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Biomarker B2M Full name Beta-2 microglobulin Molecular Type Protein
Molecular Formula / Molecular Weight / Core Functional Dimensions Renal function assessment、Early warning of complications
Disease(or Constitution) Chronic Kidney Disease (CKD) Disease Subtypes /
Organ Kidney Test Sample / Technology Platform Blood, urine (protein detection)
Pathobiological Mechanisms Mainly through glomerular filtration, elevated levels reflect impaired glomerular filtration function.
Clinical Availability Status Research verification stage
Notes and Dynamics It is related to the risk of end-stage renal disease ( ESRD ) and cardiovascular disease in CKD patients, and can improve the accuracy of risk prediction in patients with moderate CKD.
Biomarker BTP Full name Beta-trace protein Molecular Type Protein
Molecular Formula / Molecular Weight / Core Functional Dimensions Renal function assessment、Early warning of complications
Disease(or Constitution) Chronic Kidney Disease (CKD) Disease Subtypes /
Organ Kidney Test Sample / Technology Platform Blood, urine (protein detection)
Pathobiological Mechanisms It is involved in renal metabolism, and abnormal levels are associated with reduced GFR.
Clinical Availability Status Research verification stage
Notes and Dynamics It can supplement the deficiency of serum creatinine in GFR estimation and provide additional renal function risk information for patients with moderate CKD.
Biomarker miR-181a Full name MicroRNA-181a Molecular Type Nucleic acid(non-coding RNA)
Molecular Formula / Molecular Weight / Core Functional Dimensions Early prediction、Condition monitoring
Disease(or Constitution) Chronic Kidney Disease (CKD) Disease Subtypes /
Organ Kidney Test Sample / Technology Platform Urine, plasma (RNA sequencing, quantitative PCR)
Pathobiological Mechanisms Regulating renal parenchymal injury-related genes, the level of urinary exosomes in CKD patients was significantly reduced.
Clinical Availability Status Research verification stage
Notes and Dynamics The level of miR-181a in urinary exosomes of CKD patients is about 200 times lower than that of healthy people, which is a highly specific marker of renal parenchymal injury.
Biomarker miR-451 Full name MicroRNA-451 Molecular Type Nucleic acid(non-coding RNA)
Molecular Formula / Molecular Weight / Core Functional Dimensions Early prediction、Condition monitoring
Disease(or Constitution) Chronic Kidney Disease (CKD) Disease Subtypes /
Organ Kidney Test Sample / Technology Platform Urine, plasma (RNA sequencing, quantitative PCR)
Pathobiological Mechanisms Post-transcriptional regulation of kidney injury-related genes, abnormal plasma / urine levels in CKD
Clinical Availability Status Research verification stage
Notes and Dynamics The sensitivity of plasma and urine miR-451 in the diagnosis of diabetic nephropathy was 90.9 % and 95.5 %, respectively.
Biomarker EASIX Full name Endothelial Activation and Stress Index (calculated as sVCAM-1×creatinine/platelet count) Molecular Type Composite index
Molecular Formula Molecular Weight Core Functional Dimensions Prognosis, risk stratification
Disease(or Constitution) Anemia Disease Subtypes Anemia
Organ Blood, bone marrow Test Sample / Technology Platform Based on clinical detection parameters (such as creatinine, bilirubin, etc.) for calculation
Pathobiological Mechanisms It is associated with endothelial dysfunction in patients with anemia and predicts all-cause mortality.
Clinical Availability Status National cohort validation: 2954 patients were followed up for 81 months.
Notes and Dynamics Critical value: 0.72. The hazard ratio for all-cause mortality in the high-score group was 1.42, and the 10-year predicted area under the curve was 0.78.
