J ALZHEIMERS DIS:血液测试可用于检测慢性创伤性脑病

2016-03-06 MedSci MedSci原创

据发表于Journal of Alzheimer's Disease的一项研究显示,血液测试或可用于检测慢性创伤性脑病(CTE)。

据发表于Journal of Alzheimer's Disease的一项研究显示,血液测试或可用于检测慢性创伤性脑病(CTE)。

慢性创伤性脑病(CTE)是一个因既往头部反复撞击而引起的tau病,如发生在美式足球运动中和其他的碰撞运动中头部反复撞击,可通过神经病理检查来诊断CTE。普通人群中CTE的许多临床特征很常见,不论是否存在头部冲击史,因此CTE的临床诊断很困难。现在又常见于其他神经退行性疾病的诊断,如阿尔茨海默氏病,因此需要通过客观的生物标志物来诊断CTE。本研究旨在通过检测血浆中的tau蛋白阳性是否可作为诊断CTE的生物标志物。

研究共纳入了78名国家橄榄球联盟(NFL)的球员以及16名对照者。从所有研究对象的血浆中出细胞外囊泡。荧光纳米粒子追踪分析以确定tau染色阳性的囊泡数量。

结果发现,NFL组细胞外的tau高于对照组。两组之间的细胞外tau存在差异,敏感性为82%,特异性为100%,阳性预测值为100%,阴性预测值为53%。NFL组中,较高的细胞外tau与较差的记忆及较慢的思维运转速度有关。

总而言之,这些初步研究结果表明血浆中的胞外tau蛋白可能是诊断CTE的一个准确且可无创获得的标志物。

原始出处:

Stern, Robert A, Tripodis, Yorghos, et al., Preliminary Study of Plasma Exosomal Tau as a Potential Biomarker for Chronic Traumatic Encephalopathy. Journal of Alzheimer's Disease, 10 February 2016.DOI: 10.3233/JAD-151026.

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    2016-10-28 amyloid
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    2016-04-21 仁者大医
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  5. 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  6. 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    2016-09-10 showtest
  7. 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  8. 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  9. 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