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Biomarker CTCs Full name Circulating tumor cells Molecular Type cell
Molecular Formula / Molecular Weight / Core Functional Dimensions Diagnosis, staging reference, tumor burden assessment
Disease(or Constitution) Small Cell Lung Cancer Disease Subtypes /
Organ Lung Test Sample / Technology Platform Peripheral blood (specific technology platform not specified)
Pathobiological Mechanisms It is shed from the tumor tissue and enters the blood circulation, carrying the biological characteristics of the tumor tissue
Clinical Availability Status Supplementary means for clinical application: non-invasive, real-time detection
Notes and Dynamics The diagnostic sensitivity and specificity are good, and can be used as a supplement for early diagnosis and disease staging
Biomarker cfDNA Full name Cell-Free DNA Molecular Type Nucleic Acid (DNA)
Molecular Formula / Molecular Weight / Core Functional Dimensions Diagnosis, Monitoring
Disease(or Constitution) Schizophrenia Disease Subtypes /
Organ Brain Test Sample / Technology Platform Plasma Extracellular Vesicles (qPCR, Sequencing)
Pathobiological Mechanisms Increased release of cfDNA in extracellular vesicles reflects cell injury and inflammation activation.
Clinical Availability Status Research stage
Notes and Dynamics A novel non-invasive biomarker, associated with disease activity.
Biomarker ProGRP Full name Gastrin-releasing peptide precursor Molecular Type Protein
Molecular Formula / Molecular Weight / Core Functional Dimensions Diagnosis, screening, disease progression monitoring, recurrence early warning
Disease(or Constitution) Small Cell Lung Cancer Disease Subtypes /
Organ Lung Test Sample / Technology Platform Serum (specific technology platform not specified)
Pathobiological Mechanisms ProGRP is a precursor to gastrin-releasing peptide (GRP), which promotes tumor cell proliferation and angiogenesis, and is highly expressed in the serum of SCLC patients
Clinical Availability Status Clinical application: Differential diagnosis performance is better than NSE, potential early screening marker
Notes and Dynamics Elevations in early SCLC precede radiographic abnormalities and have high specificity
Biomarker NSE Full name Neuron-specific enolase Molecular Type Protein
Molecular Formula / Molecular Weight / Core Functional Dimensions Diagnosis, screening, efficacy monitoring, and early warning of recurrence
Disease(or Constitution) Small Cell Lung Cancer Disease Subtypes /
Organ Lung Test Sample / Technology Platform Serum (specific technology platform not specified)
Pathobiological Mechanisms SCLC cells have neuroendocrine properties and secrete NSE, a key enzyme in the glycolytic pathway, in large quantities
Clinical Availability Status Clinical application: Commonly used serum markers, which need to be combined with clinical symptoms and imaging examinations
Notes and Dynamics It may be elevated in neuroblastoma, medullary thyroid carcinoma, pneumonia, meningitis and other diseases, and there are interfering factors
Biomarker Mismatch Negativity Full name Neurophysiological Indicator Molecular Type /
Molecular Formula / Molecular Weight Brain Core Functional Dimensions Electroencephalogram (EEG, Time-Frequency Analysis)
Disease(or Constitution) Schizophrenia Disease Subtypes /
Organ Brain Test Sample / Technology Platform NMDAR functional abnormalities lead to early auditory processing disorders, reflecting excitation-inhibition imbalance.
Pathobiological Mechanisms NMDAR functional abnormalities lead to early auditory processing disorders, reflecting excitation-inhibition imbalance.
Clinical Availability Status Research validation stage
Notes and Dynamics Sensitive to D-serine and 5-HT3R antagonist treatment, can predict target engagement.
Biomarker ROS1 Full name c-ros Oncogene 1 Molecular Type Nucleic acid(DNA)
Molecular Formula / Molecular Weight / Core Functional Dimensions Targeted therapy guidance
Disease(or Constitution) Non-Small Cell Lung Cancer Disease Subtypes /
Organ Lung Test Sample / Technology Platform Tissue / Blood (Genetic Testing)
Pathobiological Mechanisms Fusion genes drive tumors that are sensitive to ROS1 inhibitors
Clinical Availability Status Clinically available (targeted therapy screening)
Notes and Dynamics The incidence is 1%-2%, similar to the clinical features of ALK fusion, and the inhibitor effect is significant
Biomarker ALK Full name Anaplastic Lymphoma Kinase Molecular Type Nucleic acid(DNA)
Molecular Formula / Molecular Weight / Core Functional Dimensions Targeted therapy guidance
Disease(or Constitution) Non-Small Cell Lung Cancer Disease Subtypes /
Organ Lung Test Sample / Technology Platform Tissue / Blood (Genetic Testing)
Pathobiological Mechanisms Fusion genes cause tumorigenesis and can be specifically inhibited by ALK inhibitors
Clinical Availability Status Clinically available (targeted therapy screening)
Notes and Dynamics The incidence is 3% to 7%, and it is more common in young, non-smokers, or light smokers with lung adenocarcinoma
Biomarker FABP4 mRNA Full name Fatty Acid Binding Protein 4 mRNA Molecular Type Nucleic Acid (Gene Expression)
Molecular Formula / Molecular Weight / Core Functional Dimensions Diagnosis, Susceptibility
Disease(or Constitution) Schizophrenia Disease Subtypes /
Organ Brain Test Sample / Technology Platform Scalp Hair Follicles (RT-qPCR)
Pathobiological Mechanisms Expression is downregulated in hair follicles, involved in myelin formation and abnormal lipid metabolism.
