Khalaf Fadi, Touma Daniella, Pappas Alexandra, Hatim Lareina, Wojtowicz-Piotrowski Stephanie, Jeschke Marc G
David Braley Research Institute, Hamilton, ON, Canada.
Hamilton Health Sciences, Hamilton, ON, Canada.
Biomark Res. 2024 Dec 23;12(1):160. doi: 10.1186/s40364-024-00707-5.
Burn injuries represent a significant global challenge due to their multifaceted nature, characterized by a complex cascade of metabolic and immune dysfunction that can result in severe complications. If not identified and managed promptly, these complications can escalate, often leading to fatal outcomes. This underscores the critical importance of timely and precise diagnosis. Fortunately, biomarkers for burn-induced pathologies and outcomes have emerged as powerful diagnostic and prognostic tools. These biomarkers enable early diagnosis and intervention, facilitate risk assessment, support patient-specific treatment, monitoring of disease progression, and therapeutic efficacy, ultimately contributing to improved patient outcomes. However, while previous studies have provided valuable biomarkers for the detection of burn-induced pathologies, many of these were constrained by the techniques and sample sizes available at the time, which can limit the generalizability of the findings. This review highlights numerous biomarkers studied in the literature to date, underscoring the need to replicate these findings in more diverse and representative populations. It also emphasizes the importance of advancing research efforts to develop more efficient, accurate, and cost-effective approaches for integrating biomarkers into clinical practice.
由于烧伤损伤具有多方面的性质,其特征是复杂的代谢和免疫功能障碍级联反应,可导致严重并发症,因此烧伤损伤是一项重大的全球挑战。如果不能及时识别和处理,这些并发症可能会升级,常常导致致命后果。这突出了及时准确诊断的至关重要性。幸运的是,用于烧伤所致病理和预后的生物标志物已成为强大的诊断和预后工具。这些生物标志物能够实现早期诊断和干预,便于进行风险评估,支持针对患者的治疗、监测疾病进展和治疗效果,最终有助于改善患者预后。然而,虽然先前的研究已经提供了用于检测烧伤所致病理的有价值的生物标志物,但其中许多受到当时可用技术和样本量的限制,这可能会限制研究结果的普遍性。本综述强调了迄今为止文献中研究的众多生物标志物,强调需要在更多样化和更具代表性的人群中重复这些发现。它还强调了推进研究工作以开发更高效、准确和具有成本效益的方法,将生物标志物纳入临床实践的重要性。