46 results on '"Clarelli F"'
Search Results
2. Locus for severity implicates CNS resilience in progression of multiple sclerosis
- Author
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Harroud, A, Stridh, PJ, McCauley, JH, Saarela, J, van den Bosch, AMR, Engelenburg, H, Beecham, A, Alfredsson, L, Alikhani, K, Amezcua, L, Andlauer, TFM, Ban, M, Barcellos, L, Barizzone, N, Berge, T, Berthele, A, Bittner, S, Bos, S, Briggs, FBS, Caillier, S, Calabresi, P, Caputo, D, Carmona-Burgos, D, Cavalla, P, Celius, E, Cerono, G, Chinea, A, Chitnis, T, Clarelli, F, Comabella, M, Comi, G, Cotsapas, C, Cree, BCA, D'Alfonso, S, Dardiotis, E, De Jager, P, Delgado, S, Dubois, B, Engel, S, Esposito, F, Fabis-Pedrini, M, Filippi, M, Fitzgerald, K, Gasperi, C, Gomez, L, Gomez, R, Hadjigeorgiou, G, Hamann, J, Held, F, Henry, R, Hillert, J, Huang, J, Huitinga, I, Islam, T, Isobe, N, Jagodic, M, Kermode, AL, Khalil, M, Kilpatrick, T, Konidari, I, Kreft, K, Lechner-Scott, J, Leone, M, Luessi, F, Malhotra, S, Manouchehrinia, A, Manrique, C, Martinelli-Boneschi, F, Martinez, A, Martinez-Maldonado, V, Mascia, E, Metz, L, Midaglia, L, Montalban, X, Oksenberg, J, Olsson, T, Oturai, A, Paakkonen, K, Parnell, GP, Patsopoulos, N, Pericak-Vance, M, Piehl, F, Rubio, J, Santaniello, A, Santoro, S, Schaefer, C, Sellebjerg, F, Shams, H, Shchetynsky, K, Silva, C, Siokas, V, Sondergaard, H, Sorosina, M, Taylor, B, Vandebergh, M, Vasileiou, E, Vecchio, D, Voortman, M, Weiner, H, Wever, D, Yong, VW, Hafler, D, Stewart, G, Compston, A, Zipp, F, Harbo, H, Hemmer, B, Goris, A, Smolders, J, Hauser, S, Kockum, I, Sawcer, S, Baranzini, S, Jonsdottir, I, Blanco, Y, Llufriu, S, Madireddy, L, Saiz, A, Villoslada, P, Stefansson, K, Harbo, HF, Sawcer, SJ, Baranzini, SE, Harroud, A, Stridh, PJ, McCauley, JH, Saarela, J, van den Bosch, AMR, Engelenburg, H, Beecham, A, Alfredsson, L, Alikhani, K, Amezcua, L, Andlauer, TFM, Ban, M, Barcellos, L, Barizzone, N, Berge, T, Berthele, A, Bittner, S, Bos, S, Briggs, FBS, Caillier, S, Calabresi, P, Caputo, D, Carmona-Burgos, D, Cavalla, P, Celius, E, Cerono, G, Chinea, A, Chitnis, T, Clarelli, F, Comabella, M, Comi, G, Cotsapas, C, Cree, BCA, D'Alfonso, S, Dardiotis, E, De Jager, P, Delgado, S, Dubois, B, Engel, S, Esposito, F, Fabis-Pedrini, M, Filippi, M, Fitzgerald, K, Gasperi, C, Gomez, L, Gomez, R, Hadjigeorgiou, G, Hamann, J, Held, F, Henry, R, Hillert, J, Huang, J, Huitinga, I, Islam, T, Isobe, N, Jagodic, M, Kermode, AL, Khalil, M, Kilpatrick, T, Konidari, I, Kreft, K, Lechner-Scott, J, Leone, M, Luessi, F, Malhotra, S, Manouchehrinia, A, Manrique, C, Martinelli-Boneschi, F, Martinez, A, Martinez-Maldonado, V, Mascia, E, Metz, L, Midaglia, L, Montalban, X, Oksenberg, J, Olsson, T, Oturai, A, Paakkonen, K, Parnell, GP, Patsopoulos, N, Pericak-Vance, M, Piehl, F, Rubio, J, Santaniello, A, Santoro, S, Schaefer, C, Sellebjerg, F, Shams, H, Shchetynsky, K, Silva, C, Siokas, V, Sondergaard, H, Sorosina, M, Taylor, B, Vandebergh, M, Vasileiou, E, Vecchio, D, Voortman, M, Weiner, H, Wever, D, Yong, VW, Hafler, D, Stewart, G, Compston, A, Zipp, F, Harbo, H, Hemmer, B, Goris, A, Smolders, J, Hauser, S, Kockum, I, Sawcer, S, Baranzini, S, Jonsdottir, I, Blanco, Y, Llufriu, S, Madireddy, L, Saiz, A, Villoslada, P, Stefansson, K, Harbo, HF, Sawcer, SJ, and Baranzini, SE
- Abstract
Multiple sclerosis (MS) is an autoimmune disease of the central nervous system (CNS) that results in significant neurodegeneration in the majority of those affected and is a common cause of chronic neurological disability in young adults1,2. Here, to provide insight into the potential mechanisms involved in progression, we conducted a genome-wide association study of the age-related MS severity score in 12,584 cases and replicated our findings in a further 9,805 cases. We identified a significant association with rs10191329 in the DYSF-ZNF638 locus, the risk allele of which is associated with a shortening in the median time to requiring a walking aid of a median of 3.7 years in homozygous carriers and with increased brainstem and cortical pathology in brain tissue. We also identified suggestive association with rs149097173 in the DNM3-PIGC locus and significant heritability enrichment in CNS tissues. Mendelian randomization analyses suggested a potential protective role for higher educational attainment. In contrast to immune-driven susceptibility3, these findings suggest a key role for CNS resilience and potentially neurocognitive reserve in determining outcome in MS.
- Published
- 2023
3. Response to interferon-beta treatment in multiple sclerosis patients: a genome-wide association study
- Author
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Mahurkar, S, Moldovan, M, Suppiah, V, Sorosina, M, Clarelli, F, Liberatore, G, Malhotra, S, Montalban, X, Antigüedad, A, Krupa, M, Jokubaitis, V G, McKay, F C, Gatt, P N, Fabis-Pedrini, M J, Martinelli, V, Comi, G, Lechner-Scott, J, Kermode, A G, Slee, M, Taylor, B V, Vandenbroeck, K, Comabella, M, Boneschi, F M, and King, C
- Published
- 2017
- Full Text
- View/download PDF
4. Mathematical model of copper corrosion
- Author
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Clarelli, F., De Filippo, B., and Natalini, R.
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- 2014
- Full Text
- View/download PDF
5. Pharmacogenetic study of long-term response to interferon-β treatment in multiple sclerosis
- Author
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Clarelli, F, Liberatore, G, Sorosina, M, Osiceanu, A M, Esposito, F, Mascia, E, Santoro, S, Pavan, G, Colombo, B, Moiola, L, Martinelli, V, Comi, G, and Martinelli-Boneschi, F
- Published
- 2017
- Full Text
- View/download PDF
6. An Investigation of the Role of Common and Rare Variants in a Large Italian Multiplex Family of Multiple Sclerosis Patients
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Barizzone, N, Cagliani, R, Basagni, C, Clarelli, F, Mendozzi, L, Agliardi, C, Forni, D, Tosi, M, Mascia, E, Favero, F, Cora, D, Corrado, L, Sorosina, M, Esposito, F, Zuccala, M, Vecchio, D, Liguori, M, Comi, C, Comi, G, Martinelli, V, Filippi, M, Leone, M, Martinelli-Boneschi, F, Caputo, D, Sironi, M, Guerini, F, D'Alfonso, S, Barizzone N, Cagliani R, Basagni C, Clarelli F, Mendozzi L, Agliardi C, Forni D, Tosi M, Mascia E, Favero F, Cora D, Corrado L, Sorosina M, Esposito F, Zuccala M, Vecchio D, Liguori M, Comi C, Comi G, Martinelli V, Filippi M, Leone M, Martinelli-Boneschi F, Caputo D, Sironi M, Guerini FR, D'Alfonso S, Barizzone, N, Cagliani, R, Basagni, C, Clarelli, F, Mendozzi, L, Agliardi, C, Forni, D, Tosi, M, Mascia, E, Favero, F, Cora, D, Corrado, L, Sorosina, M, Esposito, F, Zuccala, M, Vecchio, D, Liguori, M, Comi, C, Comi, G, Martinelli, V, Filippi, M, Leone, M, Martinelli-Boneschi, F, Caputo, D, Sironi, M, Guerini, F, D'Alfonso, S, Barizzone N, Cagliani R, Basagni C, Clarelli F, Mendozzi L, Agliardi C, Forni D, Tosi M, Mascia E, Favero F, Cora D, Corrado L, Sorosina M, Esposito F, Zuccala M, Vecchio D, Liguori M, Comi C, Comi G, Martinelli V, Filippi M, Leone M, Martinelli-Boneschi F, Caputo D, Sironi M, Guerini FR, and D'Alfonso S
- Abstract
Known multiple sclerosis (MS) susceptibility variants can only explain half of the disease’s estimated heritability, whereas low-frequency and rare variants may partly account for the missing heritability. Thus, here we sought to determine the occurrence of rare functional variants in a large Italian MS multiplex family with five affected members. For this purpose, we combined linkage analysis and next-generation sequencing (NGS)-based whole exome and whole genome sequencing (WES and WGS, respectively). The genetic burden attributable to known common MS variants was also assessed by weighted genetic risk score (wGRS). We found a significantly higher burden of common variants in the affected family members compared to that observed among sporadic MS patients and healthy controls (HCs). We also identified 34 genes containing at least one low-frequency functional variant shared among all affected family members, showing a significant enrichment in genes involved in specific biological processes—particularly mRNA transport—or neurodegenerative diseases. Altogether, our findings point to a possible pathogenic role of different low-frequency functional MS variants belonging to shared pathways. We propose that these rare variants, together with other known common MS variants, may account for the high number of affected family members within this MS multiplex family.