Clinical Availability Status Research stage
Notes and Dynamics Related to GABAergic system function, a non-invasive genetic biomarker.
Biomarker EGFR Full name Epidermal Growth Factor Receptor Molecular Type Nucleic acid(DNA)
Molecular Formula / Molecular Weight / Core Functional Dimensions Targeted therapy guidance
Disease(or Constitution) Non-Small Cell Lung Cancer Disease Subtypes /
Organ Lung Test Sample / Technology Platform Tissue / Blood (Genetic Testing)
Pathobiological Mechanisms Driver gene mutations, exon 19 deletion, exon 21 L858R point mutation, and other types enhance TKIs sensitivity
Clinical Availability Status Clinically available (targeted therapy screening)
Notes and Dynamics The incidence of lung adenocarcinoma in Asia is about 50% and is a core screening marker for targeted therapy
Biomarker ctDNA Full name Circulating Tumor DNA Molecular Type Nucleic acid(DNA)
Molecular Formula / Molecular Weight / Core Functional Dimensions Diagnosis, screening
Disease(or Constitution) Non-Small Cell Lung Cancer Disease Subtypes /
Organ Lung Test Sample / Technology Platform Blood (nucleic acid test)
Pathobiological Mechanisms Fragments of gene mutations released into the bloodstream by tumor cells carry tumor-specific genetic information
Clinical Availability Status Research Validation / Clinical Application (Non-Invasive Diagnostics)
Notes and Dynamics It enables non-invasive diagnosis and early screening, providing a diagnostic reference for patients who cannot obtain tissue samples
Biomarker NfL Full name Neurofilament Light Chain Molecular Type Protein
Molecular Formula / Molecular Weight / Core Functional Dimensions Monitoring, Prognosis
Disease(or Constitution) Schizophrenia Disease Subtypes /
Organ Brain Test Sample / Technology Platform Plasma/Cerebrospinal Fluid (SIMOA)
Pathobiological Mechanisms A marker of neuronal axonal injury, reflecting the neurodegenerative process.
Clinical Availability Status Under clinical validation
Notes and Dynamics Positively correlated with the degree of cognitive impairment, can assess disease activity.
Biomarker miR-21、miR-155、miR-200 family Full name MicroRNA-21、MicroRNA-155、MicroRNA-200 family Molecular Type Nucleic acid(miRNA)
Molecular Formula / Molecular Weight / Core Functional Dimensions Diagnosis, screening
Disease(or Constitution) Non-Small Cell Lung Cancer Disease Subtypes /
Organ Lung Test Sample / Technology Platform Serum / Tissue (Nucleic Acid Testing)
Pathobiological Mechanisms miR-21 regulates tumor suppressor genes such as PTEN to promote tumorigenesis and development
Clinical Availability Status Study validation (aided diagnosis)
Notes and Dynamics Abnormal serum levels are associated with the risk of NSCLC and are potential auxiliary markers for screening and diagnosis
Biomarker CYFRA21-1 Full name Cytokeratin 19 Fragment Antigen 21-1 Molecular Type Protein
Molecular Formula / Molecular Weight / Core Functional Dimensions Diagnosis,condition monitoring
Disease(or Constitution) Non-Small Cell Lung Cancer Disease Subtypes /
Organ Lung Test Sample / Technology Platform Serum (routine test)
Pathobiological Mechanisms There is no specific mechanism and is expressed in both lung squamous cell carcinoma and non-squamous cell NSCLC
Clinical Availability Status Clinically available (condition monitoring)
Notes and Dynamics It can be used as an adjunctive surveillance indicator for NSCLC progression
Biomarker SCC Full name Squamous Cell Carcinoma Antigen Molecular Type Protein
Molecular Formula / Molecular Weight / Core Functional Dimensions Diagnosis
Disease(or Constitution) Non-Small Cell Lung Cancer Disease Subtypes /
Organ Lung Test Sample / Technology Platform Serum (routine test)
Pathobiological Mechanisms There is no clear specific mechanism, and it is specific to lung squamous cell carcinoma
Clinical Availability Status Clinically available (auxiliary diagnosis)
Notes and Dynamics It is mainly used as a reference for the diagnosis of lung squamous cell carcinoma, and its use alone has limited value
Biomarker CEA Full name Carcinoembryonic Antigen Molecular Type Protein
Molecular Formula / Molecular Weight / Core Functional Dimensions Diagnosis,recurrence monitoring
Disease(or Constitution) Non-Small Cell Lung Cancer Disease Subtypes /
Organ Lung Test Sample / Technology Platform /
Pathobiological Mechanisms Diagnosis,recurrence monitoring
Clinical Availability Status Clinically available (auxiliary diagnosis)
Notes and Dynamics It is widely used in NSCLC, with a high positive rate of lung adenocarcinoma, limited sensitivity and specificity, and needs to be combined with other tests
Biomarker FGF21 Full name fibroblast growth factor 21 Molecular Type Protein
Molecular Formula / Molecular Weight / Core Functional Dimensions Prognosis assessment, tissue repair monitoring
Disease(or Constitution) pneumonia Disease Subtypes /
Organ Lung Test Sample / Technology Platform Serum (immunoassay technology)
Pathobiological Mechanisms It has the functions of metabolic regulation, anti-inflammatory, and tissue repair, and is expressed in large quantities in liver and alveolar epithelial cells during pneumonia, regulating inflammatory response and lung tissue repair
Clinical Availability Status Research validation: used to predict complications and prognosis
Notes and Dynamics Persistent high expression after treatment indicates poor lung tissue repair and possible respiratory failure. A decline indicates improvement

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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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