Abstract
Neurological disorders pose a great threat to social health and are a major cause for mortality and morbidity. Effective drug development complemented with the improved drug therapy has made considerable progress towards easing symptoms associated with neurological illnesses, yet poor diagnosis and imprecise understanding of these disorders has led to imperfect treatment options. The scenario is complicated by the inability to extrapolate results of cell culture studies and transgenic models to clinical applications which has stagnated the process of improving drug therapy. In this context, the development of biomarkers has been viewed as beneficial to easing various pathological complications. A biomarker is measured and evaluated in order to gauge the physiological process or a pathological progression of a disease and such a marker can also indicate the clinical or pharmacological response to a therapeutic intervention. The development and identification of biomarkers for neurological disorders involves several issues including the complexity of the brain, unresolved discrepant data from experimental and clinical studies, poor clinical diagnostics, lack of functional endpoints, and high cost and complexity of techniques yet research in the area of biomarkers is highly desired. The present work describes existing biomarkers for various neurological disorders, provides support for the idea that biomarker development may ease our understanding underlying pathophysiology of these disorders and help to design and explore therapeutic targets for effective intervention.
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References
Mayeux R (2004) Biomarkers: potential uses and limitations. NeuroRx 1(2):182–188. https://doi.org/10.1602/neurorx.1.2.182
Mohapatra D, Jena S, Prusty SK et al (2020) Biomarkers of Alzheimer’s Disease: a review. Sys Rev Pharm. https://doi.org/10.31838/srp.2020.6.24
Jeromin A, Bowser R (2017) Biomarkers in neurodegenerative diseases. Adv Neurobiol 15:491–528. https://doi.org/10.1007/978-3-319-57193-5_20
Rachakonda V, Pan TH, Le WD (2004) Biomarkers of neurodegenerative disorders: how good are they? Cell Res 14(5):347–358. https://doi.org/10.1038/sj.cr.7290235
Ravnik-Glavač M, Glavač D (2020) Circulating RNAs as potential biomarkers in amyotrophic lateral sclerosis. Int J Mol Sci 21(5):1714. https://doi.org/10.3390/ijms21051714
Kang J, Kim JW, Heo H et al (2021) Identification of BAG2 and cathepsin D as plasma biomarkers for Parkinson’s Disease. Clin Transl Sci 14(2):606–616. https://doi.org/10.1111/cts.12920
García-Gutiérrez MS, Navarrete F, Sala F et al (2020) Biomarkers in psy-chiatry: concept, definition, types and relevance to the clinical reality. Front Psychiatry 11:432. https://doi.org/10.3389/fpsyt.2020.00432
Dhama K, Latheef SK, Dadar M et al (2019) Biomarkers in stress related diseases/disorders: di-agnostic, prognostic, and therapeutic values. Front Mol Biosci 6:91. https://doi.org/10.3389/fmolb.2019.00091
Califf RM (2018) Biomarker definitions and their applications. Exp Biol Med 243(3):213–221. https://doi.org/10.1177/1535370217750088
Henry NL, Hayes DF (2012) Cancer biomarkers. Mol Oncol 6(2):140–146. https://doi.org/10.1016/j.molonc.2012.01.010
Cova I, Priori A (2018) Diagnostic biomarkers for Parkinson’s disease at a glance: where are we? J Neural Transm 125(10):1417–1432. https://doi.org/10.1007/s00702-018-1910-4
Chen JJ, Lu TP, Chen YC (2015) Predictive biomarkers for treatment selection: statistical considerations. Biomark Med 9(11):1121–1135. https://doi.org/10.2217/bmm.15.84
Hampel H, Blennow K (2004) CSF tau and β-amyloid as biomarkers for mild cognitive impairment. Dialogues Clin Neurosci 6(4):379–390. https://doi.org/10.31887/DCNS.2004.6.4/hhampel
Kany S, Vollrath JT, Relja B (2019) Cytokines in inflammatory disease. Int J Mol Sci 20(23):6008. https://doi.org/10.3390/ijms20236008
Tanaka T, Narazaki M, Kishimoto T (2014) IL-6 in inflammation, immunity, and disease. Cold Spring Harb Perspect Biol 6(10):a016295. https://doi.org/10.1101/cshperspect.a016295
Ntetsika T, Papathoma PE, Markaki I (2021) Novel targeted therapies for Parkinson’s disease. Mol Med 27(1):17. https://doi.org/10.1186/s10020-021-00279-2
Kon T, Tomiyama M, Wakabayashi K (2020) Neuropathology of Lewy body disease: Clinicopathological crosstalk be-tween typical and atypical cases. Neuropathology 40(1):30–39. https://doi.org/10.1111/neup.12597
Reeve AK, Grady JP, Cosgrave EM et al (2018) Mitochondrial dys-function within the synapses of substantia nigra neurons in Parkinson’s disease. NPJ Parkinsons Dis 4(1):1–10. https://doi.org/10.1038/s41531-018-0044-6
Le W, Dong J, Li S et al (2017) Can biomarkers help the early diagnosis of parkinson’s disease? Neurosci Bull 33(5):535–542. https://doi.org/10.1007/s12264-017-0174-6
Fagan AM, Holtzman DM (2010) Cerebrospinal fluid biomarkers of Alzheimer’s disease. Biomark Med 4(1):51–63. https://doi.org/10.2217/BMM.09.83