- Published
- 2021
7. Response to interferon-beta treatment in multiple sclerosis patients: a genome-wide association study
- Author
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Mahurkar, S, Moldovan, M, Suppiah, V, Sorosina, M, Clarelli, F, Liberatore, G, Malhotra, S, Montalban, X, Antigüedad, A, Krupa, M, Jokubaitis, V G, McKay, F C, Gatt, P N, Fabis-Pedrini, M J, Martinelli, V, Comi, G, Lechner-Scott, J, Kermode, A G, Slee, M, Taylor, B V, Vandenbroeck, K, Comabella, M, Boneschi, F M, Australian, The, and King, C
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- 2016
- Full Text
- View/download PDF
8. Multiple sclerosis genomic map implicates peripheral immune cells and microglia in susceptibility
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Patsopoulos, NA, Baranzini, SE, Santaniello, A, Shoostari, P, Cotsapas, C, Wong, G, Beecham, AH, James, T, Replogle, J, Vlachos, IS, McCabe, C, Pers, TH, Brandes, A, White, C, Keenan, B, Cimpean, M, Winn, P, Panteliadis, IP, Robbins, A, Andlauer, TFM, Zarzycki, O, Dubois, B, Goris, A, Sondergaard, HB, Sellebjerg, F, Sorensen, PS, Ullum, H, Thorner, LW, Saarela, J, Cournu-Rebeix, I, Damotte, V, Fontaine, B, Guillot-Noel, L, Lathrop, M, Vukusic, S, Berthele, A, Pongratz, V, Gasperi, C, Graetz, C, Grummel, V, Hemmer, B, Hoshi, M, Knier, B, Korn, T, Lill, CM, Luessi, F, Muhlau, M, Zipp, F, Dardiotis, E, Agliardi, C, Amoroso, A, Barizzone, N, Benedetti, MD, Bernardinelli, L, Cavalla, P, Clarelli, F, Comi, G, Cusi, D, Esposito, F, Ferre, L, Galimberti, D, Guaschino, C, Leone, MA, Martinelli, V, Moiola, L, Salvetti, M, Sorosina, M, Vecchio, D, Zauli, A, Santoro, S, Mancini, N, Zuccala, M, Mescheriakova, J, van Duijn, C, Bos, SD, Celius, EG, Spurkland, A, Comabella, M, Montalban, X, Alfredsson, L, Bomfim, IL, Gomez-Cabrero, D, Hillert, J, Jagodic, M, Linden, M, Piehl, F, Jelcic, I, Martin, R, Sospedra, M, Baker, A, Ban, M, Hawkins, C, Hysi, P, Kalra, S, Karpe, F, Khadake, J, Lachance, G, Molyneux, P, Neville, M, Thorpe, J, Bradshaw, E, Caillier, SJ, Calabresi, P, Cree, BAC, Cross, A, Davis, M, de Bakker, PWI, Delgado, S, Dembele, M, Edwards, K, Fitzgerald, K, Frohlich, IY, Gourraud, PA, Haines, JL, Hakonarson, H, Kimbrough, D, Isobe, N, Konidari, I, Lathi, E, Lee, MH, Li, T, An, D, Zimmer, A, Madireddy, L, Manrique, CP, Mitrovic, M, Olah, M, Patrick, E, Pericak-Vance, MA, Piccio, L, Schaefer, C, Weiner, H, Lage, K, Scott, RJ, Lechner-Scott, J, Leal, R, Moscato, P, Booth, DR, Stewart, GJ, Vucic, S, Pame, G, BamettO, M, Mason, D, GriffithS, L, Broadley, S, Tajouri, L, Baxter, A, Slee, M, Taylor, BV, Charlesworth, J, Kilpatrick, TJ, Rubio, J, Jokubaitis, V, Wiley, J, Butzkueven, H, Leslie, S, Motyer, A, Stankovich, J, Carroll, WM, Kermode, AG, Edrin, M, Barclay, M, Peyrin-Biroulet, L, Chamaillard, M, Colombe, JF, Cottone, M, Croft, A, D'Inca, R, Halfvarson, J, Hanigan, K, Henderson, P, Hugot, JP, Karban, A, Kennedy, NA, Khan, MA, Lemann, M, Levine, A, Massey, D, Milla, M, Motoey, GW, Ng, SME, Oikonomnou, J, Peeters, H, Proctor, DD, Rahier, JF, Roberts, R, Rutgeerts, P, Seibold, F, Stronati, L, Taylor, KM, Torkvist, L, Ublick, K, Van Limbergen, J, Van Gossum, A, Vatn, MH, Zhang, H, Zhang, W, Donnelly, P, Barroso, I, Blackwe, JM, Bramon, E, Brown, MA, Casas, JP, Corvin, A, Deloukas, P, Duncanson, A, Jankowski, J, Markus, HS, Mathew, CG, Palmer, CNA, Plomin, R, Rautanen, A, Sawcer, SJ, Trembath, RC, Viswanathan, AC, Wood, NW, Spencer, CCA, Band, G, Bellenguez, C, Freeman, C, Hellenthal, G, Giannoulatou, E, Pirinen, M, Pearson, R, Strange, A, Sul, Z, Vukcevic, DA, Langford, C, Hunt, SE, Edkins, S, Gwilliam, R, Blackburn, H, Bumpstead, SJ, Dronov, S, Gillman, M, Gray, E, Hammond, N, Jayakumar, A, McCann, OT, Liddle, J, Potter, SC, Ravindrarajah, R, Ricketts, M, Waller, M, Weston, P, Widaa, S, Whittaker, P, Compston, A, Hafler, D, Harbo, HF, Hauser, SL, Stewart, G, D'Alfonso, S, Hadjigeorgiou, G, Taylor, B, Barcellos, LF, Booth, D, Hintzen, R, Kockum, I, Martinelli-Boneschi, F, McCauley, JL, Oksenberg, JR, Oturai, A, Sawcer, S, Ivinson, AJ, Olsson, T, De Jager, PL, Patsopoulos, Na, Baranzini, Se, Santaniello, A, Shoostari, P, Cotsapas, C, Wong, G, Beecham, Ah, James, T, Replogle, J, Vlachos, I, Mccabe, C, Pers, Th, Brandes, A, White, C, Keenan, B, Cimpean, M, Winn, P, Panteliadis, Ip, Robbins, A, Andlauer, Tfm, Zarzycki, O, Dubois, B, Goris, A, Sondergaard, Hb, Sellebjerg, F, Sorensen, P, Ullum, H, Thorner, Lw, Saarela, J, Cournu-Rebeix, I, Damotte, V, Fontaine, B, Guillot-Noel, L, Lathrop, M, Vukusic, S, Berthele, A, Pongratz, V, Gasperi, C, Graetz, C, Grummel, V, Hemmer, B, Hoshi, M, Knier, B, Korn, T, Lill, Cm, Luessi, F, Muhlau, M, Zipp, F, Dardiotis, E, Agliardi, C, Amoroso, A, Barizzone, N, Benedetti, Md, Bernardinelli, L, Cavalla, P, Clarelli, F, Comi, G, Cusi, D, Esposito, F, Ferre, L, Galimberti, D, Guaschino, C, Leone, Ma, Martinelli, V, Moiola, L, Salvetti, M, Sorosina, M, Vecchio, D, Zauli, A, Santoro, S, Mancini, N, Zuccala, M, Mescheriakova, J, van Duijn, C, Bos, Sd, Celius, Eg, Spurkland, A, Comabella, M, Montalban, X, Alfredsson, L, Bomfim, Il, Gomez-Cabrero, D, Hillert, J, Jagodic, M, Linden, M, Piehl, F, Jelcic, I, Martin, R, Sospedra, M, Baker, A, Ban, M, Hawkins, C, Hysi, P, Kalra, S, Karpe, F, Khadake, J, Lachance, G, Molyneux, P, Neville, M, Thorpe, J, Bradshaw, E, Caillier, Sj, Calabresi, P, Cree, Bac, Cross, A, Davis, M, de Bakker, Pwi, Delgado, S, Dembele, M, Edwards, K, Fitzgerald, K, Frohlich, Iy, Gourraud, Pa, Haines, Jl, Hakonarson, H, Kimbrough, D, Isobe, N, Konidari, I, Lathi, E, Lee, Mh, Li, T, An, D, Zimmer, A, Madireddy, L, Manrique, Cp, Mitrovic, M, Olah, M, Patrick, E, Pericak-Vance, Ma, Piccio, L, Schaefer, C, Weiner, H, Lage, K, Scott, Rj, Lechner-Scott, J, Leal, R, Moscato, P, Booth, Dr, Stewart, Gj, Vucic, S, Pame, G, Bametto, M, Mason, D, Griffiths, L, Broadley, S, Tajouri, L, Baxter, A, Slee, M, Taylor, Bv, Charlesworth, J, Kilpatrick, Tj, Rubio, J, Jokubaitis, V, Wiley, J, Butzkueven, H, Leslie, S, Motyer, A, Stankovich, J, Carroll, Wm, Kermode, Ag, Edrin, M, Barclay, M, Peyrin-Biroulet, L, Chamaillard, M, Colombe, Jf, Cottone, M, Croft, A, D'Inca, R, Halfvarson, J, Hanigan, K, Henderson, P, Hugot, Jp, Karban, A, Kennedy, Na, Khan, Ma, Lemann, M, Levine, A, Massey, D, Milla, M, Motoey, Gw, Ng, Sme, Oikonomnou, J, Peeters, H, Proctor, Dd, Rahier, Jf, Roberts, R, Rutgeerts, P, Seibold, F, Stronati, L, Taylor, Km, Torkvist, L, Ublick, K, Van Limbergen, J, Van Gossum, A, Vatn, Mh, Zhang, H, Zhang, W, Donnelly, P, Barroso, I, Blackwe, Jm, Bramon, E, Brown, Ma, Casas, Jp, Corvin, A, Deloukas, P, Duncanson, A, Jankowski, J, Markus, H, Mathew, Cg, Palmer, Cna, Plomin, R, Rautanen, A, Sawcer, Sj, Trembath, Rc, Viswanathan, Ac, Wood, Nw, Spencer, Cca, Band, G, Bellenguez, C, Freeman, C, Hellenthal, G, Giannoulatou, E, Pirinen, M, Pearson, R, Strange, A, Sul, Z, Vukcevic, Da, Langford, C, Hunt, Se, Edkins, S, Gwilliam, R, Blackburn, H, Bumpstead, Sj, Dronov, S, Gillman, M, Gray, E, Hammond, N, Jayakumar, A, Mccann, Ot, Liddle, J, Potter, Sc, Ravindrarajah, R, Ricketts, M, Waller, M, Weston, P, Widaa, S, Whittaker, P, Compston, A, Hafler, D, Harbo, Hf, Hauser, Sl, Stewart, G, D'Alfonso, S, Hadjigeorgiou, G, Taylor, B, Barcellos, Lf, Booth, D, Hintzen, R, Kockum, I, Martinelli-Boneschi, F, Mccauley, Jl, Oksenberg, Jr, Oturai, A, Sawcer, S, Ivinson, Aj, Olsson, T, De Jager, Pl, Neurology, and Immunology
- Subjects
0301 basic medicine ,Multiple Sclerosis ,Quantitative Trait Loci ,Inheritance Patterns ,Cell Cycle Proteins ,Genome-wide association study ,Biology ,Major histocompatibility complex ,Polymorphism, Single Nucleotide ,Major Histocompatibility Complex ,Transcriptome ,03 medical and health sciences ,0302 clinical medicine ,Immune system ,Gene Frequency ,Autoimmune Process ,medicine ,Humans ,RNA-Seq ,X chromosome ,Genetics ,Chromosomes, Human, X ,Multidisciplinary ,Microglia ,Multiple sclerosis ,GTPase-Activating Proteins ,Chromosome Mapping ,Genomics ,medicine.disease ,3. Good health ,030104 developmental biology ,medicine.anatomical_structure ,Genetic Loci ,Case-Control Studies ,biology.protein ,Genome-Wide Association Study ,030217 neurology & neurosurgery - Abstract
Genetic roots of multiple sclerosis The genetics underlying who develops multiple sclerosis (MS) have been difficult to work out. Examining more than 47,000 cases and 68,000 controls with multiple genome-wide association studies, the International Multiple Sclerosis Genetics Consortium identified more than 200 risk loci in MS (see the Perspective by Briggs). Focusing on the best candidate genes, including a model of the major histocompatibility complex region, the authors identified statistically independent effects at the genome level. Gene expression studies detected that every major immune cell type is enriched for MS susceptibility genes and that MS risk variants are enriched in brain-resident immune cells, especially microglia. Up to 48% of the genetic contribution of MS can be explained through this analysis. Science , this issue p. eaav7188 ; see also p. 1383
- Published
- 2019
9. Impact of MS genetic loci on familial aggregation, clinical phenotype, and disease prediction
- Author
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Esposito F, Guaschino C, Sorosina M, Clarelli F, Ferre' L, Mascia E, Santoro S, Pagnesi M, Radaelli M, Colombo B, Moiola L, Rodegher M, Stupka E, Martinelli V, Martinelli Boneschi F., COMI , GIANCARLO, Esposito, F, Guaschino, C, Sorosina, M, Clarelli, F, Ferre', L, Mascia, E, Santoro, S, Pagnesi, M, Radaelli, M, Colombo, B, Moiola, L, Rodegher, M, Stupka, E, Martinelli, V, Comi, Giancarlo, and Martinelli Boneschi, F.
- Published
- 2015
10. Inverse correlation of genetic risk score with age at onset in bout-onset and progressive-onset multiple sclerosis
- Author
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Sorosina M, Esposito F, Guaschino C, Clarelli F, Barizzone N, Osiceanu AM, Brambilla P, Mascia E, Cavalla P, Gallo P, PROGRESSO, PROGEMUS, Martinelli V, Leone M, COMI , GIANCARLO, D'Alfonso S, Martinelli Boneschi F., Sorosina, M, Esposito, F, Guaschino, C, Clarelli, F, Barizzone, N, Osiceanu, Am, Brambilla, P, Mascia, E, Cavalla, P, Gallo, P, Progresso, Progemu, Martinelli, V, Leone, M, Comi, Giancarlo, D'Alfonso, S, and Martinelli Boneschi, F.
- Published
- 2015
11. The burden of multiple sclerosis variants in continental Italians and Sardinians
- Author
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Barizzone N, Zara I, Sorosina M, Lupoli S, Porcu E, Pitzalis M, Zoledziewska M, Esposito F, Leone M, Mulas A, Cocco E, Ferrigno P, Guerini FR, Brambilla P, Farina G, Murru R, Deidda F, Sanna S, Loi A, Barlassina C, Vecchio D, Zauli A, Clarelli F, Braga D, Poddie F, Cantello R, Martinelli V, Frau J, Lorefice L, Pugliatti M, Rosati G, PROGEMUS Consortium PROGRESSO Consortium, Melis M, Marrosu MG, Cusi D, Cucca F, Martinelli Boneschi F, D'Alfonso S., COMI , GIANCARLO, Barizzone, N, Zara, I, Sorosina, M, Lupoli, S, Porcu, E, Pitzalis, M, Zoledziewska, M, Esposito, F, Leone, M, Mulas, A, Cocco, E, Ferrigno, P, Guerini, Fr, Brambilla, P, Farina, G, Murru, R, Deidda, F, Sanna, S, Loi, A, Barlassina, C, Vecchio, D, Zauli, A, Clarelli, F, Braga, D, Poddie, F, Cantello, R, Martinelli, V, Comi, Giancarlo, Frau, J, Lorefice, L, Pugliatti, M, Rosati, G, PROGEMUS Consortium PROGRESSO, Consortium, Melis, M, Marrosu, Mg, Cusi, D, Cucca, F, Martinelli Boneschi, F, and D'Alfonso, S.
