摘要
心血管疾病(CVD)的死亡人数估计占每年死亡人数的30%(1730万人,2008年),预计死于CVD的人数将进一步增加,在2030年会达到2330万,CVD成为了全球健康的一个主要威胁。因此,越来越需要对急救药品进行快速提取样品,快速筛选结果,后续分析的干预。这篇文章综述了基于血液唾液样本中的CVD生物标记物。心脏生物标记物还在起步中,心肌肌钙蛋白I 以其高特异性和选择性成为了被广泛认可的“金标准”标记物。考虑到基于唾液的心脏标记物的优势,我们研究了非侵入(唾液)和侵入性(血液)诊断之间的相互关系,发现C-反应蛋白(CRP)有很好的相关性。尽管唾液CRP的含量低,许多报道提出了用现有技术检测限到了pg/ml。因此,唾液CRP有可能未来被用于心脏风险早期评估的前沿诊断。
关键词: 心肌肌钙蛋白,C-反应蛋白,生物标记物,唾液,非侵入性,侵入性,心脏风险
Current Medicinal Chemistry
Title:Cardiac Biomarkers: Invasive to Non-invasive Assessments
Volume: 23 Issue: 37
Author(s): Mohd. Khairuddin Md Arshad, Mohamad Faris Bin Mohamad Fathil, Subash C.B. Gopinath, A. Rahim Ruslinda, Mohammad Nuzaihan Md Nor and Hong Yoong Lam, Uda Hashim
Affiliation:
关键词: 心肌肌钙蛋白,C-反应蛋白,生物标记物,唾液,非侵入性,侵入性,心脏风险
摘要: Cardiovascular disease (CVD) is a major threat to global health, estimated to be the cause 30 % (17.3 million in 2008) of deaths every year, and the number of deaths caused by CVD is expected to increase further, reaching 23.3 million by 2030. Hence, there is a growing demand for simpler sample extraction, rapid screening results, and intervention of the subsequent analysis in emergency units. In this paper, we reviewed CVD biomarkers in blood- and saliva-based specimens. The history of cardiac biomarkers indicates that in the beginning, cardiac troponin I (cTnI) was a widely accepted ‘gold standard’ marker due to its high specificity and selectivity. Considering the advantages of salivary-based cardiac biomarkers, we examined correlations between non-invasive (salivary) and invasive (blood) diagnoses, and it was found that C-reactive protein (CRP) provides a better correlation. Despite the low abundance of salivary CRP, several reports displayed the detection limit down to pg/ml using existing technologies. Thus, salivary CRP has the potential to be used for future forefront diagnostics for the early assessment of cardiac risks.
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Mohd. Khairuddin Md Arshad, Mohamad Faris Bin Mohamad Fathil, Subash C.B. Gopinath, A. Rahim Ruslinda, Mohammad Nuzaihan Md Nor and Hong Yoong Lam, Uda Hashim , Cardiac Biomarkers: Invasive to Non-invasive Assessments, Current Medicinal Chemistry 2016; 23 (37) . https://dx.doi.org/10.2174/0929867323666161004150857
DOI https://dx.doi.org/10.2174/0929867323666161004150857 |
Print ISSN 0929-8673 |
Publisher Name Bentham Science Publisher |
Online ISSN 1875-533X |
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