Biomarker Folic acid Full name Folic acid Molecular Type Vitamin
Molecular Formula C19H19N7O6 Molecular Weight 441.397 Core Functional Dimensions Diagnosis, etiological differentiation
Disease(or Constitution) Anemia Disease Subtypes MA
Organ Blood, bone marrow Test Sample / Technology Platform Serum/Red blood cells (chemiluminescence method, microbial method)
Pathobiological Mechanisms Involved in DNA synthesis, deficiency leads to erythropoiesis disorders, megaloblastic changes.
Clinical Availability Status Clinical routine application: Core indicators for classification of megaloblastic anemia.
Notes and Dynamics Red blood cell folate can better reflect long-term folate reserves and is superior to serum folate testing.
Biomarker Vitamin B12 Full name Cobalamin Molecular Type Vitamin
Molecular Formula C63H88CoN14O14P Molecular Weight 1355.365 Core Functional Dimensions Diagnosis, etiological differentiation
Disease(or Constitution) Anemia Disease Subtypes Megaloblastic anemia (MA)
Organ Blood, bone marrow Test Sample / Technology Platform Serum (chemiluminescence method, radioimmunoassay)
Pathobiological Mechanisms Involved in DNA synthesis, deficiency leads to megaloblastic change of bone marrow hematopoietic cells, red blood cell maturation disorders.
Clinical Availability Status Clinical routine application: Key indicators for diagnosing megaloblastic anemia.
Notes and Dynamics It can be combined with the levels of homocysteine and methylmalonic acid to improve the diagnostic accuracy.
Biomarker Ferritin Full name Ferritin Molecular Type Protein
Molecular Formula Molecular Weight Core Functional Dimensions Diagnosis, assessment of iron reserves
Disease(or Constitution) Anemia Disease Subtypes IDA
Organ Blood, bone marrow Test Sample / Technology Platform Serum (immunoturbidimetry, ELISA)
Pathobiological Mechanisms It reflects the amount of iron storage in the body. When iron deficiency occurs, it decreases early, and when inflammation occurs, it increases nonspecifically.
Clinical Availability Status Clinical routine application: Core indicators for diagnosing IDA.
Notes and Dynamics It is necessary to make a comprehensive judgment based on inflammatory markers (such as CRP) to avoid false negatives caused by inflammation.
Biomarker CXCL-12 Full name C-X-C Motif Chemokine Ligand 12 Molecular Type Protein
Molecular Formula Molecular Weight Core Functional Dimensions Prognosis, monitoring
Disease(or Constitution) Acute Myeloid Leukemia (AML) Disease Subtypes /
Organ Blood, bone marrow Test Sample / Technology Platform Bone marrow plasma (ELISA)
Pathobiological Mechanisms Down-regulated during diagnosis, up-regulated after complete remission and relapse, reflecting changes in the bone marrow microenvironment.
Clinical Availability Status Research validation: Inverse correlation with Activin-A expression.
Notes and Dynamics As an auxiliary biomarker for disease progression monitoring.
Biomarker Activin-A Full name Activin A (Homodimer of Inhibin Beta A Subunits) Molecular Type Protein
Molecular Formula Molecular Weight Core Functional Dimensions Prognosis, prediction of treatment response
Disease(or Constitution) Acute Myeloid Leukemia (AML) Disease Subtypes /
Organ Blood, bone marrow Test Sample / Technology Platform Bone marrow plasma (ELISA)
Pathobiological Mechanisms Highly expressed during diagnosis, downregulated after complete remission, and elevated again upon recurrence.
Clinical Availability Status Research validation: 80 AML patient samples confirm its value.
Notes and Dynamics Predictable induction response and relapse risk, evaluation of patient outcomes.
Biomarker WT1 Full name Wilms Tumor 1 Molecular Type Protein
Molecular Formula Molecular Weight Core Functional Dimensions Diagnosis, prognosis, and treatment response monitoring
Disease(or Constitution) Acute Myeloid Leukemia (AML) Disease Subtypes /
Organ Blood, bone marrow Test Sample / Technology Platform Bone marrow/blood (RNA sequencing, qPCR)
Pathobiological Mechanisms Overexpression is associated with elevated white blood cell count and increased proportion of primitive cells, with expression levels decreasing after induction therapy.
