The translational importance of establishing biomarkers of human spinal cord injury

被引:30
作者
Elizei, Sanam Salimi [1 ]
Kwon, Brian K. [1 ,2 ]
机构
[1] Univ British Columbia, Int Collaborat Repair Discoveries ICORD, Vancouver, BC, Canada
[2] Univ British Columbia, Vancouver Spine Surg Inst, Dept Orthopaed, Vancouver, BC, Canada
关键词
spinal cord injury; biomarkers; cerebrospinal fluid; injury severity; neurological recovery; CEREBROSPINAL-FLUID; SEVERITY; SERUM;
D O I
10.4103/1673-5374.202933
中图分类号
Q2 [细胞生物学];
学科分类号
071009 ; 090102 ;
摘要
The evaluation of such novel therapies for acute spinal cord injury in clinical trials is extremely challenging. Our current dependence upon the clinical assessment of neurologic impairment renders many acute SCI patients ineligible for trials because they are not examinable. Furthermore, the difficulty in predicting neurologic recovery based on the early clinical assessment forces investigators to recruit large cohorts to have sufficient power. Biomarkers that objectively classify injury severity and better predict neurologic outcome would be valuable tools for translational research. As such, the objective of the present review was to describe some of the translational challenges in acute spinal cord injury research and examine the potential utility of neurochemical biomarkers found within cerebrospinal fluid and blood. We focus on published efforts to establish biological markers for accurately classifying injury severity and precisely predict neurological outcome.
引用
收藏
页码:385 / 388
页数:4
相关论文
共 11 条
[1]   Diagnostic Value of Serum Levels of GFAP, pNF-H, and NSE Compared With Clinical Findings in Severity Assessment of Human Traumatic Spinal Cord Injury [J].
Ahadi, Reza ;
Khodagholi, Fariba ;
Daneshi, Abdolhadi ;
Vafaei, Ali ;
Mafi, Amir Ali ;
Jorjani, Masoumeh .
SPINE, 2015, 40 (14) :E823-E830
[2]   Guidelines for the conduct of clinical trials for spinal cord injury as developed by the ICCP panel: spontaneous recovery after spinal cord injury and statistical power needed for therapeutic clinical trials [J].
Fawcett, J. W. ;
Curt, A. ;
Steeves, J. D. ;
Coleman, W. P. ;
Tuszynski, M. H. ;
Lammertse, D. ;
Bartlett, P. F. ;
Blight, A. R. ;
Dietz, V. ;
Ditunno, J. ;
Dobkin, B. H. ;
Havton, L. A. ;
Ellaway, P. H. ;
Fehlings, M. G. ;
Privat, A. ;
Grossman, R. ;
Guest, J. D. ;
Kleitman, N. ;
Nakamura, M. ;
Gaviria, M. ;
Short, D. .
SPINAL CORD, 2007, 45 (03) :190-205
[3]   Serum neurofilament light chain is a biomarker of human spinal cord injury severity and outcome [J].
Kuhle, Jens ;
Gaiottino, Johanna ;
Leppert, David ;
Petzold, Axel ;
Bestwick, Jonathan P. ;
Malaspina, Andrea ;
Lu, Ching-Hua ;
Dobson, Ruth ;
Disanto, Giulio ;
Norgren, Niklas ;
Nissim, Ahuva ;
Kappos, Ludwig ;
Hurlbert, John ;
Yong, V. Wee ;
Giovannoni, Gavin ;
Casha, Steven .
JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY, 2015, 86 (03) :273-279
[4]   Cerebrospinal Fluid Biomarkers To Stratify Injury Severity and Predict Outcome in Human Traumatic Spinal Cord Injury [J].
Kwon, Brian K. ;
Streijger, Femke ;
Fallah, Nader ;
Noonan, Vanessa K. ;
Belanger, Lise M. ;
Ritchie, Leanna ;
Paquette, Scott J. ;
Ailon, Tamir ;
Boyd, Michael C. ;
Street, John ;
Fisher, Charles G. ;
Dvorak, Marcel F. .
JOURNAL OF NEUROTRAUMA, 2017, 34 (03) :567-580
[5]   Cerebrospinal Fluid Inflammatory Cytokines and Biomarkers of Injury Severity in Acute Human Spinal Cord Injury [J].
Kwon, Brian K. ;
Stammers, Anthea M. T. ;
Belanger, Lise M. ;
Bernardo, Arlene ;
Chan, Donna ;
Bishop, Carole M. ;
Slobogean, Gerard P. ;
Zhang, Hongbin ;
Umedaly, Hamed ;
Giffin, Mitch ;
Street, John ;
Boyd, Michael C. ;
Paquette, Scott J. ;
Fisher, Charles G. ;
Dvorak, Marcel F. .
JOURNAL OF NEUROTRAUMA, 2010, 27 (04) :669-682
[6]   Intrathecal pressure monitoring and cerebrospinal fluid drainage in acute spinal cord injury: a prospective randomized trial [J].
Kwon, Brian K. ;
Curt, Armin ;
Belanger, Lise M. ;
Bernardo, Arlene ;
Chan, Donna ;
Markez, John A. ;
Gorelik, Stephen ;
Slobogean, Gerard P. ;
Umedaly, Hamed ;
Giffin, Mitch ;
Nikolakis, Michael A. ;
Street, John ;
Boyd, Michael C. ;
Paquette, Scott ;
Fishers, Charles G. ;
Dvorak, Marcel F. .
JOURNAL OF NEUROSURGERY-SPINE, 2009, 10 (03) :181-193
[7]   A Novel Porcine Model of Traumatic Thoracic Spinal Cord Injury [J].
Lee, Jae H. T. ;
Jones, Claire F. ;
Okon, Elena B. ;
Anderson, Lisa ;
Tigchelaar, Seth ;
Kooner, Paul ;
Godbey, Tamara ;
Chua, Bev ;
Gray, Gordon ;
Hildebrandt, Rhonda ;
Cripton, Peter ;
Tetzlaff, Wolfram ;
Kwon, Brian K. .
JOURNAL OF NEUROTRAUMA, 2013, 30 (03) :142-159
[8]   Differential Neuroproteomic and Systems Biology Analysis of Spinal Cord Injury [J].
Moghieb, Ahmed ;
Bramlett, Helen M. ;
Das, Jyotirmoy H. ;
Yang, Zhihui ;
Selig, Tyler ;
Yost, Richard A. ;
Wang, Michael S. ;
Dietrich, W. Dalton ;
Wang, Kevin K. W. .
MOLECULAR & CELLULAR PROTEOMICS, 2016, 15 (07) :2379-2395
[9]   Nitric Oxide Metabolite Concentration in Cerebrospinal Fluid: Useful as a Prognostic Marker? [J].
Singh, Saurabh ;
Prakash, Jyoti ;
Singh, Rakesh ;
Verma, Ashish ;
Bansal, Hemant .
ASIAN SPINE JOURNAL, 2016, 10 (05) :828-833
[10]   Parallel Metabolomic Profiling of Cerebrospinal Fluid and Serum for Identifying Biomarkers of Injury Severity after Acute Human Spinal Cord Injury [J].
Wu, Yiman ;
Streijger, Femke ;
Wang, Yining ;
Lin, Guohui ;
Christie, Sean ;
Mac-Thiong, Jean-Marc ;
Parent, Stefan ;
Bailey, Christopher S. ;
Paquette, Scott ;
Boyd, Michael C. ;
Ailon, Tamir ;
Street, John ;
Fisher, Charles G. ;
Dvorak, Marcel F. ;
Kwon, Brian K. ;
Li, Liang .
SCIENTIFIC REPORTS, 2016, 6