Elevation of neural injury markers in patients with neurologic sequelae after hospitalization for SARS-CoV-2 infection DOI Creative Commons
Michail Spanos,

Sigal Shachar,

Thadryan Sweeney

et al.

iScience, Journal Year: 2022, Volume and Issue: 25(8), P. 104833 - 104833

Published: Aug. 1, 2022

Patients with SARS-CoV-2 infection (COVID-19) risk developing long-term neurologic symptoms after infection. Here, we identify biomarkers associated sequelae one year hospitalization for SARS-CoV-2-positive patients were followed using post-SARS-CoV-2 online questionnaires and virtual visits. Hospitalized adults from the pre-SARS-CoV-2 era served as historical controls. 40% of hospitalized develop neurological in recovery acute COVID-19 Age, disease severity, itself was additional our cohorts. Glial fibrillary astrocytic protein (GFAP) neurofilament light chain (NF-L) significantly elevated After adjusting age, sex, GFAP NF-L remained longer term warrant exploration complications

Language: Английский

A Literature Review of Traumatic Brain Injury Biomarkers DOI Creative Commons
Hazem S. Ghaith, Asmaa Ahmed Nawar, Mohamed Diaa Gabra

et al.

Molecular Neurobiology, Journal Year: 2022, Volume and Issue: 59(7), P. 4141 - 4158

Published: April 30, 2022

Abstract Research into TBI biomarkers has accelerated rapidly in the past decade owing to heterogeneous nature of pathologies and management, which pose challenges evaluation, prognosis. biomarker proteins resulting from axonal, neuronal, or glial cell injuries are widely used have been extensively studied. However, they might not pass blood-brain barrier with sufficient amounts be detected peripheral blood specimens, further detectable cerebrospinal fluid flow limitations triggered by injury itself. Despite advances research, there is an unmet clinical need develop identify novel that entirely correlate on molecular level, including mild TBI, enable physicians predict patient outcomes allow researchers test neuroprotective agents limit extents injury. Although extracellular vesicles identified studied long ago, recently revisited repurposed as potential overcome many traditional CSF assays. Animal human experiments demonstrated accuracy several types exosomes miRNAs detecting mild, moderate, severe TBI. In this paper, we provide a comprehensive review helpful practice. Also, highlight emerging roles miRNA being promising candidates under investigation current research.

Language: Английский

Citations

94

Extracellular Vesicle Proteins and MicroRNAs as Biomarkers for Traumatic Brain Injury DOI Creative Commons
Vivian A. Guedes,

Christina Devoto,

Jacqueline Leete

et al.

Frontiers in Neurology, Journal Year: 2020, Volume and Issue: 11

Published: July 16, 2020

Traumatic brain injury (TBI) is a heterogeneous condition, associated with diverse etiologies, clinical presentations and degrees of severity, may result in chronic neurobehavioral sequelae. The field TBI biomarkers rapidly evolving to address the many facets pathology improve its management. Recent years have witnessed marked increase number publications interest role extracellular vesicles (EVs), which include exosomes, cell signaling, immune responses, as pathologies. Exosomes well-defined lipid bilayer surface markers that reflect origin an aqueous core contains variety biological material including proteins (e.g., cytokines growth factors) nucleic acids microRNAs). presence neurodegenerative changes such amyloid-β, α-synuclein phosphorylated tau exosomes suggests initiation propagation neurological diseases. However, mechanisms communication involving their are poorly understood. promising they can cross blood-brain barrier be isolated from peripheral fluids, serum, saliva, sweat, urine. Exosomal content protected enzymatic degradation by exosome membranes reflects internal environment origin, offering insights into tissue-specific pathological processes. Challenges use exosomal cargo difficulty isolating pure variable yields isolation processes, quantification vesicles, lack specificity markers. Moreover, there no consensus regarding nomenclature characteristics EV subtypes. In this review, we discuss current technical limitations challenges using other EVs blood-based biomarkers, highlighting potential diagnostic prognostic tools TBI.

Language: Английский

Citations

74

The biological significance and clinical utility of emerging blood biomarkers for traumatic brain injury DOI
Megan E. Huibregtse, Jeffrey J. Bazarian, Sandy R. Shultz

et al.

Neuroscience & Biobehavioral Reviews, Journal Year: 2021, Volume and Issue: 130, P. 433 - 447

Published: Aug. 31, 2021

Language: Английский

Citations

57

Exosomal RNAs in diagnosis and therapies DOI Creative Commons
Pranay Narang,

Morish Shah,

Vladimir Beljanski

et al.

Non-coding RNA Research, Journal Year: 2022, Volume and Issue: 7(1), P. 7 - 15

Published: Jan. 14, 2022

The field of extracellular vesicles has been rapidly developing after it became evident that a defined subset vesicles, called exosomes, can modulate several biological functions in distant cells and tissues. Exosomes range size from 40 to 160 nm diameter, are released by majority our body, carry molecules which reflect the cell origin. types biomolecules packed, their respective purpose, impact on physiological state distinct tissues should be understood advance using exosomes as biomarkers health disease. Many such effects linked exosomal RNA include both coding non-coding RNAs. role(s) various RNAs have started being recognized sequencing methods widely available led discovery variety roles regulating many processes beginning unraveled. In present review, we outline discuss recent progress elucidation driven relevance for major conditions including disorders central nervous system, cardiovascular metabolism, cancer, immune system. Furthermore, also potential use valuable therapeutics tissue regeneration resulting excessive inflammation. While exosome research is still its infancy, in-depth understanding formation, effects, specific cell-targeting will uncover how they used disease therapeutics.

