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Biomarker AEA Full name Anandamide Molecular Type Lipid (Endocannabinoid)
Molecular Formula C22H37NO2 Molecular Weight 347.53 g/mol Core Functional Dimensions Diagnosis, Subtype Differentiation
Disease(or Constitution) Depression Disease Subtypes MDD with Anxiety Comorbidity
Organ Brain Test Sample / Technology Platform Plasma/Serum (Liquid Chromatography-Tandem Mass Spectrometry LC-MS/MS)
Pathobiological Mechanisms Endocannabinoid system dysfunction; decreased AEA levels weaken the stress-buffering effect and exacerbate anxiety-depression comorbidity symptoms.
Clinical Availability Status Research Stage
Notes and Dynamics Negatively correlated with anxiety symptoms; moderate-intensity exercise (e.g., 30-minute cycling) can upregulate its levels to improve mood.
Biomarker pro-BDNF Full name Pro-Brain-Derived Neurotrophic Factor Molecular Type Protein
Molecular Formula / Molecular Weight / Core Functional Dimensions Prognosis, Disease Monitoring
Disease(or Constitution) Depression Disease Subtypes Major Depressive Disorder (MDD), Suicidal Depression
Organ Brain Test Sample / Technology Platform Plasma (ELISA)
Pathobiological Mechanisms An increased pro-BDNF/BDNF ratio inhibits neuroregeneration and promotes neuronal apoptosis through the p75NTR receptor.
Clinical Availability Status Research Validation Stage
Notes and Dynamics Positively correlated with suicidal ideation (ratio >1.5 indicates high risk); a decreased ratio after treatment suggests a good prognosis.
Biomarker 5-HT Full name Serotonin Molecular Type Protein
Molecular Formula C10H12N2O Molecular Weight 76.21 g/mol Core Functional Dimensions Diagnosis, Etiological Confirmation
Disease(or Constitution) Depression Disease Subtypes Major Depressive Disorder (MDD), Suicidal Depression
Organ Brain Test Sample / Technology Platform Serum/Cerebrospinal Fluid (High-Performance Liquid Chromatography HPLC, Mass Spectrometry)
Pathobiological Mechanisms Decreased serotonin concentration in the synaptic cleft affects the emotional regulation pathway of the limbic system-prefrontal cortex.
Clinical Availability Status Research Stage
Notes and Dynamics Selective Serotonin Reuptake Inhibitors (SSRIs) exert efficacy by increasing its levels; cerebrospinal fluid 5-HT is negatively correlated with depression-related suicide risk.
Biomarker IL-10 Full name Interleukin 10 Molecular Type Protein
Molecular Formula C153H238N40O47 Molecular Weight 3430.82 g/mol Core Functional Dimensions Prognosis, Disease Monitoring
Disease(or Constitution) Depression Disease Subtypes Major Depressive Disorder (MDD), Responsive Depression
Organ Brain Test Sample / Technology Platform Plasma (ELISA)
Pathobiological Mechanisms Insufficient anti-inflammatory factors lead to neuroinflammatory imbalance, unable to antagonize the neurotoxic effects of IL-6/TNF-α.
Clinical Availability Status RResearch Stage
Notes and Dynamics IL-10 levels increase more than 2-fold in patients with effective antidepressant treatment, serving as a treatment response biomarker.
Biomarker TNF-α Full name Tumor Necrosis Factor α Molecular Type Protein
Molecular Formula C157H251N43O46S2 Molecular Weight 3418.07 g/mol Core Functional Dimensions Diagnosis, Prognosis
Disease(or Constitution) Depression Disease Subtypes Treatment-Resistant Depression (TRD), Chronic Depression
Organ Brain Test Sample / Technology Platform Serum (ELISA, Luminex)
Pathobiological Mechanisms Pro-inflammatory response disrupts blood-brain barrier integrity, induces astrocyte activation, and reduces presynaptic serotonin release.
Clinical Availability Status Under Clinical Validation
Notes and Dynamics Levels are significantly elevated in treatment-resistant depression patients (>8pg/mL); anti-TNF-α therapy (e.g., etanercept) can improve depressive symptoms.
