Multivariate Analysis of Traumatic Brain Injury – Development of an Assessment Score

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Authors
  1. Buonora, J.E.
  2. Yarnell, A.M.
  3. Lazarus, R.C.
  4. Mousseau, M.
  5. Latour, L.L.
  6. Rizoli, S.B.
  7. Baker, A.J.
  8. Rhind, S.G.
  9. Diaz-Arrastia, R.
  10. Mueller, G.P.
Corporate Authors
Defence Research and Development Canada, Toronto Research Centre , Toronto ON (CAN)
Abstract
Important challenges for the diagnosis and monitoring of mild traumatic brain injury (mTBI) include the development of plasma biomarkers for assessing neurologic injury, monitoring pathogenesis and predicting vulnerability for the development of untoward neurologic outcomes. While several biomarker proteins have shown promise in this regard, used individually, these candidates lack adequate sensitivity and/or specificity for making a definitive diagnosis or identifying those at risk of subsequent pathology. The objective for this study was to evaluate a panel of six recognized and novel biomarker candidates for the assessment of TBI in adult patients. The biomarkers studied were selected on the basis of their relative brain-specificities and potentials to reflect distinct features of TBI mechanisms including: neuronal damage assessed by neuron-specific enolase (NSE) and brain derived neurotrophic factor (BDNF); oxidative stress assessed by peroxiredoxin 6 (PRDX6); glial damage and gliosis assessed by glial fibrillary acidic protein (GFAP) and S100 calcium binding protein beta (S100b); (4) immune activation assessed by monocyte chemoattractant protein 1/chemokine (C-C motif) ligand 2 (MCP1/CCL2); and disruption of the intercellular adhesion apparatus assessed by intercellular adhesion protein-5 (ICAM-5). The combined fold changes in plasma levels of PRDX6, S100b, MCP1, NSE and BDNF resulted in the formulation of a TBI assessment score (TBIAS) that identified mTBI with a receiv
Keywords
biomarkers;assessment;human;mild traumatic brain injury
Report Number
DRDC-RDDC-2015-P072 — External Literature
Date of publication
18 May 2017
Number of Pages
32
DSTKIM No
CA044880
CANDIS No
805255
Format(s):
Electronic Document(PDF)

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