Buddhala C, Campbell MC, Perlmutter JS, Kotzbauer PT (2015) Correlation between decreased CSF α-synuclein and Aβ1–42 in Parkinson disease. Neurobiol Aging 36(1):476–484. https://doi.org/10.1016/j.neurobiolaging.2014.07.043
Mita Y, Kataoka Y, Saito Y et al (2018) Distribution of oxidized DJ-1 in Parkinson’s disease-related sites in the brain and in the peripheral tissues: effects of aging and a neurotoxin. Sci Rep 8(1):12056. https://doi.org/10.1038/s41598-018-30561-z
He R, Yan X, Guo J et al (2018) Recent advances in biomarkers for parkinson’s disease. Front Aging Neurosci 10:305. https://doi.org/10.3389/fnagi.2018.00305
Sathe G, Na CH, Renuse S et al (2019) Quantitative proteomic profil-ing of cerebrospinal fluid to identify candidate biomarkers for alzheimer’s disease. Proteomics Clin Appl 13(4):e1800105. https://doi.org/10.1002/prca.201800105
Gómez-Benito M, Granado N, García-Sanz P et al (2020) Modeling Parkinson’s Disease With the Alpha-Synuclein Protein. Front Pharmacol 11:356. https://doi.org/10.3389/fphar.2020.00356
Wakabayashi K, Tanji K, Mori F et al (2007) The Lewy body in Parkinson’s disease: molecules implicated in the formation and degradation of alpha-synuclein aggregates. Neuropathology 27(5):494–506. https://doi.org/10.1111/j.1440-1789.2007.00803.x
Yang HJ, Vainshtein A, Maik-Rachline G et al (2016) G protein-coupled receptor 37 is a negative regulator of oli-godendrocyte differentiation and myelination. Nat Commun 7:10884. https://doi.org/10.1038/ncomms10884
Liu B, Mosienko V, Vaccari Cardoso B (2018) Glio- and neuro-protection by prosaposin is mediated by orphan G-protein coupled receptors GPR37L1 and GPR37. Glia 66(11):2414–2426. https://doi.org/10.1002/glia.23480
Hebron ML, Lonskaya I, Sharpe K et al (2013) Parkin ubiquitinates Tar-DNA binding protein-43 (TDP-43) and promotes its cytosolic accumulation via interaction with histone deacetylase 6 (HDAC6). J Bio Chem 288(6):4103–4115. https://doi.org/10.1074/jbc.M112.419945
Marazziti D, Golini E, Mandillo S et al (2004) Altered dopamine signaling and MPTP resistance in mice lacking the Parkinson’s disease-associated GPR37/parkin-associated endo-thelin-like receptor. Proc Nat Acad Sci USA 101(27):10189–10194. https://doi.org/10.1073/pnas.0403661101
Morató X, Garcia-Esparcia P, Argerich J et al (2021) Ecto-GPR37: a potential biomarker for Parkinson’s dis-ease. Transl Neurodegener 10(1):8. https://doi.org/10.1186/s40035-021-00232-7
Berti V, Pupi A, Mosconi L (2011) PET/CT in diagnosis of movement disorders. Ann NY Acad Sci 1228:93–108. https://doi.org/10.1111/j.1749-6632.2011.06025.x
Yeshokumar AK, Saylor D, Kornberg MD et al (2015) Evidence for the importance of vitamin D status in neu-rologic conditions. Curr Treat Options Neurol 17(12):51. https://doi.org/10.1007/s11940-015-0380-3
Malek N, Lawton MA, Swallow DM et al (2016) Vascular disease and vascular risk factors in relation to motor features and cognition in early Parkinson’s disease. Mov Disord 31(10):1518–1526. https://doi.org/10.1002/mds.26698
Ascherio A, LeWitt PA, Xu K et al (2009) Urate as a predictor of the rate of clinical decline in Parkinson disease. Arch Neurol 66(12):1460–1468. https://doi.org/10.1001/archneurol.2009.247
Lawton M, Baig F, Toulson G, Morovat A, Evetts SG, Ben-Shlomo Y, Hu MT (2020) Blood biomarkers with Parkin-son’s disease clusters and prognosis: The oxford discovery cohort. Mov Disord 35(2):279–287. https://doi.org/10.1002/mds.27888
Huynh KK, Eskelinen EL, Scott CC et al (2007) LAMP proteins are required for fusion of lysosomes with phagosomes. EMBO 26(2):313–324. https://doi.org/10.1038/sj.emboj.7601511
Cheng HC, Ulane CM, Burke RE (2010) Clinical progression in Parkinson disease and the neurobiology of axons. Ann Neurol 67(6):715–725. https://doi.org/10.1002/ana.21995
Rahmani Z, Surabhi S, Rojo-Corté F et al (2022) Lamp1 deficiency enhances sensitivity to α-synuclein and oxidative stress in drosophila models of parkinson disease. Int J Mol Sci 23(21):13078. https://doi.org/10.3390/ijms232113078
Choi SM, Kim BC, Jung HJ et al (2017) The association of musculoskeletal pain with bone mineral density in patients with Parkinson’s Disease. Eur Neurol 77(3–4):123–129. https://doi.org/10.1159/000455009
Lin Y, Zhou M, Dai W et al (2021) Bone-derived factors as potential biomarkers for Parkinson’s Disease. Front Aging Neurosci 13:634213. https://doi.org/10.3389/fnagi.2021.634213
Jeancolas L, Petrovska-Delacrétaz D, Mangone G et al (2021) X-Vectors: new quantitative biomarkers for early parkinson’s disease detection from speech. Front Neuroinform 15:578369. https://doi.org/10.3389/fninf.2021.578369
Rusz J, Hlavnička J, Novotný M et al (2021) Speech biomarkers in rapid eye movement sleep behavior disorder and parkinson disease. Ann Neurol 90(1):62–75. https://doi.org/10.1002/ana.26085
Chung SJ, Rim JH, Ji D et al (2021) Gut microbiota-derived metabolite trimethylamine N-oxide as a biomarker in early Parkinson’s disease. Nutrition 83:111090. https://doi.org/10.1016/j.nut.2020.111090