- Published
- 2015
12. A gain-of-function sodium channelβ2-subunit mutation in painful diabetic neuropathy
- Author
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Alsaloum, Matthew, Estacion, Mark, Almomani, Rowida, Gerrits, Monique M., Boenhof, Gidon J., Ziegler, Dan, Malik, Rayaz, Ferdousi, Maryam, Lauria, Giuseppe, Merkies, Ingemar S. J., Faber, Catharina G., Dib-Hajj, Sulayman, Waxman, Stephen G., de Greef, B., Hoeijmakers, J. G. J., Sopacua, M., Smeets, H. J. M., Vanoevelen, J. M., Eijkenboom, Lindsey, P., Almomani, R., Taiana, M., Marchi, M., Lombardi, R., Cazzato, D., Boneschi, F. M., Zauli, A., Clarelli, F., Santoro, S., Lopez, A.B., Quattrini, A., Cestele, S., Chever, O., Tavakoli, M., Malik, R., Kapetis, D., Xenakis, M. N., Mantegazza, M., Battiato, F., Strom, A., MUMC+: DA KG Lab Centraal Lab (9), RS: MHeNs - R1 - Cognitive Neuropsychiatry and Clinical Neuroscience, RS: MHeNs - R3 - Neuroscience, MUMC+: KIO Kemta (9), Promovendi MHN, Klinische Genetica, RS: FHML MaCSBio, RS: GROW - R4 - Reproductive and Perinatal Medicine, and Genetica & Celbiologie
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0301 basic medicine ,Diabetic neuropathy ,Action Potentials ,medicine.disease_cause ,Bioinformatics ,ACTIVATION ,DOMAIN IV ,0302 clinical medicine ,Diabetic Neuropathies ,Dorsal root ganglion ,Ganglia, Spinal ,voltage-gated sodium channels ,sodium channel beta-subunits ,NEURONS ,Mutation ,Chronic pain ,PREVALENCE ,SEGMENT IVS6 ,medicine.anatomical_structure ,Gain of Function Mutation ,EXCITABILITY ,FAST INACTIVATION ,Neuropathic pain ,Voltage-Gated Sodium Channel beta Subunits ,Molecular Medicine ,ALPHA-SUBUNIT ,Ion Channel Gating ,Research Article ,POTENTIALS ,Tetrodotoxin ,Open Reading Frames ,03 medical and health sciences ,Cellular and Molecular Neuroscience ,Protein Domains ,Diabetes mellitus ,medicine ,Humans ,NA(V)1.8 MUTATION ,neuropathic pain ,business.industry ,Sodium channel ,medicine.disease ,HEK293 Cells ,030104 developmental biology ,Anesthesiology and Pain Medicine ,Peripheral neuropathy ,Neuralgia ,business ,030217 neurology & neurosurgery - Abstract
Diabetes mellitus is a global challenge with many diverse health sequelae, of which diabetic peripheral neuropathy is one of the most common. A substantial number of patients with diabetic peripheral neuropathy develop chronic pain, but the genetic and epigenetic factors that predispose diabetic peripheral neuropathy patients to develop neuropathic pain are poorly understood. Recent targeted genetic studies have identified mutations in alpha-subunits of voltage-gated sodium channels (Na(v)s) in patients with painful diabetic peripheral neuropathy. Mutations in proteins that regulate trafficking or functional properties of Na(v)s could expand the spectrum of patients with Na-v-related peripheral neuropathies. The auxiliary sodium channel beta-subunits (beta 1-4) have been reported to increase current density, alter inactivation kinetics, and modulate subcellular localization of Na-v. Mutations in beta-subunits have been associated with several diseases, including epilepsy, cancer, and diseases of the cardiac conducting system. However, mutations in beta-subunits have never been shown previously to contribute to neuropathic pain. We report here a patient with painful diabetic peripheral neuropathy and negative genetic screening for mutations in SCN9A, SCN10A, and SCN11A-genes encoding sodium channel alpha-subunit that have been previously linked to the development of neuropathic pain. Genetic analysis revealed an aspartic acid to asparagine mutation, D109N, in the beta 2-subunit. Functional analysis using current-clamp revealed that the beta 2-D109N rendered dorsal root ganglion neurons hyperexcitable, especially in response to repetitive stimulation. Underlying the hyperexcitability induced by the beta 2-subunit mutation, as evidenced by voltage-clamp analysis, we found a depolarizing shift in the voltage dependence of Na(v)1.7 fast inactivation and reduced use-dependent inhibition of the Na(v)1.7 channel.
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- 2019
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13. Genetic burden of common variants in progressive and bout-onset multiple sclerosis
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SOROSINA M, BRAMBILLA P, CLARELLI F, BARIZZONE N, LUPOLI S, GUASCHINO C, OSICEANU AM, MOIOLA L, GHEZZI A, CONIGLIO G, PATTI F, MANCARDI G, MANUNTA P, GLORIOSO N, GUERINI FR, BERGAMASCHI R, PERLA F, PROGRESSO, PROGEMUS, MARTINELLI V, CUSI D, LEONE M, COMI G, D'ALFONSO S, MARTINELLI BONESCHI F, Among the collaborators, TEDESCHI, Gioacchino, Sorosina, M, Brambilla, P, Clarelli, F, Barizzone, N, Lupoli, S, Guaschino, C, Osiceanu, Am, Moiola, L, Ghezzi, An, Coniglio, G, Patti, F, Mancardi, G, Manunta, P, Glorioso, N, Guerini, Fr, Bergamaschi, R, Perla, F, Martinelli, V, Cusi, D, Leone, M, Comi, G, D’Alfonso, S, MARTINELLI-BONESCHI, F, PROGRESSO STUDY, Group, PROGEMUS STUDY, Group, Ghezzi, A, Progresso, Progemu, D'Alfonso, S, MARTINELLI BONESCHI, F, D'Ambrosio, Alessandro, and Tedeschi, Gioacchino
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Oncology ,Male ,Genome-wide association study ,Sex Factor ,Disease ,Heritability ,Multiple sclerosis ,Primary progressive ,Relapsing-remitting ,Adolescent ,Adult ,Aged ,Aged, 80 and over ,Female ,Genetic Markers ,Genetic Predisposition to Disease ,Genome-Wide Association Study ,Humans ,Italy ,Magnetic Resonance Imaging ,Middle Aged ,Multiple Sclerosis ,Chronic Progressive ,Phenotype ,Risk Factors ,Sex Factors ,Young Adult ,Polymorphism ,Single Nucleotide ,Neurology ,Neurology (clinical) ,Genetic Marker ,80 and over ,Genetic risk ,Genetics ,Multiple Sclerosis, Chronic Progressive ,Explained variation ,Human ,medicine.medical_specialty ,Single-nucleotide polymorphism ,Polymorphism, Single Nucleotide ,Internal medicine ,medicine ,Multiple sclerosi ,business.industry ,Risk Factor ,medicine.disease ,business - Abstract
Background: The contribution of genetic variants underlying the susceptibility to different clinical courses of multiple sclerosis (MS) is still unclear. Objective: The aim of the study is to evaluate and compare the proportion of liability explained by common SNPs and the genetic burden of MS-associated SNPs in progressive onset (PrMS) and bout-onset (BOMS) cases. Methods: We estimated the proportion of variance in disease liability explained by 296,391 autosomal SNPs in cohorts of Italian PrMS and BOMS patients using the genome-wide complex trait analysis (GCTA) tool, and we calculated a weighted genetic risk score (wGRS) based on the known MS-associated loci. Results: Our results identified that common SNPs explain a greater proportion of phenotypic variance in BOMS (36.5%±10.1%) than PrMS (20.8%±6.0%) cases, and a trend of decrease was observed when testing primary progressive (PPMS) without brain MRI inflammatory activity ( p = 7.9 × 10−3). Similarly, the wGRS and the variance explained by MS-associated SNPs were higher in BOMS than PPMS in males (wGRS: 6.63 vs 6.51, p = 0.04; explained variance: 4.8%±1.5% vs 1.7%±0.6%; p = 0.05). Conclusions: Our results suggest that the liability of disease is better captured by common genetic variants in BOMS than PrMS cases. The absence of inflammatory activity and male gender further raise the difference between clinical courses.
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- 2014
14. Response to interferon-beta treatment in multiple sclerosis patients: A genome-wide association study
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Mahurkar, S., Moldovan, M., Suppiah, V., Sorosina, M., Clarelli, F., Liberatore, G., Malhotra, S., Montalban, X., Antigüedad, A., Krupa, M., Jokubaitis, V.G., McKay, F.C., Gatt, P.N., Fabis-Pedrini, M.J., Martinelli, V., Comi, G., Lechner-Scott, J., Kermode, A.G., Slee, M., Taylor, B.V., Vandenbroeck, K., Comabella, M., Boneschi, F.M., King, C., Mahurkar, S., Moldovan, M., Suppiah, V., Sorosina, M., Clarelli, F., Liberatore, G., Malhotra, S., Montalban, X., Antigüedad, A., Krupa, M., Jokubaitis, V.G., McKay, F.C., Gatt, P.N., Fabis-Pedrini, M.J., Martinelli, V., Comi, G., Lechner-Scott, J., Kermode, A.G., Slee, M., Taylor, B.V., Vandenbroeck, K., Comabella, M., Boneschi, F.M., and King, C.
- Abstract
Up to 50% of multiple sclerosis (MS) patients do not respond to interferon-beta (IFN-β) treatment and determination of response requires lengthy clinical follow-up of up to 2 years. Response predictive genetic markers would significantly improve disease management. We aimed to identify IFN-β treatment response genetic marker(s) by performing a two-stage genome-wide association study (GWAS). The GWAS was carried out using data from 151 Australian MS patients from the ANZgene/WTCCC2 MS susceptibility GWAS (responder (R)=51, intermediate responders=24 and non-responders (NR)=76). Of the single-nucleotide polymorphisms (SNP) that were validated in an independent group of 479 IFN-β-treated MS patients from Australia, Spain and Italy (R=273 and NR=206), eight showed evidence of association with treatment response. Among the replicated associations, the strongest was observed for FHIT (Fragile Histidine Triad; combined P-value 6.74 × 10−6) and followed by variants in GAPVD1 (GTPase activating protein and VPS9 domains 1; combined P-value 5.83 × 10−5) and near ZNF697 (combined P-value 8.15 × 10−5).
- Published
- 2017
15. Genome-wide association study of progressive and bout-onset multiple sclerosis patients
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Martinelli Boneschi, F., Esposito, F., Clarelli, F., Barrizzone, N., Liberatore, G., Brambilla, P., Rodegher, M., Sorosina, M., Guaschino, C., Cavalla, P., Patti, E., Galimberti, D., Scarpini, E., Lupoli, S., Capra, R., Tedeschi, G., Mancardi, G., Coniglio, G., Grimaldi, L., Ghezzi, A., Cusi, D., Martinelli, V., Leone, M., D’Alfonso, S., and Comi, G.
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Settore MED/26 - Neurologia - Published
- 2012
16. Pharmacogenetic study of long-term response to interferon-β treatment in multiple sclerosis
- Author
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Clarelli, F, primary, Liberatore, G, additional, Sorosina, M, additional, Osiceanu, A M, additional, Esposito, F, additional, Mascia, E, additional, Santoro, S, additional, Pavan, G, additional, Colombo, B, additional, Moiola, L, additional, Martinelli, V, additional, Comi, G, additional, and Martinelli-Boneschi, F, additional
- Published
- 2015
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17. AMDA 2.13: A major update for automated cross-platform microarray data analysis
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Kapetis, D, Clarelli, F, Vitulli, F, de Rosbo, N, Beretta, O, Foti, M, Castagnoli, P, Zolezzi, F, FOTI, MARIA, CASTAGNOLI, PAOLA, Zolezzi, F., Kapetis, D, Clarelli, F, Vitulli, F, de Rosbo, N, Beretta, O, Foti, M, Castagnoli, P, Zolezzi, F, FOTI, MARIA, CASTAGNOLI, PAOLA, and Zolezzi, F.
- Abstract
Microarray platforms require analytical pipelines with modules for data pre-processing including data normalization, statistical analysis for identification of differentially expressed genes, cluster analysis, and functional annotation. We previously developed the Automated Microarray Data Analysis (AMDA, version 2.3.5) pipeline to process Affymetrix 3′ IVT GeneChips. The availability of newer technologies that demand open-source tools for microarray data analysis has impelled us to develop an updated multi-platform version, AMDA 2.13. It includes additional quality control metrics, annotation-driven (annotation grade of Affymetrix NetAffx) and signal-driven (Inter-Quartile Range) gene filtering, and approaches to experimental design. To enhance understanding of biological data, differentially expressed genes have been mapped into KEGG pathways. Finally, a more stable and user-friendly interface was designed to integrate the requirements for different platforms. AMDA 2.13 allows the analysis of Affymetrix (cartridges and plates) and whole transcript probe design (Gene 1.0/1.1 ST and Exon 1.0 ST GeneChips), Illumina Bead Arrays, and one-channel Agilent 4×44 arrays. Relative to early versions, it supports various experimental designs and delivers more insightful biological understanding and up-to-date annotations.
