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Biomarker DAXX/ATRX Full name Death domain-associated protein / ATRX chromatin remodeler Molecular Type Nucleic acid (DNA)
Molecular Formula Macromolecule Molecular Weight / Core Functional Dimensions Prognosis and differential diagnosis
Disease(or Constitution) Pancreatic Neuroendocrine Tumors Disease Subtypes PanNET (well differentiated, G1/G2/G3)
Organ Pancreas Test Sample / Technology Platform Tissue (IHC, FISH, NGS)
Pathobiological Mechanisms Components of the chromatin remodeling complex, loss of which leads to substituted prolonged telomeres (ALT) and genomic instability
Clinical Availability Status In clinical validation, 85% of deletion cases had ALT, which was a strong independent prognostic factor for distant metastasis and recurrence. It can be used to distinguish PanNET G3 from PanNEC
Notes and Dynamics The mutations are mutually exclusive, and liquid biopsy to detect cfDNA mutations is the frontier
Biomarker MEN1 Full name Multiple endocrine neoplasia type 1 gene Molecular Type Nucleic acid (DNA)
Molecular Formula Macromolecule Molecular Weight / Core Functional Dimensions Susceptibility, prognosis
Disease(or Constitution) Pancreatic Neuroendocrine Tumors Disease Subtypes PanNET (well differentiated, G1/G2/G3)
Organ Pancreas Test Sample / Technology Platform Whole blood/tissue (gene sequencing, IHC)
Pathobiological Mechanisms It encodes menin protein, which regulates histone methylation and cell cycle, and mutations lead to uncontrolled cell proliferation
Clinical Availability Status Clinical available (risk assessment and prognostic stratification) : 44% of sporadic PanNET mutation, TuBianZhe relatively good prognosis; Core indicators for screening familial MEN1 syndrome
Notes and Dynamics Combined with DAXX/ATRX mutation, the risk stratification model can be optimized
Biomarker miR-342-3p Full name microRNA-342-3p Molecular Type Nucleic acid (microRNA)
Molecular Formula / Molecular Weight / Core Functional Dimensions Diagnosis and prognosis assessment
Disease(or Constitution) Autoimmune Disease (AD) Disease Subtypes SLE
Organ Spleen, thymus, lymphoid tissue Test Sample / Technology Platform Serum (qRT-PCR)
Pathobiological Mechanisms Significantly reduced expression in serum, negatively correlated with SLEDAI, with low expression indicating poor prognosis.
Clinical Availability Status Research validation: ROC curve distinguishes SLE from healthy controls, while log rank analysis indicates poor prognosis in the low-expression group.
Notes and Dynamics Possesses both diagnostic and prognostic value, providing a basis for risk stratification.
Biomarker SYP Full name Synaptophysin Molecular Type Proteins
Molecular Formula Macromolecule Molecular Weight / Core Functional Dimensions Diagnosis (confirmation of neuroendocrine differentiation)
Disease(or Constitution) Pancreatic Neuroendocrine Tumors Disease Subtypes PanNET (well differentiated, G1 / G2 / G3)
Organ Pancreas Test Sample / Technology Platform Tissue (immunohistochemical IHC)
Pathobiological Mechanisms Synaptic vesicle membrane protein, involved in neurotransmitter release, is a core marker of neuroendocrine lineage
Clinical Availability Status Clinical gold standard: it needs to be combined with CgA to confirm neuroendocrine differentiation, and the positive rate is nearly 100%, without subtype specificity
Notes and Dynamics It may still be positive in poorly differentiated tumors and is a key marker for identifying non-neuroendocrine tumors
Biomarker CgA Full name Chromogranin A Molecular Type protein
Molecular Formula Macromolecule Molecular Weight / Core Functional Dimensions Diagnosis, monitoring and prognosis
Disease(or Constitution) Pancreatic Neuroendocrine Tumors Disease Subtypes PanNET (well differentiated, G1/G2/G3)
Organ Pancreas Test Sample / Technology Platform Serum/plasma (immune analysis method, ELISA)
Pathobiological Mechanisms Particles of the neuroendocrine cells secrete proteins, tumor progression, released when reflect the tumor load
Clinical Availability Status Routine clinical application: PanNENs screening, disease progression monitoring and treatment response evaluation; 60-83% sensitivity and specificity of 72-85%, need to rule out the use of interference factors such as renal insufficiency, PPI
Notes and Dynamics And NSE joint detection can improve the prognosis assessment accuracy, is by far the most commonly used general serum marker
Biomarker PIT1 Full name Pituitary-specific positive transcription factor 1 Molecular Type protein
Molecular Formula Macromolecule Molecular Weight / Core Functional Dimensions The classification, diagnosis
Disease(or Constitution) Pituitary Adenoma Disease Subtypes More hormone of pituitary adenoma (Plurihormonal)
Organ Pituitary Test Sample / Technology Platform Organization (immunohistochemical IHC)
Pathobiological Mechanisms Transcription factors, regulation of GH/PRL, TSH cell lineage differentiation
Clinical Availability Status Clinical gold standard: to clear more hormone tumor cell origin, guiding treatment options
Notes and Dynamics Combined with hormone detection, it can accurately classify the tumors
Biomarker CLEC4E Full name C-Type Lectin Domain Family 4 Member E Molecular Type Protein
Molecular Formula / Molecular Weight / Core Functional Dimensions Diagnosis, disease activity/prognosis assessment
Disease(or Constitution) Autoimmune Disease (AD) Disease Subtypes SLE
Organ Spleen, thymus, lymphoid tissue Test Sample / Technology Platform Peripheral blood (RT-qPCR)
Pathobiological Mechanisms High expression in peripheral blood, associated with immune markers, serves as an independent predictor of disease activity.
