NR2 antibodies as diagnostic and prognostic stroke biomarker
https://doi.org/10.18705/1607-419X-2020-26-1-27-36
Abstract
Given the high percentage of disability and mortality resulting from a stroke, search of new ways to improve early diagnosis and optimize therapeutic approaches is highly relevant. The article reviews the studies of NR2 antibodies to glutamate N-methyl-D-aspartate (NMDA) receptors as a biomarker in acute stroke. The review shows that this biomarker is suitable for determining the presence of ischemic process in the brain and the degree of destruction of brain tissue, both in the first hours of stroke and at follow-up. In addition, the analysis of NR2 antibodies can be informative to predict the worsening, the increase in the locus size, which can contribute to the timely correction of treatment and will improve the effectiveness of the therapy. The prognostic potential of NR2 antibodies can be used for personalized therapeutic approach. However, currently the lack of studies of NR2 antibodies in acute stroke requires further study of this biomarker.
About the Authors
M. P. TopuzovaRussian Federation
Mariya P. Topuzova, MD, PhD, Senior Researcher, Associate Professor, Department of Neurology and Psychiatry, Senior Researcher, Research Laboratory of Cerebrovascular Pathology, Research Department of Neurology and Neurorehabilitation
2 Akkuratov street, St Petersburg, 197341
T. M. Alekseeva
Russian Federation
Tat’yana M. Alekseeva, MD, PhD, DSc, Associate Professor, Head, Department of Neurology and Psychiatry, Head, Research Laboratory of Cerebrovascular Pathology, Research Department of Neurology and Neurorehabilitation
St Petersburg
E. B. Panina
Russian Federation
Elena B. Panina, MD, PhD, Associate Professor, Department of Neurology and Psychiatry
St Petersburg
T. V. Vavilova
Russian Federation
Tat’yana V. Vavilova, MD, PhD, DSc, Professor, Head, Department of Laboratory Medicine and Genetics
St Petersburg
M. L. Pospelova
Russian Federation
Maria L. Pospelova, MD, PhD, DSc, Leading Researcher, Laboratory of Cerebrovascular Pathology, Research and Development Department of Neurology and Neurorehabilitation, Associate Professor, Department of Neurology and Psychiatry
St Petersburg
N. E. Ivanova
Russian Federation
Natalia E. Ivanova, MD, PhD, DSc, Professor, Head, Scientific Department, Russian Neurosurgical Institute named after professor A. L. Polenova branch of Almazov National Medical Research Centre
St Petersburg
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Review
For citations:
Topuzova M.P., Alekseeva T.M., Panina E.B., Vavilova T.V., Pospelova M.L., Ivanova N.E. NR2 antibodies as diagnostic and prognostic stroke biomarker. "Arterial’naya Gipertenziya" ("Arterial Hypertension"). 2020;26(1):27-36. (In Russ.) https://doi.org/10.18705/1607-419X-2020-26-1-27-36