- Published
- 2012
18. Contribution of Rare and Low-Frequency Variants to Multiple Sclerosis Susceptibility in the Italian Continental Population
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Ferdinando Clarelli, Nadia Barizzone, Eleonora Mangano, Miriam Zuccalà, Chiara Basagni, Santosh Anand, Melissa Sorosina, Elisabetta Mascia, Silvia Santoro, PROGEMUS, PROGRESSO, Franca Rosa Guerini, Eleonora Virgilio, Antonio Gallo, Alessandro Pizzino, Cristoforo Comi, Vittorio Martinelli, Giancarlo Comi, Gianluca De Bellis, Maurizio Leone, Massimo Filippi, Federica Esposito, Roberta Bordoni, Filippo Martinelli Boneschi, Sandra D'Alfonso, P Crociani, D Vecchio, P Ragonese, A Gajofatto, E Scarpini, A Bertolotto, D Caputo, C Gasperini, F Granella, S Cordera, P Cavallo, R Cavallo, R Bergamaschi, G Ristori, C Solaro, F Martinelli, F Passantino, M Pugliatti, A Gallo, L Brambilla, C Clerico, F Capone, F Esposito, G Liberatore, M Rodegher, p Rossi, M Radaelli, L Moiola, B Colombo, A Ghezzi, A Annovazzi, R Capra, G Coniglio, M. P Amato, B Nacmias, G Tedeschi, A D’Ambrosio, P Cavalla, F Patti, E D’Amico, D Galimberti, P Gallo, M Atzori, L Grimaldi, S Bucello, G Mancardi, E Capello, Clarelli, F, Barizzone, N, Mangano, E, Zuccalà, M, Basagni, C, Anand, S, Sorosina, M, Mascia, E, Santoro, S, Guerini, Fr, Virgilio, E, Gallo, A, Pizzino, A, Comi, C, Martinelli, V, Comi, G, De Bellis, G, Leone, M, Filippi, M, Esposito, F, Bordoni, R, Martinelli-Boneschi, F, D’Alfonso, S, Clarelli, F., Barizzone, N., Mangano, E., Zuccala, M., Basagni, C., Anand, S., Sorosina, M., Mascia, E., Santoro, S., Guerini, F. R., Virgilio, E., Gallo, A., Pizzino, A., Comi, C., Martinelli, V., Comi, G., De Bellis, G., Leone, M., Filippi, M., Esposito, F., Bordoni, R., Martinelli Boneschi, F., and D'Alfonso, S.
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multiple sclerosi ,Genetics ,rare variants ,Molecular Medicine ,QH426-470 ,pool sequencing ,multiple sclerosis ,burden test ,EFCAB13 ,Genetics (clinical) ,Original Research - Abstract
Genome-wide association studies identified over 200 risk loci for multiple sclerosis (MS) focusing on common variants, which account for about 50% of disease heritability. The goal of this study was to investigate whether low-frequency and rare functional variants, located in MS-established associated loci, may contribute to disease risk in a relatively homogeneous population, testing their cumulative effect (burden) with gene-wise tests. We sequenced 98 genes in 588 Italian patients with MS and 408 matched healthy controls (HCs). Variants were selected using different filtering criteria based on allelic frequency and in silico functional impacts. Genes showing a significant burden (n = 17) were sequenced in an independent cohort of 504 MS and 504 HC. The highest signal in both cohorts was observed for the disruptive variants (stop-gain, stop-loss, or splicing variants) located in EFCAB13, a gene coding for a protein of an unknown function (p < 10–4). Among these variants, the minor allele of a stop-gain variant showed a significantly higher frequency in MS versus HC in both sequenced cohorts (p = 0.0093 and p = 0.025), confirmed by a meta-analysis on a third independent cohort of 1298 MS and 1430 HC (p = 0.001) assayed with an SNP array. Real-time PCR on 14 heterozygous individuals for this variant did not evidence the presence of the stop-gain allele, suggesting a transcript degradation by non-sense mediated decay, supported by the evidence that the carriers of the stop-gain variant had a lower expression of this gene (p = 0.0184). In conclusion, we identified a novel low-frequency functional variant associated with MS susceptibility, suggesting the possible role of rare/low-frequency variants in MS as reported for other complex diseases.
- Published
- 2022
19. An Investigation of the Role of Common and Rare Variants in a Large Italian Multiplex Family of Multiple Sclerosis Patients
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Cristoforo Comi, Filippo Martinelli-Boneschi, Lucia Corrado, Rachele Cagliani, Martina Tosi, Cristina Agliardi, Francesco Favero, Giancarlo Comi, Nadia Barizzone, Melissa Sorosina, Massimo Filippi, Ferdinando Clarelli, Davide Corà, Domenico Caputo, Elisabetta Mascia, Manuela Sironi, Maria Liguori, Chiara Basagni, Vittorio Martinelli, Domizia Vecchio, Miriam Zuccalà, Federica Esposito, Maurizio Leone, Diego Forni, Sandra D'Alfonso, Franca Rosa Guerini, Laura Mendozzi, Barizzone, N., Cagliani, R., Basagni, C., Clarelli, F., Mendozzi, L., Agliardi, C., Forni, D., Tosi, M., Mascia, E., Favero, F., Cora, D., Corrado, L., Sorosina, M., Esposito, F., Zuccala, M., Vecchio, D., Liguori, M., Comi, C., Comi, G., Martinelli, V., Filippi, M., Leone, M., Martinelli-Boneschi, F., Caputo, D., Sironi, M., Guerini, F. R., and D'Alfonso, S.
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Adult ,Male ,DNA Copy Number Variations ,Genetic Linkage ,multiple sclerosis ,multiplex families ,linkage study ,NGS ,rare variants ,Biology ,QH426-470 ,Article ,Multiple sclerosis ,03 medical and health sciences ,0302 clinical medicine ,Missing heritability problem ,Genetic linkage ,Exome Sequencing ,medicine ,Genetics ,Humans ,Multiplex ,Genetic Predisposition to Disease ,Gene ,Exome ,Genetics (clinical) ,Genetic Association Studies ,030304 developmental biology ,Aged ,Linkage study ,Whole genome sequencing ,Aged, 80 and over ,0303 health sciences ,Whole Genome Sequencing ,Genome, Human ,High-Throughput Nucleotide Sequencing ,Rare variants ,Heritability ,Middle Aged ,medicine.disease ,Pedigree ,Italy ,Multiplex families ,Female ,030217 neurology & neurosurgery - Abstract
Known multiple sclerosis (MS) susceptibility variants can only explain half of the disease’s estimated heritability, whereas low-frequency and rare variants may partly account for the missing heritability. Thus, here we sought to determine the occurrence of rare functional variants in a large Italian MS multiplex family with five affected members. For this purpose, we combined linkage analysis and next-generation sequencing (NGS)-based whole exome and whole genome sequencing (WES and WGS, respectively). The genetic burden attributable to known common MS variants was also assessed by weighted genetic risk score (wGRS). We found a significantly higher burden of common variants in the affected family members compared to that observed among sporadic MS patients and healthy controls (HCs). We also identified 34 genes containing at least one low-frequency functional variant shared among all affected family members, showing a significant enrichment in genes involved in specific biological processes—particularly mRNA transport—or neurodegenerative diseases. Altogether, our findings point to a possible pathogenic role of different low-frequency functional MS variants belonging to shared pathways. We propose that these rare variants, together with other known common MS variants, may account for the high number of affected family members within this MS multiplex family.
- Published
- 2021
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20. Identification of differential DNA methylation associated with multiple sclerosis: A family-based study
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Ferdinando Clarelli, S. Bonfiglio, Massimo Filippi, Federica Esposito, A. Protti, Giulia Barbiera, Filippo Martinelli-Boneschi, Vittorio Martinelli, E. Stupka, Silvia Santoro, Elisabetta Mascia, Clara Guaschino, Francesca Giannese, Melissa Sorosina, Dejan Lazarevic, Jose Manuel Garcia-Manteiga, Davide Cittaro, Garcia-Manteiga, J. M., Clarelli, F., Bonfiglio, S., Mascia, E., Giannese, F., Barbiera, G., Guaschino, C., Sorosina, M., Santoro, S., Protti, A., Martinelli, V., Cittaro, D., Lazarevic, D., Stupka, E., Filippi, M., Esposito, F., and Martinelli-Boneschi, F.
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0301 basic medicine ,Adult ,Male ,Multiple Sclerosis ,Immunology ,Genomics ,Biology ,Epigenesis, Genetic ,03 medical and health sciences ,Young Adult ,0302 clinical medicine ,medicine ,Immunology and Allergy ,Humans ,Multiplex ,Epigenetics ,Gene ,Aged ,Genetics ,Multiple sclerosis ,Methylation ,DNA Methylation ,Middle Aged ,medicine.disease ,Pedigree ,030104 developmental biology ,Differentially methylated regions ,Neurology ,Italy ,DNA methylation ,Female ,Neurology (clinical) ,030217 neurology & neurosurgery ,Genome-Wide Association Study - Abstract
Multiple Sclerosis (MS) is caused by a still unknown interplay between genetic and environmental factors. Epigenetics, including DNA methylation, represents a model for environmental factors to influence MS risk. Twenty-six affected and 26 unaffected relatives from 8 MS multiplex families were analysed in a multicentric Italian study using MeDIP-Seq, followed by technical validation and biological replication in two additional families of differentially methylated regions (DMRs) using SeqCap Epi Choice Enrichment kit (Roche®). Associations from MeDIP-Seq across families were combined with aggregation statistics, yielding 162 DMRs at FDR ≤ 0.1. Technical validation and biological replication led to 2 hypo-methylated regions, which point to NTM and BAI3 genes, and to 2 hyper-methylated regions in PIK3R1 and CAPN13. These 4 novel regions contain genes of potential interest that need to be tested in larger cohorts of patients.
- Published
- 2021
21. Early evidence of disease activity during fingolimod predicts medium-term inefficacy in relapsing-remitting multiple sclerosis
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Francesca Sangalli, Laura Ferrè, Ferdinando Clarelli, Andrea Mogavero, Vittorio Martinelli, Federica Esposito, Lucia Moiola, Bruno Colombo, Giancarlo Comi, Massimo Filippi, Ferre, L., Mogavero, A., Clarelli, F., Moiola, L., Sangalli, F., Colombo, B., Martinelli, V., Comi, G., Filippi, M., and Esposito, F.
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Drug ,medicine.medical_specialty ,Multiple Sclerosis ,media_common.quotation_subject ,Disease activity ,Lesion ,Multiple sclerosis ,Cohort Studies ,03 medical and health sciences ,0302 clinical medicine ,Multiple Sclerosis, Relapsing-Remitting ,Internal medicine ,medicine ,Humans ,030212 general & internal medicine ,fingolimod ,media_common ,early prediction ,medicine.diagnostic_test ,Proportional hazards model ,business.industry ,Fingolimod Hydrochloride ,Natalizumab ,real world ,Magnetic resonance imaging ,medicine.disease ,Fingolimod ,Neurology ,Female ,Neurology (clinical) ,medicine.symptom ,business ,disease activity ,030217 neurology & neurosurgery ,Immunosuppressive Agents ,Cohort study ,medicine.drug - Abstract
Background: Fingolimod (FTY) is an effective second-line drug for relapsing-remitting multiple sclerosis, with ~50% patients showing no evidence of disease activity (NEDA) after 2 years. Nonetheless, the early identification of non-responders is extremely important, to promptly address them to more aggressive drugs. Objectives: This cohort study evaluates FTY medium-term effectiveness, searching for early markers of treatment failure. Patients and methods: Three hundred eighty patients starting FTY were enrolled and classified according to NEDA and time to first relapse criteria at 4-year follow-up. Logistic and Cox regression analyses were applied to identify early predictors of non-response. Results: At 4 years, 65.6% of patients were free from relapses and 35.4% had NEDA. Female gender was associated with a higher risk of non-response. Moreover, evidence of clinical and/or magnetic resonance imaging (MRI) activity during the first year of treatment was highly predictive of disease activity in the follow-up: the positive predictive value for non-response was 0.74 for the presence of ⩾1 relapse, 0.73 for the presence of ⩾1 active MRI lesion, and 0.83 for the presence of both clinical and MRI activity. Conclusions: FTY effectiveness persists at medium-term follow-up; a close monitoring during the first year of treatment is warranted to early identify non-responders requiring treatment optimization.
