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Near-care assay of plasma glial fibrillary acid protein and ubiquitin carboxyl-terminal hydrolase isozyme L1 with shorter and prolonged duration exercise

Title: Near-care assay of plasma glial fibrillary acid protein and ubiquitin carboxyl-terminal hydrolase isozyme L1 with shorter and prolonged duration exercise
Authors: Stacey, M; Barden, A; Snape, D; Wainwright, B; Parsons, I; Leckie, T; Fitzpatrick, D; Pitsiladis, Y; Palin, T; O'Hara, J; Woods, D
Publisher Information: Nature Portfolio
Publication Year: 2026
Collection: Leeds Beckett University Repository
Description: Background and Objectives: Neurobiomarkers measured in peripheral blood can supplement management strategies following traumatic brain injury (TBI). Dual-assay of glial fibrillary acid protein (GFAP) and ubiquitin carboxyl-terminal hydrolase isozyme L1 (UCHL1) is FDA-approved to inform a decision threshold approach (GFAP >30 μg.L-1 and/or UCHL1 >360 μg.L-1) for post-TBI neuroimaging. As physical activity and thermal strain often accompany TBI-prone activities, we investigated whether each molecule’s quantification - and, by extension, clinical decisions - could be influenced by exercise-heat stress. Methods: In healthy volunteers monitored continuously for body core temperature (Tc), we used the i-STAT Alinity to assess plasma GFAP and UCHL1 responses to exercise in the laboratory (four female, eighteen male trained participants, cycling for 45 min in 32 °C) and field (three female and 22 male recreational marathon runners, finishing time 231± 34 min, peak ambient temperature 11 °C). Results: Respective ΔTc overall were 1.42 ± 0.37 °C and 1.87 [1.53, 2.31] °C. With laboratory exercise, GFAP and UCHL1 did not exceed the manufacturer’s decision threshold. Across the marathon, GFAP was stable, whereas UCH-L1 more than doubled (200 [200, 200] vs 462 [310, 782] μg.L-1, P
Document Type: article in journal/newspaper
File Description: text
Language: English
ISSN: 2045-2322
Relation: https://eprints.leedsbeckett.ac.uk/id/eprint/12740/1/NearcareAssayOfPlasmaGlialFibrillaryAcidProteinAndUbiquitinCarboxylterminalHydrolaseIsozymeL1WithShorterAndProlongedDurationExerciseAM-O%27HARA.pdf; Stacey, M and Barden, A and Snape, D and Wainwright, B and Parsons, I and Leckie, T and Fitzpatrick, D and Pitsiladis, Y and Palin, T and O'Hara, J and Woods, D (2026) Near-care assay of plasma glial fibrillary acid protein and ubiquitin carboxyl-terminal hydrolase isozyme L1 with shorter and prolonged duration exercise. Scientific Reports. ISSN 2045-2322 (In Press)
Availability: https://eprints.leedsbeckett.ac.uk/id/eprint/12740/
Accession Number: edsbas.150B22F0
Database: BASE