Programma Staminali - Ospedale San Raffaele
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Programma Staminali - Ospedale San Raffaele
Aggiornato al 10.10.09 DIVISION OF REGENERATIVE MEDICINE INTERDEPARTMENTAL RESEARCH PROGRAM STEM CELLS FROM BASIC RESEARCH TO CLINICAL EXPERIMENTATION PROGRAM LEADER (ad interim): GIULIO COSSU 1 Aggiornato al 10.10.09 INDEX 1. INTRODUCTION PAG. 3 2. PARTICIPATING INVESTIGATORS PAG. 5 3. AIMS PAG. 6 4. WORCKPACKAGE LIST PAG. 7 5. WORK PACKAGES, MILESTONES AND DELIVERABLES PAG. 8 6. TIME SCHEDULE PAG. 22 7. REFERENCES PAG. 24 8 GOVERNANCE PAG. 25 9. PARTICIPATING UNITS (COMPONENTS, FUNDING AND PUBLICATIONS 2005-2008) PAG. 26 2 Aggiornato al 10.10.09 2. INTRODUCTION Aim of this program is the development and integration of research projects studying stem cell biology and their ability to restore tissue integrity in pre-clinical models of genetic and acquired diseases. Its final goal is to promote clinical translation of a number of these projects optimizing chance of efficacy and minimizing risks for patients. This is an exciting period for research in stem cell biology and translational medicine in general: many research projects have been developed in pre-clinical models for the previous years and are now facing the challenge of entering clinical experimentation. It has also become apparent that the whole process, starting with gene discovery and continuing with the understanding of the pathogenesis and the creation and use of animal (mainly mouse) models, is now much rapid than it was only ten years ago. At the same time it is perceived by the community that clinical translation is a critical step and must be taken with all possible reliable predictions of efficacy and low risks for patients. We have learned in recent years that one serious adverse events (Hacein-Bey-Abina et al. 2008), even if unpredictable on the basis of thorough and rigorous pre-clinical work, may hamper the whole field for years. It is probably worth to stress that the International Society for Stem Cell Research (ISSCR) has recently published “Guidelines for clinical translation of stem cell research” (available at isscr.org). These Guidelines were drafted by an international task force (Hyun et al., 2008) “to help facilitate the responsible and timely development of clinically useful stem cell-based therapies and to help minimize the potential harms to research subjects and patients”. Within this overall scenario, our Institution has a prominent international role, mainly due to pioneering work of congenital immune deficiencies (Aiuti et al. 2002), and many highly promising projects ready for or already entering clinical trials. Moreover there are a large number of basic or clinical research groups that are either directly involved in stem cell research, but at an earlier stage of development, or provide invaluable expertise in cell and molecular biology, in immunology and in imaging, just to name a few. These groups may be interested and involved in a large Institutional program like this one, by contributing their expertise and, at the same time, benefiting of the previous experience of those groups that are ahead towards clinical experimentation. For this reason the program suffers of certain heterogeneity and will require a continuous effort by all participants to progressively focus and refine the objectives. At the same time it offers a great opportunity to put together many of the leading expertise of our Institution and create synergies to achieve faster and safer clinical translation of our research. As usual in this area, the program is divided in three main workpackages, basic, pre-clinical and clinical, as well as in a number of milestones and deliverables that will have to be reached at 3 Aggiornato al 10.10.09 the end of its three years duration. Moreover, because of its nature, a first overall evaluation of its progress will be carried out one year after its start. 4 Aggiornato al 10.10.09 3. PARTICIPATING INVESTIGATORS: Aiuti Alessandro DRM Bacchetta Rosa DRM Bianchi Marco DGCB Blasi Francesco DGCB Bonini Chiara DRM Brunelli Silvia DRM Clementi Emilio DRM Ciceri Fabio DRM Cossu Giulio DRM D’Alessio Silvia, DGCB Del Maschio Alessandro De Palma Michele DRM Ferrari Giuliana DRM Feischhauer Katharina DRM Gabellini Davide DRM Galli Rossella DRM Gregori Silvia DRM Gritti Angela DRM Grohovatz Fabio ALEMBIC Nadini Luigi DRM Manfredi Angelo DRM Meldolesi Jacopo DNS Montini Eugenio DRM Peretti Giuseppe Piemonti Lorenzo Politi Letterio Previtali Stefano INSPE and DNS Rama Paolo DNS Roncarolo Maria Grazia DRM Rovere Patrizia DRM Villa Anna DRM Zerbini Giampaolo DRM 5 Aggiornato al 10.10.09 4 AIMS Aims of this program are: 1. To understand the mechanisms regulating the emergence of stem cells during embryogenesis, their lineage and potency during tissue histogenesis and regeneration. To understand how these mechanisms are perturbed in cancer stem cells. 2. To understand the mechanisms regulating survival, proliferation, migration and differentiation of stem cells during tissue regeneration, either in situ or after transplantation. 3. To develop gene modification strategies for stem cells, by either providing a wt copy of or repairing the mutated gene, or, otherwise providing a beneficial function to the cell. 4. To study the mechanisms regulating tissue damage and repair, including inflammation, sclerosis, neo-angiogenesis and immune response and the possible modulation of these processes. 5. To test the efficacy of stem cell transplantation in small and (when possible) large animal models of genetic and acquired diseases. 