- Published
- 2020
22. Basal vitamin D levels and disease activity in multiple sclerosis patients treated with fingolimod
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Lucia Moiola, Laura Ferrè, Ferdinando Clarelli, Giancarlo Comi, M Aboulwafa, F. Martinelli Boneschi, Elisabetta Mascia, Giacomo Sferruzza, Federica Esposito, Massimo Filippi, Vittorio Martinelli, Maria A. Rocca, G. Dalla Costa, Marta Radaelli, Francesca Sangalli, Ferre’, L., Clarelli, F., Sferruzza, G., Rocca, M. A., Mascia, E., Radaelli, M., Sangalli, F., Dalla Costa, G., Moiola, L., Aboulwafa, M., Martinelli Boneschi, F., Comi, G., Filippi, M., Martinelli, V., and Esposito, F.
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Adult ,Male ,medicine.medical_specialty ,Time Factors ,Neurology ,Time Factor ,Longitudinal Studie ,Gadolinium ,Dermatology ,Gastroenterology ,Statistics, Nonparametric ,Disease activity ,Immunosuppressive Agent ,03 medical and health sciences ,Basal (phylogenetics) ,Multiple Sclerosis, Relapsing-Remitting ,0302 clinical medicine ,Internal medicine ,Image Processing, Computer-Assisted ,medicine ,Vitamin D and neurology ,Humans ,Multiple sclerosi ,In patient ,Longitudinal Studies ,030212 general & internal medicine ,Vitamin D ,Fingolimod Hydrochloride ,business.industry ,Multiple sclerosis ,Fingolimod ,General Medicine ,medicine.disease ,25-hydroxyvitamin D ,Magnetic Resonance Imaging ,Psychiatry and Mental health ,Safety profile ,Psychiatry and Mental Health ,Female ,Neurology (clinical) ,business ,Immunosuppressive Agents ,030217 neurology & neurosurgery ,MRI ,Human ,medicine.drug - Abstract
Background: Several studies have shown an association between 25-hydroxyvitamin D (25[OH]D) levels and multiple sclerosis (MS) susceptibility and/or level of disease activity in patients treated with first line drugs. Aims: To investigate whether baseline 25[OH]D values could influence disease activity also during treatment with the second-line drug fingolimod (FTY). Patients and methods: We enrolled 176 MS patients who started FTY at the San Raffaele Hospital (OSR) MS center with available 25[OH]D measurement at the time of treatment start. We then prospectively followed them for 2 years with periodic clinical examinations and MRI scans. Results: We found no linear correlation between baseline 25[OH]D levels and annualized relapse rate (ARR) or time to first relapse. However, we observed that patients with serum 25[OH]D ≥ 100 nmol/l showed a lower number of Gd+ and combined unique activity (CUA) lesions at baseline compared to patients with the lowest 25[OH]D levels (less than 50 nmol/l, p value < 0.05). Moreover, they showed fewer CUA lesions at 2-year follow-up also when accounting for baseline level of disease activity (p value < 0.05). Conclusions: In patients treated with FTY, those with the highest baseline 25(OH)D levels had a significantly lower number of active lesions at baseline; the same effect, even if weaker, was observed also at 2-year follow-up when adjusting for baseline disease activity. Given Vitamin D supplementation safety profile, also if a causal effect has not yet been shown, most of MS patients could probably benefit from 25[OH]D levels above those currently considered to be sufficient.
- Published
- 2018
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23. Effectiveness and baseline factors associated to fingolimod response in a real-world study on multiple sclerosis patients
- Author
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Ferdinando Clarelli, Francesca Sangalli, Giacomo Sferruzza, Massimo Filippi, Loredana Storelli, F. Martinelli Boneschi, Marta Radaelli, Vittorio Martinelli, Lucia Moiola, Federica Esposito, Laura Ferrè, Bruno Colombo, Maria A. Rocca, Giancarlo Comi, Esposito, F., Ferrè, L., Clarelli, F., Rocca, M. A., Sferruzza, G., Storelli, L., Radaelli, M., Sangalli, F., Moiola, L., Colombo, B., Martinelli Boneschi, F., Comi, G., Filippi, M., and Martinelli, V.
- Subjects
Adult ,Male ,Treatment response ,medicine.medical_specialty ,Neurology ,Multiple Sclerosis ,Time Factors ,Gadolinium ,Disease ,Antibodies, Monoclonal, Humanized ,Cohort Studies ,03 medical and health sciences ,Disability Evaluation ,0302 clinical medicine ,Natalizumab ,Internal medicine ,medicine ,Humans ,Multiple sclerosi ,030212 general & internal medicine ,Neuroradiology ,Prognostic factor ,business.industry ,Fingolimod Hydrochloride ,Multiple sclerosis ,Effectivene ,Brain ,Fingolimod ,Middle Aged ,medicine.disease ,Magnetic Resonance Imaging ,Treatment Outcome ,Italy ,Real-world ,Cohort ,Female ,Neurology (clinical) ,business ,030217 neurology & neurosurgery ,Immunosuppressive Agents ,medicine.drug ,MRI - Abstract
Background: Treatment choice in multiple sclerosis (MS) is crucial for optimizing riskâbenefit profile. Objective: To assess fingolimod (FTY) effectiveness and identify baseline features associated to disease activity in a large Italian cohort of RelapsingâRemitting (RR) MS patients. Methods: Three-hundred sixty-seven RRMS patients starting FTY treatment at San Raffaele Hospital (Milan-Italy) underwent clinical and MRI evaluations for 2 years. Treatment response was assessed considering the proportion of patients with no evidence of disease activity (NEDA) and recording the time to first relapse. Primary analyses were performed stratifying for Natalizumab (NTZ) treatment in the year before (NO_NTZ vs NTZ group), to account for post-NTZ reactivation. Results: Almost half of patients were NEDA after 2 years, 53.4% in the NO_NTZ group and 36.2% in the NTZ group. Despite an opposite trend during the first 6â12 months, at 2-year follow-up the two groups were comparable for relapses and number of new/enlarging T2 and Gd-enhancing lesions. Baseline parameters of higher disease activity (ARR, Gd enhancing lesions and age at onset) were associated with increased likelihood of failing NEDA criteria or with shorter time to relapse (p < 0.05). Conclusions: Our data strengthen FTY effectiveness in everyday clinical practice, even in patients switching from NTZ treatment. Baseline parameters of inflammatory activity are the most important prognostic factors for mid-term disease reactivation also during second-line treatment with FTY, providing hints on how to select therapies towards a more personalized management.
- Published
- 2018
24. Pharmacogenetic study of long-term response to interferon-β treatment in multiple sclerosis
- Author
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Federica Esposito, Giuseppe Liberatore, Bruno Colombo, Ana Maria Osiceanu, Elisabetta Mascia, Melissa Sorosina, Giulia Pavan, Silvia Santoro, Ferdinando Clarelli, F. Martinelli-Boneschi, Lucia Moiola, Giancarlo Comi, Vittorio Martinelli, Clarelli, F., Liberatore, G., Sorosina, M., Osiceanu, A. M., Esposito, F., Mascia, E., Santoro, S., Pavan, G., Colombo, B., Moiola, L., Martinelli, V., Comi, Giancarlo, and Martinelli boneschi, F.
- Subjects
0301 basic medicine ,Male ,Time Factors ,Pharmacogenomic Variants ,Genome-wide association study ,Bioinformatics ,Receptors, Metabotropic Glutamate ,Pharmacogenetic Study ,0302 clinical medicine ,Immunologic Factor ,Receptors, Kainic Acid ,Multiple Sclerosi ,Pharmacogenetic ,Middle Aged ,Phenotype ,Treatment Outcome ,Italy ,Pharmacogenomic Variant ,Molecular Medicine ,Female ,Case-Control Studie ,Human ,Adult ,Multiple Sclerosis ,Time Factor ,Adolescent ,Genotype ,Cell Adhesion Molecules, Neuronal ,Quantitative Trait Loci ,Quantitative trait locus ,Biology ,Peripheral blood mononuclear cell ,Polymorphism, Single Nucleotide ,03 medical and health sciences ,Young Adult ,Genetic ,Genetics ,medicine ,Humans ,Immunologic Factors ,Allele ,Pharmacology ,Multiple sclerosis ,Gene Expression Profiling ,Interferon-beta ,medicine.disease ,Pharmacogenomic Testing ,Gene expression profiling ,030104 developmental biology ,Pharmacogenetics ,Case-Control Studies ,Immunology ,030217 neurology & neurosurgery ,Genome-Wide Association Study - Abstract
The aim of the study is the identification of genetic factors that influence the long-term response to interferon-β (IFNβ) (4-year follow-up). We performed a genome-wide association study in 337 IFNβ-treated Italian multiple sclerosis patients at the extreme of treatment response, and we meta-analyzed association effects, integrating results with pathway analysis, gene-expression profiling of IFNβ-stimulated peripheral blood mononuclear cells from 20 healthy controls (HC) and expression quantitative locus (eQTL) analyses. From meta-analysis, 43 markers were associated at P
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- 2015
25. AMDA 2.13: A major update for automated cross-platform microarray data analysis
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Paola Ricciardi-Castagnoli, Ottavio Beretta, Federico Vitulli, Dimos Kapetis, Ferdinando Clarelli, Nicole Kerlero de Rosbo, Maria Foti, Francesca Zolezzi, Kapetis, D, Clarelli, F, Vitulli, F, de Rosbo, N, Beretta, O, Foti, M, Castagnoli, P, and Zolezzi, F
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Microarray ,Computer science ,open-source software ,Computational biology ,Bioinformatics ,analytical pipeline ,General Biochemistry, Genetics and Molecular Biology ,Database normalization ,User-Computer Interface ,Cross-platform ,Statistical analysis ,automation ,Oligonucleotide Array Sequence Analysis ,Microarray analysis techniques ,business.industry ,Gene Expression Profiling ,MED/04 - PATOLOGIA GENERALE ,Genomics ,Automation ,Identification (information) ,DNA microarray ,business ,microarray ,Software ,Biotechnology ,data analysi - Abstract
Microarray platforms require analytical pipelines with modules for data pre-processing including data normalization, statistical analysis for identification of differentially expressed genes, cluster analysis, and functional annotation. We previously developed the Automated Microarray Data Analysis (AMDA, version 2.3.5) pipeline to process Affymetrix 3′ IVT GeneChips. The availability of newer technologies that demand open-source tools for microarray data analysis has impelled us to develop an updated multi-platform version, AMDA 2.13. It includes additional quality control metrics, annotation-driven (annotation grade of Affymetrix NetAffx) and signal-driven (Inter-Quartile Range) gene filtering, and approaches to experimental design. To enhance understanding of biological data, differentially expressed genes have been mapped into KEGG pathways. Finally, a more stable and user-friendly interface was designed to integrate the requirements for different platforms. AMDA 2.13 allows the analysis of Affymetrix (cartridges and plates) and whole transcript probe design (Gene 1.0/1.1 ST and Exon 1.0 ST GeneChips), Illumina Bead Arrays, and one-channel Agilent 4×44 arrays. Relative to early versions, it supports various experimental designs and delivers more insightful biological understanding and up-to-date annotations.
- Published
- 2011
26. Impact of multiple sclerosis risk loci in postinfectious neurological syndromes
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Ferdinando Clarelli, Silvia Peroni, Laura Ferrè, Silvia Santoro, Andrea Cortese, Giancarlo Comi, Angelo Gugliemi, Filippo Martinelli-Boneschi, Riccardo Currò, Elisabetta Mascia, Giulia Berzero, Enrico Marchioni, Massimo Filippi, Federica Esposito, Elisa Vegezzi, Ilaria Callegari, Melissa Sorosina, Martinelli-Boneschi, F., Curro, R., Santoro, S., Berzero, G., Sorosina, M., Ferre, L., Mascia, E., Peroni, S., Comi, G., Gugliemi, A., Vegezzi, E., Callegari, I., Filippi, M., Cortese, A., Esposito, F., Clarelli, F., and Marchioni, E.
