医疗原则调整护理标准。近年来,研究工作集中在血液生物标志物的开发和验证上。寻找血液候选标志物的好处显而易见,因为与任何其他体液相比,普通人群更容易接受采集血液样本。鉴于其在临床实践中易于获取,基于血液的生物标志物已被广泛用作潜在的诊断、预测和预后标志物。本综述确定了一些与脑出血相关且可能有前景的血液生物标志物。这些基于血液的标志物根据其在临床实践中的作用进行了总结。未来需要精心设计的大规模研究来验证所有这些生物标志物的用途。