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  4. Association between Cerebrospinal Fluid and Serum Biomarker Levels and Diagnosis, Injury Severity, and Short-Term Outcomes in Patients with Acute Traumatic Spinal Cord Injury

Association between Cerebrospinal Fluid and Serum Biomarker Levels and Diagnosis, Injury Severity, and Short-Term Outcomes in Patients with Acute Traumatic Spinal Cord Injury

Diagnostics, 2023 · DOI: 10.3390/diagnostics13101814 · Published: May 22, 2023

Spinal Cord InjuryBioinformatics

Simple Explanation

This study investigates the potential of using biomarkers found in cerebrospinal fluid (CSF) and serum to diagnose the severity of spinal cord injuries (SCI). Biomarkers are measurable substances in the body that can indicate a disease or condition. The researchers compared the levels of ten different biomarkers in SCI patients and healthy individuals. They found that several biomarkers were significantly higher in SCI patients, suggesting that these markers could help in diagnosis. The study also explored whether these biomarkers could predict the severity of the SCI, as measured by the American Spinal Injury Association (AIS) Impairment Scale. While some biomarkers showed promising correlations, they did not reliably predict short-term outcomes.

Study Duration
Not specified
Participants
15 SCI patients and 10 healthy participants
Evidence Level
Not specified

Key Findings

  • 1
    CSF and serum concentrations of SBDP150, S100B, GFAP, NF-L, UCHL-1, Tau, and IL-6 were significantly higher in SCI patients compared to the control group.
  • 2
    CSF levels of GBDP 38/44K, UCHL-L1, S100B, GFAP, and Tau were significantly higher in the AIS A patients, indicating a potential correlation with injury severity.
  • 3
    The study demonstrated a strong correlation between biomarker levels in the diagnosis and injury severity of SCI but no association with short-term outcomes.

Research Summary

This prospective controlled study aimed to identify CSF and serum biomarker profiles that could indicate SCI diagnosis, severity, and prognosis to aid in assessing appropriate treatment modalities. The study found significant correlations between several biomarkers (SBDP150, S100B, GFAP, NF-L, UCHL-1, Tau, IL-6) and the diagnosis of SCI, as well as some correlations with injury severity based on AIS grade. While the biomarkers showed potential for diagnosis and predicting injury severity, they did not demonstrate a significant association with short-term neurological outcomes in SCI patients.

Practical Implications

Diagnostic Potential

The identified biomarkers could be used in rapid diagnostic tests to identify SCI and assess its severity, potentially leading to earlier intervention.

Severity Assessment

Specific biomarkers correlating with AIS grades could help clinicians better understand the extent of the injury and tailor treatment plans accordingly.

Future Research

Further research with larger cohorts and longer follow-up periods is needed to validate these findings and explore the potential of biomarkers in predicting long-term outcomes.

Study Limitations

  • 1
    Small sample size
  • 2
    Lack of long-term follow-up
  • 3
    Limited number of patients requiring lumbar catheter during enrollment

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