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Biomarker Syt-1 Full name Synaptotagmin-1 Molecular Type Protein
Molecular Formula / Molecular Weight / Core Functional Dimensions Diagnosis
Disease(or Constitution) Alzheimer's Disease Disease Subtypes Sporadic AD, Familial AD
Organ Brain Test Sample / Technology Platform CSF (ELISA, Western Blot)
Pathobiological Mechanisms A synaptic vesicle membrane protein that regulates neurotransmitter release, released into CSF after synaptic injury.
Clinical Availability Status Research exploration: CSF levels are significantly elevated in AD dementia patients, distinguishing AD from other dementias.
Notes and Dynamics Correlated with reduced synaptic density, not yet used in routine clinical testing.
Biomarker GAP-43 Full name Growth-Associated Protein 43 Molecular Type Protein
Molecular Formula / Molecular Weight / Core Functional Dimensions Disease Monitoring
Disease(or Constitution) Alzheimer's Disease Disease Subtypes Sporadic AD, Familial AD
Organ Brain Test Sample / Technology Platform CSF (SIMOA, Immunoassay)
Pathobiological Mechanisms A protein related to axonal regeneration and synaptic plasticity, released after synaptic injury, reflecting synaptic repair capacity.
Clinical Availability Status Research application: CSF levels in MCI patients progressing to AD are significantly higher than those in stable MCI.
Notes and Dynamics Positively correlated with Aβ-related tau accumulation, can be used as an indicator to assess AD progression rate.
Biomarker SNAP-25 Full name Synaptosomal-Associated Protein 25 Molecular Type Protein
Molecular Formula / Molecular Weight / Core Functional Dimensions Early Diagnosis
Disease(or Constitution) Alzheimer's Disease Disease Subtypes Sporadic AD, Familial AD
Organ Brain Test Sample / Technology Platform CSF/Plasma (SIMOA, Mass Spectrometry)
Pathobiological Mechanisms A key protein of the SNARE complex for synaptic vesicle fusion, released into CSF/plasma after synaptic injury, reflecting synaptic degeneration.
Clinical Availability Status Research validation: Elevated in the preclinical AD stage, positively correlated with Aβ pathology.
Notes and Dynamics Elevated in cognitively normal individuals with Aβ positivity, serving as an early sensitive indicator of synaptic degeneration.
Biomarker APOE ε4 Full name Apolipoprotein E ε4 Molecular Type Nucleic Acid (DNA)
Molecular Formula / Molecular Weight / Core Functional Dimensions Susceptibility
Disease(or Constitution) Alzheimer's Disease Disease Subtypes Familial AD
Organ Brain Test Sample / Technology Platform Whole Blood (Genotyping)
Pathobiological Mechanisms Affects lipid metabolism, particularly associated with reduced Aβ clearance efficiency; carriers have an increased risk and earlier timing of Aβ deposition.
Clinical Availability Status Clinically available (risk assessment): Routine genetic testing is available, but only for risk assessment, not diagnosis. Involves important ethical issues.
Notes and Dynamics A core variable for establishing risk stratification models; also an important stratification factor in therapeutic trials.
Biomarker KLF4 Mut Full name KLF4 Gene Mutation Molecular Type Gene Mutation
Molecular Formula / Molecular Weight / Core Functional Dimensions Diagnosis, Prognosis
Disease(or Constitution) Meningioma Disease Subtypes WHO Grade I, Secretory Subtype
Organ Brain, Meninges Test Sample / Technology Platform Tumor Tissue (NGS, Immunohistochemistry)
Pathobiological Mechanisms Transcription factor mutation, co-occurs with TRAF7, regulates cell differentiation, and is associated with secretory subtypes.
Clinical Availability Status Under Clinical Validation
Notes and Dynamics Mainly located at the skull base, low recurrence rate, and its inhibitors can reduce tumor invasiveness.
Biomarker GFAP Full name Glial Fibrillary Acidic Protein Molecular Type Protein
Molecular Formula / Molecular Weight / Core Functional Dimensions Susceptibility, Early Diagnosis
Disease(or Constitution) Alzheimer's Disease Disease Subtypes Sporadic AD, Familial AD
Organ Brain Test Sample / Technology Platform Plasma (SIMOA)
Pathobiological Mechanisms A marker of astrocyte activation. In AD, it may be activated early in response to Aβ pathology.