6. To help developing all the steps required for clinical translation (GMP production of stem cells, toxicology studies, submission of the protocol to the Ethical Committee and to the Regulatory Authorities, etc.). 7. To facilitate the start of clinical experimentation (patient recruitment, logistics, data management, etc.). It is obvious that these aims encompass all stem cell biology and clinical application and thus they should not be intended as a whole to be achieved, but rather as a framework where individual projects may find a logical pathway and develop interactions and collaborations. More specific goals to be achieved, with a given stem cell type for a specific disease are detailed in the following section. 6 Aggiornato al 10.10.09 5. Workpackage list: 1. Biology of stem cells: 1a. Origin, lineage and potency of stem cells. 1b. Transplantation (or mobilization) of stem cells. 2. Pre-clinical models: 2a. Analysis and modulation of tissue damage and repair. 2b. Test of cell therapy in small and large pre-clinical models. 2c. Tracing of stem cells in vivo. 3. Clinical experimentation 3.a Projects entering clinical experimentation. 3b.Projects already in clinical trials (implementation and optimization). 7 Aggiornato al 10.10.09 Workpackage 1: Workpackage 1a: Origin, lineage and potency of stem cells. 1a1: G. Ferrari, F. Blasi: 1a: HSC asymmetric cell division and endocytosis/intracellular segregation. Prep1 is a developmentally essential haplo-insufficient tumor suppressor (Ferretti, 2006). Transplantation experiments with hemizygous fetal liver cells induce tumors of all kinds, mainly lymphomas. However, the LTR efficiency of Prep1- HSC is 1/200 than normal (Di Rosa, 2007). Comparison of the gene expression profiles of the wt and Prep1- highly purified HSCs (sorted KSLA cells) shows several important gene-sets involved. One of these, deals with intracellular transport, endocytosis, microtubules segregation, all of them connected to asymmetric cell division. We are planning experiments to clarify the role of the individual intracellular transport, endocytosis, microtubules segregation genes identified, in the Prep1- HSC phenotype. 1a2. F. Blasi: Prep1 and Meis in Leukemic Stem Cells. Prep1 appears to normally balance the role of Meis1 in leukemogenesis, in particular in Leukemic Stem Cells formation. In fact, among the genes up-regulated in Prep1- HSCs, the complete Meis1HoxA9 signature is present. Meis1-HoxA9 are two genes whose over-expression is oncogeneic, and which are the determinants of leukemias induced by all the MLL-fusions. Prep1 and Meis1 are highly homologous proteins, with great functional overlap, i.e. they can both bind Pbx through the same interaction surface conferring the ability to bind DNA through the same DNA sequences (Berthelsen, 1998). Moreover, the phenotype of the Meis1 K.o. mice and that of the Prep1 hypomorphic mice (Azcoitia, 2005; Ferretti, 2006) is very similar: HSC defects, oculogenesis and angiogenesis defects. However, Meis1 is oncogenic while Prep1 is a tumor suppressor. We are therefore exploring the similarities and diversities of Prep1 and Meis1 in the HSC and cancer SC, to understand the molecular basis of such a profound difference. 1a3. S. D’Alessio, F Blasi: Role of the urokinase receptor (uPAR) in mouse skin stem cells proliferation and migration. The uPAR Ko mice have a delayed skin wound healing and are protected from skin carcinogenesis. This is due to a variety of biochemical abnormalities of the uPAR Ko keratinocytes, for example the inability to activate their EGF-Receptor (D’Alessio et al., 2008). However, studies of the Skin Stem Cells show abnormalities in their number, migration and proliferation. We are therefore analyzing in detail the role of uPAR in skin stem cells using also tracer-mice in addition to the uPAR K.o. . 8 Aggiornato al 10.10.09 1a4. J Meldolesi: REST/NRSF- mediated regulation of leptomeninge derived neural stem cell differentiation. We want to use a new type of stem cells recently identified in the rat leptomeninges that have great tendency to differentiate into neurons. These cells offer the possibility to investigate the role in the differentiation of the transcription repressor NRSF/REST and possibly also of other factors. Based also on our recent results in PC12 cells we will consider also the possibility that processes that take place in parallel in the differentiating cells, such as the appearance of neurosecretion and neurite sprouting, are differentially regulated. Another interesting question will be whether stimulation of the differentiating cells by various means interferes with differentiation and by what mechanism. 1a5. G. Cossu: Origin and fate of pericytes. Inducible Alkaline Phospatase/Cre-ER mice have been produced (AP is a marker of pericytes in post-natal striated muscle: Dellavalle et al. 2007) and crossed to Rosa26 floxed mice. We showed that pericytes contribute to cardiomyocites and skeletal myofibers during post-natal growth and now plan to cross these mice with dystrophic mice (to test the role of pericytes in muscular dystrophy) as well as with inducible Akt, Notch or Bmi1 mice to alter proliferation and differentiation of these cells in vivo. Additionally, experiments are performed to test reciprocal recruitment of pericytes to skeletal muscle and of skeletal myoblasts to a pericyte fate in vitro. 