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  1. Article ; Online: A top-down proteomic approach reveals a salivary protein profile able to classify Parkinson's disease with respect to Alzheimer's disease patients and to healthy controls.

    Contini, Cristina / Fadda, Laura / Lai, Greca / Masala, Carla / Olianas, Alessandra / Castagnola, Massimo / Messana, Irene / Iavarone, Federica / Bizzarro, Alessandra / Masullo, Carlo / Solla, Paolo / Defazio, Giovanni / Manconi, Barbara / Diaz, Giacomo / Cabras, Tiziana

    Proteomics

    2023  Volume 24, Issue 3-4, Page(s) e2300202

    Abstract: Parkinson's disease (PD) is a complex neurodegenerative disease with motor and non-motor symptoms. Diagnosis is complicated by lack of reliable biomarkers. To individuate peptides and/or proteins with diagnostic potential for early diagnosis, severity ... ...

    Abstract Parkinson's disease (PD) is a complex neurodegenerative disease with motor and non-motor symptoms. Diagnosis is complicated by lack of reliable biomarkers. To individuate peptides and/or proteins with diagnostic potential for early diagnosis, severity and discrimination from similar pathologies, the salivary proteome in 36 PD patients was investigated in comparison with 36 healthy controls (HC) and 35 Alzheimer's disease (AD) patients. A top-down platform based on HPLC-ESI-IT-MS allowed characterizing and quantifying intact peptides, small proteins and their PTMs (overall 51). The three groups showed significantly different protein profiles, PD showed the highest levels of cystatin SA and antileukoproteinase and the lowest of cystatin SN and some statherin proteoforms. HC exhibited the lowest abundance of thymosin β4, short S100A9, cystatin A, and dimeric cystatin B. AD patients showed the highest abundance of α-defensins and short oxidized S100A9. Moreover, different proteoforms of the same protein, as S-cysteinylated and S-glutathionylated cystatin B, showed opposite trends in the two pathological groups. Statherin, cystatins SA and SN classified accurately PD from HC and AD subjects. α-defensins, histatin 1, oxidized S100A9, and P-B fragments were the best classifying factors between PD and AD patients. Interestingly statherin and thymosin β4 correlated with defective olfactory functions in PD patients. All these outcomes highlighted implications of specific proteoforms involved in the innate-immune response and inflammation regulation at oral and systemic level, suggesting a possible panel of molecular and clinical markers suitable to recognize subjects affected by PD.
    MeSH term(s) Humans ; Alzheimer Disease/diagnosis ; Alzheimer Disease/metabolism ; Cystatin B/analysis ; Cystatin B/metabolism ; Proteomics/methods ; Parkinson Disease/diagnosis ; Parkinson Disease/metabolism ; Neurodegenerative Diseases/metabolism ; alpha-Defensins/analysis ; alpha-Defensins/metabolism ; Saliva/chemistry ; Salivary Proteins and Peptides/metabolism ; Transcription Factors/metabolism ; Biomarkers/analysis
    Chemical Substances Cystatin B (88844-95-5) ; alpha-Defensins ; Salivary Proteins and Peptides ; Transcription Factors ; Biomarkers
    Language English
    Publishing date 2023-08-04
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 2032093-0
    ISSN 1615-9861 ; 1615-9853
    ISSN (online) 1615-9861
    ISSN 1615-9853
    DOI 10.1002/pmic.202300202
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  2. Article: Characterization of Cystatin B Interactome in Saliva from Healthy Elderly and Alzheimer's Disease Patients.

    Contini, Cristina / Serrao, Simone / Manconi, Barbara / Olianas, Alessandra / Iavarone, Federica / Guadalupi, Giulia / Messana, Irene / Castagnola, Massimo / Masullo, Carlo / Bizzarro, Alessandra / Turck, Christoph W / Maccarrone, Giuseppina / Cabras, Tiziana

    Life (Basel, Switzerland)

    2023  Volume 13, Issue 3

    Abstract: Cystatin B is a small, multifunctional protein involved in the regulation of inflammation, innate immune response, and neuronal protection and found highly abundant in the brains of patients with Alzheimer's disease (AD). Recently, our study demonstrated ...

