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- iHaveNet.com: Health
Tarah Knaresboro, Psychology Today Magazine
Cancer has the biopsy, kidney disease has the urine test, and HIV has the cheek swab, yet diagnosis for mental illness is often nothing more than a survey or a conversation with a psychiatrist. A lack of distinct biological markers of disease could be doing a huge disservice to patients, says Alexander Niculescu, a psychiatrist and neuroscientist at the
"If you can demonstrate you're dealing with a biological abnormality just like all the other medical disorders," he says, "you'll not only de-stigmatize the illness, but also pave the way for better treatment."
Analyzing brain chemistry is notoriously difficult because extracting a tissue sample could have disastrous consequences on cognitive function, and fMRI provides limited information. Blood tests are an attractive option, not just because they're cheap and commonplace, but also because blood can provide useful indications of brain state.
Though the field is progressing rapidly, some experts caution against prematurely jumping onto the bandwagon.
"It's too early to be directly marketing blood-based expression tests to consumers," says Stephen J. Glatt, a psychiatrist at the State University of
Still, there is a demonstrable biological connection between brain and blood, Glatt adds. "Be hopeful, but be skeptical and patient."
Here's a snapshot of progress in the field:
ANXIETY
New animal research from the
ALZHEIMER'S DISEASE
Today, the only surefire way to diagnose Alzheimer's is by identifying the disease's signature tangled brain fibers in postmortem tissue. A test for living patients would allow for proper planning and, perhaps, intervention. Tom Kodadek, a biologist at the
The resulting test is more than 90 percent accurate in blind studies of patients and controls. It pulls 8 percent false positives and no false negatives, according to results published in Cell. Kodadek suspects the false positives are in fact early indicators of dementia to come; he hopes the test might one day be predictive, not just diagnostic.
SCHIZOPHRENIA
Rather than finding a blood biomarker for this complex disease, Alexander Niculescu's team sought markers for two key symptoms: hallucinations and delusions. They examined the array of genes expressed in the blood of schizophrenics (vs. healthy controls) and ranked a list of genes that were unique to patients with symptoms.
Scientists measure how closely a given subject's gene expression matches the genes they've singled out for predictive potential. The test is 60-to-80 percent accurate at detecting the disease; Niculescu expects it to hit the market in three years, bolstered by a recent
DEPRESSION
Depression is traditionally self-reported, leading to a fair amount of underdiagnosis or misdiagnosis, says Dutch researcher Sabine Spijker. Her team is developing a blood test that functions similarly to the schizophrenia test: They extracted blood samples and sifted through the expressed genes for depression predictors.
The results (published in Biological Psychiatry) show about 70 percent accuracy--a solid first step toward an objective measure for depression, Spijker says. She thinks a depression blood test will be commercially available within five to 10 years.
Available at Amazon.com:
Last Child in the Woods: Saving Our Children From Nature-Deficit Disorder
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Health - Tests For Biomarkers Could Change Diagnosis, Treatment of Mental Illness