Clinical Availability Status Cutting-edge research: A large body of evidence indicates changes in the pre-symptomatic stage, making it a highly promising risk warning biomarker.
Notes and Dynamics Highly correlated with Aβ pathology, may reflect changes in the brain earlier than p-tau.
Biomarker TRAF7 Mut Full name TRAF7 Gene Mutation Molecular Type Gene Mutation
Molecular Formula / Molecular Weight / Core Functional Dimensions Diagnosis, Prognosis
Disease(or Constitution) Meningioma Disease Subtypes WHO Grade I, Secretory Subtype
Organ Brain, Meninges Test Sample / Technology Platform Tumor Tissue (NGS, PCR)
Pathobiological Mechanisms Encodes an E3 ubiquitin ligase, often co-mutated with AKT1/KLF4, regulates the NF-κB pathway, and is associated with a benign phenotype.
Clinical Availability Status Under Clinical Validation
Notes and Dynamics Mostly found in WHO Grade I meningiomas, 5-year survival rate ≥90%, and can be used as a biomarker for distinguishing benign subtypes.
Biomarker NfL Full name Neurofilament Light Chain Molecular Type Protein
Molecular Formula / Molecular Weight / Core Functional Dimensions Monitoring, Prognosis
Disease(or Constitution) Alzheimer's Disease Disease Subtypes Sporadic AD, Familial AD
Organ Brain Test Sample / Technology Platform CSF/Plasma (SIMOA)
Pathobiological Mechanisms A cytoskeletal protein released after axonal injury, serving as a non-specific marker of neuronal damage.
Clinical Availability Status Research/clinical monitoring tool: Widely used as an efficacy monitoring indicator in clinical trials; clinically used to assess the overall progression of neurodegenerative diseases.
Notes and Dynamics Elevated in various diseases such as AD, MS, and ALS, used to evaluate disease activity and treatment response.
Biomarker p-tau (181,217,231) Full name Phosphorylated Tau (181,217,231) Molecular Type Protein
Molecular Formula / Molecular Weight / Core Functional Dimensions Diagnosis, Prognosis
Disease(or Constitution) Alzheimer's Disease Disease Subtypes Sporadic AD, Familial AD
Organ Brain Test Sample / Technology Platform CSF/Plasma (SIMOA, IP-MS)
Pathobiological Mechanisms Hyperphosphorylation of tau protein leads to neurofibrillary tangles, disrupting the neuronal cytoskeleton. p-tau is a direct product of this process.
Clinical Availability Status Clinical validation/guideline recommendation: CSF p-tau is a core biomarker for AD diagnosis; plasma p-tau217 exhibits excellent diagnostic performance.
Notes and Dynamics p-tau217 has higher specificity than p-tau181 and is a star molecule of next-generation blood biomarkers.
Biomarker NF2 Mut Full name NF2 Gene Mutation Molecular Type Gene Mutation
Molecular Formula / Molecular Weight / Core Functional Dimensions Diagnosis, Prognosis, Risk Stratification
Disease(or Constitution) Meningioma Disease Subtypes WHO Grade I/II/III, Sporadic Meningioma
Organ Brain, Meninges Test Sample / Technology Platform Tumor Tissue/Plasma (NGS, Sanger Sequencing)
Pathobiological Mechanisms Tumor suppressor gene inactivation leads to Merlin protein deficiency, activates the PI3K/AKT and Hippo pathways, and promotes tumor proliferation and invasion.
Clinical Availability Status Clinically Available
Notes and Dynamics Mutations are present in approximately 60%-70% of sporadic meningiomas; mutant types have a high recurrence rate, and FAK inhibitors show therapeutic potential in clinical trials.
Biomarker Aβ42/40 Ratio Full name Amyloid β 42/40 Ratio Molecular Type Protein
Molecular Formula / Molecular Weight / Core Functional Dimensions Diagnosis, Susceptibility
Disease(or Constitution) Alzheimer's Disease Disease Subtypes Sporadic AD, Familial AD
Organ Brain Test Sample / Technology Platform CSF/Plasma (SIMOA, ELISA)
Pathobiological Mechanisms Aβ42 aggregates into oligomers and plaques, leading to neurotoxicity; Aβ40 is relatively stable; a decreased ratio more reliably reflects Aβ pathology than a single indicator.