1a6. V. Broccoli: human iPS. Aims are: 1) Characterization of the stability of long-term human iPS cell cultures; ii) Optimization and validation of different cellular sources for reprogramming. iii) Defining growth factor requirements for iPS cells derived by genetic reprogramming. Mouse and human iPS cells have been generated from different type of both embryonic and adult cells. However, it remains unclear their optimal growth factor requirement, their long-term stability, normal caryotype content, proliferation ability and developmental potential. Thus, we will compare human iPS cell cultures from different sources for long-term culture potential assessed by phenotypic and molecular analysis (In collaboration with J. Adjaye). The transcripome of several different iPS human cell lines will be compared to evaluate the stability of the pluripotent state in long-term culture (in collaboration with J. Adjaye). Further, different source of mouse or human cell types will be employed to identify the ideal cellular substrate for reprogramming. Finally, genetically reprogramming will be carried out in the presence of different growth factor containing media in order to evaluate whether fibroblast de-differentiation can give rise to iPS with a different pluripotent state and mimicking either naïve ES or EPI cells. 1a7. L. Piemonti: Renewing beta cells by creation of insulin producing cells from stem cells.The present program inquires the possibility to isolate stem cells from adult/fetal tissue and to establish their differentiation potential toward insulin-secreting cells. We propose different approaches: 1) to study the potential of CD133+ intra-pancreatic stem cells to be differentiated into beta cells. The proposal is based on the identification and isolation of a CD133+/EpCam+/Ca19.9+/CD73- tissue stem cells from digested human pancreas; 2) to study the potential of induced pluripotent stem cells (IPS) to be differentiated into beta cells. The proposal is based on the availability of human 9 Aggiornato al 10.10.09 IPS in the Institute (Broccoli) and of defined protocols of differentiation of ES cells to beta cells; 3) to study the potential of amniocytes to be differentiated into beta cells. The proposal is based on the confirmation in our hand of the existence of a subpopulation of ckit positive human amniocytes. These cells were described to posses the ability to differentiate in all the embryonic lineages including endoderm; 4) to identify factor/s and pathways able to modulate the differentiation of pancreatic precursor by studying the expression of transcriptional factor involved in pancreas development in pancreatic cancer cell. The proposal is based on our evidence that pancreatic cancer cell express transcriptional factors involved in pancreas development 1a8. L. Naldini, G. Cossu, V. Broccoli: IPS for mesoderm progenitors. We plan to induce IPS from fibroblasts of Limb Girdle 2D dystrophic patients (who apparently lack AP+ pericytes and to induce the resulting IPS to a Flk+, circulating mesoderm progenitor, that could be delivered systemically. Myogenic differentiation would be then induced in these progenitors by transduction with a lentivector expressing an inducible ER-MyoD. 1a9. S. Brunelli: Origin and fate of endothelial progenitor cells in muscle development and regeneration. We have generated transgenic mice expressing tamoxifen inducible CRE-ERT2 under the control of VE-Cadherin regulatory sequence (Hisatsune et al. 2005). Mice have been crossed to ROSA26-LacZ and ROSA26-EYFP. When CRE activity has been induced at embryonic day E8.5, we observed presence of EYFP or LacZ positive myofibers until postnatal day 3. In addition FACS sorting of EYFP positive cells at E14.5 allowed us to obtain EYFP myoblasts in vitro, positive also for VE-cadherin. Adult contribution of embryonic endothelial progenitors to new myofibers and neo-angiogenesis can be observed only when acute damage is induced. We will further extend the investigation also in chronic muscle damage (alpha-SG KO mice) and in mouse model where the myogenic line of somitic origin is deficient (Pax7KO mice). Workpackage 1b: Transplantation (or mobilization) of stem cells 1.b1. A Del Maschio: Imaging of migrating stem cells. Magnetic resonance imaging (MRI), which represents one of the safest imaging modality in clinic, has now become a powerful tool for cellular imaging. Cellular imaging can be defined as the non-invasive and repeatable imaging of targeted cells, which requires proper labeling of cells with appropriate MR contrast agents. Iron oxide nanoparticles based contrast agents are the most frequently used for cellular imaging and tracking purposes, because of the strong contrast effect provided and the demonstrated high biocompatibility and biodegradability. The first aim of our experiments will be to apply the labeling methods based on iron nanoparticles (Manfredi et al. J Immunol 2008) to different stem cells lineage with a careful assessment of the different aspects concerning the safety, along with the evaluation of the effectiveness of the labeling procedure for the in-vivo MRI tracking. Both small particles of iron oxide (SPIO) and ultra-small particles of iron oxide (USPIO) contrast agents will be 10 Aggiornato al 10.10.09 used for labeling experiments in order to find the better setting considering safety and contrast effects. Moreover, the technique of reporter gene will be arranged to engineer stem cells in order to obtain an over-expression of the ferritin receptor responsible of endogenous iron sequestration, with the aim of create stem cells with an intrinsic T2 effects, overcoming the problems linked to exogenous labeling agents. A further objective will be to develop quantitative automatic or semiautomatic software for imaging analysis and innovative in-vivo MR imaging methods of labeled cells, to move from a mainly qualitative imaging allowed by the classic T2w and T2*w sequences, toward a quantitative approach based on the improvement of a positive MR imaging taking advantage from the spatial variation in the Larmor frequency of the nuclear spins induced by iron agents (Cunningham et al. Magn Reson Med 2005; Mani et al. Magn Reson Med 2006). 