    Abstract Cystatin B is a small, multifunctional protein involved in the regulation of inflammation, innate immune response, and neuronal protection and found highly abundant in the brains of patients with Alzheimer's disease (AD). Recently, our study demonstrated a significant association between the level of salivary cystatin B and AD. Since the protein is able to establish protein-protein interaction (PPI) in different contexts and aggregation-prone proteins and the PPI networks are relevant for AD pathogenesis, and due to the relevance of finding new AD markers in peripheral biofluids, we thought it was interesting to study the possible involvement of cystatin B in PPIs in saliva and to evaluate differences and similarities between AD and age-matched elderly healthy controls (HC). For this purpose, we applied a co-immunoprecipitation procedure and a bottom-up proteomics analysis to purify, identify, and quantify cystatin B interactors. Results demonstrated for the first time the existence of a salivary cystatin B-linked multi-protein complex composed by 82 interactors and largely expressed in the body. Interactors are involved in neutrophil activation, antimicrobial activity, modulation of the cytoskeleton and extra-cellular matrix (ECM), and glucose metabolism. Preliminary quantitative data showed significantly lower levels of triosophosphate isomerase 1 and higher levels of mucin 7, BPI, and matrix Gla protein in AD with respect to HC, suggesting implications associated with AD of altered glucose metabolism, antibacterial activities, and calcification-associated processes. Data are available via ProteomeXchange with identifiers PXD039286 and PXD030679.
    Language English
    Publishing date 2023-03-10
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2662250-6
    ISSN 2075-1729
    ISSN 2075-1729
    DOI 10.3390/life13030748
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  3. Article ; Online: Ixekizumab exposure associated with myelitis: A case report and a literature review.

    Romozzi, Marina / Bellavia, Simone / Caldarola, Giacomo / De Simone, Clara / Luigetti, Marco / Calabresi, Paolo / Di Filippo, Massimiliano / Masullo, Carlo / Lucchini, Matteo

    Journal of neuroimmunology

    2021  Volume 361, Page(s) 577726

    Abstract: We describe a case of a 28-year-old man who developed a cervical myelitis while exposed to ixekizumab (IL-17 inhibitor) for psoriatic arthritis. Spinal MRI showed a T2 hyperintense lesion at the C4-C5 level while brain MRI was unspecific. Oligoclonal ... ...

    Abstract We describe a case of a 28-year-old man who developed a cervical myelitis while exposed to ixekizumab (IL-17 inhibitor) for psoriatic arthritis. Spinal MRI showed a T2 hyperintense lesion at the C4-C5 level while brain MRI was unspecific. Oligoclonal bands were absent and extensive screening for autoimmunity was negative. Rechallenge with ixekizumab was positive corroborating a relation between drug exposure and the neurological event. To the best of our knowledge, this is the first case of CNS inflammatory adverse event associated with ixekizumab. We also provide a review of case reports of demyelinating disorders associated with the use of biologic drugs for the treatment of psoriasis and psoriatic arthritis.
    MeSH term(s) Adolescent ; Adrenal Cortex Hormones/therapeutic use ; Adult ; Antibodies, Monoclonal, Humanized/adverse effects ; Antibodies, Monoclonal, Humanized/therapeutic use ; Antirheumatic Agents/adverse effects ; Arthritis, Psoriatic/drug therapy ; Brain Mapping ; Drug Substitution ; Female ; Humans ; Hypesthesia/chemically induced ; Immunologic Factors/adverse effects ; Immunologic Factors/therapeutic use ; Interleukin-17/antagonists & inhibitors ; Leg/innervation ; Magnetic Resonance Imaging ; Male ; Middle Aged ; Myelitis/chemically induced ; Myelitis/diagnostic imaging ; Myelitis/drug therapy ; Paresis/chemically induced ; Spinal Cord/diagnostic imaging ; White Matter/diagnostic imaging ; White Matter/pathology ; Young Adult
    Chemical Substances Adrenal Cortex Hormones ; Antibodies, Monoclonal, Humanized ; Antirheumatic Agents ; IL17A protein, human ; Immunologic Factors ; Interleukin-17 ; ixekizumab (BTY153760O)
    Language English
    Publishing date 2021-09-29
    Publishing country Netherlands
    Document type Case Reports ; Journal Article ; Review
    ZDB-ID 8335-5
    ISSN 1872-8421 ; 0165-5728
    ISSN (online) 1872-8421
    ISSN 0165-5728
    DOI 10.1016/j.jneuroim.2021.577726
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Biochemical and Neuropathological Findings in a Creutzfeldt-Jakob Disease Patient with the Rare Val180Ile-129Val Haplotype in the Prion Protein Gene.