Biomarker ACTH Full name Adrenocorticotropic Hormone Molecular Type Hormone
Molecular Formula C131H209N43O31S Molecular Weight 2933.38 g/mol Core Functional Dimensions Diagnosis, Etiological Confirmation
Disease(or Constitution) Depression Disease Subtypes Major Depressive Disorder (MDD), HPA Axis Abnormal Depression
Organ Brain Test Sample / Technology Platform Plasma (Chemiluminescence Immunoassay)
Pathobiological Mechanisms HPA axis negative feedback regulation dysfunction; excessive secretion inhibits hippocampal neuronal proliferation and reduces glucocorticoid receptor sensitivity.
Clinical Availability Status Clinically Available
Notes and Dynamics Abnormal morning cortisol peak (>25μg/dL) indicates HPA axis dysfunction, and can monitor SSRI treatment response.
Biomarker Cortisol Full name Cortisol Molecular Type Hormone
Molecular Formula C21H30O5 Molecular Weight 362.46 g/mol Core Functional Dimensions Diagnosis, Disease Monitoring, Prognosis
Disease(or Constitution) Depression Disease Subtypes Major Depressive Disorder (MDD), Stress-Induced Depression
Organ Brain Test Sample / Technology Platform Saliva/Plasma (Chemiluminescence Immunoassay, Radioimmunoassay)
Pathobiological Mechanisms HPA axis negative feedback regulation dysfunction; excessive secretion inhibits hippocampal neuronal proliferation and reduces glucocorticoid receptor sensitivity.
Clinical Availability Status Clinically Available
Notes and Dynamics Abnormal morning cortisol peak (>25μg/dL) indicates HPA axis dysfunction, and can monitor SSRI treatment response.
Biomarker IL-6 Full name Interleukin 6 Molecular Type Protein
Molecular Formula / Molecular Weight / Core Functional Dimensions Diagnosis, Prognosis
Disease(or Constitution) Depression Disease Subtypes Major Depressive Disorder (MDD), Treatment-Resistant Depression (TRD)
Organ Brain Test Sample / Technology Platform Plasma/Serum (ELISA, Electrochemiluminescence Immunoassay)
Pathobiological Mechanisms Pro-inflammatory factor activates brain microglia, inhibits hippocampal neurogenesis, and promotes tryptophan metabolism toward the neurotoxic kynurenine pathway.
Clinical Availability Status Under Clinical Validation
Notes and Dynamics Synergizes with excessive HPA axis activation; combined with BDNF detection can improve the diagnostic accuracy to 82%.
Biomarker CRP Full name C-Reactive Protein Molecular Type Protein
Molecular Formula / Molecular Weight / Core Functional Dimensions Diagnosis, Prognosis
Disease(or Constitution) Depression Disease Subtypes Major Depressive Disorder (MDD), Chronic Depression
Organ Brain Test Sample / Technology Platform Whole Blood (Immunoturbidimetry, Latex-Enhanced Immunoassay)
Pathobiological Mechanisms Systemic inflammation activation exacerbates central neuroinflammation through the blood-brain barrier, interfering with monoamine neurotransmitter balance.
Clinical Availability Status Clinically Available
Notes and Dynamics Positively correlated with depression severity (patients with BDI score >20 often have CRP >3mg/L), and can predict recurrence risk within 1 year.
Biomarker BDNF Full name Brain-Derived Neurotrophic Factor Molecular Type Protein
Molecular Formula / Molecular Weight / Core Functional Dimensions Diagnosis, Prognosis, Disease Monitoring
Disease(or Constitution) Depression Disease Subtypes Major Depressive Disorder (MDD), Treatment-Resistant Depression (TRD)
Organ Brain Test Sample / Technology Platform Plasma/Serum (ELISA, Luminex)
Pathobiological Mechanisms Neuroplasticity decreases, neuronal survival/differentiation are impaired, synaptic dysfunction occurs, and levels can be upregulated after antidepressant treatment.
Clinical Availability Status Under Clinical Validation
Notes and Dynamics Levels are significantly decreased in treatment-resistant depression patients, positively correlated with serotonergic system activity.
