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Biomarker LGALS3BP (glycosylated isoform) Full name Lectin, galactosidebinding, soluble, 3 binding protein (Galectin-3 Binding Protein) Molecular Type Glycoprotein
Molecular Formula / Molecular Weight / Core Functional Dimensions Diagnosis & therapeutic target
Disease(or Constitution) Bladder Cancer (BC) Disease Subtypes /
Organ Bladder Test Sample / Technology Platform Tissue, urine, serum (LC-MS/MS, IHC)
Pathobiological Mechanisms Over-expressed in tissue; elevated in urine & serum; glycosylation affects antibody recognition
Clinical Availability Status Research verification stage
Notes and Dynamics ADC (1959-sss/DM4) validated in animal models; diagnostic value under investigation
Biomarker FTO Full name Fat Mass and Obesity-Associated Protei Molecular Type Protein
Molecular Formula / Molecular Weight / Core Functional Dimensions Diagnosis, prognosis & therapeutic target
Disease(or Constitution) Bladder Cancer (BC) Disease Subtypes /
Organ Bladder Test Sample / Technology Platform Tissue (qRT-PCR, WB)
Pathobiological Mechanisms m⁶A-dependent regulation via FTO/miR-576/CDK6 axis; over-expression linked to poor prognosis
Clinical Availability Status Research verification stage
Notes and Dynamics Clear oncogenic pathway; promising drug-able target
Biomarker NOX4 Full name NADPH Oxidase 4 Molecular Type Protein
Molecular Formula / Molecular Weight / Core Functional Dimensions Diagnosis & prognosis
Disease(or Constitution) Bladder Cancer (BC) Disease Subtypes /
Organ Bladder Test Sample / Technology Platform Tissue (qRT-PCR, IHC)
Pathobiological Mechanisms Interacts with SH3YL1; significantly up-regulated in MIBC vs NMIBC; drives invasion-related processes
Clinical Availability Status Research verification stage
Notes and Dynamics Important for MIBC aggressiveness; mechanistic exploitation ongoing
Biomarker PKCα Full name Protein Kinase C alpha Molecular Type Protein
Molecular Formula / Molecular Weight / Core Functional Dimensions Diagnosis & urine marker
Disease(or Constitution) Bladder Cancer (BC) Disease Subtypes /
Organ Bladder Test Sample / Technology Platform Elevated in cancer tissue and in urine of orthotopic xenograft mice; reflects tumour burden
Pathobiological Mechanisms Research verification stage
Clinical Availability Status Non-invasive, cost-effective; large multicentre validation needed
Notes and Dynamics Non-invasive, cost-effective; large multicentre validation needed
Biomarker circHIPK3 Full name Circular RNA Homeodomain Interacting Protein Kinase 3 Molecular Type Circular RNA
Molecular Formula / Molecular Weight / Core Functional Dimensions Diagnosis & potential biomarker
Disease(or Constitution) Bladder Cancer (BC) Disease Subtypes /
Organ Bladder Test Sample / Technology Platform Not specified
Pathobiological Mechanisms Top bladder-cancer-associated circRNA; implicated in oncogenic pathway modulation
Clinical Availability Status Research verification (in-silico prediction)
Notes and Dynamics Identified by integrated CDA-EnRWLRLS model; requires experimental & clinical validation
Biomarker ITIH5 gene promoter methylation Full name Inter-α-trypsin inhibitor heavy chain 5 gene promoter methylation Molecular Type Nucleic acid (DNA methylation)
Molecular Formula / Molecular Weight / Core Functional Dimensions Early non-invasive diagnosis
Disease(or Constitution) Bladder Cancer (BC) Disease Subtypes /
Organ Bladder Test Sample / Technology Platform Urine (qMSP, dPCR)
Pathobiological Mechanisms Tumour-suppressor; methylation detectable in urine cfDNA; combinatorial assay increases performance
Clinical Availability Status Research verification stage
Notes and Dynamics Combined EI-BLA test reaches 64–70 % sensitivity & 97 % specificity
Biomarker ECRG4 gene promoter methylation Full name Esophageal Cancer Related Gene 4 gene promoter methylation Molecular Type Nucleic acid (DNA methylation)
Molecular Formula / Molecular Weight / Core Functional Dimensions Early diagnosis (epigenetic)
Disease(or Constitution) Bladder Cancer (BC) Disease Subtypes /
Organ Bladder Test Sample / Technology Platform Urine (qMSP)
Pathobiological Mechanisms Tumour-suppressor gene; promoter hyper-methylation occurs early; detectable in urine for screening
Clinical Availability Status Research verification stage
Notes and Dynamics Early epigenetic event; sensitivity improved when combined with ITIH5 methylation
Biomarker NMP22 Full name Nuclear Matrix Protein 22 Molecular Type Protein (nuclear-matrix protein)
Molecular Formula / Molecular Weight / Core Functional Dimensions Diagnosis (apoptosis-related)
Disease(or Constitution) Bladder Cancer (BC) Disease Subtypes /
Organ Bladder Test Sample / Technology Platform Urine (NMP22® assay kit)
Pathobiological Mechanisms Quantifies NMP22 released during tumor-cell apoptosis; sensitivity superior to cytology
Clinical Availability Status FDA-cleared; clinic-ready quantitative kit
Notes and Dynamics False positives in cystitis, BPH or after instrumentation; recommend adjuvant use
Biomarker UCy Full name Urine cytology Molecular Type Cellular (abnormal exfoliated cells)
Molecular Formula / Molecular Weight / Core Functional Dimensions Diagnosis (specific screening)
Disease(or Constitution) Bladder Cancer (BC) Disease Subtypes /
Organ Bladder Test Sample / Technology Platform Urine (cytospin & microscopy)
Pathobiological Mechanisms Morphological identification of atypical tumor cells in voided urine; specificity ≈ 100 %
Clinical Availability Status Routine clinical practice; pathologist-dependent
