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Biomarker CRP Full name C-reactive protein Molecular Type Protein
Molecular Formula / Molecular Weight / Core Functional Dimensions Diagnosis, screening
Disease(or Constitution) tuberculosis Disease Subtypes /
Organ Lung Test Sample / Technology Platform Capillary Blood (On-Site Rapid Test / POC)
Pathobiological Mechanisms As an indicator of overall inflammation, TB infection triggers an inflammatory response with elevated levels
Clinical Availability Status Clinical application: WHO designated as a screening marker for tuberculosis in HIV-infected people, with a threshold of > 5mg/L
Notes and Dynamics Rapid testing for TB screening scenarios in people living with HIV
Biomarker MTB-DNA Full name Mycobacterium tuberculosis DNA Molecular Type Nucleic acid(DNA)
Molecular Formula / Molecular Weight / Core Functional Dimensions Diagnosis, screening
Disease(or Constitution) tuberculosis Disease Subtypes /
Organ Lung Test Sample / Technology Platform Tissue, urine, cerebrospinal fluid (CSF) (GeneXpert system, PCR)
Pathobiological Mechanisms After Mycobacterium tuberculosis (MTB) infection, pathogen DNA is present in clinical samples, which directly reflects the presence of pathogens
Clinical Availability Status Clinical application: It has been widely used for pathogen angle disease identification, and the GeneXpert system is a common detection platform
Notes and Dynamics Sensitivity was high (98%) in smear-positive samples, but low detection rate in oligobacteriobacter samples
Biomarker FEV1/FVC Full name Forced expiratory volume in 1 second / Forced vital capacity Molecular Type Functional parameters
Molecular Formula / Molecular Weight / Core Functional Dimensions Diagnosis, prognosis
Disease(or Constitution) Chronic obstructive pulmonary disease Disease Subtypes /
Organ Lung Test Sample / Technology Platform Pulmonary function test (pulmonary function instrument)
Pathobiological Mechanisms Reflects the ventilation function of the lungs and airways, and reflects the type and degree of ventilation disorders
Clinical Availability Status Clinically available / guideline recommendation: core diagnostic indicators
Notes and Dynamics It is a key criterion for COPD diagnosis and disease staging, directly reflecting the condition of impaired lung function
Biomarker SE Full name Sputum eosinophils Molecular Type cell
Molecular Formula / Molecular Weight / Core Functional Dimensions Prognosis and prediction
Disease(or Constitution) Chronic obstructive pulmonary disease Disease Subtypes /
Organ Lung Test Sample / Technology Platform Sputum (cell count test)
Pathobiological Mechanisms Elevated levels are associated with an increased risk of acute exacerbations of COPD and glucocorticoid responsiveness
Clinical Availability Status Research validation / clinical exploration: treatment prediction markers
Notes and Dynamics Inhaled hormone therapy can guide the choice of inhaled hormone therapy and provide a basis for individualized therapy
Biomarker vWF Full name von Willebrand factor Molecular Type Protein
Molecular Formula / Molecular Weight / Core Functional Dimensions Prognosis and prediction
Disease(or Constitution) Chronic obstructive pulmonary disease Disease Subtypes /
Organ Lung Test Sample / Technology Platform Blood (coagulation test, immunoassay technology)
Pathobiological Mechanisms It reflects endothelial function damage and is associated with disease progression and complications
Clinical Availability Status Study validation: prognostic assessment of candidate markers
Notes and Dynamics It provides a reference for disease prognosis judgment and complication risk assessment
Biomarker ET-1 Full name endothelin-1 Molecular Type Protein
Molecular Formula / Molecular Weight / Core Functional Dimensions Prognosis and prediction
Disease(or Constitution) Chronic obstructive pulmonary disease Disease Subtypes /
Organ Lung Test Sample / Technology Platform Blood(immunoassay technology)
Pathobiological Mechanisms It is involved in vasoconstriction and endothelial function regulation, which is related to endothelial dysfunction and suggests disease prognosis
Clinical Availability Status Study validation: prognostic assessment of candidate markers
Notes and Dynamics Associated with the risk of cardiovascular complications in COPD patients
Biomarker TIMPS Full name metalloproteinase tissue inhibitors Molecular Type Protein
Molecular Formula / Molecular Weight / Core Functional Dimensions Prognosis and prediction
Disease(or Constitution) Chronic obstructive pulmonary disease Disease Subtypes /
Organ Lung Test Sample / Technology Platform Blood,sputum (immunoassay technology)
Pathobiological Mechanisms It regulates MMPs activity, participates in lung tissue repair and remodeling, and is associated with disease progression
Clinical Availability Status Study validation: prognostic assessment of candidate markers
Notes and Dynamics It can be used as a prognostic reference index for disease progression and cardiovascular complications in COPD patients
Biomarker MMPs Full name matrix metalloproteinases Molecular Type Protein
Molecular Formula / Molecular Weight / Core Functional Dimensions Prognosis and prediction
Disease(or Constitution) Chronic obstructive pulmonary disease Disease Subtypes /
Organ Lung Test Sample / Technology Platform Blood,sputum (immunoassay technology)
Pathobiological Mechanisms Involved in extracellular matrix remodeling, the expression of which changes correlate with COPD disease progression
Clinical Availability Status Study validation: prognostic assessment of candidate markers
Notes and Dynamics Synergizes with TIMPS to jointly influence the process of structural destruction of lung tissue
Biomarker miR-155、miR-17、miR-181 Full name microRNA-155、microRNA-17、microRNA-181 Molecular Type Nucleic acid(microRNA)
Molecular Formula / Molecular Weight / Core Functional Dimensions Diagnosis, screening