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Adult ,Male ,medicine.medical_specialty ,Multiple Sclerosis ,Genotype ,Myelitis ,Single-nucleotide polymorphism ,Disease ,Postinfectious neurological syndrome ,Multiple sclerosis ,03 medical and health sciences ,0302 clinical medicine ,Internal medicine ,medicine ,Genetics ,Humans ,030212 general & internal medicine ,Genetic variability ,Alleles ,Acquired demyelinating disease ,business.industry ,Retrospective cohort study ,General Medicine ,Syndrome ,Middle Aged ,medicine.disease ,Magnetic Resonance Imaging ,3. Good health ,Neurology ,Female ,Neurology (clinical) ,Differential diagnosis ,business ,030217 neurology & neurosurgery ,Cohort study ,Weighted genetic risk score - Abstract
Background: The genetic component of multiple sclerosis (MS) is now set to 200 autosomal common variants. However, it is unclear how genetic knowledge be clinically used in the differential diagnosis between MS and other inflammatory conditions like adult-onset postinfectious neurological syndromes (PINS). The aim of this study was to investigate whether PINS and MS have a shared genetic background using an updated polygenic risk scores. Methods: Eighty-eight PINS patients have been consecutively recruited between 1996 and 2016 at Mondino Foundation of Pavia, diagnosed according to clinical, MRI and CSF findings and followed-up for several years. Patients were typed using Illumina array, and genotypes imputed using the 1000 Genomes Project reference panel. A weighted genetic risk score (wGRS) has been calculated based on autosomal MS risk loci derived from large-scale studies, and an HLA genetic burden (HLAGB) was also calculated on loci associated to MS. Results: PINS occurred as an episode of myelitis in 44% of patients, encephalomyelitis in 44%, and encephalitis in remaining cases, with an involvement of peripheral nervous system in 41% of patients. Mean age of onset was 50.1 years, and female:male ratio was 1.4. Patients were followed-up for a mean of 7.2 years, and at last visit 55% had a low disability grade (mRS 0–1). Disease was monophasic in 67% of patients, relapsing in 18% and chronic-progressive in 15%. The wGRS of PINS cases was comparable to 370 healthy controls, while significantly lower compared to 907 bout-onset MS (BOMS) cases (wGRS= 20.9 vs 21.2; p
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27. Risk HLA Variants Affect the T-Cell Repertoire in Multiple Sclerosis.
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Sorosina M, Santoro S, Ferrè L, Mascia E, Clarelli F, Giordano A, Cannizzaro M, Lucia M, Martinelli V, Filippi M, and Esposito F
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- Humans, Herpesvirus 4, Human, HLA-DRB1 Chains genetics, Receptors, Antigen, T-Cell genetics, T-Lymphocytes, HLA Antigens genetics, Epstein-Barr Virus Infections, Multiple Sclerosis genetics
- Abstract
Background and Objectives: The major histocompatibility complex (MHC) locus has a predominant role in the genetic predisposition to multiple sclerosis (MS), with 32 associations found to be involved. We aimed to investigate the impact of MHC MS-risk alleles on T-cell repertoire in patients with MS., Methods: We studied 161 untreated patients with relapsing-remitting MS for whom Class I and II human leukocyte antigen (HLA) alleles were inferred from whole-genome genotyping data, and T-cell receptor (TCR) CDR3 sequences were obtained through next-generation sequencing. T-cell repertoire features including diversity, public clones, and architecture were evaluated., Results: We identified 5 MS-risk loci associated with TCR diversity: HLA-DRB1*15:01 (7.65 × 10
-3 ), rs9271366 (1.96 × 10-3 ), rs766848979 A (1.89 × 10-2 ), rs9277626 (2.95 × 10-2 ), and rs11751659 (1.92 × 10-2 ), with evidence of expanded clonotypes in carriers of risk alleles. Moreover, HLA-DRB1*15:01 (4.99 × 10-3 ), rs9271366 (6.54 × 10-3 ), rs1049079 C (4.37 × 10-2 ), AA DQΒ1 position -5 L (1.05 × 10-3 ), and AA DQΒ1 position 221 Q (9.39 × 10-4 ) showed an association with the CDR3 aminoacidic sequence architecture, suggesting an impact on the antigen recognition breadth as well. Evaluating the sharing of clones across MS-risk allele carrier individuals revealed the presence of highly shared clonotypes predicted to target viral antigens, including Epstein-Barr virus., Discussion: Our study supports the association between MHC-risk alleles and macrofeatures of the T-cell repertoire in the context of MS. Further studies are needed to understand the underlying molecular mechanisms., (Copyright © 2023 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of the American Academy of Neurology.)- Published
- 2023
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28. Combining Clinical and Genetic Data to Predict Response to Fingolimod Treatment in Relapsing Remitting Multiple Sclerosis Patients: A Precision Medicine Approach.
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Ferrè L, Clarelli F, Pignolet B, Mascia E, Frasca M, Santoro S, Sorosina M, Bucciarelli F, Moiola L, Martinelli V, Comi G, Liblau R, Filippi M, Valentini G, and Esposito F
- Abstract
A personalized approach is strongly advocated for treatment selection in Multiple Sclerosis patients due to the high number of available drugs. Machine learning methods proved to be valuable tools in the context of precision medicine. In the present work, we applied machine learning methods to identify a combined clinical and genetic signature of response to fingolimod that could support the prediction of drug response. Two cohorts of fingolimod-treated patients from Italy and France were enrolled and divided into training, validation, and test set. Random forest training and robust feature selection were performed in the first two sets respectively, and the independent test set was used to evaluate model performance. A genetic-only model and a combined clinical-genetic model were obtained. Overall, 381 patients were classified according to the NEDA-3 criterion at 2 years; we identified a genetic model, including 123 SNPs, that was able to predict fingolimod response with an AUROC= 0.65 in the independent test set. When combining clinical data, the model accuracy increased to an AUROC= 0.71. Integrating clinical and genetic data by means of machine learning methods can help in the prediction of response to fingolimod, even though further studies are required to definitely extend this approach to clinical applications.
- Published
- 2023
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29. A Whole-Genome Sequencing Study Implicates GRAMD1B in Multiple Sclerosis Susceptibility.
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Esposito F, Osiceanu AM, Sorosina M, Ottoboni L, Bollman B, Santoro S, Bettegazzi B, Zauli A, Clarelli F, Mascia E, Calabria A, Zacchetti D, Capra R, Ferrari M, Provero P, Lazarevic D, Cittaro D, Carrera P, Patsopoulos N, Toniolo D, Sadovnick AD, Martino G, De Jager PL, Comi G, Stupka E, Vilariño-Güell C, Piccio L, and Martinelli Boneschi F
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- Humans, Genome-Wide Association Study, Whole Genome Sequencing, Consanguinity, Genetic Predisposition to Disease, Multiple Sclerosis genetics
- Abstract
While the role of common genetic variants in multiple sclerosis (MS) has been elucidated in large genome-wide association studies, the contribution of rare variants to the disease remains unclear. Herein, a whole-genome sequencing study in four affected and four healthy relatives of a consanguineous Italian family identified a novel missense c.1801T > C (p.S601P) variant in the GRAMD1B gene that is shared within MS cases and resides under a linkage peak (LOD: 2.194). Sequencing GRAMD1B in 91 familial MS cases revealed two additional rare missense and two splice-site variants, two of which (rs755488531 and rs769527838) were not found in 1000 Italian healthy controls. Functional studies demonstrated that GRAMD1B , a gene with unknown function in the central nervous system (CNS), is expressed by several cell types, including astrocytes, microglia and neurons as well as by peripheral monocytes and macrophages. Notably, GRAMD1B was downregulated in vessel-associated astrocytes of active MS lesions in autopsied brains and by inflammatory stimuli in peripheral monocytes, suggesting a possible role in the modulation of inflammatory response and disease pathophysiology.
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- 2022
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30. Exploring the Association of HLA Genetic Risk Burden on Thalamic and Hippocampal Atrophy in Multiple Sclerosis Patients.
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Santoro S, Clarelli F, Preziosa P, Storelli L, Cannizzaro M, Mascia E, Esposito F, Rocca MA, and Filippi M
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- Humans, Atrophy pathology, Cross-Sectional Studies, Hippocampus diagnostic imaging, Hippocampus pathology, Thalamus diagnostic imaging, Thalamus pathology, Multiple Sclerosis diagnostic imaging, Multiple Sclerosis genetics, Multiple Sclerosis pathology, HLA Antigens genetics
- Abstract
Multiple sclerosis (MS) is a complex disease of the central nervous system for which human leukocyte antigen (HLA) alleles are major contributors to susceptibility. Several investigations have focused on the relationship between HLA and clinical parameters, while few studies have evaluated its correlation with brain magnetic resonance imaging (MRI) measures. We investigated the association between the HLA genetic burden (HLAGB), originating from the most updated HLA alleles associated with MS, and neuroimaging endophenotypes, with a specific focus on brain atrophy metrics. A monocentric Italian cohort of 334 MS patients with imputed HLA alleles and cross-sectional volumetric measures of white matter (WM), gray matter (GM), hippocampus, thalamus and T2-hyperintense lesions was investigated. Linear regression models with covariate adjustment were fitted for each metric. We detected no effect of HLAGB on WM and GM volumes. Interestingly, we found a marginal correlation between higher HLAGB and lower hippocampal volume (β = -0.142, p = 0.063) and a nominal association between higher HLAGB and lower thalamic volume (β = -0.299, p = 0.047). No association was found with T2 lesion volumes. The putative impact of higher HLAGB on hippocampus and thalamus suggests, if replicated in independent cohorts, a possible cumulative contribution of HLA risk loci on brain volumetric traits linked to clinical deficits in MS.
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- 2022
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31. Involvement of NINJ2 Protein in Inflammation and Blood-Brain Barrier Transmigration of Monocytes in Multiple Sclerosis.
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Sorosina M, Peroni S, Mascia E, Santoro S, Osiceanu AM, Ferrè L, Clarelli F, Giordano A, Cannizzaro M, Martinelli Boneschi F, Filippi M, and Esposito F
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- Humans, Monocytes metabolism, Lipopolysaccharides, Inflammation genetics, Inflammation metabolism, Cell Adhesion Molecules, Neuronal, Blood-Brain Barrier metabolism, Multiple Sclerosis genetics
- Abstract
Multiple sclerosis (MS) is an inflammatory neurodegenerative disorder of the central nervous system (CNS). The migration of immune cells into the CNS is essential for its development, and plasma membrane molecules play an important role in triggering and maintaining the inflammation. We previously identified ninjurin2, a plasma membrane protein encoded by NINJ2 gene, as involved in the occurrence of relapse under Interferon-β treatment in MS patients. The aim of the present study was to investigate the involvement of NINJ2 in inflammatory conditions and in the migration of monocytes through the blood-brain barrier (BBB). We observed that NINJ2 is downregulated in monocytes and in THP-1 cells after stimulation with the pro-inflammatory cytokine LPS, while in hCMEC/D3 cells, which represent a surrogate of the BBB, LPS stimulation increases its expression. We set up a transmigration assay using an hCMEC/D3 transwell-based model, finding a higher transmigration rate of monocytes from MS subjects compared to healthy controls (HCs) in the case of an activated hCMEC/D3 monolayer. Moreover, a positive correlation between NINJ2 expression in monocytes and monocyte migration rate was observed. Overall, our results suggest that ninjurin2 could be involved in the transmigration of immune cells into the CNS in pro-inflammatory conditions. Further experiments are needed to elucidate the exact molecular mechanisms., Competing Interests: The authors declare no conflict of interest. The funders had no role in the design of the study; in the collection, analyses, or interpretation of data; in the writing of the manuscript; or in the decision to publish the results.
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- 2022
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32. Clinical and pathological findings in neurolymphomatosis: Preliminary association with gene expression profiles in sural nerves.
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Cerri F, Gentile F, Clarelli F, Santoro S, Falzone YM, Dina G, Romano A, Domi T, Pozzi L, Fazio R, Podini P, Sorosina M, Carrera P, Esposito F, Riva N, Briani C, Cavallaro T, Filippi M, and Quattrini A
- Abstract
Although inflammation appears to play a role in neurolymphomatosis (NL), the mechanisms leading to degeneration in the peripheral nervous system are poorly understood. The purpose of this exploratory study was to identify molecular pathways underlying NL pathogenesis, combining clinical and neuropathological investigation with gene expression (GE) studies. We characterized the clinical and pathological features of eight patients with NL. We further analysed GE changes in sural nerve biopsies obtained from a subgroup of NL patients (n=3) and thirteen patients with inflammatory neuropathies as neuropathic controls. Based on the neuropathic symptoms and signs, NL patients were classified into three forms of neuropathy: chronic symmetrical sensorimotor polyneuropathy (SMPN, n=3), multiple mononeuropathy (MN, n=4) and acute motor-sensory axonal neuropathy (AMSAN, n=1). Predominantly diffuse malignant cells infiltration of epineurium was present in chronic SMPN, whereas endoneurial perivascular cells invasion was observed in MN. In contrast, diffuse endoneurium malignant cells localization occurred in AMSAN. We identified alterations in the expression of 1266 genes, with 115 up-regulated and 1151 down-regulated genes, which were mainly associated with ribosomal proteins (RP) and olfactory receptors (OR) signaling pathways, respectively. Among the top up-regulated genes were actin alpha 1 skeletal muscle (ACTA1) and desmin (DES). Similarly, in NL nerves ACTA1, DES and several RPs were highly expressed, associated with endothelial cells and pericytes abnormalities. Peripheral nerve involvement may be due to conversion towards a more aggressive phenotype, potentially explaining the poor prognosis. The candidate genes reported in this study may be a source of clinical biomarkers for NL., Competing Interests: MF is Editor-in-Chief of the Journal of Neurology and Associate Editor of Neurological Sciences, received compensation for consulting services and/or speaking activities from Bayer, Biogen Idec, Merck-Serono, Novartis, Roche, Sanofi Genzyme, Takeda and Teva Pharmaceutical Industries, and receives research support from Biogen Idec, Merck-Serono, Novartis, Teva Pharmaceutical Industries, Roche, Italian Ministry of Health, Fondazione Italiana Sclerosi Multipla and ARiSLA (Fondazione Italiana di Ricerca per la SLA). The remaining authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest., (Copyright © 2022 Cerri, Gentile, Clarelli, Santoro, Falzone, Dina, Romano, Domi, Pozzi, Fazio, Podini, Sorosina, Carrera, Esposito, Riva, Briani, Cavallaro, Filippi and Quattrini.)