Biomarker PD-L1 Full name Programmed Death-Ligand 1 Molecular Type Protein
Molecular Formula / Molecular Weight / Core Functional Dimensions Prediction, Pharmacodynamics/Response
Disease(or Constitution) Meningioma Disease Subtypes /
Organ Brain, Meninges Test Sample / Technology Platform Tumor Tissue (Immunohistochemistry)
Pathobiological Mechanisms An immune checkpoint molecule that inhibits the anti-tumor activity of T cells.
Clinical Availability Status Research Stage
Notes and Dynamics Patients with high expression may be sensitive to PD-1/PD-L1 inhibitors, and related clinical trials are ongoing.
Biomarker ApoE Full name ApoE (Gene Polymorphism) Molecular Type Protein
Molecular Formula / Molecular Weight / Core Functional Dimensions Prognosis, Risk Stratification
Disease(or Constitution) Meningioma Disease Subtypes /
Organ Brain, Meninges Test Sample / Technology Platform Plasma/Tumor Tissue (ELISA, Gene Sequencing)
Pathobiological Mechanisms The ApoE4 subtype regulates lipid metabolism and enhances tumor invasiveness.
Clinical Availability Status Research Stage
Notes and Dynamics Related to the tumor immune microenvironment; ApoE mimetic peptides can improve immunotherapy efficacy.
Biomarker EVs-cfDNA Full name Extracellular Vesicles (EVs)-cfDNA Molecular Type Nucleic Acid (DNA)
Molecular Formula / Molecular Weight / Core Functional Dimensions Diagnosis, Monitoring
Disease(or Constitution) Meningioma Disease Subtypes /
Organ Brain, Meninges Test Sample / Technology Platform Plasma (NGS, qPCR)
Pathobiological Mechanisms Carries tumor gene mutations, reflecting tumor burden and dynamic changes.
Clinical Availability Status Research Stage
Notes and Dynamics A core biomarker for liquid biopsy, enabling non-invasive dynamic monitoring of recurrence.
Biomarker LINC00460 Full name Long Non-Coding RNA LINC00460 Molecular Type Long Non-Coding RNA
Molecular Formula / Molecular Weight / Core Functional Dimensions Diagnosis, Monitoring
Disease(or Constitution) Meningioma Disease Subtypes /
Organ Brain, Meninges Test Sample / Technology Platform Tumor Tissue/Plasma (qRT-PCR)
Pathobiological Mechanisms Adsorbs miR-539, upregulates MMP-9, and promotes tumor invasion.
Clinical Availability Status Research Stage
Notes and Dynamics Patients with high expression have an increased metastasis risk; silencing can inhibit tumor proliferation.
Biomarker miR-219-5p Full name MicroRNA-219-5p Molecular Type MicroRNA
Molecular Formula / Molecular Weight / Core Functional Dimensions Diagnosis, Monitoring
Disease(or Constitution) Meningioma Disease Subtypes /
Organ Brain, Meninges Test Sample / Technology Platform Plasma/Cerebrospinal Fluid (qRT-PCR)
Pathobiological Mechanisms Targets tumor suppressor genes; downregulated expression is associated with tumor progression.
Clinical Availability Status Research Stage
Notes and Dynamics Serum levels are positively correlated with tumor grade, and can be used as a non-invasive monitoring biomarker.
Biomarker MGMT Promoter Meth Full name DNA Methylation (MGMT Promoter) Molecular Type DNA Methylation
Molecular Formula / Molecular Weight / Core Functional Dimensions Prediction, Prognosis
Disease(or Constitution) Meningioma Disease Subtypes WHO Grade II/III, Malignant Subtype
Organ Brain, Meninges Test Sample / Technology Platform Tumor Tissue (MSP, Pyrosequencing)
Pathobiological Mechanisms Methylation silences the MGMT gene, enhances temozolomide chemotherapy sensitivity.
Clinical Availability Status Research Validation Stage
Notes and Dynamics The chemotherapy response rate is improved in methylation-positive patients, which 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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