Clinical Availability Status Research validation/early clinical use: CSF testing has been incorporated into research standards; large-scale validation of plasma testing is ongoing.
Notes and Dynamics Plasma Aβ42/40 is a current hotspot for early screening and population screening, with promising clinical application prospects.
Biomarker Melatonin Full name Melatonin Molecular Type Hormone
Molecular Formula C13H16N2O2 Molecular Weight 232.28 g/mol Core Functional Dimensions Monitoring, Prognosis
Disease(or Constitution) Schizophrenia Disease Subtypes /
Organ Brain Test Sample / Technology Platform Saliva/Plasma (ELISA, LC-MS/MS)
Pathobiological Mechanisms Circadian rhythm disturbance; decreased secretion weakens anti-inflammatory and neuroprotective effects.
Clinical Availability Status Research Stage
Notes and Dynamics Decreased nighttime levels are associated with comorbid insomnia; exogenous supplementation can improve sleep quality.
Biomarker MDR1 Full name Multidrug Resistance Gene Molecular Type Nucleic acids (DNA)
Molecular Formula / Molecular Weight / Core Functional Dimensions Chemotherapy efficacy prediction and treatment plan guidance
Disease(or Constitution) Non-Small Cell Lung Cancer Disease Subtypes /
Organ Lung Test Sample / Technology Platform Not specified (specific technology platform not specified)
Pathobiological Mechanisms The P-glycoprotein (P-gp) encoded by the MDR1 gene can expel chemotherapy drugs from the cell, leading to multidrug resistance in tumor cells
Clinical Availability Status Study validation: Used to predict chemotherapy efficacy
Notes and Dynamics High expression before chemotherapy suggests a high risk of resistance to chemotherapy drugs such as etoposide and paclitaxel, and poor efficacy
Biomarker PD-L1 Full name Programmed Death Ligand 1 Molecular Type Protein
Molecular Formula / Molecular Weight / Core Functional Dimensions Prediction of immunotherapy efficacy
Disease(or Constitution) Small Cell Lung Cancer Disease Subtypes /
Organ Lung Test Sample / Technology Platform Tumor tissue (specific technology platform not specified)
Pathobiological Mechanisms PD-L1 binds to PD-1 on the surface of T cells and inhibits immune cell killing of tumor cells
Clinical Availability Status Study validation: predictive markers of immunotherapy efficacy
Notes and Dynamics The expression heterogeneity in the tumor tissues of SCLC patients was strong, with a positive expression rate of 10%-30%, and the detection platform and cutoff value standards were not unified
Biomarker IL-1β Full name Interleukin 1β Molecular Type Protein
Molecular Formula / Molecular Weight / Core Functional Dimensions Prognosis, Diagnosis
Disease(or Constitution) Schizophrenia Disease Subtypes /
Organ Brain Test Sample / Technology Platform Plasma/Cerebrospinal Fluid (ELISA)
Pathobiological Mechanisms Activates the inflammasome pathway, promotes neuronal apoptosis, and interferes with GABAergic transmission.
Clinical Availability Status Under clinical validation
Notes and Dynamics CSF levels in elderly patients are positively correlated with cognitive decline.
Biomarker MYC family Full name MYC family Molecular Type Nucleic acids (DNA)
Molecular Formula / Molecular Weight / Core Functional Dimensions Prognostic assessment, prediction of chemotherapy efficacy
Disease(or Constitution) Small Cell Lung Cancer Disease Subtypes /
Organ Lung Test Sample / Technology Platform Not specified (specific technology platform not specified)
Pathobiological Mechanisms Amplification of the MYC family (c-MYC, N-MYC, L-MYC) is associated with the degree of malignancy of SCLC, resulting in rapid tumor growth, early metastasis, and chemotherapy resistance
Clinical Availability Status Research validation / clinical translation: used to screen the beneficiary population of targeted therapy and prognosis judgment
Notes and Dynamics The incidence is about 20% to 40%, and the median survival of amplification-positive patients is shortened and the response to first-line chemotherapy regimens is poor

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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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