1b2: M Bianchi: HMGB-1 induced migration of stem cells: HMGB1 is a highly conserved nonhistone DNA-binding protein. In human cells, HMGB1 localizes in the nucleus, where it regulates gene expression. HMGB1 acquired further notoriety after it was realized that it can be secreted to act as a signal of tissue and cell damage. RAGE (receptor for advanced glycation end products) and toll-like receptors (TLR) have been identified as the receptors by which extracellular HMGB1 induces its biological functions. The identification of HMGB1 as the signal of tissue damage should be exploited to develop applications in the field of tissue regeneration. In the last few years our laboratory documented that HMGB1 acts as a signal of damaged tissue to stimulate mesoangioblasts to initiate cell division, cell movement and replacement of injured tissue. In particular, we found that HMGB1 recruits mesoangioblasts to damaged tissue, induces migration and proliferation, and determines the loss of cell-cell contacts in endothelial monolayers in vitro. Similar effects occurred in mice in which recombinant HMGB1 was slowly released from implanted beads. Furthermore, we showed that both healthy and dystrophic muscles express HMGB1, and that the protein is much more abundant in dystrophic muscle (Palumbo R. et al. J Cell Biol 164: 441-9, 2004). More recently we showed that the activation of the transcription factor NF-κB by HMGB1 is necessary for fibroblast and mesoangioblast migration (Palumbo R. et al. J Cell Biol 19: 33-40, 2007). Mesoangioblasts in which th NF-κB signaling pathway was impaired lost their ability to migrate into dystrophic muscle. Based on these previous results we will investigate in vivo whether RAGE and TLR are involved in mesoangioblast migration stimulated by HMGB1, and if so, how. To dissect the contribution of these receptors in mesoangioblast migration mediated by HMGB1, we plan to isolate mesoangioblasts from RAGE knockout mice and from mice deficient for the TLR adaptor molecule MyD88, which is necessary for most types of TLR signaling. 1b3: M. De Palma, L. Naldini: Biology of Tie2-expressing monocytes (TEMs), tissue remodeling and angiogenesis. TEMs are recruited to sites of angiogenesis and their elimination in mouse tumor models inhibits tumor angiogenesis, indicating that these cells play an important proangiogenic role in tumors. Because TEMs express a broad array of proangiogenic factors and tissue-remodeling proteins, they might be used to restore angiogenesis and facilitate organ regeneration. Preliminary data indicate that injection of TEMs in the infaRcted mouse myocardium 11 Aggiornato al 10.10.09 improves peri-infarct neovascularization and perfusion. We will study whether TEMs also participate in skeletal muscle regeneration and whether they could be used to improve dystrophic muscle regeneration by injected mesoangioblasts. TEMs will be isolated from either mouse or human blood and co-injected together with mesoangioblasts intra-muscularly or intra-arterially. 1b4. A. A. Manfredi, P. Rovere-Querini: Macrophage response to the injury of mesodermic tissues. Tissue injury elicits a complex homeostatic response, in which innate immune cells play a key role both in the disposal of tissue debris and in the generation of signals that activate local stem cells and attract progenitors from the circulation. Moreover, innate cells play a crucial role in shaping the outcome of acquired, T-cell dependent immune responses, which contribute to the eventual outcome of injury (chronic inflammation with eventual wasting, fibrosis of regeneration). We will dissect the role of innate immune cells, with particular attention to polarized macrophages and dendritic cells in models of mesodermic tissue injury, with particular attention to vessels, serosal membranes and skeletal muscle. 1b5. S Brunelli: Necdin to promote muscle regeneration. We have previously shown that Necdin increases myogenin expression, accelerates differentiation, and counteracts myoblast apoptosis. In addition necdin protects skeletal muscle from tumor-induced muscle atrophy by inhibiting the action of TNFalpha. We are now investigating the signalling pathways that mediate necdin action, focussing in particular on the interaction of necdin with p53 and TNFα. 1b6. G Cossu: NFIX to promote muscle regeneration. NFIX is a crucial regulator of fetal myogenesis, playing a central role in transcriptional control of skeletal myogenesis, by activating fetal while repressing embryonic genes. We have generated transgenic mice over-expressing NFIX and obtained conditional mutants to study the role of this gene in post-natal myogenesis, regeneration and dystrophy. 1b7. E Clementi: NO to promote angiogenesis and muscle regeneration. The project aims at identifying novel therapeutic approaches to muscular dystrophy by identifying key molecular events or signaling molecules in muscle development that can be targeted by pharmacological tools. Great emphasis in the study is on bioenergetics of skeletal muscle and on pro-angiogenetic events that can enhance muscle repair. One candidate therapeutic approach, involving NSAIDS and NO donors, is already in phase II clinical experimentation. 1b8. K Fleischhauer: Immunogenetics of hematopoietic stem cell transplantation. Polymorphism of immune-related (IR) genes plays a pivotal role of the outcome of allogeneic tissue transplantation. We are studying the role of non-permissible mismatches for human leukocyte antigen (HLA) molecules, as well as genome-wide IR gene polymorphisms, in the setting of allogeneic hematopoietic stem cell transplantation (HSCT). Particular focus is made on the role of T and NK cell alloreactivity in promoting graft versus leukemia activity after allogeneic HSCT, and on the development of new approaches to exploiting gene polymorphisms for the assessment of hematopoietic chimerism post-transplant. 