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- 2022
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33. Mechanisms of antibiotic action shape the fitness landscapes of resistance mutations.
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Hemez C, Clarelli F, Palmer AC, Bleis C, Abel S, Chindelevitch L, Cohen T, and Abel Zur Wiesch P
- Abstract
Antibiotic-resistant pathogens are a major public health threat. A deeper understanding of how an antibiotic's mechanism of action influences the emergence of resistance would aid in the design of new drugs and help to preserve the effectiveness of existing ones. To this end, we developed a model that links bacterial population dynamics with antibiotic-target binding kinetics. Our approach allows us to derive mechanistic insights on drug activity from population-scale experimental data and to quantify the interplay between drug mechanism and resistance selection. We find that both bacteriostatic and bactericidal agents can be equally effective at suppressing the selection of resistant mutants, but that key determinants of resistance selection are the relationships between the number of drug-inactivated targets within a cell and the rates of cellular growth and death. We also show that heterogeneous drug-target binding within a population enables resistant bacteria to evolve fitness-improving secondary mutations even when drug doses remain above the resistant strain's minimum inhibitory concentration. Our work suggests that antibiotic doses beyond this "secondary mutation selection window" could safeguard against the emergence of high-fitness resistant strains during treatment., Competing Interests: The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (© 2022 The Author(s).)
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- 2022
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34. BDNF Val66Met Polymorphism Is Associated With Motor Recovery After Rehabilitation in Progressive Multiple Sclerosis Patients.
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Giordano A, Clarelli F, Cannizzaro M, Mascia E, Santoro S, Sorosina M, Ferrè L, Leocani L, and Esposito F
- Abstract
Background: Rehabilitation is fundamental for progressive multiple sclerosis (MS), but predictive biomarkers of motor recovery are lacking, making patient selection difficult. Motor recovery depends on synaptic plasticity, in which the Brain-Derived Neurotrophic Factor (BDNF) is a key player, through its binding to the Neurotrophic-Tyrosine Kinase-2 (NTRK2) receptor. Therefore, genetic polymorphisms in the BDNF pathway may impact motor recovery. The most well-known polymorphism in BDNF gene (rs6265) causes valine to methionine substitution (Val66Met) and it influences memory and motor learning in healthy individuals and neurodegenerative diseases. To date, no studies have explored whether polymorphisms in BDNF or NTRK2 genes may impact motor recovery in MS., Objectives: To assess whether genetic variants in BDNF and NTRK2 genes affect motor recovery after rehabilitation in progressive MS., Methods: The association between motor recovery after intensive neurorehabilitation and polymorphisms in BDNF (rs6265) and NTKR2 receptor (rs2289656 and rs1212171) was assessed using Six-Minutes-Walking-Test (6MWT), 10-Metres-Test (10MT) and Nine-Hole-Peg-Test (9HPT) in 100 progressive MS patients., Results: We observed greater improvement at 6MWT after rehabilitation in carriers of the BDNF Val66Met substitution, compared to BDNF Val homozygotes ( p = 0.024). No significant association was found for 10MT and 9HPT. NTRK2 polymorphisms did not affect the results of motor function tests., Conclusion: BDNF Val66Met was associated with walking function improvement after rehabilitation in progressive MS patients. This result is in line with previous evidence showing a protective effect of Val66Met substitution on brain atrophy in MS. Larger studies are needed to explore its potential as a predictive biomarker of rehabilitation outcome., Competing Interests: LL reports personal fees for speaking or consulting activities from Roche, Merck, Bristol Myers Squibb, Med-ex learning, outside the submitted work. FE received compensation for consulting services and/or speaking activities from Novartis, Sanofi Genzyme, Almirall, Teva, and Merck-Serono. The remaining authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest., (Copyright © 2022 Giordano, Clarelli, Cannizzaro, Mascia, Santoro, Sorosina, Ferrè, Leocani and Esposito.)
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- 2022
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35. Transcriptional effects of fingolimod treatment on peripheral T cells in relapsing remitting multiple sclerosis patients.
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Sferruzza G, Clarelli F, Mascia E, Ferrè L, Ottoboni L, Sorosina M, Santoro S, Filippi M, Provero P, and Esposito F
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- Adult, CX3C Chemokine Receptor 1 metabolism, Female, Humans, Male, Oligonucleotide Array Sequence Analysis, Receptors, CCR7 metabolism, Sequence Analysis, RNA, T-Lymphocytes immunology, T-Lymphocytes metabolism, Fingolimod Hydrochloride therapeutic use, Immunosuppressive Agents therapeutic use, Multiple Sclerosis, Relapsing-Remitting drug therapy, T-Lymphocytes drug effects, Transcriptome drug effects
- Abstract
Aim: To investigate the transcriptional changes induced by Fingolimod (FTY) in T cells of relapsing remitting multiple sclerosis patients. Patients & methods: Transcriptomic changes after 6 months of FTY therapy were evaluated on T cells from 24 relapsing remitting multiple sclerosis patients through RNA-sequencing, followed by technical validation and pathway analysis. Results: Among differentially expressed genes, CX3CR1 and CCR7 resulted strongly up- and downregulated, respectively. Two relevant genes were validated with quantitative PCR and we largely confirmed findings from two previous microarray-based studies with similar design. Pathway analysis pointed to an involvement of processes related to immune function and cell migration. Conclusion: Our data support the evidence that FTY induces major transcriptional changes in genes involved in immune response and cell trafficking in T lymphocytes.
- Published
- 2022
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36. vCOMBAT: a novel tool to create and visualize a computational model of bacterial antibiotic target-binding.
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Tran VN, Shams A, Ascioglu S, Martinecz A, Liang J, Clarelli F, Mostowy R, Cohen T, and Abel Zur Wiesch P
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- Bacteria genetics, Computer Simulation, Models, Biological, Anti-Bacterial Agents pharmacology, Drug Resistance, Bacterial
- Abstract
Background: As antibiotic resistance creates a significant global health threat, we need not only to accelerate the development of novel antibiotics but also to develop better treatment strategies using existing drugs to improve their efficacy and prevent the selection of further resistance. We require new tools to rationally design dosing regimens from data collected in early phases of antibiotic and dosing development. Mathematical models such as mechanistic pharmacodynamic drug-target binding explain mechanistic details of how the given drug concentration affects its targeted bacteria. However, there are no available tools in the literature that allow non-quantitative scientists to develop computational models to simulate antibiotic-target binding and its effects on bacteria., Results: In this work, we have devised an extension of a mechanistic binding-kinetic model to incorporate clinical drug concentration data. Based on the extended model, we develop a novel and interactive web-based tool that allows non-quantitative scientists to create and visualize their own computational models of bacterial antibiotic target-binding based on their considered drugs and bacteria. We also demonstrate how Rifampicin affects bacterial populations of Tuberculosis bacteria using our vCOMBAT tool., Conclusions: The vCOMBAT online tool is publicly available at https://combat-bacteria.org/ ., (© 2021. The Author(s).)
- Published
- 2022
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37. Contribution of Rare and Low-Frequency Variants to Multiple Sclerosis Susceptibility in the Italian Continental Population.
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Clarelli F, Barizzone N, Mangano E, Zuccalà M, Basagni C, Anand S, Sorosina M, Mascia E, Santoro S, Guerini FR, Virgilio E, Gallo A, Pizzino A, Comi C, Martinelli V, Comi G, De Bellis G, Leone M, Filippi M, Esposito F, Bordoni R, Martinelli Boneschi F, and D'Alfonso S
- Abstract
Genome-wide association studies identified over 200 risk loci for multiple sclerosis (MS) focusing on common variants, which account for about 50% of disease heritability. The goal of this study was to investigate whether low-frequency and rare functional variants, located in MS-established associated loci, may contribute to disease risk in a relatively homogeneous population, testing their cumulative effect (burden) with gene-wise tests. We sequenced 98 genes in 588 Italian patients with MS and 408 matched healthy controls (HCs). Variants were selected using different filtering criteria based on allelic frequency and in silico functional impacts. Genes showing a significant burden (n = 17) were sequenced in an independent cohort of 504 MS and 504 HC. The highest signal in both cohorts was observed for the disruptive variants (stop-gain, stop-loss, or splicing variants) located in EFCAB13 , a gene coding for a protein of an unknown function ( p < 10
-4 ). Among these variants, the minor allele of a stop-gain variant showed a significantly higher frequency in MS versus HC in both sequenced cohorts ( p = 0.0093 and p = 0.025), confirmed by a meta-analysis on a third independent cohort of 1298 MS and 1430 HC ( p = 0.001) assayed with an SNP array. Real-time PCR on 14 heterozygous individuals for this variant did not evidence the presence of the stop-gain allele, suggesting a transcript degradation by non-sense mediated decay, supported by the evidence that the carriers of the stop-gain variant had a lower expression of this gene ( p = 0.0184). In conclusion, we identified a novel low-frequency functional variant associated with MS susceptibility, suggesting the possible role of rare/low-frequency variants in MS as reported for other complex diseases., Competing Interests: MF is Editor-in-Chief of the Journal of Neurology, Associate Editor of Human Brain Mapping, Associate Editor of Radiology, and Associate Editor of Neurological Sciences; received compensation for consulting services and/or speaking activities from Alexion, Almirall, Bayer, Biogen, Celgene, Eli Lilly, Genzyme, Merck-Serono, Novartis, Roche, Sanofi, Takeda, and Teva Pharmaceutical Industries; and receives research support from Biogen Idec, Merck-Serono, Novartis, Roche, Teva Pharmaceutical Industries, Italian Ministry of Health, Fondazione Italiana Sclerosi Multipla, and ARiSLA (Fondazione Italiana di Ricerca per la SLA). VM received compensation for speaking and/or for consultancy and support for travel expenses and participation in Congresses from Biogen, Merck-Serono, Novartis, Roche, Genzyme and Teva Pharmaceutical Industries. FMB has received compensation for consulting services and/or speaking activities from Teva Pharmaceutical Industries, Sanofi Genzyme, Merck-Serono, Biogen Idec, Roche, Medday, Excemed, and received research support from Merck, Teva Pharmaceutical Industries, Italian Ministry of Health, Fondazione Italiana Sclerosi Multipla and Fondazione Cariplo. The remaining authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest., (Copyright © 2022 Clarelli, Barizzone, Mangano, Zuccalà, Basagni, Anand, Sorosina, Mascia, Santoro, Guerini, Virgilio, Gallo, Pizzino, Comi, Martinelli, Comi, De Bellis, Leone, Filippi, Esposito, Bordoni, Martinelli Boneschi and D'Alfonso.)- Published
- 2022
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38. Drug-target binding quantitatively predicts optimal antibiotic dose levels in quinolones.
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Clarelli F, Palmer A, Singh B, Storflor M, Lauksund S, Cohen T, Abel S, and Abel Zur Wiesch P
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- Dose-Response Relationship, Drug, Drug Resistance, Bacterial drug effects, Enterobacteriaceae drug effects, Enterobacteriaceae Infections microbiology, Humans, Microbial Sensitivity Tests, Models, Biological, Anti-Bacterial Agents chemistry, Anti-Bacterial Agents metabolism, Anti-Bacterial Agents pharmacology, Computational Biology methods, Drug Development methods, Quinolones administration & dosage, Quinolones chemistry, Quinolones metabolism, Quinolones pharmacology
- Abstract
Antibiotic resistance is rising and we urgently need to gain a better quantitative understanding of how antibiotics act, which in turn would also speed up the development of new antibiotics. Here, we describe a computational model (COMBAT-COmputational Model of Bacterial Antibiotic Target-binding) that can quantitatively predict antibiotic dose-response relationships. Our goal is dual: We address a fundamental biological question and investigate how drug-target binding shapes antibiotic action. We also create a tool that can predict antibiotic efficacy a priori. COMBAT requires measurable biochemical parameters of drug-target interaction and can be directly fitted to time-kill curves. As a proof-of-concept, we first investigate the utility of COMBAT with antibiotics belonging to the widely used quinolone class. COMBAT can predict antibiotic efficacy in clinical isolates for quinolones from drug affinity (R2>0.9). To further challenge our approach, we also do the reverse: estimate the magnitude of changes in drug-target binding based on antibiotic dose-response curves. We overexpress target molecules to infer changes in antibiotic-target binding from changes in antimicrobial efficacy of ciprofloxacin with 92-94% accuracy. To test the generality of our approach, we use the beta-lactam ampicillin to predict target molecule occupancy at MIC from antimicrobial action with 90% accuracy. Finally, we apply COMBAT to predict antibiotic concentrations that can select for resistance due to novel resistance mutations. Using ciprofloxacin and ampicillin as well defined test cases, our work demonstrates that drug-target binding is a major predictor of bacterial responses to antibiotics. This is surprising because antibiotic action involves many additional effects downstream of drug-target binding. In addition, COMBAT provides a framework to inform optimal antibiotic dose levels that maximize efficacy and minimize the rise of resistant mutants., Competing Interests: The authors have declared that no competing interests exist.
