Molecular biomarkers in stroke diagnosis and prognosis

被引：99

作者：

Maas, Matthew B. ^{[1
]}

Furie, Karen L. ^{[1
]}

机构：

[1] Harvard Univ, Sch Med, Dept Neurol, Massachusetts Gen Hosp, Cambridge, MA 02138 USA

来源：

BIOMARKERS IN MEDICINE | 2009年 / 3卷 / 04期

关键词：

biomarkers; cytokines; diagnosis; inflammation; prognosis; severity; stroke; worsening; ACUTE ISCHEMIC-STROKE; NEURON-SPECIFIC ENOLASE; C-REACTIVE PROTEIN; FIBRILLARY ACIDIC PROTEIN; MYELIN BASIC-PROTEIN; SPONTANEOUS INTRACEREBRAL HEMORRHAGE; TISSUE-PLASMINOGEN ACTIVATOR; N-ACETYL-ASPARTATE; MATRIX-METALLOPROTEINASE EXPRESSION; ADMISSION FIBRINOLYTIC PROFILE;

D O I：

10.2217/BMM.09.30

中图分类号：

R-3 [医学研究方法]; R3 [基础医学];

学科分类号：

1001 ;

摘要：

Serum biomarkers related to the cascade of inflammatory, hemostatic, glial and neuronal perturbations have been identified to diagnose and characterize intracerebral hemorrhage and cerebral ischemia. Interpretation of most markers is confounded by their latent rise, blood-brain barrier effects, the heterogeneity of etiologies and the wide range of normal values, limiting their application for early diagnosis, lesion size estimation and long-term outcome prediction. Certain hemostatic and inflammatory constituents have been found to predict response to thrombolysis and worsening due to infarct progression and secondary hemorrhage, offering a potential role for improved treatment selection and individualization of therapy. Biomarkers will become increasingly relevant for developing targets for neuroprotective therapies, monitoring response to treatment and as surrogate end points for treatment trials.

引用

页码：363 / 383

页数：21

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