12 Aggiornato al 10.10.09 1b9. R Bacchetta, MG Roncarolo, S Gregori: Tr1 cell therapy to improve immuno-reconstitution and prevent GvHD after HSCT. Tr1 cells are induced in vivo and in vitro after antigen(Ag)-specific stimulation in the presence of either exogenous or DC-derived IL-10. Tr1 cells play a key role in maintaining tolerance to self and non-self Ags, including allo-Ags. We have developed a method to generate alloAg-specific Tr1cells ex-vivo using either monocyte+IL-10 or tolerogenic DC, termed DC-10, to be used a cell therapy in vivo. A clinical trial of adoptive Tr1 cell therapy to promote immune-reconstitution and prevent GvHD in onco-hematological patients transplanted with haploidentical HSCT is currently ongoing. 1b10. R. Bacchetta, S. Gregori, MG. Roncarolo, K. Fleishhauer: Study of cellular and molecular signature predictive of allogenic HSCT outcome. Tr1 cells are present in peripheral blood of tolerant patients with mixed persistent chimerism post HSCT. We will characterize Tr1 cells developed in vivo in tolerant patients. In addition, by extensive genomic studies we will identify genes that can favor the induction of transplantation tolerance. By correlating the biological and genomic data we will define molecules that can have predictive values for the HSCT outcome. 1b11. S. Gregori: Role of tolerogenic DC-10 in promoting tolerance after hemetopoietic stem cell transplantation (HSCT). Tolerogenic DC-10 can be differentiated in vitro in the presence of IL-10 and are present in vivo. DC-10 represent a new subset of tolerogenic DC that secrete high levels of IL-10, express tolerogenic molecules, and induce Tr1 cells in vitro. We are currently investigating the frequency and function of DC-10 in vivo in patients after HSCT and their role in promoting tolerance via induction of Tr1 cells. 1b12. S. Gregori: Immune role of HLA-G at donor/host interface in allogeneic stem cell transplantation (HSCT). HLA-G, a non-classical HLA class I molecule, plays a central role in promoting tolerance in fetus-maternal tolerance. HLA-G modulates inhibits cytotoxic activities of NK and CTLs and proliferation of allo-specific T-cell. HLA-G expression is induced after allogeneic transplantation in vivo and HLA-G expression by CD4+ T cells during MLR inhibits allo-specific Tcell proliferation, suggesting that HLA-G plays a role in modulating allo-responses. A 14bp insertion in the 3’ untranslated region (UTR) of HLA-G, in linkage disequilibrium with a second polymorphism in the 5’UTR, is correlated with a increased HLA-G mRNA and has been associated with immunological tolerance in pregnancy and autoimmunity. We aim at elucidating the role of HLA-G and its polymorphisms in controlling the immune response after allogeneic HSCT. 1b13. MG. Roncarolo, M. Battaglia: Rapa expanded CD25+ Treg cell therapy to improve immunoreconstitution and prevent GvHD after HSCT. Naturally occurring CD4+CD25+FOXP3+ Treg cells are present in very low number in peripheral blood mononuclear cells but can be expanded in vitro in the presence of rapamicin. We are currently testing appropriate methods suitable to isolate the starting Treg population to be expanded and subsequently transferred in vivo 13 Aggiornato al 10.10.09 Workpackage1: Milestones 1a1: Identification of the endocytic pathway(s) involved in asymmetric HSC division. 1a2: Identification of the molecular competition mechanism distinguishing the oncosuppressor Prep1 from the oncogenic Meis1 in normal leukemic stem cells homeostasis. 1a3: Understanding the role of uPAR in skin stem cells biology. 1a4: Identfication of the role of NRSF/REST in neuronal differentiation 1a5: Definition of the role of pericytes in muscle growth, repair and in dystrophy. 1a6: Assessing mouse and human iPS growth factor requirements, long-term stability and optimal cellular sources 1a7: Identification of a renewable source of cells to be used to increase the transplantable beta cell mass in diabetic patients. 1a8: Generation of a circulating, mesoderm inducible normal progenitor. Generation of a circulating, myogenically inducible, LG2D dystrophic, genetically corrected progenitor. 1a9: Definition of the role of endothelial progenitors in muscle growth, repair and in dystrophy 1b1: Development of NMR based protocols for cell tracking in vivo 1b2Identification of the relative role of RAGE and TLR4 in mesoangioblast migration at the site of tissue damage 1b3: Role of TEMs in skeletal muscle regeneration. Combined cell therapy of dystrophic muscle by TEMs and mesoangioblasts. 1b4: Identification of molecules that regulate the interaction between polarized macrophages and progenitors in injured skeletal muscle. Establishment of mouse models of vessel, muscle and peritoneal injury defective of candidate protective/deleterious gene products. 1b5: Definition of the role of Necdin in muscle regeneration. 1b6: Definition of the role of NFIX in muscle regeneration. 1b7: Novel NO-based protocols for cell transplantation and tissue repair. 1b8: Novel protocols for HLA-mismatched HSC transplantation. 1b9: To determine Tr1 cell therapy safety and efficacy in promoting immune-reconstitution and preventing GvHD, and extend their application to other disease settings. 1b10: Definition of predictive cellular and molecular signature for transplantation tolerance. 