Leodori G, De Bartolo MI, Belvisi D et al (2021) Salivary caffeine in Parkinson’s disease. Sci Rep 11(1):9823. https://doi.org/10.1038/s41598-021-89168-6
Bai JH, Zheng YL, Yu YP (2021) Urinary kynurenine as a biomarker for Parkinson’s disease. Neurol Sci 42(2):697–703. https://doi.org/10.1007/s10072-020-04589-x
Janeiro MH, Ramírez MJ, Milagro FI et al (2018) Implication of trimethylamine N-Oxide (TMAO) in disease: potential biomarker or new therapeutic target. Nutrients 10(10):1398. https://doi.org/10.3390/nu10101398
Novellino F, Saccà V, Donato A et al (2020) Innate immunity: a common denominator between neurodegenerative and neuropsychiatric diseases. Int J Mol Sci 21(3):1115. https://doi.org/10.3390/ijms21031115
Stephenson J, Nutma E, van der Valk P et al (2018) Inflammation in CNS neurodegenerative diseases. Immunology 154(2):204–219. https://doi.org/10.1111/imm.12922
Disatnik MH, Joshi AU, Saw NL et al (2016) Potential biomarkers to fol-low the progression and treatment response of Huntington’s disease. J Exp Med 213(12):2655–2669. https://doi.org/10.1084/jem.20160776
Handy DE, Castro R, Loscalzo J (2011) Epigenetic modifications: basic mechanisms and role in cardiovascular disease. Circulation 123(19):2145–2156. https://doi.org/10.1161/CIRCULATIONAHA.110.956839
Byrne LM, Wild EJ (2016) Cerebrospinal fluid biomarkers for Huntington’s Disease. J Huntingtons Dis 5(1):1–13. https://doi.org/10.3233/JHD-160196
Martí-Martínez S, Valor LM (2022) A glimpse of molecular biomarkers in Huntington’s Disease. Int J Mol Sci 23(10):5411. https://doi.org/10.3390/ijms23105411
Lee B, Newberg A (2005) Neuroimaging in traumatic brain imaging. NeuroRx 2(2):372–383. https://doi.org/10.1602/neurorx.2.2.372
Matsui JT, Vaidya JG, Johnson HJ et al (2014) Diffusion weighted imaging of prefrontal cortex in prodromal Huntington’s disease. Hum Brain Map 35(4):1562–1573. https://doi.org/10.1002/hbm.22273
Seppi K, Schocke MF, Mair KJ et al (2006) Diffusion-weighted imaging in Huntington’s disease. Mov Disord 21(7):1043–1047. https://doi.org/10.1002/mds.20868
Glover GH (2011) Overview of functional magnetic resonance imaging. Neurosurg Clin N Am 22(2):133–vii. https://doi.org/10.1016/j.nec.2010.11.001
Crosson B, Ford A, McGregor KM et al (2010) Functional imaging and related techniques: an introduction for rehabilitation researchers. J Rehabil Res Dev. https://doi.org/10.1682/jrrd.2010.02.0017
Fazio P, Paucar M, Svenningsson P et al (2018) Novel imaging biomarkers for Huntington’s disease and other he-reditary choreas. Curr Neurol Neurosci Rep 18(12):1–13. https://doi.org/10.1007/s11910-018-0890-y
Tillema JM, Pirko I (2013) Neuroradiological evaluation of demyelinating disease. Ther Adv Neurol Disord 6(4):249–268. https://doi.org/10.1177/1756285613478870
Di Paola M, Phillips OR, Sanchez-Castaneda C, Di Pardo A, Maglione V, Caltagirone C, Sabatini U, Squitieri F (2014) MRI measures of corpus callosum iron and myelin in early Huntington’s disease. Human Brain Map 35(7):3143–3151. https://doi.org/10.1002/hbm.22391
Yoshida S, Oishi K, Faria AV (2013) Diffusion tensor imaging of normal brain development. Pediatr Radiol 43(1):15–27. https://doi.org/10.1007/s00247-012-2496-x
Tang C, Feigin A (2012) Monitoring Huntington’s disease progression through preclinical and early stages. Neurodegener Dis Manag 2(4):421–435. https://doi.org/10.2217/nmt.12.34
Georgiou-Karistianis N, Stout JC, Domínguez D (2014) Functional magnetic resonance imaging of working memory in Huntington’s disease: cross-sectional data from the IMAGE-HD study. Human Brain Map 35(5):1847–1864. https://doi.org/10.1002/hbm.22296
Logothetis NK (2002) The neural basis of the blood-oxygen-level-dependent functional magnetic resonance imaging signal. Philos Trans R Soc Lond B Biol Sci 357(1424):1003–1037. https://doi.org/10.1098/rstb.2002.1114
Chen WL, Wagner J, Heugel N (2020) Functional near-infrared spectroscopy and its clinical application in the field of neuroscience: advances and future directions. Front Neurosci 14:724. https://doi.org/10.3389/fnins.2020.00724
Rosas HD, Chen YI, Doros G (2012) Alterations in brain transition metals in Huntington disease: an evolving and intricate story. Arch Neurol 69(7):887–893. https://doi.org/10.1001/archneurol.2011.2945
Singh N, Haldar S, Tripathi AK et al (2014) Brain iron homeostasis: from molecular mechanisms to clinical significance and ther-apeutic opportunities. Antioxid Redox Signal 20(8):1324–1363. https://doi.org/10.1089/ars.2012.4931
Wilson H, De Micco R, Niccolini F et al (2017) Molecular imaging markers to track huntington’s disease patholo-gy. Front Neurol 8:11. https://doi.org/10.3389/fneur.2017.00011
Katsanos AH, Kyriakidi K, Karassa FB et al (2017) Biomarker development in chronic inflammatory diseases. Biomark Endometriosis. https://doi.org/10.1007/978-3-319-59856-7_3