Notes and Dynamics Low sensitivity for low-grade or small-volume tumors; insufficient as stand-alone early-detection tool
Biomarker Leptin Full name leptin Molecular Type hormone
Molecular Formula Macromolecule Molecular Weight / Core Functional Dimensions Monitoring and prognosis
Disease(or Constitution) Metabolic Syndrome Disease Subtypes Centricity fueling
Organ Adipose Tissue Test Sample / Technology Platform Serum (ELISA and chemiluminescence method)
Pathobiological Mechanisms The secretion of adipocytes is increased, the inhibition of appetite is weakened, and the inflammation and insulin resistance are promoted
Clinical Availability Status Clinical auxiliary application: used to assess degree of fat metabolism disorder, severity of leptin resistance and the MetS are related
Notes and Dynamics And adiponectin ratio can better reflect the metabolic imbalances
Biomarker WC Full name Waist circumference Molecular Type Physiological indexes
Molecular Formula / Molecular Weight / Core Functional Dimensions Diagnosis and risk prediction
Disease(or Constitution) Metabolic Syndrome Disease Subtypes Central obesity type
Organ Adipose Tissue Test Sample / Technology Platform Anthropometric measurement (flexible rule)
Pathobiological Mechanisms Centricity and adipose accumulation and release of free fatty acids and proinflammatory factor, induce insulin resistance
Clinical Availability Status Clinical routine application: diagnostic core indicators reflect the visceral fat load
Notes and Dynamics Associated with BMI obesity related metabolic risk assessment accuracy can be improved
Biomarker Aldosterone Full name Aldosterone Molecular Type Hormones
Molecular Formula C₂₁H₂₈O₅ Molecular Weight 360.44 Core Functional Dimensions Auxiliary diagnosis and classification
Disease(or Constitution) Metabolic Syndrome Disease Subtypes High blood pressure type
Organ Adrenal Gland/Kidney Test Sample / Technology Platform Serum/plasma (ria method, ELISA)
Pathobiological Mechanisms Promote water sodium retention, increased blood pressure, participate in metabolic disorders
Clinical Availability Status Clinical auxiliary application: identification of primary aldosteronism hypertension associated with MetS
Notes and Dynamics Combined detection with renin can improve the accuracy of classification
Biomarker 5-MTP Full name 5-Methoxytryptophan Molecular Type Metabolites
Molecular Formula C₁₂H₁₄N₂O₃ Molecular Weight 234.25 g/mol Core Functional Dimensions Early screening, Risk stratification
Disease(or Constitution) Chronic Kidney Disease (CKD) Disease Subtypes /
Organ Kidney Test Sample / Technology Platform Urine ( mass spectrometry, proteomics detection )
Pathobiological Mechanisms Regulating inflammation and fibrosis pathways, abnormal levels are associated with CKD progression
Clinical Availability Status Research verification stage
Notes and Dynamics Inhibiting NF-κB pathway can improve CKD-induced cerebrovascular injury, which has the potential of biomarkers and therapeutic targets.
Biomarker CKD273 panel Full name Chronic Kidney Disease 273 urinary peptide biomarker panel Molecular Type Protein(Specific peptides)
Molecular Formula Molecular Weight Core Functional Dimensions Early screening, risk stratification
Disease(or Constitution) Chronic Kidney Disease (CKD) Disease Subtypes /
Organ Kidney Test Sample / Technology Platform Urine ( mass spectrometry, proteomics detection )
Pathobiological Mechanisms It is composed of 273 urinary peptides, reflecting CKD-related molecular network abnormalities.
Clinical Availability Status Clinically available ( in vitro diagnostic reagents )
Notes and Dynamics Prognostic value in predicting the risk of progression to microalbuminuria in patients with type 2 diabetes has been endorsed by the U.S. FDA and is being used for patient stratification in a multicenter PRIORITY trial.
Biomarker Gal-3 Full name Galectin-3 Molecular Type Protein
Molecular Formula Molecular Weight Core Functional Dimensions Early diagnosis、Prognostic judgment、Early warning of complications
Disease(or Constitution) Chronic Kidney Disease (CKD) Disease Subtypes /
Organ Kidney Test Sample / Technology Platform Urine, blood ( protein detection, ELISA)
Pathobiological Mechanisms It promotes renal fibrosis and inflammatory response, and is associated with cardiovascular risk.
Clinical Availability Status Some clinical applications / Research verification stage
Notes and Dynamics It is negatively correlated with eGFR in patients with diabetic nephropathy, which can be used as an early warning indicator of CKD complicated with cardiovascular disease, and has both renal and cardiovascular risk assessment value.
Biomarker VNN1 Full name Vanin 1 Molecular Type Protein
Molecular Formula Molecular Weight Core Functional Dimensions Early diagnosis、Condition monitoring
Disease(or Constitution) Chronic Kidney Disease (CKD) Disease Subtypes /
Organ Kidney Test Sample / Technology Platform Urine, blood ( protein detection, ELISA)
Pathobiological Mechanisms It is involved in the regulation of oxidative stress in renal tubules, and the expression is up-regulated after injury, reflecting the dysfunction of renal tubules.
Clinical Availability Status Some clinical applications / Research verification stage
Notes and Dynamics The level of urinary Vanin 1 in hypertensive patients is negatively correlated with eGFR and positively correlated with urinary protein creatinine ratio, which is a potential marker of hypertension-related CKD.

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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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