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Biomarker NINJ1 Full name Ninjurin 1 Molecular Type Protein
Molecular Formula / Molecular Weight / Core Functional Dimensions Diagnosis and identification of organ involvement
Disease(or Constitution) Autoimmune Disease (AD) Disease Subtypes SLE
Organ Spleen, thymus, lymphoid tissue Test Sample / Technology Platform Serum (laboratory test)
Pathobiological Mechanisms Significantly elevated in the serum of SLE patients, and further elevated in patients with LN and thrombocytopenia.
Clinical Availability Status Research validation: AUC=0.83, positively correlated with proteinuria, CRP, and NLR.
Notes and Dynamics Assist in identifying renal and hematologic system involvement, facilitating disease stratification.
Biomarker TRbeta Full name Thyroid hormone receptor beta gene mutation Molecular Type Nucleic acid (DNA)
Molecular Formula Macromolecule Molecular Weight / Core Functional Dimensions Diagnosis, typing
Disease(or Constitution) Pituitary Adenoma Disease Subtypes Thyroid stimulant tumor (TSHPA)
Organ Pituitary Test Sample / Technology Platform Organization (NGS)
Pathobiological Mechanisms Thyroid hormone receptor gene mutations cause degenerative disorders
Clinical Availability Status Study phase: some TSHPA mutations in, can explain the abnormal secretion of the hormone
Notes and Dynamics Providing theoretical basis for targeted therapy
Biomarker TSH Full name Thyroid stimulating hormone Molecular Type hormone
Molecular Formula Macromolecule Molecular Weight / Core Functional Dimensions Diagnosis, Monitoring
Disease(or Constitution) Pituitary Adenoma Disease Subtypes Thyroid stimulant tumor (TSHPA)
Organ Pituitary Test Sample / Technology Platform Serum (ce)
Pathobiological Mechanisms The excessive secretion lead to hyperthyroidism, thyroid hormone increases
Clinical Availability Status Clinical application: elevated TSH FT3 / higher FT4 confirmed; Postoperative TSH normal tip to cure
Notes and Dynamics To eliminate thyroid hormone resistance syndrome
Biomarker MMP1 Full name Matrix metalloproteinase-1 Molecular Type protein
Molecular Formula Macromolecule Molecular Weight / Core Functional Dimensions Invasive diagnostic
Disease(or Constitution) Pituitary Adenoma Disease Subtypes Non functional pituitary adenoma (NFPA)
Organ Pituitary Test Sample / Technology Platform Serum secrete body (ELISA)
Pathobiological Mechanisms Promote the extracellular matrix degradation, enhance tumor invasion
Clinical Availability Status Clinical validation: invasive NFPA high expression, positively related to the cavernous sinus invasion
Notes and Dynamics Is a secondary index in evaluating operation difficulty
Biomarker miR-1180-3p Full name microRNA-1180-3p Molecular Type Small RNA (miRNA)
Molecular Formula Macromolecule Molecular Weight / Core Functional Dimensions Early diagnosis
Disease(or Constitution) Pituitary Adenoma Disease Subtypes Non functional pituitary adenoma (NFPA)
Organ Pituitary Test Sample / Technology Platform Serum secrete body (RT - qPCR)
Pathobiological Mechanisms Regulation of MAPK pathway to promote tumorigenesis
Clinical Availability Status In clinical exploration: NFPA patients had high expression in exosomes, and the AUC of early diagnosis was 0.81
Notes and Dynamics Can joint miR - 486-5 p increases the sensitivity
Biomarker CDKN2A Full name Cyclin-dependent kinase inhibitor 2A gene Molecular Type Nucleic acid (DNA)
Molecular Formula Macromolecule Molecular Weight / Core Functional Dimensions Prognosis, risk stratification
Disease(or Constitution) Pituitary Adenoma Disease Subtypes Non functional pituitary adenoma (NFPA)
Organ Pituitary Test Sample / Technology Platform Organization (methylation sequencing, IHC)