1b11: To determine the biological role of DC-10 in promoting tolerance after HSCT. 1b12: To define the role of HLA-G and its polymorphisms in modulating immune response after HSCT. 1b13: Completion of pre-clinical protocol to obtain CD4+CD25+ Treg cells expanded in vitro with rapamicin, and definition of safety clinical trial in HSCT. 14 Aggiornato al 10.10.09 Workpackage 2. Pre-clinical models Workpackage 2a. Analysis and modulation of tissue damage and repair. 2a1: S. Brunelli: The role of necdin in mesoangioblast function. We have isolated and characterized adult muscle-derived mesoangioblasts from wt, Ndn-/- mice and necdin gain of function mice (MlcNec) (Deponti et al, 2007), and we have also generated a line of MABs constitutivelly overexpressing Ndn, by infection with a lentiviral vector (NdnMABs). Overexpression of Ndn in vitro increases the differentiation ability of MABs, and inhibit cell death induced by several apoptotic stimuli. To study the relative contribution of these cells to muscle regeneration in vivo we have performed intra-muscular and intra-arterial injections of NdnMABs and control mesoangioblasts in the dystrophic murine model (alpha-sarcoglycan null mice). Preliminary data showed that muscle injected with NdbMABs showed a greater restoration of the alpha-SG expression. We will extend the analysis on a long term muscle reconstitution, and studying the effect of the transplantation of these modified mesoangioblasts on morphological, biochemical and physiiological parameters. 2a2 G. Cossu: The role of NFIX in satellite cell and mesoangioblast function. Satellite cells and mesoangioblasts have been derived from NFIX over-expressing or null mice and their ability to contribute to regeneration of injured or dystrophic skeletal muscle will be tested. 2a3: E Clementi: role of NO in muscle angiogenesis and regeneration. The project aims at identifying novel therapeutic approaches to muscular dystrophy by identifying key molecular events or signaling molecules in muscle development that can be targeted by pharmacological tools. Great emphasis in the study is on bioenergetics of skeletal muscle and on the role of NO as an angiogenetic factor. One candidate therapeutic approach, involving NSAIDS and NO donors, is already in phase II clinical experimentation. 2a4: G. Zerbini: Role of EPC in diabetes. Endothelial progenitor cells and vascular disease in type 1 diabetes. The long-term goal of our studies is to learn whether endothelial progenitor cells (EPCs) can be used in subjects with type 1 diabetes as trustworthy informant of overall vascular status and occurrence of specific events in the retina. We observed that patients with long duration of type 1 diabetes and suboptimal glycemic control a number of circulating EPCs lower than in matched control subjects. We will define an “EPCs profile”, including (i) number of circulating EPC; (ii) circulating levels of mobilizing cytokines, (iii) ability of circulating EPCs to form endothelial colonies in vitro, and (iv) indices of attrition as measured by senescent cells and telomere shortening in the colonies formed in vitro. 2a5: G Peretti: Tissue engineering for generating neo-cartilage and tendons. Muscle-derived stem cells have been recently demonstrated to have chondrogenic potential (Kuroda R, 2006) and this can be enhanced by VEGF blocking with soluble Flt-1 gene transfer.We will investigate the chondrogenic potential of human mesoangioblasts under standard chondrogenic conditions (TGF- 15 Aggiornato al 10.10.09 β3 or BMP-4 containing medium, low oxygen tension, etc.), with VEGF blocking in order to prevent angiogenesis and consequently osteogenesis, once implanted in vivo. Micromass pellet culture (Barbero A, 2004) and transwell culture (Murdoch AD, 2007) will be used to direct mesoangioblasts toward a chondrogenic phenotype in the first task of the project. Bone marrow-derived hMSCs will be used as a control. If the first task will be successful we will couple this method to tissue engineering techniques by using custom-made biocompatible scaffolds in order to engineer clinically relevant chondral, ostechondal and meniscal fibrocartilaginous grafts. Engineered mesoangioblast-based grafts will be assessed after in vitro and nude mice culture. 2a6: L. Piemonti, Tissue remodeling of somatic cell therapy with pancreatic islet. Novel approaches are needed to improve islet survival either immediately after transplantation, either in the long term. We propose to a) Improve islet transplantation outcome by cotransplantation of islets and feeder cells using mesenchymal stem cells as feeder cells. The proposal is based on preliminary data showing that a large number of mesenchymal stem cells with proliferative capacity (Sordi et al. 2005) are retrieved in islet and non-islet fractions obtained from pancreas digestion. When cotransplated with pancreatic islets, pancreatic MSC favour survival and function of transplanted tissue (Sordi et al, submitted). b) Study bone marrow as site for islet transplantation. Survival of both syngeneic and allogeneic islet grafts in the liver is sub-optimal in the mouse model (Melzi et al 2007). We propose the bone marrow as an alternative site because of its accessibility, its environment rich in stem cells, and its potential for revascularization. Our data show that islets survive exceptionally well in mice, when transplanted into the bone marrow (Cantarelli et al, submitted). Workpackage 2b. Test of cell therapy in small and large pre-clinical models. 2b1: Cossu: Cell therapy for Limb Girdle Muscular Dystrophy 2D. Alpha-sarcoglycan (a-SG) null/SCIDbg mice and a lentivector expressing humana-SG have been produced. Mesoangioblasts are being derived from patients but this proofs to be difficult (lack of AP perictyes as a possible feature of this dystrophy. Thus IPS (see 1a6) are being generated as an alternative source of donor stem cells. 