Rocha NP, Ribeiro FM, Furr-Stimming E et al (2016) Neuroimmunology of Huntington’s Disease: revisiting evidence from human studies. Mediators Inflamm. https://doi.org/10.1155/2016/8653132
Gamba P, Giannelli S, Staurenghi E et al (2021) The controversial Role of 24-S-hydroxycholesterol in Alzheimer’s Disease. Antioxidants 10(5):740. https://doi.org/10.3390/antiox10050740
Jin M, Yang F, Yang I et al (2012) Uric acid, hyperuricemia and vascular diseases. Front Biosci 17:656–669. https://doi.org/10.2741/3950
Hussain R, Zubair H, Pursell S et al (2018) Neurodegenerative diseases: regenerative mechanisms and novel therapeutic approaches. Brain Sci 8(9):177. https://doi.org/10.3390/brainsci8090177
Vishwas S, Gulati M, Kapoor B (2021) Expanding the arsenal against huntington’s disease-herbal drugs and their nanoformulations. Curr Neuropharmacol 19(7):957–989. https://doi.org/10.2174/1570159X18666201109090824
Hubers AA, van der Mast RC, Pereira AM et al (2015) Hypo-thalamic-pituitary-adrenal axis functioning in Huntington’s disease and its association with depressive symptoms and suicidality. J Neuroendocrinol 27(3):234–244. https://doi.org/10.1111/jne.12255
Batura-Gabryel H, Bromińska B, Sawicka-Gutaj N et al (2019) Does nesfatin-1 in-fluence the hypothalamic–pituitary–gonadal axis in adult males with obstructive sleep apnoea? Sci Rep 9:11289. https://doi.org/10.1038/s41598-019-47061-3
Manna P, Jain SK (2015) Obesity, oxidative stress, adipose tissue dysfunction, and the associated health risks: causes and therapeutic strategies. Metab Syndr Relat Disord 13(10):423–444. https://doi.org/10.1089/met.2015.0095
Zhang M, Han L, Xu Y (2012) Roles of cocaine- and amphetamine-regulated transcript in the central nervous system. Clin Exp Pharmacol Physiol 39(6):586–592. https://doi.org/10.1111/j.1440-1681.2011.05642.x
Weir DW, Sturrock A, Leavitt BR (2011) Development of biomarkers for Huntington’s disease. Lancet Neurol 10(6):573–590. https://doi.org/10.1016/S1474-4422(11)70070-9
Alirezaei Z, Pourhanifeh MH, Borran S et al (2020) Neurofilament light chain as a biomarker, and correlation with magnetic resonance imaging in diagnosis of CNS-related disorders. Mol Neurobiol 57(1):469–491. https://doi.org/10.1007/s12035-019-01698-3
Caron NS, Banos R, Aly AE et al (2022) Cerebrospinal fluid mutant huntingtin is a biomarker for huntingtin lowering in the striatum of Huntington disease mice. Neurobiol Dis 166:105652. https://doi.org/10.1016/j.nbd.2022.105652
Przybyl L, Wozna-Wysocka M, Kozlowska E et al (2021) What, When and How to Measure-Peripheral Biomarkers in Therapy of Huntington’s Disease. Int J Mol Sci 22(4):1561. https://doi.org/10.3390/ijms22041561
Baldacci F, Lista S, Palermo G et al (2019) The neuroinflammatory biomarker YKL-40 for neurodegenerative diseases: advances in development. Expert Rev Proteomics 16(7):593–600. https://doi.org/10.1080/14789450.2019.1628643
Vinther-Jensen T, Budtz-Jørgensen E, Simonsen AH et al (2014) YKL-40 in cerebrospinal fluid in Huntington’s disease–a role in pathology or a nonspecific response to inflammation? Parkinsonism Relat Dis 20(11):1301–1303. https://doi.org/10.1016/j.parkreldis.2014.08.011
Ciammola A, Sassone J, Cannella M, Calza S, Poletti B, Frati L, Squitieri F, Silani V (2007) Low brain-derived neu-rotrophic factor (BDNF) levels in serum of Huntington’s disease patients. Am J Med Genet B Neuropsychiatr Genet 144(4):574–577. https://doi.org/10.1002/ajmg.b.30501
Ou ZA, Byrne LM, Rodrigues FB et al (2021) Brain-derived neurotrophic factor in cerebrospinal fluid and plasma is not a bi-omarker for Huntington’s disease. Sci Rep 11(1):3481. https://doi.org/10.1038/s41598-021-83000-x
Al Shweiki MR, Oeckl P, Pachollek A et al (2021) Cerebrospinal fluid levels of prodynorphin-derived peptides are decreased in huntington’s disease. Mov Disord 36(2):492–497. https://doi.org/10.1002/mds.28300
Conroy JN, Coulson EJ (2022) High-affinity TrkA and p75 neurotrophin receptor complexes: a twisted affair. J Biol Chem 298(3):101568. https://doi.org/10.1016/j.jbc.2022.101568
Simmons DA, Mills BD, Butler Iii RR et al (2021) Neuroimaging, urinary, and plasma biomarkers of treatment response in huntington’s disease: pre-clinical evidence with the p75NTR ligand LM11A-31. Neurotherapeutics 18(2):1039–1063. https://doi.org/10.1007/s13311-021-01023-8
Vas S, Nicol AU, Kalmar L et al (2021) Abnormal patterns of sleep and EEG power distribution during non-rapid eye movement sleep in the sheep model of Huntington’s disease. Neurobiol Dis 155:105367. https://doi.org/10.1016/j.nbd.2021.105367
Barohn RJ, Dimachkie MM, Jackson CE (2014) A pattern recognition approach to patients with a suspected myopathy. Neurol Clin 32(3):569–vii. https://doi.org/10.1016/j.ncl.2014.04.008
McDonald CM (2012) Clinical approach to the diagnostic evaluation of hereditary and acquired neuromuscular diseases. Phys Med Rehabil Clin N Am 23(3):495–563. https://doi.org/10.1016/j.pmr.2012.06.011
