Why have we not yet developed a simple blood test for TBI

作者: Benjamin A Plog , Maiken Nedergaard

DOI: 10.1586/14737175.2015.1031112

关键词: Poison controlCause of deathTraumatic brain injuryBiomarker (medicine)Injury preventionIntensive care medicineBlood testMedicinePopulationPhysical examinationPhysical therapy

摘要: In recent years, traumatic brain injury (TBI) has emerged as a rapidly growing public health challenge. Annually, approximately 1.7 million people will sustain TBI in the USA and WHO named leading cause of death disability young adults worldwide, predicting it become third general population by 2020. The medical community currently relies on clinical examination various neuroimaging modalities for diagnosis TBI; however, these methodologies are often confounded altered patient mental status particularly poor at identifying mild-to-moderate injury. Despite decades basic research, identification hundreds biochemical markers, presently there is no blood test to objectively assess severity. Recent work suggests treatment-induced variance brain’s glymphatic clearance may be responsible breakdown between biomarker discovery translation.

参考文章(28)
Linda Papa, Michelle M. Ramia, Jared M. Kelly, Stephen S. Burks, Artur Pawlowicz, Rachel P. Berger, Systematic Review of Clinical Research on Biomarkers for Pediatric Traumatic Brain Injury Journal of Neurotrauma. ,vol. 30, pp. 324- 338 ,(2013) , 10.1089/NEU.2012.2545
M W Bradbury, D F Cole, The role of the lymphatic system in drainage of cerebrospinal fluid and aqueous humour. The Journal of Physiology. ,vol. 299, pp. 353- 365 ,(1980) , 10.1113/JPHYSIOL.1980.SP013129
Richa Sharma, Daniel T. Laskowitz, Biomarkers in Traumatic Brain Injury Current Neurology and Neuroscience Reports. ,vol. 12, pp. 560- 569 ,(2012) , 10.1007/S11910-012-0301-8
Erzsébet Kövesdi, János Lückl, Péter Bukovics, Orsolya Farkas, József Pál, Endre Czeiter, Dóra Szellár, Tamás Dóczi, Sámuel Komoly, András Büki, None, Update on protein biomarkers in traumatic brain injury with emphasis on clinical use in adults and pediatrics Acta Neurochirurgica. ,vol. 152, pp. 1- 17 ,(2010) , 10.1007/S00701-009-0463-6
Adam Chodobski, Brian J. Zink, Joanna Szmydynger-Chodobska, Blood-brain barrier pathophysiology in traumatic brain injury. Translational Stroke Research. ,vol. 2, pp. 492- 516 ,(2011) , 10.1007/S12975-011-0125-X
Göran Settergren, Russell E. Anderson, Lars-Olof Hansson, Olle Nilsson, Rumjana Dijlai-Merzoug, High serum S100B levels for trauma patients without head injuries. Neurosurgery. ,vol. 48, pp. 1255- 1260 ,(2001) , 10.1097/00006123-200106000-00012
Cyrus Eierud, R. Cameron Craddock, Sean Fletcher, Manek Aulakh, Brooks King-Casas, Damon Kuehl, Stephen M. LaConte, Neuroimaging after mild traumatic brain injury: Review and meta-analysis NeuroImage: Clinical. ,vol. 4, pp. 283- 294 ,(2014) , 10.1016/J.NICL.2013.12.009
Benjamin A. Plog, Matthew L. Dashnaw, Emi Hitomi, Weiguo Peng, Yonghong Liao, Nanhong Lou, Rashid Deane, Maiken Nedergaard, Biomarkers of Traumatic Injury Are Transported from Brain to Blood via the Glymphatic System The Journal of Neuroscience. ,vol. 35, pp. 518- 526 ,(2015) , 10.1523/JNEUROSCI.3742-14.2015
Robert D Bell, Abhay P Sagare, Alan E Friedman, Gurrinder S Bedi, David M Holtzman, Rashid Deane, Berislav V Zlokovic, Transport pathways for clearance of human Alzheimer's amyloid β-peptide and apolipoproteins E and J in the mouse central nervous system Journal of Cerebral Blood Flow and Metabolism. ,vol. 27, pp. 909- 918 ,(2007) , 10.1038/SJ.JCBFM.9600419