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0-TESTO COMPLETO.pdf - Fondazione Santa Lucia

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Sezione III: Attività per progetti<br />

specificity and reproducibility for the determination of Ab40, Ab42, total tau<br />

and phospho-tau concentrations in CSF. These results will be transferred to<br />

the Alzheimer Centers of the Italian NHS and disseminated to the scientific<br />

community.<br />

WP2. The objective is to validate recently identified peripheral biochemical<br />

(CSF and plasma) markers for AD diagnosis in order to generate a multivariate<br />

molecular protocol that have higher sensitivity/specificity compared to<br />

the basic protocol analyzed in WP1. A particular effort will be made trying to<br />

find whether these parameters can help in distinguishing the MCI patients<br />

who will develop AD from those who will not convert to dementia.<br />

The following markers will be investigated:<br />

1) Ab oligomers;<br />

2) Ab truncated fragments;<br />

3) cystatin C (whole molecule and truncated forms);<br />

4) NGF and pro/NGF;<br />

5) a battery of chemokynes and other pro- or anti-inflammatory mediators.<br />

WP3. The objective is to validate genetic markers that have recently identified<br />

and that may act as risk factors for developing AD, as well as for the<br />

conversion of MCI to AD.<br />

The following markers will be investigated:<br />

1) allelic variants of gene involved in Ab processing as sortilin-related<br />

receptor 1 (SORL1), kinesin, insulin degrading enzyme (IDE), neprylysin and<br />

in cholesterol metabolism as cholesterol 24S-hydroxylase (CYP46) and APOE;<br />

2) haplotype B of cystatin C gene;<br />

3) haplotype H1c of MAPT gene;<br />

4) allelic variants of gene involved in inflammatory response (progranulin<br />

– PGRN, and chemokine-cluster in proximity to PGRN in chromosome 17).<br />

WP4. The objective is to establish a network of banks that ensure storage<br />

of high quality samples of biological material (DNA, serum and cell lines)<br />

from patients with cognitive deterioration at different stages and nondemented<br />

control collected under standard conditions. The network will<br />

develop a common database containing key informations on clinical, neurophysiological<br />

and imaging data.<br />

This will supply a valuable source of well-characterized specimens for the<br />

present project and for future studies<br />

GENERAL TRANSFERIBILITY AND POTENTIAL IMPACT OF RESULTS<br />

This project will establish a multivariate molecular protocol having high<br />

sensitivity, specificity and reproducibility for the early diagnosis of Alzheimer<br />

disease at a pre-dementia stage.<br />

In particular the study is designed to:<br />

a) define standard operating procedures for CSF analysis of already<br />

known biomarkers (i.e., Ab, total tau and phospho-tau),<br />

702 2009

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