van Blitterswijk M, DeJesus-Hernandez M, Rademakers R (2012) How do C9ORF72 repeat expansions cause amyotrophic lateral sclerosis and frontotemporal dementia: can we learn from other noncoding repeat expansion disorders? Curr Opinion Neurol 25(6):689–700. https://doi.org/10.1097/WCO.0b013e32835a3efb
Muñoz-Lasso DC, Romá-Mateo C, Pallardó FV et al (2020) Much More Than a Scaffold: Cytoskeletal Pro-teins in Neurological Disorders. Cells 9(2):358. https://doi.org/10.3390/cells9020358
Gagliardi D, Meneri M, Saccomanno D et al (2019) Diagnostic and prognostic role of blood and cerebrospinal fluid and blood neurofilaments in amyotrophic lateral sclerosis: a review of the literature. Int J Mol Sci 20(17):4152. https://doi.org/10.3390/ijms20174152
Ganesalingam J, An J, Shaw CE et al (2011) Combination of neurofilament heavy chain and complement C3 as CSF biomarkers for ALS. J Neurochem 117(3):528–537. https://doi.org/10.1111/j.1471-4159.2011.07224.x
Xu Z, Henderson RD, David M et al (2016) Neurofilaments as biomarkers for amyotrophic lateral sclerosis: a systematic review and meta-analysis. PLoS ONE 11(10):e0164625. https://doi.org/10.1371/journal.pone.0164625
Poesen K, Van Damme P (2019) Diagnostic and prognostic performance of neurofilaments in ALS. Front Neurol 9:1167. https://doi.org/10.3389/fneur.2018.01167
Zucchi E, Bonetto V, Sorarù G et al (2020) Neurofilaments in motor neuron disorders: towards promising diagnostic and prognostic biomarkers. Mol Neurodegener 15(1):58. https://doi.org/10.1186/s13024-020-00406-3
Behzadi A, Pujol-Calderón F, Tjust AE et al (2021) Neurofilaments can differentiate ALS subgroups and ALS from common diagnostic mimics. Sci Rep 11(1):22128. https://doi.org/10.1038/s41598-021-01499-6
Arai T, Hasegawa M, Akiyama H et al (2006) TDP-43 is a component of ubiquitin-positive tau-negative inclusions in frontotemporal lobar degeneration and amyotrophic lateral sclerosis. Biochem Biophys Res Commun 351(3):602–611. https://doi.org/10.1016/j.bbrc.2006.10.093
Prasad A, Bharathi V, Sivalingam V et al (2019) Molecular mechanisms of TDP-43 misfolding and pa-thology in amyotrophic lateral sclerosis. Front Mol Neurosci 12:25. https://doi.org/10.3389/fnmol.2019.00025
Kasai T, Tokuda T, Ishigami N et al (2009) In-creased TDP-43 protein in cerebrospinal fluid of patients with amyotrophic lateral sclerosis. Acta Neuropathol 117(1):55–62. https://doi.org/10.1007/s00401-008-0456-1
O’Brien ER, Kersemans V, Tredwell M et al (2014) Glial activation in the early stages of brain metastasis: TSPO as a diagnostic biomarker. J Nucl Med 55(2):275–280. https://doi.org/10.2967/jnumed.113.127449
Steiner, Johann, Bogerts et al (2011) S100B protein in neurodegenera-tive disorders. Clin Chem Lab Med 49(3):409–424. https://doi.org/10.1515/CCLM.2011.083
Chiò A, Calvo A, Bovio G et al (2014) Amyotrophic lateral sclerosis outcome measures and the role of albumin and creatinine: a population-based study. JAMA Neurol 71(9):1134–1142. https://doi.org/10.1001/jamaneurol.2014.1129
Küffner R, Zach N, Norel R et al (2015) Crowdsourced analysis of clinical trial data to predict amyotrophic lateral sclerosis progression. Nat Biotechnol 33(1):51–57. https://doi.org/10.1038/nbt.3051
Bozik ME, Mitsumoto H, Brooks BR et al (2014) A post hoc analysis of subgroup outcomes and creatinine in the phase III clinical trial (EMPOWER) of dexpramipexole in ALS. Amyotroph Lateral Scler Frontotemporal Degener 15(5–6):406–413. https://doi.org/10.3109/21678421.2014.943672
Guo QF, Hu W, Xu LQ et al (2021) Decreased serum creatinine levels predict short survival in amyotrophic lateral sclerosis. Ann Clin Transl Neurol 8(2):448–455. https://doi.org/10.1002/acn3.51299
Blennow K (2004) Cerebrospinal fluid protein biomarkers for Alzheimer’s disease. NeuroRx 1(2):213–225. https://doi.org/10.1602/neurorx.1.2.213
Caruso P, Albuquerque AL, Santana PV et al (2015) Diagnostic methods to assess inspiratory and expiratory mus-cle strength. J Bras Pneumol 41(2):110–123. https://doi.org/10.1590/S1806-37132015000004474
Schoser B, Fong E, Geberhiwot T et al (2017) Maximum inspiratory pressure as a clinically meaningful trial endpoint for neuromuscular diseases: a comprehensive review of the literature. Orphanet J Rare Dis 12(1):52. https://doi.org/10.1186/s13023-017-0598-0
Cedarbaum JM, Stambler N (1997) Performance of the amyotrophic lateral sclerosis functional rating scale (ALSFRS) in multicenter clinical trials. J Neurol Sci 152(1):S1–S9. https://doi.org/10.1016/s0022-510x(97)00237-2
Agnello L, Colletti T, Lo Sasso B et al (2021) Tau protein as a diagnostic and prognostic biomarker in amyotrophic lateral sclerosis. Euro J Neurol 28(6):1868–1875. https://doi.org/10.1111/ene.14789
Jiang X, Sando R, Südhof TC (2021) Multiple signaling pathways are essential for synapse formation induced by synaptic adhesion molecules. Proc Natl Acad Sci USA 118(3):e2000173118. https://doi.org/10.1073/pnas.2000173118.