Disease(or Constitution) Chronic obstructive pulmonary disease Disease Subtypes /
Organ Lung Test Sample / Technology Platform Blood (real-time PCR technology)
Pathobiological Mechanisms Abnormal expression profile in COPD patients is involved in disease-related molecular regulation
Clinical Availability Status Research verifies that non-invasive diagnosis has great potential
Notes and Dynamics miR-181 had the highest diagnostic sensitivity, and downregulation of miR-17 reflected remodeling activity, and combined testing enhanced diagnostic and stratification effects
Biomarker eotaxin-3 Full name Eosinophil chemokine 3 Molecular Type Proteins (chemokines)
Molecular Formula / Molecular Weight / Core Functional Dimensions Diagnosis, screening
Disease(or Constitution) Chronic obstructive pulmonary disease Disease Subtypes /
Organ Lung Test Sample / Technology Platform Bronchial biopsy sample, bronchial irrigation fluid (immunoassay technique)
Pathobiological Mechanisms Participating in the recruitment of inflammatory cells in the airways, the expression of COPD patients (especially in the acute exacerbation phase) is elevated
Clinical Availability Status Research validation: high diagnostic differentiation value
Notes and Dynamics Provide a potential reference for accurate diagnosis and treatment guidance for COPD
Biomarker MCP-4 Full name Monocyte Chemoattractant Protein-4 Molecular Type Proteins (chemokines)
Molecular Formula / Molecular Weight / Core Functional Dimensions Diagnosis, screening
Disease(or Constitution) Chronic obstructive pulmonary disease Disease Subtypes /
Organ Lung Test Sample / Technology Platform Bronchial biopsy sample, bronchial irrigation fluid (immunoassay technique)
Pathobiological Mechanisms Patients with COPD (especially in the acute exacerbation phase) have airway inflammation associated with increased production in bronchial tissue and irrigation fluid
Clinical Availability Status Research validation: high diagnostic differentiation value
Notes and Dynamics Combined with eotaxin-3, it shows high AUC values when distinguishing COPD patients from healthy people, and in acute exacerbations from stable phases
Biomarker Fbg Full name Fibrinogen Molecular Type Protein
Molecular Formula / Molecular Weight / Core Functional Dimensions Diagnosis, screeningDiagnosis, screening
Disease(or Constitution) Chronic obstructive pulmonary disease Disease Subtypes /
Organ Lung Test Sample / Technology Platform Plasma (coagulation function test, immunoassay technology)
Pathobiological Mechanisms Levels involved in the inflammatory response and coagulation process are associated with COPD prevalence, frequency of exacerbations, and all-cause mortality
Clinical Availability Status Research validation / clinical exploration: Assist in the assessment of disease risk
Notes and Dynamics It is a marker related to systemic inflammation and provides a reference for judging the severity of the disease
Biomarker CRP Full name C-reactive protein Molecular Type Protein
Molecular Formula / Molecular Weight / Core Functional Dimensions Diagnosis, screening
Disease(or Constitution) Chronic obstructive pulmonary disease Disease Subtypes /
Organ Lung Test Sample / Technology Platform Blood (immunoassay technology)
Pathobiological Mechanisms In patients with COPD, especially in the acute exacerbation phase, the inflammatory response is enhanced and blood levels are elevated, which is associated with the risk of complications and mortality
Clinical Availability Status Clinically available / Research-validated: for assessment of inflammatory status
Notes and Dynamics Non-COPD-specific and elevated in other inflammatory states
Biomarker Periostin Full name Periosteal protein Molecular Type Protein
Molecular Formula / Molecular Weight / Core Functional Dimensions Prognosis and prediction
Disease(or Constitution) Asthmae Disease Subtypes /
Organ Airway (trachea, bronchi, bronchioles) Test Sample / Technology Platform Serum (immunoassay technology)
Pathobiological Mechanisms Upregulated by IL-4 and IL-13, involved in airway epithelial fibrosis, reflecting Th2-type inflammation
Clinical Availability Status Study validation / clinical exploration: used to predict airway eosinophilia
Notes and Dynamics It is one of the best predictors of airway eosinophilic inflammation, which provides a reference for prognostic evaluation and monitoring of treatment response
Biomarker TSLP、IL-33、IL-25 Full name Thymic Stromal Lymphopoietin、 Interleukin-33、Interleukin-25 Molecular Type Proteins (cytokines)
Molecular Formula / Molecular Weight / Core Functional Dimensions Diagnosis, screening
Disease(or Constitution) Asthmae Disease Subtypes /
Organ Airway epithelial tissue Test Sample / Technology Platform Sputum, airway epithelial tissue (immunoassay technology)
Pathobiological Mechanisms Elevated levels in the epithelial cells of asthmatic patients are involved in the initiation and regulation of airway inflammation
Clinical Availability Status Study validation: Assists in the judgment of Th2 high asthma
Notes and Dynamics It is an important regulator of the inflammatory pathway in Th2 asthma and provides a potential target for targeted therapy
Biomarker IL-4、IL-5、IL-13 Full name Interleukin-4、 Interleukin-5、 Interleukin-13 Molecular Type Proteins (cytokines)
Molecular Formula / Molecular Weight / Core Functional Dimensions Diagnosis, screening
Disease(or Constitution) Asthmae Disease Subtypes /
Organ Airway epithelial tissue Test Sample / Technology Platform Sputum, BALF (immunoassay technology)
Pathobiological Mechanisms It is involved in the regulation of Th2 lung inflammation and is a key mediator of asthmatic airway inflammation
Clinical Availability Status Study validation: Clinical fellowship standard
Notes and Dynamics It is expensive and not currently used in routine clinical practice

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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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