Sindrome di Down e fattori di rischio nel declino neurocognitivo

Down syndrome (DS) or Trisomy 21, occurring in 1/700 and 1/1000 livebirths, is the most common genetic disorder, characterized by a third copy of the human chromosome 21 (Hsa21). DS is associated with various defects, including congenital heart diseases, craniofacial abnormalities, immune system dysfunction, mental retardation (MR), learning and memory deficiency. The phenotypic features in DS are a direct consequence of overexpression of genes located within the triplicated region on Hsa21. In addition to developmental brain abnormalities and disabilities, people with DS by the age of 30-40 have a greatly increased risk of early-onset of Alzheimer’s disease (AD) and an apparent tendency toward premature aging. Many of the immunological anomalies in DS can be enclosed in the spectrum of multiple signs of early senescence. People with DS have an increased vulnerability to oxidative damage and many factors, including amyloid beta protein (Abeta), genotype ApoE4, oxidative stress, mutations in mitochondrial DNA (mtDNA), impairment of antioxidant enzymes, accelerated neuronal cell apoptosis, are related to neuronal degeneration and early aging in DS. SUBJECTS and METHODS: Since 2007 a population of 50 adolescents and adults with DS, 26 males and 24 females (sex-ratio: M/F = 1.08), has been evaluated for the presence of neurological features, biomarkers and genetic factors correlated with neuronal degeneration and premature aging. The control group was determined by the mother and the siblings of the patients. A neuropsychiatric evaluation was obtained from all patients. The levels of thyroid antibodies (antiTg and antiTPO) and of some biochemical markers of oxidative stress, including homocysteine (tHcy), uric acid, cobalamin, folate were measured. All patients, the mother and the siblings were genotyped for ApoE gene. RESULTS: 40% of patients, with a mild prevalence of females aged between 19 and 30 years, showed increased levels of antiTg and antiTPO. The levels of tHcy were normal in 52% patients and mildly increased in 40%; hyperomocysteinemia was associated with normal levels of thyroid antibodies in 75% of patients (p<0.005). The levels of uric acid were elevated in 26%. Our study showed a prevalence of severe MR in patients aged between 1-18 years and over 30 years. Only 3 patients, 2 females and one male, over 30 years of age, showed dementia. According to the literature, the rate of Down left-handers was high (25%) compared to the rest of population and the laterality was associated with increased levels of thyroid antibodies (70%). 21.5% of patients were ApoE4 positive (ApoE4+) with a mean/severe MR. CONCLUSIONS: Until now no biochemical evidence of oxidative damage and no deficiency or alteration of antioxidant function in our patients with DS were found. mtDNA sequencing could show some mutations age-related and associated with oxidative damage and neurocognitive decline in the early aging of DS. The final aim is found predictive markers of early-onset dementia and a target strategy for the prevention and the treatment of diseases caused by oxidative stress. REFERENCES: 1) Rachidi M, Lopes C: “Mental retardation and associated neurological dysfunctions in Down syndrome: a consequence of dysregulation in critical chromosome 21 genes and associated molecular pathways.” - Eur J Paediatr Neurol. May;12(3):168-82 (2008). 2) Lott IT, Head E: “Down syndrome and Alzheimer's disease: a link between development and aging.” - Ment Retard Dev Disabil Res Rev, 7(3):172-8 (2001). 3) Lee HC, Wei YH: “Oxidative Stress, Mitochondrial DNA Mutation, and Apoptosis in Aging.” - Exp Biol Med (Maywood), May;232(5):592-606 (2007).

Struttura di popolazione in gamberi aristeidi (Decapoda, Aristeidae) nel Mediterraneo occidentale mediante l'utilizzo di loci microsatelliti

Il lavoro svolto durante il dottorato di ricerca ha permesso lo sviluppo e la verifica della attendibilità di marcatori molecolari neutrali (loci microsatelliti) specifici per Aristeus antennatus. Tali marcatori sono stati poi utilizzati per studiare la struttura genetica di popolazione della specie del Mediterraneo occidentale e i risultati ottenuti sono stati confrontati con quelli di un progetto di ricerca parallelo su Aristeaomorpha foliacea, analizzando differenze ed analogie fra le due specie. I risultati delle analisi su Aristeus antennatus hanno evidenziato una completa assenza di struttura di popolazione e come i due sessi contribuiscano in modo diverso al flusso genico. La specie infatti presenta un sex-ratio a favore dei maschi oltre gli 800m, mentre tale rappoorto è a favore delle femmine in strati più superficiali, dove sono probabilmente soggette a condizioni oceanografiche più dispersive. Tramite test genetici appropriati è stato possibile valutare indirettamente il grado di dospersione dei sessi dimostrando che nell'area analizzati i maschi erano rappresentati maggiormente da individui stanziali, mentre gli individui di sesso femminile erano migranti. Le femmine appaiono pertanto giocare un ruolo preminente rispetto ai maschi nel determinare l'entità del flusso genico. Il confronto dei risultati ottenuti in Aristeus antennatus con quelli di Aristaeomorpha foliacea ha evidenziato la relazione fra alta capacità dispersiva, sia allo stato larvale che adulto, e completo rimescolamento genetico nei gamberi aristeidi nel Mediterraneo occidentale anche se in quest'ultima specie non ci sono evidenze di dispersione genetica mediata dal sesso. E' pertanto di forte interesse (dato anche il valore economico di questi organismi) come una struttura di popolazione qualitativamente e quantitavamente comporabile venga raggiunta con dinamiche di popolazione molto diverse.