Castillo PE, Chiu CQ, Carroll RC (2011) Long-term plasticity at inhibitory synapses. Curr Opinion Neurobiol 21(2):328–338. https://doi.org/10.1016/j.conb.2011.01.006
Krishnamurthy K, Pasinelli P (2021) Synaptic dysfunction in amyotrophic lateral sclerosis/frontotemporal dementia: Ther-apeutic strategies and novel biomarkers. J Neurosci Res 99(6):1499–1503. https://doi.org/10.1002/jnr.24824
Gao YL, Wang N, Sun FR et al (2018) Tau in neurodegenerative disease. Ann Transl Med 6(10):75. https://doi.org/10.21037/atm.2018.04.23
Beyer L, Günther R, Koch JC et al (2021) TDP-43 as structure-based biomarker in amyotrophic lateral sclerosis. Ann Clin Transl Neurol 8(1):271–277. https://doi.org/10.1002/acn3.51256
Mori S, Honda H, Hamasaki H et al (2021) Transactivation response DNA-binding protein of 43 kDa proteinopathy and lysosomal abnormalities in spastic paraplegia type 11. Neuropathology 41(4):253–265. https://doi.org/10.1111/neup.12733
Štětkářová I, Ehler E (2021) Diagnostics of amyotrophic lateral sclerosis: up to date. Diagnostics 11(2):231. https://doi.org/10.3390/diagnostics11020231
Castro-Gomez S, Radermacher B, Tacik P et al (2021) Teaching an old dog new tricks: serum troponin T as a biomarker in amyotrophic lateral sclerosis. Brain Commun 3(4):fcab274. https://doi.org/10.1093/braincomms/fcab274
Donkor ES (2018) Stroke in the 21st century: a snapshot of the burden, epidemiology, and quality of life. Stroke Res Treat. https://doi.org/10.1155/2018/3238165
Salvadori E, Papi G, Insalata G et al (2020) Comparison between ischemic and hemorrhagic strokes in functional outcome at discharge from an intensive rehabilitation hospital. Diagnostics 11(1):38. https://doi.org/10.3390/diagnostics11010038
Eyileten C, Sharif L, Wicik Z et al (2021) The relation of the brain-derived neurotrophic factor with microRNAs in neurodegenerative diseases and ischemic stroke. Mol Neurobiol 58(1):329–347. https://doi.org/10.1007/s12035-020-02101-2
Böhmer AE, Oses JP, Schmidt AP et al (2011) Neuron-specific enolase, S100B, and glial fibrillary acidic protein levels as outcome predictors in patients with severe traumatic brain injury. Neurosurgery 68(6):1624–1631. https://doi.org/10.1227/NEU.0b013e318214a81f
Allard L, Burkhard PR, Lescuyer P et al (2005) PARK7 and nucleoside diphosphate kinase A as plasma markers for the early diagnosis of stroke. Clin Chem 51(11):2043–2051. https://doi.org/10.1373/clinchem.2005.053942
Mair G, Wardlaw JM (2014) Imaging of acute stroke prior to treatment: current practice and evolving techniques. Br J Radiol 87(1040):20140216. https://doi.org/10.1259/bjr.20140216
Rezaeitalab F, Esmaeili M, Saberi A et al (2020) Predictive value of inflammatory markers for functional outcomes in patients with ischemic stroke. Cur J Neurol 19(2):47–52. https://doi.org/10.18502/cjn.v19i2.4940
Robinson T, Zaheer Z, Mistri AK (2011) Thrombolysis in acute ischaemic stroke: an update. Ther Adv Chronic Dis 2(2):119–131. https://doi.org/10.1177/2040622310394032
Birenbaum D, Bancroft LW, Felsberg GJ (2011) Imaging in acute stroke. West J Emerg Med 12(1):67–76
Lin MP, Liebeskind DS (2016) Imaging of ischemic stroke. Continuum 22(5):1399–1423. https://doi.org/10.1212/CON.0000000000000376
Maas MB, Furie KL (2009) Molecular biomarkers in stroke diagnosis and prognosis. Biomark Med 3(4):363–383. https://doi.org/10.2217/bmm.09.30
Bernardo-Castro S, Sousa JA, Brás A et al (2020) Pathophysiology of blood-brain barrier permeability throughout the different stages of ischemic stroke and its implication on hemorrhagic transformation and recovery. Front Neurol 11:594672. https://doi.org/10.3389/fneur.2020.594672
Lai PM, Du R (2016) Association between S100B levels and long-term outcome after aneurysmal subarachnoid hemor-rhage: systematic review and pooled analysis. PLoS ONE 11(3):0151853. https://doi.org/10.1371/journal.pone.0151853
Hernandez-Ontiveros DG, Tajiri N, Acosta S et al (2013) Microglia activation as a biomarker for traumatic brain injury. Front Neurol 4:30. https://doi.org/10.3389/fneur.2013.00030
McGirt MJ, Lynch JR, Blessing R et al (2002) Serum von Willebrand factor, matrix metalloproteinase-9, and vascular endothelial growth factor levels predict the onset of cerebral vasospasm after aneurysmal subarachnoid hemorrhage. Neurosurgery 51(5):1128–1135. https://doi.org/10.1097/00006123-200211000-00005