2b2: Cossu: Reversible immortalization and Artificial Chromosome transfer for DMD cell therapy. Human Artificial Chromosomes (HAC) allow transfer of the whole dystrophin locus (Hoshiya et al. 2008) in mesoangioblasts from Duchenne patients. Transfer is inefficient and requires selection that would lead primary human cells to senescence. To overcome this problem we have reversibly immortalized with floxed lentivectors expressing human telomerase and Bmi1 both normal and DMD mesoangioblasts that maintain a non transformed, differentiation competent phenotype. After HAC-Dys transfer, floxed vectors will be excised and cells transplanted into mdx/SCID mice to test reconstitution of human muscle in vivo. 16 Aggiornato al 10.10.09 2b3: S. Previtali: Cell therapy for Congenital Muscular Dystrophy (CMD). CMD is characterized by progressive wasting muscular dystrophy, dysmyelinating neuropathy and CNS abnormalities. The most frequent form is due to mutations of the LAMA2 gene encoding the laminin alpha2 chain, which forms merosin the predominant laminin isoform of muscle and nerve basement membrane. The overexpression of mini-agrin, a cross-linker molecule that allows reconnection of the basement membrane to the resident cells, showed amelioration of CMD in animal models. We want to explore a cell therapy approach to deliver mini-agrin into the diseased tissues. Mesoangioblasts have been infected with lentivirus vectors carrying a mouse mini-agrin gene. Mesoangioblasts synthesize and secrete mini-agrin in vitro and in vivo. We will evaluate effects of mini-agrin transduced mesoangioblast in 2 mouse models of CMD (Dy2J and Dy3K) to prevent and rescue muscular dystrophy and peripheral neuropathy. 2b4: D. Gabellini: Cell therapy for FSH Muscular Dystrophy. Satellite cells and mesoangioblasts are being derived from FRG1 over-expressing mice (Gabellini et al. 2006). Their muscle differentiation capability and their ability to contribute to regeneration of dystrophic skeletal muscle will be tested. Lentiviruses with an shRNA specific for FRG1 have been produced to knockdown FRG1 on stem cells before transplantation. FRG1/SCIDbg will be generated in order to test mesoangioblasts derived from FSHD patients. 2b5: G. Peretti: Neo-cartilage implants. According to our previous experience with large animal models (Peretti GM, 2006) we will test the potential of the engineered grafts by implanting it in orthotopic chondral, osteochondral and meniscal defects in pigs knees. As long as the zonal architecture of the menisci implies that the inner part resembles hyaline cartilage while the outer is more fibrous and vascularized, an interesting point to be addressed will be whether a differential scaffold seeding with VEGF-blocked cells in the inner part and wild type cells in the outer part would be beneficial in term of graft in vivo function, integration and survival. 2b6: S. Gregori, R. Bacchetta: Human IL-10-producing Tr1 cell therapy in pre-clinical models of GvHD. A pre-clinical model of human GvHD in rag2-/-gc-/- mice has been developed. This model will be used to test the in vivo function of in vitro differentiated Tr1 cells or LV-IL-10transduced T cells. 2b7: R. Bacchetta: FOXP3-transduced Treg from IPEX patients in pre-clinical model of GvHD. Patients affected with IPEX have mutation in the FOXP3 gene, a transcription factor essential for the differentiation and function of CD4+CD25+ Treg cells. These cells, although present, are dysfunctional in IPEX patients. LV-mediated gene transfer of FOXP3 is able to confer suppressive activity to naïve and memory T cells. We are currently testing the feasibility of LVmediated FOXP3 gene transfer in FOXP3 mutated cells. The activity of FOXP3-transduced cells will be validated in a pre-clinical model of human GvHD in rag2-/-gc-/- mice. Workpackage 2c. Tracing stem cells in vivo. 17 Aggiornato al 10.10.09 2c1: F. Grohovaz: Alembic facility: The available microscopy approaches will allow the study of cellular functions in live cells as well as the ultrastructural analysis of the integration of stem cells in host tissues. Different bright field and confocal approaches are available to meet the various requirements for single cell, long term imaging under a controlled environment. High throughput, high content imaging approaches are also available to simultaneously perform a broad range of cellular and subcellular assays within the same cells. Electron microscopy approaches can complement live cell studies with the morphological and immunolabeling analysis of cells and tissues. A specific opportunity is offered by the use of the EM energy filter: microanalysis of a specimen can be performed by electron energy loss spectra (EELS) and by electron-spectroscopic imaging (ESI), thereby obtaining ultrastructural maps of specific elements (e.g. identification of magnetically labeled Stem Cell within tissues even when the number of atoms is greatly reduced). 2c2: A. Del Maschio: MRI cell tracking. The technique of MRI cell tracking developed should be directed towards the application in-vivo in different animal model of stem cell based therapy, using a small bore 7T magnet (Bruker biospin), to understand the correlation between MRI findings and therapeutic effects, as well as to investigate the spatio-temporal dynamics of in vivo stem cell-tissue interactions and the local tissue vascular changes (neovascularization, inflammation) occurring around the site of stem cells engraftment using blood pool contrast agents. These data should be very useful for the development of more effective MR-guided cell therapy protocols in the future. 