- Published
- 2020
- Full Text
- View/download PDF
39. Author Correction: Next Generation Sequencing of Pooled Samples: Guideline for Variants' Filtering.
- Author
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Anand S, Mangano E, Barizzone N, Bordoni R, Sorosina M, Clarelli F, Corrado L, Martinelli Boneschi F, D'Alfonso S, and De Bellis G
- Abstract
An amendment to this paper has been published and can be accessed via a link at the top of the paper.
- Published
- 2020
- Full Text
- View/download PDF
40. Multi-scale modeling of drug binding kinetics to predict drug efficacy.
- Author
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Clarelli F, Liang J, Martinecz A, Heiland I, and Abel Zur Wiesch P
- Subjects
- Animals, Drug Delivery Systems methods, Humans, Kinetics, Models, Theoretical, Drug Design, Pharmaceutical Preparations metabolism
- Abstract
Optimizing drug therapies for any disease requires a solid understanding of pharmacokinetics (the drug concentration at a given time point in different body compartments) and pharmacodynamics (the effect a drug has at a given concentration). Mathematical models are frequently used to infer drug concentrations over time based on infrequent sampling and/or in inaccessible body compartments. Models are also used to translate drug action from in vitro to in vivo conditions or from animal models to human patients. Recently, mathematical models that incorporate drug-target binding and subsequent downstream responses have been shown to advance our understanding and increase predictive power of drug efficacy predictions. We here discuss current approaches of modeling drug binding kinetics that aim at improving model-based drug development in the future. This in turn might aid in reducing the large number of failed clinical trials.
- Published
- 2020
- Full Text
- View/download PDF
41. Reaction Kinetic Models of Antibiotic Heteroresistance.
- Author
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Martinecz A, Clarelli F, Abel S, and Abel Zur Wiesch P
- Subjects
- Algorithms, Drug Resistance, Bacterial, Kinetics, Microbial Sensitivity Tests, Anti-Bacterial Agents pharmacology
- Abstract
Bacterial heteroresistance (i.e., the co-existence of several subpopulations with different antibiotic susceptibilities) can delay the clearance of bacteria even with long antibiotic exposure. Some proposed mechanisms have been successfully described with mathematical models of drug-target binding where the mechanism's downstream of drug-target binding are not explicitly modeled and subsumed in an empirical function, connecting target occupancy to antibiotic action. However, with current approaches it is difficult to model mechanisms that involve multi-step reactions that lead to bacterial killing. Here, we have a dual aim: first, to establish pharmacodynamic models that include multi-step reaction pathways, and second, to model heteroresistance and investigate which molecular heterogeneities can lead to delayed bacterial killing. We show that simulations based on Gillespie algorithms, which have been employed to model reaction kinetics for decades, can be useful tools to model antibiotic action via multi-step reactions. We highlight the strengths and weaknesses of current models and Gillespie simulations. Finally, we show that in our models, slight normally distributed variances in the rates of any event leading to bacterial death can (depending on parameter choices) lead to delayed bacterial killing (i.e., heteroresistance). This means that a slowly declining residual bacterial population due to heteroresistance is most likely the default scenario and should be taken into account when planning treatment length.
- Published
- 2019
- Full Text
- View/download PDF
42. Laser capture microdissection for transcriptomic profiles in human skin biopsies.
- Author
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Santoro S, Lopez ID, Lombardi R, Zauli A, Osiceanu AM, Sorosina M, Clarelli F, Peroni S, Cazzato D, Marchi M, Quattrini A, Comi G, Calogero RA, Lauria G, and Martinelli Boneschi F
- Subjects
- Aged, Biopsy, Female, High-Throughput Nucleotide Sequencing, Humans, Male, Middle Aged, Sequence Analysis, RNA methods, Gene Expression Profiling methods, Laser Capture Microdissection methods, Skin pathology
- Abstract
Background: The acquisition of reliable tissue-specific RNA sequencing data from human skin biopsy represents a major advance in research. However, the complexity of the process of isolation of specific layers from fresh-frozen human specimen by laser capture microdissection, the abundant presence of skin nucleases and RNA instability remain relevant methodological challenges. We developed and optimized a protocol to extract RNA from layers of human skin biopsies and to provide satisfactory quality and amount of mRNA sequencing data., Results: The protocol includes steps of collection, embedding, freezing, histological coloration and relative optimization to preserve RNA extracted from specific components of fresh-frozen human skin biopsy of 14 subjects. Optimization of the protocol includes a preservation step in RNALater
® Solution, the control of specimen temperature, the use of RNase Inhibitors and the time reduction of the staining procedure. The quality of extracted RNA was measured using the percentage of fragments longer than 200 nucleotides (DV200 ), a more suitable measurement for successful library preparation than the RNA Integrity Number (RIN). RNA was then enriched using the TruSeq® RNA Access Library Prep Kit (Illumina® ) and sequenced on HiSeq® 2500 platform (Illumina® ). Quality control on RNA sequencing data was adequate to get reliable data for downstream analysis., Conclusions: The described implemented and optimized protocol can be used for generating transcriptomics data on skin tissues, and it is potentially applicable to other tissues. It can be extended to multicenter studies, due to the introduction of an initial step of preservation of the specimen that allowed the shipment of biological samples.- Published
- 2018
- Full Text
- View/download PDF
43. Using Chemical Reaction Kinetics to Predict Optimal Antibiotic Treatment Strategies.
- Author
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Abel Zur Wiesch P, Clarelli F, and Cohen T
- Subjects
- Bacterial Physiological Phenomena drug effects, Computational Biology, Drug Resistance, Bacterial, Humans, Kinetics, Microbial Sensitivity Tests, Anti-Bacterial Agents administration & dosage, Anti-Bacterial Agents pharmacokinetics, Anti-Bacterial Agents pharmacology, Anti-Bacterial Agents therapeutic use, Bacterial Infections drug therapy, Bacterial Infections microbiology, Models, Biological
- Abstract
Identifying optimal dosing of antibiotics has proven challenging-some antibiotics are most effective when they are administered periodically at high doses, while others work best when minimizing concentration fluctuations. Mechanistic explanations for why antibiotics differ in their optimal dosing are lacking, limiting our ability to predict optimal therapy and leading to long and costly experiments. We use mathematical models that describe both bacterial growth and intracellular antibiotic-target binding to investigate the effects of fluctuating antibiotic concentrations on individual bacterial cells and bacterial populations. We show that physicochemical parameters, e.g. the rate of drug transmembrane diffusion and the antibiotic-target complex half-life are sufficient to explain which treatment strategy is most effective. If the drug-target complex dissociates rapidly, the antibiotic must be kept constantly at a concentration that prevents bacterial replication. If antibiotics cross bacterial cell envelopes slowly to reach their target, there is a delay in the onset of action that may be reduced by increasing initial antibiotic concentration. Finally, slow drug-target dissociation and slow diffusion out of cells act to prolong antibiotic effects, thereby allowing for less frequent dosing. Our model can be used as a tool in the rational design of treatment for bacterial infections. It is easily adaptable to other biological systems, e.g. HIV, malaria and cancer, where the effects of physiological fluctuations of drug concentration are also poorly understood., Competing Interests: The authors have declared that no competing interests exist.
- Published
- 2017
- Full Text
- View/download PDF
44. Unraveling gene expression profiles in peripheral motor nerve from amyotrophic lateral sclerosis patients: insights into pathogenesis.
- Author
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Riva N, Clarelli F, Domi T, Cerri F, Gallia F, Trimarco A, Brambilla P, Lunetta C, Lazzerini A, Lauria G, Taveggia C, Iannaccone S, Nobile-Orazio E, Comi G, D'Antonio M, Martinelli-Boneschi F, and Quattrini A
- Subjects
- Adult, Aged, Biopsy, Female, Humans, Male, Middle Aged, Systems Biology, Amyotrophic Lateral Sclerosis pathology, Motor Neurons pathology, Peripheral Nerves pathology, Transcriptome
- Abstract
The aim of the present study is to investigate the molecular pathways underlying amyotrophic lateral sclerosis (ALS) pathogenesis within the peripheral nervous system. We analyzed gene expression changes in human motor nerve diagnostic biopsies obtained from eight ALS patients and seven patients affected by motor neuropathy as controls. An integrated transcriptomics and system biology approach was employed. We identified alterations in the expression of 815 genes, with 529 up-regulated and 286 down-regulated in ALS patients. Up-regulated genes clustered around biological process involving RNA processing and protein metabolisms. We observed a significant enrichment of up-regulated small nucleolar RNA transcripts (p = 2.68*10-11) and genes related to endoplasmic reticulum unfolded protein response and chaperone activity. We found a significant down-regulation in ALS of genes related to the glutamate metabolism. Interestingly, a network analysis highlighted HDAC2, belonging to the histone deacetylase family, as the most interacting node. While so far gene expression studies in human ALS have been performed in postmortem tissues, here specimens were obtained from biopsy at an early phase of the disease, making these results new in the field of ALS research and therefore appealing for gene discovery studies.
- Published
- 2016
- Full Text
- View/download PDF
45. Next Generation Sequencing of Pooled Samples: Guideline for Variants' Filtering.
- Author
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Anand S, Mangano E, Barizzone N, Bordoni R, Sorosina M, Clarelli F, Corrado L, Martinelli Boneschi F, D'Alfonso S, and De Bellis G
- Abstract
Sequencing large number of individuals, which is often needed for population genetics studies, is still economically challenging despite falling costs of Next Generation Sequencing (NGS). Pool-seq is an alternative cost- and time-effective option in which DNA from several individuals is pooled for sequencing. However, pooling of DNA creates new problems and challenges for accurate variant call and allele frequency (AF) estimation. In particular, sequencing errors confound with the alleles present at low frequency in the pools possibly giving rise to false positive variants. We sequenced 996 individuals in 83 pools (12 individuals/pool) in a targeted re-sequencing experiment. We show that Pool-seq AFs are robust and reliable by comparing them with public variant databases and in-house SNP-genotyping data of individual subjects of pools. Furthermore, we propose a simple filtering guideline for the removal of spurious variants based on the Kolmogorov-Smirnov statistical test. We experimentally validated our filters by comparing Pool-seq to individual sequencing data showing that the filters remove most of the false variants while retaining majority of true variants. The proposed guideline is fairly generic in nature and could be easily applied in other Pool-seq experiments.
- Published
- 2016
- Full Text
- View/download PDF
46. AMDA 2.13: A major update for automated cross-platform microarray data analysis.
- Author
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Kapetis D, Clarelli F, Vitulli F, de Rosbo NK, Beretta O, Foti M, Ricciardi-Castagnoli P, and Zolezzi F
- Subjects
- Genomics methods, User-Computer Interface, Gene Expression Profiling methods, Oligonucleotide Array Sequence Analysis methods, Software
- Abstract
Microarray platforms require analytical pipelines with modules for data pre-processing including data normalization, statistical analysis for identification of differentially expressed genes, cluster analysis, and functional annotation. We previously developed the Automated Microarray Data Analysis (AMDA, version 2.3.5) pipeline to process Affymetrix 3' IVT GeneChips. The availability of newer technologies that demand open-source tools for microarray data analysis has impelled us to develop an updated multi-platform version, AMDA 2.13. It includes additional quality control metrics, annotation-driven (annotation grade of Affymetrix NetAffx) and signal-driven (Inter-Quartile Range) gene filtering, and approaches to experimental design. To enhance understanding of biological data, differentially expressed genes have been mapped into KEGG pathways. Finally, a more stable and user-friendly interface was designed to integrate the requirements for different platforms. AMDA 2.13 allows the analysis of Affymetrix (cartridges and plates) and whole transcript probe design (Gene 1.0/1.1 ST and Exon 1.0 ST GeneChips), Illumina Bead Arrays, and one-channel Agilent 4×44 arrays. Relative to early versions, it supports various experimental designs and delivers more insightful biological understanding and up-to-date annotations.
- Published
- 2012
- Full Text
- View/download PDF
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