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0-TESTO COMPLETO.pdf - Fondazione Santa Lucia

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Sezione III: Attività per progetti<br />

Biological samples, both from MS patients and other neurological disorders<br />

will be collected and made available to all participants of the network.<br />

U.O.11 will recruit and select MS patients and will collect biological samples<br />

(blood and CSF). Polychromatic flow cytometry will then be employed to<br />

precisely characterize the cellular subpopulations in the blood and CSF<br />

obtained from patients and healthy controls, with a special attention on cellular<br />

subsets involved in the anti-viral immune response (up to month 18).<br />

Immune responses directed against EBV will be tested (characterization of<br />

antigen-specific T cells, measurement of suppressor activity of T reg cells).<br />

The innate immune response will also be studied, working closely with<br />

U.O.12, and NK cell activity against B-EBV cells will be investigated. Any biomarker<br />

identified in this first phase will then be validated on a new cohort of<br />

patients, and its use in monitoring disease course will be evaluated (up to<br />

month 24).<br />

U.O.12 The innate immune response against EBV will be investigated.<br />

Plasmacytoid DCs from MS patients will be characterized and their “ IFN-signature<br />

” will be compared to that of healthy individuals (month 18). pDC<br />

response to EBV will then be studied, and correlations will be made between<br />

EBV-stimulated pDC and freshly isolated pDC from patients in the different<br />

forms of the disease (up to month 24). Starting at month 7, this unit will also<br />

perform studies on the oxidative status of the serum and CSF, measuring F-2<br />

isoprostane levels (up to month 18).<br />

U.O.13 This unit will perform gene expression profiling using the Illumina<br />

technological platform on blood RNAs (up to month 18). Differentially<br />

expressed genes will be then validated by PCR-based techniques, flow cytometry,<br />

Elisa (up to month 24).<br />

U.O.14 This unit will study autopsy CSF samples and paired CSF and<br />

serum samples. Oligoclonal total IgG and EBV-specific bands will be determined<br />

with isoelectric focusing and capillary immunoblotting; CXCL13, lymphotoxin-a,<br />

Bcl-2, soluble CD8, soluble CD4, perforin, human Granzyme B,<br />

and protein tau with ELISA; Nogo with Western blot (up to month 24).<br />

U.O.15 This unit will determine: 1) a complete profile of the intrathecal<br />

humoral immune response, IgM index included; 2) EBV specific CSF IgM; 3)<br />

EBV seropositivity; 4) EBV DNA and antibodies against early lytic cycle viral<br />

proteins in the CSF; 5) the number of Cortical Inflammatory Lesions by Double<br />

Inversion Recovery (DIR) (up to month 18). The use of intrathecally synthesized<br />

IgM and/or EBV specific IgM as biomarkers of the disease course<br />

will also be investigated (up to month 24).<br />

Si allega il programma della Unità Operativa 11 che fa capo alla<br />

<strong>Fondazione</strong> <strong>Santa</strong> <strong>Lucia</strong>.<br />

644 2009

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