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0-TESTO COMPLETO.pdf - Fondazione Santa Lucia

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ISS.17 – Biomarkers and diagnosis<br />

which will aid the clinical and radiological assessment of MS. The data<br />

obtained will represent the basis for scientific publications. The project will<br />

improve the knowledge of how EBV interacts with the host to produce the<br />

pathological lesions typical of MS. The data will be available at the end of the<br />

study, and will be integrated with all data produced by other groups joining<br />

the project. Therefore, this joined effort will shed light on mechanisms<br />

exploited by EBV to settle in the MS brain. The expected findings could also<br />

help define MS-specific biomarkers. The development of molecular markers<br />

for MS diagnosis responds to the need of obtaining biological parameters that<br />

support the clinical and radiological investigations. Furthermore, the starting<br />

material for such analysis is constituted of peripheral blood mononuclear<br />

cells and/or whole blood, which are easily accessible sources of biological<br />

material by non-invasive samplings. Therefore this project will have a strong<br />

impact on the global economic burden for MS.<br />

OUTPUT(S) OF THE PROJECT<br />

1) Proteomic, genomic, and cytomic analysis on total lymphocytes and<br />

on lymphocyte subsets obtained from blood and CSF of MS patients: (a)<br />

identification of proteins and genes associated with the EBV response in MS<br />

patients (month 18); (b) definition of the cellular populations involved in the<br />

EBV response in MS patients (month 18); (c) definition of parameters indicating<br />

oxidative stress in serum and CSF of MS patients and their relation to<br />

the EBV response (month 18); (d) Description of the gene signatures specific<br />

for the clinically isolated syndromes and different clinical forms of MS<br />

(month 15); (e) Identification of molecular and functional indicators of the<br />

different phases of the disease to be used as biomarkers of MS (month 18);<br />

f) Identification of phenotypic and functional alterations of leukocyte populations<br />

involved in EBV-induced inflammation (month 18).<br />

2) Study of the diagnostic and prognostic potential of the identified biomarkers:<br />

(a) Set up of molecular tests for validated biomarkers (month 20);<br />

(b) Evaluation of the diagnostic and prognostic efficacy of selected biomarkers<br />

(month 24); (c) Validation of the obtained biomarkers in the clinical follow-up<br />

of a new cohort of MS patients (month 24).<br />

3) Organization of a network for the study of CSF samples available in<br />

the clinical centers included in the strategic programme.<br />

4) Publications on international peer-reviewed journals (month 24).<br />

5) One work-in-progress Meeting (12 months).<br />

TIMETABLE OF THE PROJECT<br />

The integration of the different techniques employed and the availability<br />

of well established biomolecular expertise in the units of the network is a key<br />

feature of this proposal. Strategic meetings at the beginning of each phase<br />

between all the units participating to the project will be organized in order to<br />

carry out exploitation and dissemination of the results within the network.<br />

2009 643

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