Selected Biomarkers of Tick-Borne Encephalitis: A Review

Tick-borne encephalitis (TBE) is an acute disease caused by the tick-borne encephalitis virus. Due to the viral nature of the condition, there is no effective causal treatment for full-blown disease. Current and nonspecific TBE treatments only relieve symptoms. Unfortunately, the first phase of TBE...

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Main Authors: Monika Gudowska-Sawczuk, Barbara Mroczko
Format: Article
Language:English
Published: MDPI AG 2021-09-01
Series:International Journal of Molecular Sciences
Subjects:
Online Access:https://www.mdpi.com/1422-0067/22/19/10615
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author Monika Gudowska-Sawczuk
Barbara Mroczko
author_facet Monika Gudowska-Sawczuk
Barbara Mroczko
author_sort Monika Gudowska-Sawczuk
collection DOAJ
description Tick-borne encephalitis (TBE) is an acute disease caused by the tick-borne encephalitis virus. Due to the viral nature of the condition, there is no effective causal treatment for full-blown disease. Current and nonspecific TBE treatments only relieve symptoms. Unfortunately, the first phase of TBE is characterized by flu-like symptoms, making diagnosis difficult during this period. The second phase is referred to as the neurological phase as it involves structures in the central nervous system—most commonly the meninges and, in more severe cases, the brain and the spinal cord. Therefore, it is important that early markers of TBE that will guide clinical decision-making and the choice of treatment are established. In this review, we performed an extensive search of literature reports relevant to biomarkers associated with TBE using the MEDLINE/PubMed database. We observed that apart from routinely determined specific immunoglobulins, free light chains may also be useful in the evaluation of intrathecal synthesis in the central nervous system (CNS) during TBEV infection. Moreover, selected metalloproteinases, chemokines, or cytokines appear to play an important role in the pathogenesis of TBE as a consequence of inflammatory reactions and recruitment of white blood cells into the CNS. Furthermore, we reported promising findings on tau protein or Toll-like receptors. It was also observed that some people may be predisposed to TBE. Therefore, to understand the role of selected tick-borne encephalitis biomarkers, we categorized these factors and discussed their potential application in the diagnosis, prognosis, monitoring, or management of TBE.
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spelling doaj.art-0c177cb7463a452ab85a0e7fd2821e0b2023-11-22T16:12:39ZengMDPI AGInternational Journal of Molecular Sciences1661-65961422-00672021-09-0122191061510.3390/ijms221910615Selected Biomarkers of Tick-Borne Encephalitis: A ReviewMonika Gudowska-Sawczuk0Barbara Mroczko1Department of Biochemical Diagnostics, Medical University of Bialystok, ul. Waszyngtona 15A, 15-269 Bialystok, PolandDepartment of Biochemical Diagnostics, Medical University of Bialystok, ul. Waszyngtona 15A, 15-269 Bialystok, PolandTick-borne encephalitis (TBE) is an acute disease caused by the tick-borne encephalitis virus. Due to the viral nature of the condition, there is no effective causal treatment for full-blown disease. Current and nonspecific TBE treatments only relieve symptoms. Unfortunately, the first phase of TBE is characterized by flu-like symptoms, making diagnosis difficult during this period. The second phase is referred to as the neurological phase as it involves structures in the central nervous system—most commonly the meninges and, in more severe cases, the brain and the spinal cord. Therefore, it is important that early markers of TBE that will guide clinical decision-making and the choice of treatment are established. In this review, we performed an extensive search of literature reports relevant to biomarkers associated with TBE using the MEDLINE/PubMed database. We observed that apart from routinely determined specific immunoglobulins, free light chains may also be useful in the evaluation of intrathecal synthesis in the central nervous system (CNS) during TBEV infection. Moreover, selected metalloproteinases, chemokines, or cytokines appear to play an important role in the pathogenesis of TBE as a consequence of inflammatory reactions and recruitment of white blood cells into the CNS. Furthermore, we reported promising findings on tau protein or Toll-like receptors. It was also observed that some people may be predisposed to TBE. Therefore, to understand the role of selected tick-borne encephalitis biomarkers, we categorized these factors and discussed their potential application in the diagnosis, prognosis, monitoring, or management of TBE.https://www.mdpi.com/1422-0067/22/19/10615biomarkertick-borne encephalitisinflammationimmunoglobulinfree light chainmetalloproteinase
spellingShingle Monika Gudowska-Sawczuk
Barbara Mroczko
Selected Biomarkers of Tick-Borne Encephalitis: A Review
International Journal of Molecular Sciences
biomarker
tick-borne encephalitis
inflammation
immunoglobulin
free light chain
metalloproteinase
title Selected Biomarkers of Tick-Borne Encephalitis: A Review
title_full Selected Biomarkers of Tick-Borne Encephalitis: A Review
title_fullStr Selected Biomarkers of Tick-Borne Encephalitis: A Review
title_full_unstemmed Selected Biomarkers of Tick-Borne Encephalitis: A Review
title_short Selected Biomarkers of Tick-Borne Encephalitis: A Review
title_sort selected biomarkers of tick borne encephalitis a review
topic biomarker
tick-borne encephalitis
inflammation
immunoglobulin
free light chain
metalloproteinase
url https://www.mdpi.com/1422-0067/22/19/10615
work_keys_str_mv AT monikagudowskasawczuk selectedbiomarkersoftickborneencephalitisareview
AT barbaramroczko selectedbiomarkersoftickborneencephalitisareview