Clinical Availability Status Research validation: AUC=0.7744 (diagnosis), 0.6360 (activity differentiation), with a combined AUC of 0.9407 when combined with other markers.
Notes and Dynamics High expression is associated with poor prognosis, and combined detection enhances diagnostic and prognostic value.
Biomarker IGHG3 Full name Immunoglobulin Heavy Chain Gamma 3 (immunoglobulin fragment) Molecular Type Protein (immunoglobulin fragment)
Molecular Formula / Molecular Weight / Core Functional Dimensions Diagnosis, disease activity, and renal injury assessment
Disease(or Constitution) Autoimmune Disease (AD) Disease Subtypes SLE
Organ Spleen, thymus, lymphoid tissue Test Sample / Technology Platform Saliva, serum, urine (quantitative laboratory testing)
Pathobiological Mechanisms The levels in saliva, serum, and urine were significantly elevated, with urinary IGHG3 showing a positive correlation with SLEDAI and renal involvement.
Clinical Availability Status Research Verification: Urinary IGHG3 levels are significantly higher in nephritis patients compared to non-nephritis patients, and multi-liquid testing can provide complementary results.
Notes and Dynamics Providing multidimensional and non-invasive monitoring indicators for SLE, with outstanding value in renal injury assessment.
Biomarker sST2 Full name Soluble Suppression of Tumorigenicity 2 Molecular Type Protein
Molecular Formula / Molecular Weight / Core Functional Dimensions Diagnosis, assessment of disease activity
Disease(or Constitution) Autoimmune Disease (AD) Disease Subtypes SLE
Organ Spleen, thymus, lymphoid tissue Test Sample / Technology Platform Serum (laboratory test)
Pathobiological Mechanisms Serum levels were significantly elevated, particularly in patients with moderate to severe active disease, and decreased after treatment.
Clinical Availability Status Research validation: The area under the curve (AUC) for distinguishing active disease was 0.959, and for moderate/severe activity was 0.962, demonstrating high sensitivity and specificity.
Notes and Dynamics Associated with multiple clinical and laboratory indicators, it serves as a potential biomarker for pSLE.
Biomarker DDX5 Full name DEAD-Box Helicase 5 Molecular Type Protein
Molecular Formula / Molecular Weight / Core Functional Dimensions Diagnosis, differential diagnosis
Disease(or Constitution) Autoimmune Disease (AD) Disease Subtypes SLE
Organ Spleen, thymus, lymphoid tissue Test Sample / Technology Platform Serum (ELISA)
Pathobiological Mechanisms Significantly elevated serum levels, associated with SLE activity, demonstrate higher diagnostic value when combined with anti-dsDNA and anti-Sm antibodies.
Clinical Availability Status Research validation: AUC=0.976 (combined detection), CBFCM demonstrates superior performance to ELISA.
Notes and Dynamics To provide novel serological markers for the differential diagnosis of SLE and RA.
Biomarker hsa_circ_0044235, hsa_circ_0001947 Full name Homo sapiens Circular RNA 0044235, Homo sapiens Circular RNA 0001947 Molecular Type Nucleic acid (circ RNA)
Molecular Formula / Molecular Weight / Core Functional Dimensions Diagnosis, prognosis
Disease(or Constitution) Autoimmune Disease (AD) Disease Subtypes SLE
Organ Spleen, thymus, lymphoid tissue Test Sample / Technology Platform Plasma (quantitative reverse transcription PCR)
Pathobiological Mechanisms Significantly reduced expression in plasma, serving as an independent risk factor, with significant diagnostic value in combined testing.