    Zanusso, Gianluigi / Colaizzo, Elisa / Poleggi, Anna / Masullo, Carlo / Romeo, Raffaello / Ferrari, Sergio / Bongianni, Matilde / Fiorini, Michele / Tiple, Dorina / Vaianella, Luana / Sbriccoli, Marco / Porreca, Flavia / Equestre, Michele / Pocchiari, Maurizio / Cardone, Franco / Ladogana, Anna

    International journal of molecular sciences

    2022  Volume 23, Issue 18

    Abstract: Genetic Creutzfeldt-Jakob disease (gCJD) associated with the V180I mutation in the prion protein (PrP) gene ( ...

    Abstract Genetic Creutzfeldt-Jakob disease (gCJD) associated with the V180I mutation in the prion protein (PrP) gene (
    MeSH term(s) Brain/metabolism ; Creutzfeldt-Jakob Syndrome/genetics ; Creutzfeldt-Jakob Syndrome/pathology ; Endopeptidase K/metabolism ; Haplotypes ; Humans ; Prion Proteins/genetics ; Prion Proteins/metabolism ; Prions/metabolism
    Chemical Substances Prion Proteins ; Prions ; Endopeptidase K (EC 3.4.21.64)
    Language English
    Publishing date 2022-09-06
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2019364-6
    ISSN 1422-0067 ; 1422-0067 ; 1661-6596
    ISSN (online) 1422-0067
    ISSN 1422-0067 ; 1661-6596
    DOI 10.3390/ijms231810210
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Salivary Proteomics Reveals Significant Changes in Relation to Alzheimer's Disease and Aging.

    Contini, Cristina / Serrao, Simone / Manconi, Barbara / Olianas, Alessandra / Iavarone, Federica / Bizzarro, Alessandra / Masullo, Carlo / Castagnola, Massimo / Messana, Irene / Diaz, Giacomo / Cabras, Tiziana

    Journal of Alzheimer's disease : JAD

    2022  Volume 89, Issue 2, Page(s) 605–622

    Abstract: Background: Aging is a risk factor for several pathologies as Alzheimer's disease (AD). Great interest exists, therefore, in discovering diagnostic biomarkers and indicators discriminating biological aging and health status. To this aim, omic ... ...

