Neurocognitive Biomarker Elevation describes the clinical finding of increased concentration of specific molecules in the blood, cerebrospinal fluid, or other bodily fluids that are indicative of neuronal injury, neuroinflammation, or underlying neurodegenerative pathology. These biomarkers serve as objective, quantifiable indicators of compromised brain health and potential cognitive decline, often preceding overt clinical symptoms. Examples include elevated levels of amyloid-beta peptides, phosphorylated tau protein, or neurofilament light chain (NfL) in systemic circulation.
Origin
This term is derived from clinical chemistry and neuroscience, combining “neurocognitive” with “biomarker” (a measurable indicator of a biological state) and “elevation” (an increase in concentration). It represents a significant shift toward objective, molecular diagnostics in the assessment and management of brain health.
Mechanism
The elevation of these biomarkers occurs when pathological processes, such as chronic oxidative stress, microglial activation, or structural damage, lead to the release of intracellular components from damaged or dying neurons and glia. Specific biomarkers reflect distinct mechanisms; for instance, elevated NfL indicates axonal damage, while certain peptide elevations suggest abnormal protein processing. Hormonal dysregulation, particularly thyroid and sex steroid deficiencies, can exacerbate the underlying pathology leading to biomarker increase.
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