Castellanos M, Serena J (2007) Applicability of biomarkers in ischemic stroke. Cerebrovasc Dis 24(1):7–15. https://doi.org/10.1159/000107374
Anrather J, Iadecola C (2016) Inflammation and stroke: an overview. Neurotherapeutics 13(4):661–670. https://doi.org/10.1007/s13311-016-0483-x
Mastorakos P, McGavern D (2019) The anatomy and immunology of vasculature in the central nervous system. Sci Immunol 4(37):eaav492. https://doi.org/10.1126/sciimmunol.aav0492
Engelhardt B, Carare RO, Bechmann I et al (2016) Vascular, glial, and lymphatic immune gateways of the central nervous system. Acta Neuropathol 132(3):317–338. https://doi.org/10.1007/s00401-016-1606-5
Askenase MH, Sansing LH (2016) Stages of the inflammatory response in pathology and tissue repair after intracerebral hemorrhage. Semin Neurol 36(3):288–297. https://doi.org/10.1055/s-0036-1582132
Ansar W, Ghosh S (2016) Inflammation and inflammatory diseases, markers, and mediators: role of crp in some inflam-matory diseases. Biol CRP Health Dis. https://doi.org/10.1007/978-81-322-2680-2_4
Malone K, Amu S, Moore AC et al (2019) Immunomodulatory therapeutic strategies in stroke. Front Pharmacol 10:630. https://doi.org/10.3389/fphar.2019.00630
Uitterdijk A, Groenendijk B, Gorsse-Bakker C et al (2017) Time course of VCAM-1 expression in reperfused myocardial infarction in swine and its relation to retention of intracoronary administered bone marrow-derived mononuclear cells. PLoS ONE 12(6):e0178779. https://doi.org/10.1371/journal.pone.0178779
Zinnhardt B, Wiesmann M, Honold L et al (2018) In vivo imaging biomarkers of neuroinflammation in the development and assessment of stroke therapies - towards clinical translation. Theranostics 8(10):2603–2620. https://doi.org/10.7150/thno.24128
Yoo AJ, Pulli B, Gonzalez RG (2011) Imaging-based treatment selection for intravenous and intra-arterial stroke thera-pies: a comprehensive review. Expert Rev Cardiovasc Ther 9(7):857–876. https://doi.org/10.1586/erc.11.56
Wang L, Deng L, Yuan R et al (2020) Association of matrix metalloproteinase 9 and cellular fibronectin and outcome in acute ischemic stroke: a systematic review and meta-analysis. Front Neurol 11:523506. https://doi.org/10.3389/fneur.2020.523506
Tamangani J (2016) Neuroimaging. Aust Fam Physician 45(11):788–792
Shaw LM, Vanderstichele H, Knapik-Czajka M et al (2009) Cerebrospinal fluid biomarker signature in Alzheimer’s disease neuroimaging initiative subjects. Ann Neurol 65(4):403–13. https://doi.org/10.1002/ana.21610
Yang J, Zhong C, Wang A et al (2017) Association between increased N-terminal pro-brain natriuretic peptide level and poor clinical outcomes after acute ischemic stroke. J Neurol Sci 383:5–10. https://doi.org/10.1016/j.jns.2017.10.014
Eggers KM, Lindahl B (2017) Application of cardiac troponin in cardiovascular diseases other than acute coronary syndrome. Clin Chem 63(1):223–235. https://doi.org/10.1373/clinchem.2016.261495
Maruyama K, Shiga T, Iijima M et al (2014) Brain natriuretic peptide in acute ischemic stroke. J Stroke Cerebrovas Dis 23(5):967–972. https://doi.org/10.1016/j.jstrokecerebrovasdis.2013.08.003
Dolati S, Soleymani J, Kazem Shakouri S et al (2021) The trends in nanomaterial-based biosensors for detecting crit-ical biomarkers in stroke. Clin Chim Acta 514:107–121. https://doi.org/10.1016/j.cca.2020.12.034
Sakdejayont S, Pruphetkaew N, Chongphattararot P et al (2020) Serum S100β as a predictor of severity and outcomes for mixed subtype acute ischaemic stroke. Singapore Med J 61(4):206–211. https://doi.org/10.11622/smedj.2019067
Marta-Enguita J, Navarro-Oviedo M, Rubio-Baines I et al (2021) Association of calprotectin with other inflammatory parameters in the prediction of mortality for ischemic stroke. J Neuroinflamm 18(1):3. https://doi.org/10.1186/s12974-020-02047-1
Nguyen T, van der Bent ML, Wermer M et al (2020) Circulating tRNA fragments as a novel biomarker class to distinguish acute stroke subtypes. Int J Mol Sci 22(1):135. https://doi.org/10.3390/ijms22010135
Calderon-Garcidueñas AL, Duyckaerts C (2017) Alzheimer disease. Handbook Clin Neurol 145:325–337. https://doi.org/10.1016/B978-0-12-802395-2.00023-7
Humpel C (2011) Identifying and validating biomarkers for Alzheimer’s disease. Trends Biotechnol 29(1):26–32. https://doi.org/10.1016/j.tibtech.2010.09.007