    Abstract Background: Aging is a risk factor for several pathologies as Alzheimer's disease (AD). Great interest exists, therefore, in discovering diagnostic biomarkers and indicators discriminating biological aging and health status. To this aim, omic investigations of biological matrices, as saliva, whose sampling is easy and non-invasive, offer great potential.
    Objective: Investigate the salivary proteome through a statistical comparison of the proteomic data by several approaches to highlight quali-/quantitative variations associated specifically either to aging or to AD occurrence, and, thus, able to classify the subjects.
    Methods: Salivary proteomic data of healthy controls under-70 (adults) and over-70 (elderly) years old, and over-70 AD patients, obtained by liquid chromatography/mass spectrometry, were analyzed by multiple Mann-Whitney test, Kendall correlation, and Random-Forest (RF) analysis.
    Results: Almost all the investigated proteins/peptides significantly decreased in relation to aging in elderly subjects, with or without AD, in comparison with adults. AD subjects exhibited the highest levels of α-defensins, thymosin β4, cystatin B, S100A8 and A9. Correlation tests also highlighted age/disease associated differences. RF analysis individuated quali-/quantitative variations in 20 components, as oxidized S100A8 and S100A9, α-defensin 3, P-B peptide, able to classify with great accuracy the subjects into the three groups.
    Conclusion: The findings demonstrated a strong change of the salivary protein profile in relation to the aging. Potential biomarkers candidates of AD were individuated in peptides/proteins involved in antimicrobial defense, innate immune system, inflammation, and in oxidative stress. RF analysis revealed the feasibility of the salivary proteome to discriminate groups of subjects based on age and health status.
    MeSH term(s) Aged ; Aging ; Alzheimer Disease/diagnosis ; Biomarkers/metabolism ; Calgranulin A ; Cystatin B/metabolism ; Humans ; Proteome/metabolism ; Proteomics/methods ; Salivary Proteins and Peptides/metabolism ; alpha-Defensins/metabolism
    Chemical Substances Biomarkers ; Calgranulin A ; Proteome ; Salivary Proteins and Peptides ; alpha-Defensins ; Cystatin B (88844-95-5)
    Language English
    Publishing date 2022-05-23
    Publishing country Netherlands
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 1440127-7
    ISSN 1875-8908 ; 1387-2877
    ISSN (online) 1875-8908
    ISSN 1387-2877
    DOI 10.3233/JAD-220246
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  6. Article: Sensing red blood cell nano-mechanics: Toward a novel blood biomarker for Alzheimer's disease.

    Nardini, Matteo / Ciasca, Gabriele / Lauria, Alessandra / Rossi, Cristina / Di Giacinto, Flavio / Romanò, Sabrina / Di Santo, Riccardo / Papi, Massimiliano / Palmieri, Valentina / Perini, Giordano / Basile, Umberto / Alcaro, Francesca D / Di Stasio, Enrico / Bizzarro, Alessandra / Masullo, Carlo / De Spirito, Marco

    Frontiers in aging neuroscience

    2022  Volume 14, Page(s) 932354

    Abstract: Red blood cells (RBCs) are characterized by a remarkable elasticity, which allows them to undergo very large deformation when passing through small vessels and capillaries. This extreme deformability is altered in various clinical conditions, suggesting ... ...

    Abstract Red blood cells (RBCs) are characterized by a remarkable elasticity, which allows them to undergo very large deformation when passing through small vessels and capillaries. This extreme deformability is altered in various clinical conditions, suggesting that the analysis of red blood cell (RBC) mechanics has potential applications in the search for non-invasive and cost-effective blood biomarkers. Here, we provide a comparative study of the mechanical response of RBCs in patients with Alzheimer's disease (AD) and healthy subjects. For this purpose, RBC viscoelastic response was investigated using atomic force microscopy (AFM) in the force spectroscopy mode. Two types of analyses were performed: (i) a conventional analysis of AFM force-distance (FD) curves, which allowed us to retrieve the apparent Young's modulus, E; and (ii) a more in-depth analysis of time-dependent relaxation curves in the framework of the standard linear solid (SLS) model, which allowed us to estimate cell viscosity and elasticity, independently. Our data demonstrate that, while conventional analysis of AFM FD curves fails in distinguishing the two groups, the mechanical parameters obtained with the SLS model show a very good classification ability. The diagnostic performance of mechanical parameters was assessed using receiving operator characteristic (ROC) curves, showing very large areas under the curves (AUC) for selected biomarkers (AUC > 0.9). Taken all together, the data presented here demonstrate that RBC mechanics are significantly altered in AD, also highlighting the key role played by viscous forces. These RBC abnormalities in AD, which include both a modified elasticity and viscosity, could be considered a potential source of plasmatic biomarkers in the field of liquid biopsy to be used in combination with more established indicators of the pathology.
    Language English
    Publishing date 2022-09-20
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2558898-9
    ISSN 1663-4365
    ISSN 1663-4365
    DOI 10.3389/fnagi.2022.932354
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  7. Article: Corrigendum: Top-Down Proteomics of Human Saliva Highlights Anti-inflammatory, Antioxidant, and Antimicrobial Defense Responses in Alzheimer Disease.