Pathobiological Mechanisms Coding, p16 protein methylation result in cell cycle control
Clinical Availability Status Clinical application: 70% NFPA methylation, positively related to the tumor invasive, the recurrence rate
Notes and Dynamics It is a key indicator for screening high-risk NFPA
Biomarker MEG3 Full name Maternally expressed gene 3 (long non-coding RNA) Molecular Type Long chain non-coding RNA (lncRNA)
Molecular Formula Macromolecule Molecular Weight / Core Functional Dimensions Diagnosis and Prognosis
Disease(or Constitution) Pituitary Adenoma Disease Subtypes Non functional pituitary adenoma (NFPA)
Organ Pituitary Test Sample / Technology Platform Organization/serum (RT - qPCR)
Pathobiological Mechanisms Tumor suppressor genes, through the p53 pathway inhibition of tumor
Clinical Availability Status Clinical validation: NFPA by methylation in silence, to express strong hint invasive
Notes and Dynamics Serum MEG3 detection is expected to become a noninvasive markers
Biomarker Ki-67 Full name Ki-67 antigen Molecular Type Protein
Molecular Formula Macromolecule Molecular Weight / Core Functional Dimensions Grading, prognosis
Disease(or Constitution) Pituitary Adenoma Disease Subtypes Nonfunctional pituitary adenoma (NFPA)
Organ Pituitary Test Sample / Technology Platform Organization (immunohistochemical IHC, digital pathology analysis)
Pathobiological Mechanisms Reflect cell proliferation activity
Clinical Availability Status Clinical gold standard: the WHO classification core index (Ki - 67 < 3% as low risk, 3% for high-risk or higher); Associated with the risk of recurrence is strong
Notes and Dynamics Digital pathology analysis can reduce detecting mutation
Biomarker miR-182-5p Full name microRNA-182-5p Molecular Type Small RNA (miRNA)
Molecular Formula Macromolecule Molecular Weight / Core Functional Dimensions Diagnosis, differential diagnosis
Disease(or Constitution) Pituitary Adenoma Disease Subtypes Pituitary Adenoma
Organ Pituitary Test Sample / Technology Platform Serum (RT-qPCR)
Pathobiological Mechanisms Regulate hormone secretion related gene expression
Clinical Availability Status Clinical exploration: ACTHPA high expression, identify ACTHPA and AUC 0.87 adrenal cortical adenoma
Notes and Dynamics Combined with miR-16-5p can improve the specificity of ACTHPA
Biomarker USP48/BRAF Full name USP48 / BRAF gene mutation Molecular Type Nucleic acid (DNA)
Molecular Formula Macromolecule Molecular Weight / Core Functional Dimensions
Disease(or Constitution) Pituitary Adenoma Disease Subtypes Adrenocorticotropic hormone adenoma (ACTHPA)
Organ Pituitary Test Sample / Technology Platform Organization (NGS)
Pathobiological Mechanisms Activation of MAPK USP48 mutations, mutated BRAF V600E promote POMC expression
Clinical Availability Status Clinical validation: USP8 wild-type ACTHPA mutation rate in the 23% / 16% respectively, and the associated with invasive
Notes and Dynamics Provide new targets for targeted therapy
Biomarker USP8 Full name Ubiquitin specific peptidase 8 gene mutation Molecular Type /
Molecular Formula Macromolecule Molecular Weight / Core Functional Dimensions Diagnosis and treatment of prediction
Disease(or Constitution) Pituitary Adenoma Disease Subtypes Adrenocorticotropic hormone adenoma (ACTHPA)
Organ Pituitary Test Sample / Technology Platform Organization (NGS, Sanger sequencing)
Pathobiological Mechanisms Coding to ubiquitin enzyme, EGFR mutations can lead to degradation of reduced
Clinical Availability Status Clinical application: 62.4% ACTHPA mutations, TuBianZhe tumor smaller, the higher response rate
Notes and Dynamics Predictable paranal peptide treatment response
Biomarker ACTH Full name Adrenocorticotropic hormone Molecular Type Hormones
