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0-TESTO COMPLETO.pdf - Fondazione Santa Lucia

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EC.11 – Neuroprotective strategies for multiple sclerosis<br />

b) Humanized animal models will be generated to study the role in MSlike<br />

disease evolution of autoreactive human CD8+ T cells recognizing an<br />

HLA: neural self peptide complex relevant for MS or cross-reactive with<br />

microbial antigens, and of epistatic interactions in the MS-associated DR2<br />

haplotype (P4) (month 24).<br />

c) The pathogenic relevance of ectopic lymphoid tissue (B-cell follicles)<br />

in neuroinflammatory processes will be investigated by P1 in the MS brain<br />

and in EAE models using strategies to promote or prevent the formation of an<br />

intracerebral lymphoid microenvironment (month 24).<br />

d) In vitro and in vivo models will be developed by P19 to study the signaling<br />

pathways underlying axonal transport disturbance and axonal injury<br />

induced by microglia-derived inflammatory mediators (month 24).<br />

e) Characterization of the antigenic specificity of CD8+ T cells infiltrating<br />

the MS brain (P7b).<br />

f) Characterization of the EBV-specific CD8 T-cell response in MS<br />

patients (P26).<br />

The above studies are expected to generate new knowledge on MS<br />

immunopathogenesis (month 36), which will help to define new rational ways<br />

of developing disease modifying drugs, and new animal models useful for<br />

analyzing interactions with newly identified genes and for evaluating the therapeutic<br />

efficacy of neuroprotective compounds developed by other participants<br />

(up to month 60).<br />

3 – The third objective of NeuroproMiSe is to develop new neuroprotective<br />

drugs based on targets identified and validated in animal models. As a<br />

first step, a number of critical pathways of neurodegeneration and neuroprotection<br />

will be investigated, and already existing and newly developed drugs<br />

will be tested, in search of the best strategy to protect CNS cells from inflammatory<br />

insults. Targets identified in the genetic and genomic studies and validated<br />

in the disease models described above will also provide seeds for the<br />

development of new therapeutic compounds. In this context, the specific tasks<br />

will be:<br />

a) To achieve neuroprotection by targeting molecules that are critically<br />

involved in the regulation and function of myeloid cells, like the TREM-2<br />

receptor and its associated signaling molecule DAP-12, and Ncf-1, a component<br />

of the NAPDH oxidase complex. New compounds targeting the Ncf-1<br />

pathway will be developed by P21 (previously P17), and starting from month<br />

25 by P23 (replacing P21) (month 36). The molecular pathways regulated by<br />

TREM-2 and Ncf-1 will be further explored (up to month 48). Moreover, compounds<br />

modulating TREM-2 and Ncf-1 pathways will be evaluated for their<br />

therapeutic efficacy in animal models of CNS inflammation (up to month 60).<br />

b) To develop compounds targeting tumor necrosis factor receptor<br />

(TNFR) subtypes for neuroprotective therapy (month 24). Based on previous<br />

technology developed by the applicants (P12, P13, P16 and P22), genetic engineering<br />

of human TNF and antibody-based reagents will be used to construct<br />

novel TNFR specific agonists and antagonists capable of a selective triggering<br />

of TNFR2 and a selective inhibition of TNFR1, respectively (month 24).<br />

2009 599

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