Clinical Availability Status Research validation: Differentiates newly diagnosed SLE from healthy controls and RA patients, with correlation to platelet parameters and treatment-related factors.
Notes and Dynamics Non-invasive biomarker, applicable for early diagnosis in newly diagnosed patients.
Biomarker CXCL13 Full name C-X-C Motif Chemokine Ligand 13 Molecular Type Protein (chemokine)
Molecular Formula / Molecular Weight / Core Functional Dimensions Diagnosis, assessment of disease activity
Disease(or Constitution) Autoimmune Disease (AD) Disease Subtypes Neuropsychiatric systemic lupus erythematosus (NPSLE)
Organ Spleen, thymus, lymphoid tissue Test Sample / Technology Platform Serum (ELISA)
Pathobiological Mechanisms Serum levels were significantly elevated in patients with active NPSLE, showing a positive correlation with the SLEDAI score.
Clinical Availability Status Research validation: Differentiation of active NPSLE from other SLE subtypes and healthy controls.
Notes and Dynamics Providing potential specific biomarkers for the diagnosis of NPSLE.
Biomarker PGRN Full name Progranulin Molecular Type Protein (growth factor-like molecule)
Molecular Formula / Molecular Weight / Core Functional Dimensions Diagnosis, pathogenesis-related
Disease(or Constitution) Autoimmune Disease (AD) Disease Subtypes SLE
Organ Spleen, thymus, lymphoid tissue Test Sample / Technology Platform Serum (laboratory test)
Pathobiological Mechanisms Elevated serum levels participate in inflammatory responses and renal injury, mediating the pathogenesis of SLE
Clinical Availability Status Research Verification: PGRN knockout mice exhibited reduced anti-dsDNA antibody levels and Less Severe Renal Injury
Notes and Dynamics Key mediators in the pathogenesis of SLE.
Biomarker RSAD2 Full name Radical S-Adenosyl Methionine Domain Containing 2 Molecular Type Protein (iron metabolism-related gene)
Molecular Formula / Molecular Weight / Core Functional Dimensions Diagnosis, pathogenesis-related
Disease(or Constitution) Autoimmune Disease (AD) Disease Subtypes SLE
Organ Spleen, thymus, lymphoid tissue Test Sample / Technology Platform Peripheral blood mononuclear cells (bioinformatics analysis, qPCR, Western blot).
Pathobiological Mechanisms RSAD2 demonstrated the highest clinical validity (AUC=0.927) and was positively correlated with activated dendritic cells.
Clinical Availability Status Research Verification: RSAD2 knockdown inhibits DC activation and inflammatory mediator expression.
Notes and Dynamics Elucidating the association between immune dysregulation and iron metabolism abnormalities, RSAD2 serves as a potential therapeutic target.
Biomarker lncRNA SNHG1 Full name Small Nucleolar RNA Host Gene 1 Molecular Type Nucleic acid (lnc RNA)
Molecular Formula / Molecular Weight / Core Functional Dimensions Diagnosis, pathogenesis-related
Disease(or Constitution) Autoimmune Disease (AD) Disease Subtypes SLE
Organ Spleen, thymus, lymphoid tissue Test Sample / Technology Platform Serum, peripheral blood mononuclear cells (RT-qPCR).
Pathobiological Mechanisms Upregulated expression in serum, positively correlated with SLEDAI score and inflammatory markers, regulating PBMC apoptosis.
Clinical Availability Status Research validation: Possesses auxiliary diagnostic potential, and downregulation can inhibit PBMC apoptosis.
Notes and Dynamics Participate in the regulation of SLE inflammation and apoptosis.
Biomarker ADAMTS-2 Full name A Disintegrin And Metalloproteinase with Thrombospondin Motifs 2 (procollagen N-protease) Molecular Type Protein (procollagen N-protease)
Molecular Formula / Molecular Weight / Core Functional Dimensions Diagnosis, pathogenesis-related
Disease(or Constitution) Autoimmune Disease (AD) Disease Subtypes SLE
Organ Spleen, thymus, lymphoid tissue Test Sample / Technology Platform Peripheral blood mononuclear cells (RT-qPCR)
Pathobiological Mechanisms The expression in PBMCs was significantly higher than in RA patients and healthy controls (HC), enriched in the TNFα signaling via NF-κB pathway.
Clinical Availability Status Research validation: AUC=0.805, correlated with multiple immune cell and laboratory indicators.
Notes and Dynamics May emerge as a novel therapeutic target for SLE.

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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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