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Biology • Cervical Spine Prognostics

Biomarkers for Spine Disease

Research program investigating specific serum markers that relate to the progression of cervical spondylotic myelopathy (CSM) and other spine diseases, focusing on the neural cell adhesion molecule (NCAM) to understand its role in disease stages and guide treatment decisions for improved patient outcomes.

Biomarkers for spine disease research

Research Program Overview

This ongoing study investigates how specific serum markers relate to the progression of cervical spondylotic myelopathy (CSM), a common condition causing spinal cord compression and neurological deficits in older adults. We are focusing on the neural cell adhesion molecule (NCAM) to understand its role in CSM stages and its potential to guide treatment decisions.

Our biomarker research program employs advanced molecular biology techniques and clinical correlation studies to identify, validate, and characterize protein markers that can serve as diagnostic, prognostic, and therapeutic monitoring tools for spine diseases. This approach represents a paradigm shift toward precision medicine in spine care, enabling personalized treatment strategies based on individual biomarker profiles.

Research Impact

Our biomarker research program has achieved significant milestones:

  • 420+ peer-reviewed publications advancing spine research and biomarker discovery
  • $600,000+ in active research funding supporting ongoing biomarker studies
  • Clinical Translation focus on developing clinically applicable tests that can guide treatment decisions and improve patient outcomes

Clinical Translation

Our biomarker research focuses on developing clinically applicable tests that can guide treatment decisions and improve patient outcomes. We work toward establishing standardized protocols that can be implemented in routine clinical practice to enhance diagnostic accuracy and personalized treatment planning for spine disease patients.

Research Inquiries Collaboration Opportunities

Mission

To investigate specific serum markers that relate to the progression of cervical spondylotic myelopathy (CSM) and other spine diseases, focusing on the neural cell adhesion molecule (NCAM) to understand its role in disease stages and guide treatment decisions for improved patient outcomes.

Primary Research Areas

NCAM Analysis

Neural cell adhesion molecule analysis for cervical spondylotic myelopathy progression markers

Serum Biomarkers

Identification and validation of serum biomarkers for disease stage correlation studies

Treatment Monitoring

Development of biomarkers for treatment response monitoring and precision medicine applications

Inflammatory Markers

Analysis of inflammatory cascade biomarkers and neurodegeneration protein markers

Spinal Cord Indicators

Development of spinal cord compression indicators and prognostic biomarker panels

Clinical Translation

Translation of research findings into clinically applicable diagnostic and treatment tools

Research Methodology

Our research program utilizes state-of-the-art proteomics and molecular biology techniques including enzyme-linked immunosorbent assays (ELISA), mass spectrometry, and multiplex protein analysis platforms. We employ rigorous study designs with appropriate controls and statistical power calculations to ensure reliable biomarker discovery and validation. Clinical correlation studies involve comprehensive patient assessment including neurological examination, functional outcome measures, and advanced imaging studies. Longitudinal sample collection protocols enable tracking of biomarker changes over time and correlation with disease progression and treatment responses. We collaborate with clinical laboratories to establish standardized assay protocols for future clinical implementation.

Current Initiatives

NCAM in Cervical Myelopathy Study

Ongoing

Comprehensive analysis of neural cell adhesion molecule levels in patients with different stages of cervical spondylotic myelopathy to establish diagnostic and prognostic utility.

Biomarker-Guided Treatment Selection

In Development

Development of algorithms that incorporate biomarker profiles to optimize timing and selection of surgical versus conservative treatment approaches for spine disease patients.

Multi-Biomarker Panel Development

Planning Phase

Creation of comprehensive biomarker panels that combine multiple protein markers to improve diagnostic accuracy and prognostic capability beyond single-marker approaches.

Principal Investigators

Nitin Agarwal, M.D.

Co-Director, SCOLI; Associate Professor of Neurological Surgery

D. Kojo Hamilton, M.D.

Co-Director, SCOLI; Professor of Neurological Surgery

Key Research Personnel

Ayesha Waheed, M.B.B.S.

Research Fellow

Clinical Correlation Studies

waheedal@upmc.edu

Research Collaboration

Research Collaboration Partnership Opportunities We welcome partnerships with molecular biologists, clinical researchers, and biotechnology companies interested in biomarker discovery and validation. Our collaborative approach fosters innovation and accelerates the translation of research findings into clinical practice for improved spine disease management.

Training Opportunities

Training Opportunities Fellowship and Training Programs Fellowship and training positions are available for researchers interested in biomarker research, molecular biology, and clinical correlation studies. We offer comprehensive training programs that combine theoretical knowledge with hands-on experience in cutting-edge biomarker discovery methodologies.