Clinical Availability Status Clinical validation: 345 diagnostic samples confirm its value.
Notes and Dynamics Can monitor disease status and guide risk stratification and treatment decisions.
Biomarker LRP12 Full name Low Density Lipoprotein Receptor-Related Protein 12 Molecular Type Protein
Molecular Formula Molecular Weight Core Functional Dimensions Diagnosis
Disease(or Constitution) Acute Myeloid Leukemia (AML) Disease Subtypes /
Organ Blood, bone marrow Test Sample / Technology Platform Bone marrow/AML cell line (RNA sequencing, in vitro validation).
Pathobiological Mechanisms Co-overexpression with CD109, associated with immune checkpoint molecule dysregulation, promotes cancer cell immune evasion.
Clinical Availability Status Research Verification: Secretome analysis confirms its expression profile.
Notes and Dynamics First reported as a biomarker related to AML diagnosis.
Biomarker CD109 Full name CD109 Antigen Molecular Type Protein
Molecular Formula Molecular Weight Core Functional Dimensions Diagnosis
Disease(or Constitution) Acute Myeloid Leukemia (AML) Disease Subtypes /
Organ Blood, bone marrow Test Sample / Technology Platform Bone marrow/AML cell line (RNA sequencing, in vitro validation).
Pathobiological Mechanisms Overexpression in AML cell lines, involved in T-cell receptor pathway dysregulation, and reduced immune response.
Clinical Availability Status Research Verification: Identification of potential biomarkers through transcriptome analysis.
Notes and Dynamics As a candidate molecule for AML diagnosis, it needs further clinical validation when used in conjunction with LRP12.
Biomarker STK25 Full name Serine/Threonine Kinase 25 Molecular Type Protein
Molecular Formula Molecular Weight Core Functional Dimensions Prognosis, risk stratification
Disease(or Constitution) Acute Myeloid Leukemia (AML) Disease Subtypes /
Organ Blood, bone marrow Test Sample / Technology Platform Bone marrow (RNA sequencing, siRNA validation)
Pathobiological Mechanisms High expression promotes AML cell survival, while knockdown inhibits proliferation.
Clinical Availability Status Research Verification: Incorporating a novel risk stratification system.
Notes and Dynamics Provide new molecular basis for precise prognosis assessment of AML.
Biomarker SOD1 Full name Superoxide Dismutase 1 Molecular Type Protein
Molecular Formula Molecular Weight Core Functional Dimensions Prognosis, risk stratification
Disease(or Constitution) Acute Myeloid Leukemia (AML) Disease Subtypes /
Organ Blood, bone marrow Test Sample / Technology Platform Bone marrow (RNA sequencing, siRNA validation)
Pathobiological Mechanisms High expression is involved in the proliferation regulation of AML cells and associated with disease progression.
Clinical Availability Status Research validation: Enhanced risk stratification accuracy when combined with the other three factors.
Notes and Dynamics Targeted inhibition can serve as one of the combination therapy strategies.
Biomarker Gut microbiota Full name Gut microbiota Molecular Type Microorganism
Molecular Formula / Molecular Weight / Core Functional Dimensions Early diagnosis、Risk assessment
Disease(or Constitution) Chronic Kidney Disease (CKD) Disease Subtypes /
Organ Kidney Test Sample / Technology Platform Feces, blood ( metagenomic sequencing, flora analysis )
Pathobiological Mechanisms The progress of CKD leads to the imbalance of intestinal flora, the decrease of probiotics and the increase of pathogenic bacteria, which leads to the damage of intestinal
Clinical Availability Status Research and exploration stage
Notes and Dynamics The metabolites of intestinal flora ( such as indole and phenols ) can be used as uremic toxins to aggravate kidney damage, and related markers are expected to become non-invasive screening tools.

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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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