    Contini, Cristina / Olianas, Alessandra / Serrao, Simone / Deriu, Carla / Iavarone, Federica / Boroumand, Mozhgan / Bizzarro, Alessandra / Lauria, Alessandra / Faa, Gavino / Castagnola, Massimo / Messana, Irene / Manconi, Barbara / Masullo, Carlo / Cabras, Tiziana

    Frontiers in neuroscience

    2021  Volume 15, Page(s) 743596

    Abstract: This corrects the article DOI: 10.3389/fnins.2021.668852.]. ...

    Abstract [This corrects the article DOI: 10.3389/fnins.2021.668852.].
    Language English
    Publishing date 2021-08-13
    Publishing country Switzerland
    Document type Published Erratum
    ZDB-ID 2411902-7
    ISSN 1662-453X ; 1662-4548
    ISSN (online) 1662-453X
    ISSN 1662-4548
    DOI 10.3389/fnins.2021.743596
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article: Top-Down Proteomics of Human Saliva Highlights Anti-inflammatory, Antioxidant, and Antimicrobial Defense Responses in Alzheimer Disease.

    Contini, Cristina / Olianas, Alessandra / Serrao, Simone / Deriu, Carla / Iavarone, Federica / Boroumand, Mozhgan / Bizzarro, Alessandra / Lauria, Alessandra / Faa, Gavino / Castagnola, Massimo / Messana, Irene / Manconi, Barbara / Masullo, Carlo / Cabras, Tiziana

    Frontiers in neuroscience

    2021  Volume 15, Page(s) 668852

    Abstract: Alzheimer disease (AD) is the most prevalent neurodegenerative disease in the elderly, characterized by accumulation in the brain of misfolded proteins, inflammation, and oxidative damage leading to neuronal cell death. By considering the viewpoint that ... ...

    Abstract Alzheimer disease (AD) is the most prevalent neurodegenerative disease in the elderly, characterized by accumulation in the brain of misfolded proteins, inflammation, and oxidative damage leading to neuronal cell death. By considering the viewpoint that AD onset and worsening may be influenced by environmental factors causing infection, oxidative stress, and inflammatory reaction, we investigated the changes of the salivary proteome in a population of patients with respect to that in healthy controls (HCs). Indeed, the possible use of saliva as a diagnostic tool has been explored in several oral and systemic diseases. Moreover, the oral cavity continuously established adaptative and protective processes toward exogenous stimuli. In the present study, qualitative/quantitative variations of 56 salivary proteoforms, including post-translationally modified derivatives, have been analyzed by RP-HPLC-ESI-IT-MS and MS/MS analyses, and immunological methods were applied to validate MS results. The salivary protein profile of AD patients was characterized by significantly higher levels of some multifaceted proteins and peptides that were either specific to the oral cavity or also expressed in other body districts: (i) peptides involved in the homeostasis of the oral cavity; (ii) proteins acting as ROS/RNS scavengers and with a neuroprotective role, such as S100A8, S100A9, and their glutathionylated and nitrosylated proteoforms; cystatin B and glutathionylated and dimeric derivatives; (iii) proteins with antimicrobial activity, such as α-defensins, cystatins A and B, histatin 1, statherin, and thymosin β4, this last with a neuroprotective role at the level of microglia. These results suggested that, in response to injured conditions, Alzheimer patients established defensive mechanisms detectable at the oral level. Data are available via ProteomeXchange with identifier PXD021538.
    Language English
    Publishing date 2021-05-26
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2411902-7
    ISSN 1662-453X ; 1662-4548
    ISSN (online) 1662-453X
    ISSN 1662-4548
    DOI 10.3389/fnins.2021.668852
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  9. Article ; Online: Rinsing after spinning: plasmapheresis in EBV-related post-infectious cerebellitis.

