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脑脊液 和血液生物标志物检测在AD和PD等神经退行性疾病的诊断和治疗中具有重要作用。 如脑脊液中Aβ42、总Tau蛋白(t-Tau)和p-Tau在AD的轻度认知障碍期可达到95%以上的灵敏度和特异性,是AD痴呆期的诊断标志物 [4]。 新指南增添了3种新的生物标志物用于描述炎症机制的I,以及两种常见的非 AD共病病理类别,即血管性脑损伤 (V)和α-突触核蛋白 (S)。 其 中,脑 损伤标志物在解析脑损伤病理生理机制、监测病程演变及预测预后转归方面具有重要的临床应用价值。 结 合影像学检查使用时,脑损伤标志物能够进一步提升脑损伤评估的准确性。

在阿尔兹海默症、帕金森病等神经退行性疾病的临床诊断中,一直缺乏能够应用于超早期筛查的液体活检标志物。 随着单细胞技术、人工智能和纳米医学的进步,标志物的发现与应用有望推动神经免疫疾病的早期干预和个性化治疗。 以下是国际范围内在神经炎症标志物研究领域具有重要影响力的研究机构及其主要研究方向、技术平台和合作网络的… 虽然传统流式细胞术对低浓度生物标志物灵敏度有限,但新型高参数流式(质谱流式)技术可同时检测40种以上细胞表面和胞内标志物,在神经免疫疾病(如多发性硬化症)的免疫细胞亚群分析中发挥独特价值。

本文汇总并分析近年来各类TBI 相关生物标志物研究的代表性文献,分类评述传统TBI生物标志物、已经进入临床研究阶段的TBI 生物标志物及新兴TBI 生物标志物在对TBI的诊断效能及评估疾病严重程度与判断预后等方面的研究进展,为TBI诊断和治疗提供新思路。

神经退行性疾病的血液生物标志物主要源于脑内病理改变(如蛋白沉积、神经元损伤)释放至外周血的分子,通过高灵敏度检测技术捕捉其浓度变化,实现 “从血液推断脑内病理” 的诊断逻辑。目前临床研究最成熟、应用前景最广的标志物集中于 AD 领域,同时 PD、DLB 的血液标志物也取得重要突破. 我们旨在总结这些生物标志物的应用及其相关兴趣和局限性在神经系统疾病的诊断和预后中,包括创伤性脑损伤、癫痫持续状态、中风、阿尔茨海默病和感染。 阿尔兹海默病 (AD)及脑损伤 (TBI)联检试剂,基于自主研发的专利生物标志物检测技术,构建了覆盖神经退行性疾病全病程的多维度血液诊断系统。 该产品突破传统影像学辐射暴露、脑脊液检测侵入性强及量表评估主观性高的局限,通过高敏化学发光平台实现一管血同步检测多项核心生物标志物,兼具高通量、高精度与低成本优势。

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