Language: Английский

Citations

43

The game changer: UCH-L1 and GFAP-based blood test as the first marketed in vitro diagnostic test for mild traumatic brain injury DOI Creative Commons
Firas Kobeissy, Rawad Daniel Arja,

Jennifer C. Munoz

et al.

Expert Review of Molecular Diagnostics, Journal Year: 2024, Volume and Issue: 24(1-2), P. 67 - 77

Published: Jan. 26, 2024

Major organ-based in vitro diagnostic (IVD) tests like ALT/AST for the liver and cardiac troponins heart are established, but an approved IVD blood test brain has been missing, highlighting a gap medical diagnostics.

Language: Английский

Citations

11

Extracellular vesicles in neuroinflammation: Pathogenesis, diagnosis, and therapy DOI Creative Commons
Jing Ruan, Xiaomin Miao, Dirk Schlüter

et al.

Molecular Therapy, Journal Year: 2021, Volume and Issue: 29(6), P. 1946 - 1957

Published: April 23, 2021

Extracellular vesicles (EVs) are bilayer membrane and act as key messengers in intercellular communication. EVs can be secreted by both neurons glial cells the central nervous system (CNS). Under physiological conditions, contribute to CNS homeostasis facilitating omnidirectional communication among cell populations. In response injury, mediate neuroinflammatory responses regulate tissue damage repair, thereby influencing pathogenesis, development, and/or recovery of diseases, including autoimmune neurodegenerative stroke, traumatic infectious diseases. The unique ability pass through blood-brain barrier further confers them an important role bidirectional between periphery, application enables diagnosis, prognosis, therapy diseases a minimally invasive manner.

Language: Английский

Citations

53

Neuroprotective and Neurotoxic Effects of Glial-Derived Exosomes DOI Creative Commons
Karina Oyarce,

María Yamila Cepeda,

Raúl Lagos

et al.

Frontiers in Cellular Neuroscience, Journal Year: 2022, Volume and Issue: 16

Published: June 22, 2022

Exosomes derived from glial cells such as astrocytes, microglia, and oligodendrocytes can modulate cell communication in the brain exert protective or neurotoxic effects on neurons, depending environmental context upon their release. Their isolation, characterization, analysis under different conditions vitro , animal models samples patients has allowed to define participation of other molecular mechanisms behind neuroinflammation neurodegeneration spreading, propose use a potential diagnostic tool. Moreover, discovery specific cargos, cytokines, membrane-bound soluble proteins (neurotrophic factors, growth misfolded proteins), miRNA long-non-coding RNA, that are enriched glial-derived exosomes with neuroprotective damaging effects, inhibitors now be tested therapeutic tools. In this review we summarize state art how secretion by glia affect neurons central nervous system neuroinflammation, but also, stress stimuli pathological change levels exosome properties.

Language: Английский

Citations

30

Serum amyloid A and mitochondrial DNA in extracellular vesicles are novel markers for detecting traumatic brain injury in a mouse model DOI Creative Commons

Tony Z. Tang,

Yingxin Zhao, Deepesh Agarwal

et al.

iScience, Journal Year: 2024, Volume and Issue: 27(2), P. 108932 - 108932

Published: Jan. 21, 2024

This study investigates the potential use of circulating extracellular vesicles' (EVs) DNA and protein content as biomarkers for traumatic brain injury (TBI) in a mouse model. Despite an overall decrease EVs count during acute phase, there was increased presence exosomes (CD63

Language: Английский

Citations

8

Extracellular Vesicles: The Next Generation of Biomarkers and Treatment for Central Nervous System Diseases DOI Open Access
Gabriele Zanirati,

Paula Gabrielli dos Santos,

Allan Marinho Alcará

et al.

International Journal of Molecular Sciences, Journal Year: 2024, Volume and Issue: 25(13), P. 7371 - 7371

Published: July 5, 2024

It has been widely established that the characterization of extracellular vesicles (EVs), particularly small EVs (sEVs), shed by different cell types into biofluids, helps to identify biomarkers and therapeutic targets in neurological neurodegenerative diseases. Recent studies are also exploring efficacy mesenchymal stem cell-derived naturally enriched with microRNAs proteins for treating various In addition, released neural cells play a crucial function modulation signal transmission brain physiological conditions. However, pathological conditions, such can facilitate spread from one region other. On other hand, analysis biofluids sensitive diagnosis, prognosis, disease progression. This review discusses potential use several central nervous system lists their differences similarities confers as biomarkers. Further advances EV research coming years will likely lead routine settings.

Language: Английский

Citations

6

Bidirectional Brain-Systemic Interactions and Outcomes After TBI DOI
Alan I. Faden, James P. Barrett, Bogdan A. Stoica

et al.

Trends in Neurosciences, Journal Year: 2021, Volume and Issue: 44(5), P. 406 - 418

Published: Jan. 22, 2021

Language: Английский

Citations

37