Table 3.
Biomarkers | Condition | Findings |
---|---|---|
miRNA (plasma) | TBI | There was a significant elevation of miRNAs in the TBI study population. Three miRNAs may be particularly useful in identifying chronic TBIs [71]. |
miRNA (EV) | TBI | Potential indicator of chronic blast-related TBI, dozens of miRNA identified but needs further investigation [71]. |
CRP (plasma) | TBI | Indicator for TBI, shown through iTRAQ and validated with ELISA [71]. |
MME (plasma) | TBI | Potential indicator for chronic mTBI, strong indicator in long-term TBI patients. |
Cortical thinning (imaging) |
TBI | Strong indicator to differentiate between blast-related TBI and non-blast-related TBI. However, this is still a neuroimaging biomarker [72]. |
NRGN (blood) | TBI | Potential indicator of mTBI in pediatric patients [73]. |
S100B (blood) | TBI | Limited diagnostic use for mTBI patients due lack of specificity; increased levels in multiple extracranial pathologies [73,74]. Serum concentration in blood samples drawn less than 3 h after trauma is an accurate predictor of a normal CT scan for mTBI patients [79] |
GFAP (blood) | TBI | Not specific enough as a diagnostic indicator due to high levels in multiple types of brain injuries [73] Greater indicator than S100B, especially for injuries with delayed treatment such as military personnel in combat situations [72] Additional trial in progress [79] |
Metabolic Panel ((FA 2-OH C16:0, FA C18:0, TUDCA, PE ae C36:4, PE aa C38:6, and LysoPC a C20:4) | TBI | Potentially strong indicator of mTBI for recent injuries up to 7 days post injury [75] |
FDG on PET (imaging) | TBI | Indicator of neuronal activity; number of blast exposure correlates with FDG uptake in veterans [76] |
P-tau on PET(imaging) | CTE | Neuropathological evidence correlating p-tau in an irregular pattern to ante-mortem cognitive and neuropsychiatric symptoms of CTE [77] |
P3b ERP (neurologic testing) | TBI + PTSD | Diminished P3b amplitude during DS-CPT is a strong potential indicator of blast-related mTBI and/or PTSD after combat trauma, but is unable to differentiate between mTBI and PTSD [78] |