    Monforte, Mauro / Reale, Giuseppe / Masullo, Carlo / Rossini, Paolo Maria / Tasca, Giorgio

    Journal of neurology

    2017  Volume 264, Issue 3, Page(s) 576–577

    MeSH term(s) Ataxia/etiology ; Ataxia/therapy ; Cerebellar Diseases/etiology ; Cerebellar Diseases/therapy ; Epstein-Barr Virus Infections/complications ; Epstein-Barr Virus Infections/therapy ; Humans ; Male ; Meningoencephalitis/etiology ; Meningoencephalitis/therapy ; Plasmapheresis ; Young Adult
    Language English
    Publishing date 2017-01-04
    Publishing country Germany
    Document type Case Reports ; Letter
    ZDB-ID 187050-6
    ISSN 1432-1459 ; 0340-5354 ; 0012-1037 ; 0939-1517 ; 1619-800X
    ISSN (online) 1432-1459
    ISSN 0340-5354 ; 0012-1037 ; 0939-1517 ; 1619-800X
    DOI 10.1007/s00415-016-8385-8
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  10. Article ; Online: Different apathy profile in behavioral variant of frontotemporal dementia and Alzheimer's disease: a preliminary investigation.

    Quaranta, Davide / Marra, Camillo / Rossi, Concettina / Gainotti, Guido / Masullo, Carlo

    Current gerontology and geriatrics research

    2012  Volume 2012, Page(s) 719250

    Abstract: Apathy is one of the most common behavioral symptoms of dementia; it is one of the salient features of behavioral variant of frontotemporal dementia (bvFTD) but is also very frequent in Alzheimer's disease. This preliminary investigation was aimed at ... ...

    Abstract Apathy is one of the most common behavioral symptoms of dementia; it is one of the salient features of behavioral variant of frontotemporal dementia (bvFTD) but is also very frequent in Alzheimer's disease. This preliminary investigation was aimed at assessing the type of apathy-related symptoms in a population of bvFTD and AD subjects showing comparable apathy severity. Each patient underwent a comprehensive neuropsychological assessment; behavioral changes were investigated by the neuropsychiatric inventory (NPI), using the NPI-apathy subscale to detect apathetic symptoms. At univariate analysis, bvFTD subjects showed lack of initiation (χ(2) = 4.602, p = 0.032), reduced emotional output (χ(2) = 6.493, p = 0.008), and reduced interest toward friends and family members (χ(2) = 4.898, p = 0.027), more frequently than AD subjects. BvFTD displayed higher scores than AD on NPI total score (p = 0.005) and on subscales assessing agitation (p = 0.004), disinhibition (p = 0.007) and sleep disturbances (p = 0.025); conversely, AD subjects were more impaired on memory, constructional abilities, and attention. On multivariate logistic regression, reduced emotional output was highly predictive of bvFTD (OR = 18.266; p = 0.008). Our preliminary findings support the hypothesis that apathy is a complex phenomenon, whose clinical expression is conditioned by the site of anatomical damage. Furthermore, apathy profile may help in differentiating bvFTD from AD.
    Language English
    Publishing date 2012-04-09
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2475149-2
    ISSN 1687-7071 ; 1687-7063
    ISSN (online) 1687-7071
    ISSN 1687-7063
    DOI 10.1155/2012/719250
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