Zetterberg H, Burnham SC et al (2019) Blood-based molecular biomarkers for Alzheimer’s disease. Mol Brain 12(1):26. https://doi.org/10.1186/s13041-019-0448-1
Blennow K, Hampel H, Weiner M et al (2010) Cerebrospinal fluid and plasma biomarkers in Alzheimer disease. Nat Rev Neurol 6(3):131–144. https://doi.org/10.1038/nrneurol.2010.4
Südhof TC (2008) Neuroligins and neurexins link synaptic function to cognitive disease. Nature 455(7215):903–911. https://doi.org/10.1038/nature07456
Tarawneh R, D’Angelo G, Macy E et al (2011) Visinin-like protein-1: diagnostic and prognostic biomarker in Alzheimer disease. Ann Neurol 70(2):274–285. https://doi.org/10.1002/ana.22448
Dubois B, Hampel H, Feldman HH et al (2016) Preclinical Alzheimer’s disease: Definition, natural history, and diagnostic criteria. Alzheimers Demen 12(3):292–323. https://doi.org/10.1016/j.jalz.2016.02.002
Vinters HV, Wang ZZ, Secor DL (1996) Brain parenchymal and microvascular amyloid in Alzheimer’s disease. Brain Pathol 6(2):179–195. https://doi.org/10.1111/j.1750-3639.1996.tb00799.x
Leech R, Sharp DJ (2014) The role of the posterior cingulate cortex in cognition and disease. Brain 137(Pt 1):12–32. https://doi.org/10.1093/brain/awt162
Chintamaneni M, Bhaskar M (2012) Biomarkers in Alzheimer’s disease: a review. ISRN Pharmacol. https://doi.org/10.5402/2012/984786
Coley N, Andrieu S, Delrieu J et al (2009) Biomarkers in Alzheimer’s disease: not yet surrogate endpoints. Ann NY Acad Sci 1180:119–124. https://doi.org/10.1111/j.1749-6632.2009.04947.x
Nordberg A (2004) PET imaging of amyloid in Alzheimer’s disease. Lancet Neurol 3(9):519–527. https://doi.org/10.1016/S1474-4422(04)00853-1
Huynh RA, Mohan C (2017) Alzheimer’s Disease: biomarkers in the genome, blood, and cerebrospinal fluid. Front Neurol 8:102. https://doi.org/10.3389/fneur.2017.00102
Laterza OF, Modur VR, Crimmins DL et al (2006) Identification of novel brain biomarkers. Clin Chem 52(9):1713–1721. https://doi.org/10.1373/clinchem.2006.070912
Bell SM, Barnes K, Marco De et al (2021) Mitochondrial dysfunction in Alzheimer’s disease: a biomarker of the future? Biomedicines 9(1):63. https://doi.org/10.3390/biomedicines9010063
Piubelli L, Pollegioni L, Rabattoni V et al (2021) Serum D-serine levels are altered in early phases of Alzheimer’s disease: towards a precocious biomarker. Transl Psychiatry 11(1):77. https://doi.org/10.1038/s41398-021-01202-3
Siedlecki-Wullich D, Miñano-Molina AJ, Rodríguez-Álvarez J (2021) microRNAs as early biomarkers of Alzheimer’s dis-ease: a synaptic perspective. Cells 10(1):113. https://doi.org/10.3390/cells10010113
Park JE, Lim DS, Cho YH et al (2021) Plasma contact factors as novel bi-omarkers for diagnosing Alzheimer’s disease. Biomark Res 9(1):5. https://doi.org/10.1186/s40364-020-00258-5
Ashton NJ, Pascoal TA, Karikari TK et al (2021) Plasma p-tau231: a new biomarker for incipient Alzheimer’s disease pathology. Acta Neuropathol 141(5):709–724. https://doi.org/10.1007/s00401-021-02275-6
Sodek J, Ganss B, McKee MD (2000) Osteopontin. Critic Rev Oral Biol Med 11(3):279–303. https://doi.org/10.1177/10454411000110030101
Hol EM, Roelofs RF, Moraal E (2003) Neuronal expression of GFAP in patients with Alzheimer pathology and identification of novel GFAP splice forms. Mol Psych 8(9):786–796. https://doi.org/10.1038/sj.mp.4001379
McGrowder DA, Miller F, Vaz K et al (2021) Cerebrospinal fluid biomarkers of Alzheimer’s disease: current evidence and future perspectives. Brain Sci 11(2):215. https://doi.org/10.3390/brainsci11020215
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The authors are grateful to the Chitkara College of Pharmacy, Chitkara University, Rajpura, Patiala, Punjab, India for providing the necessary facilities to carry out this work.
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Conceptualization: Conceived- and designed the experiments: TGS. Analyzed the data: VKS. Wrote the manuscript: VKS, AM. Visualization: VM. Editing of the Manuscript: TGS. Critically reviewed the article: TGS. Supervision: TGS. All authors read and approved the final manuscript.
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Sharma, V.K., Singh, T.G., Mehta, V. et al. Biomarkers: Role and Scope in Neurological Disorders. Neurochem Res 48, 2029–2058 (2023). https://doi.org/10.1007/s11064-023-03873-4
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DOI: https://doi.org/10.1007/s11064-023-03873-4