Molecular Formula Macromolecule Molecular Weight / Core Functional Dimensions Macromolecule
Disease(or Constitution) Pituitary Adenoma Disease Subtypes Adrenocorticotropic hormone adenoma (ACTHPA)
Organ Pituitary Test Sample / Technology Platform Blood serum/rock under sinus (immune analysis, IPSS)
Pathobiological Mechanisms Excessive secretion lead to Cushing disease, causing elevated cortisol
Clinical Availability Status Clinical routine application: cortisol levels and dexamethasone suppression test confirmed; Source rock under sinus blood ACTH gradient detection can locate
Notes and Dynamics Cushing disease and to identify the core of ectopic ACTH syndrome
Biomarker circ_0001368 Full name Circular RNA 0001368 Molecular Type Circular RNA (circRNA)
Molecular Formula Macromolecule Molecular Weight / Core Functional Dimensions Diagnosis, prognosis,
Disease(or Constitution) Pituitary Adenoma Disease Subtypes Growth hormone adenoma (GHPA)
Organ Pituitary Test Sample / Technology Platform Organization (RT - qPCR, NGS)
Pathobiological Mechanisms Control Pit - 1 expression that promotes GH secretion and tumor proliferation
Clinical Availability Status Study phase: GHPA high expression, diagnosis of AUC 0.85, positively related to the tumor grade
Notes and Dynamics Ring structure stability, is expected to become new markers
Biomarker miR-423-5p Full name microRNA-423-5p Molecular Type Small RNA (miRNA)
Molecular Formula Macromolecule Molecular Weight / Core Functional Dimensions Diagnosis and monitoring
Disease(or Constitution) Pituitary Adenoma Disease Subtypes Growth hormone adenoma (GHPA)
Organ Pituitary Test Sample / Technology Platform Serum (RT - qPCR)
Pathobiological Mechanisms Targeting inhibition of PTTG1 expression, inhibition of tumor proliferation
Clinical Availability Status Clinical validation: GHPA cut, expressed in postoperative returned to normal, can monitor recurrence
Notes and Dynamics Outside the secrete body miR - 423-5 p detection noninvasive and convenient
Biomarker AIP Full name Aryl hydrocarbon receptor-interacting protein gene mutation Molecular Type Nucleic acid (DNA)
Molecular Formula Macromolecule Molecular Weight / Core Functional Dimensions Susceptibility and prognosis
Disease(or Constitution) Pituitary Adenoma Disease Subtypes Growth hormone adenoma (GHPA)
Organ Pituitary Test Sample / Technology Platform Whole blood/tissue (NGS, IHC)
Pathobiological Mechanisms Mutations in tumor suppressor genes, cell proliferation is out of control
Clinical Availability Status Clinical application: familial GHPA mutation rate 50%, TuBianZhe tumor invasive bigger, stronger, SSA resistant high risk
Notes and Dynamics Young patients screening core index
Biomarker GNAS Full name GNAS gene mutation Molecular Type Nucleic acid (DNA)
Molecular Formula Macromolecule Molecular Weight / Core Functional Dimensions Classification, treatment prediction
Disease(or Constitution) Pituitary Adenoma Disease Subtypes Growth hormone adenoma (GHPA)
Organ Pituitary Test Sample / Technology Platform Organization (NGS, Sanger sequencing)
Pathobiological Mechanisms Encoding the Gsα protein, mutations activate the cAMP pathway
Clinical Availability Status Clinical application: 40% sporadic GHPA mutations, TuBianZhe of somatostatin analogues (SSA) response is better
Notes and Dynamics With AIP mutations mutexes, can guide individualized treatment

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This study was supported by the Scientific Research Innovation Capability Support Project for Young Faculty (SRICSPYF-ZY2025112), the Fundamental and Interdisciplinary Disciplines Breakthrough Plan of the Ministry of Education of China (JYB2025XDXM612)

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