2c3: L.S. Politi: Stem Cell tracking in vivo upon transplantation. Magnetic Resonance (MR) based monitoring of magnetically labeled Somatic Stem Cell (SSC) transplantation, homing and long-term persistence into target organs may provide critical information for development and interpretation of SSC transplant approaches. Further, in vivo monitoring of gene expression would contribute to the development of gene therapy approaches. Contrast media and newly developed MR reporter genes and gene transfer vectors will be optimized for SSC tracking and then employed to monitor SSC fate upon transplantation and gene expression in vivo. Workpackage 2: Milestones: 2a1: Efficiency of muscle regeneration by Necdin over-expressing cells 2a2: Efficiency of muscle regeneration by NFIX over-expressing cells. 2a3: Preclinical and early clinical efficacy of NO in muscle angiogenesis and regeneration. 2a4: Role of EPC in diabetes 2a5: Chondrogenic potential of human progenitors under chondrogenic conditions. 2a6: Implementation of protocols for islet transplantation 2b1: Pre-clinical efficacy of human progenitor cell transplantation in LGMD2D/SCIDbg mice 2b2: Pre-clinical efficacy of transplantation or reversibly immortalized human mesoangioblasts, HAC-Dys transduced, in mdx/SCID mice. 18 Aggiornato al 10.10.09 2b3: Pre-clinical efficacy of mini-agrin transduced mesoangioblasts in CMD animal models: effects on skeletal muscle and peripheral nerve. 2b4: Pre-clinical efficacy of mouse mesoangioblasts transplanted in FRG1 mice and of human FSHD mesoangioblasts transplantation in FRG1/SCIDbg mice. 2b5: Potential of the engineered grafts by implantation in orthotopic chondral, osteochondral and meniscal defects in pigs knees. 2c1: Development of high resolution cell imaging. 2c2: Protocols for MRI based cell tracking in vivo. 2c3: Demonstration of efficient cell tracking after transplantation. Workpackage 3: Clinical application Workpackage 3a. Projects entering clinical experimentation 3a1: Y Torrente, F Ciceri, G Cossu: A single centre, prospective, non-randomized study: “Outcome measures validation study for children affected by Duchenne Muscular Dystrophy (DMD)”. Thirty DMD patients (with a sibling) and thirty controls, aged 5-10 will be tested periodically for force of contraction and motility in order to create a data base and a single-patient pattern. Three of these patients will continue with the protocol in 3a2. 3a2: G Cossu, Y Torrente, F Ciceri: A phase I “Allo-transplantation of donor mesoangioblasts in DMD”. Three Duchenne pediatric patients will be transplanted intra-muscularly and then intra-arterially with escalating doses of normal mesoangioblasts from an HLA-identical donor, under a regime of immune suppression. Primary end-point: safety. 3a3: L Piemonti. A single centre, prospective, randomised study: “Pancreatic Islet Autotransplantation With Completion Pancreatectomy in the Management of patients with high risk for pancreaticojejunostomy after Whipple Resection.” Twenty selected patients undergoing Whipple resection that are considered high risk for pancreaticojejunostomy disruption (eg, small pancreatic duct, soft pancreas) will be randomized to receive pancreaticojejunostomy or preemptive total completion pancreatectomy and islet autotransplantation. Primary end-points: mortality, surgical morbidity, diabetes development. 3a4: F.Ciceri: Development of new strategies for bone marrow stem cell procurement through the use of new drugs in combination with known growth factors. In particular, Plerixafor, a partial agonist of the alfa-chemokine receptor CXCR4, has been found to be a strong inducer of "mobilization" of hematopoietic stem cells from the bone marrow to the bloodstream as peripheral blood stem cells. Peripheral blood stem cell mobilization, which has become extremely important as a source of hematopoietic stem cells for transplantation over the past 10 to 15 years, is generally performed using the cytokine drug G-CSF, but is ineffective in around 15 to 20% of 19 Aggiornato al 10.10.09 patients. Plerixafor offers clinical promise as a drug for peripheral blood stem cell mobilization, and has recently completed Phase 3 clinical trials. It is not yet in routine clinical use. Plerixafor has orphan drug status in the United States and European Union for the mobilization of hematopoietic stem cells. It was approved by the U.S. Food and Drug Administration for this indication on December 15, 2008 Workpackage 3B. Projects already in clinical trials (optimization) 3b1: P Rama: Autologous fibrin-cultured limbal stem cells transplantation.The cornea epithelia integrity is maintained by the centripetal migration of stem-cell-derived transient amplifying cells derived from the corneal stem cell located in the limbus, the narrow transitional zone of the ocular surface located between the cornea and the bulbar conjunctiva. Diseases which involve the limbus, such as ocular burns, are characterised by depletion of limbal cells thereby leading to corneal reepithelialisation by bulbar conjunctival cells. This abnormal wound healing induces neovascularisation, chronic inflammation and stromal scarring with visual loss. Allogeneic corneal grafting cannot be successful in these patients, unless the limbal stem cell population has been restored by limbal transplantation. Between 1998 and 2007 we performed 125 transplantations of autologous limbal stem cells cultivated on 3T3-J2 and fibrin on 112 patients with limbal stem-cell deficiency. The overall results, after one or more procedures, were: 76.64% success, 13.08% partial success and 10,28% failure. No failures were reported after one year. The procedure appears safe and stable over time. 3b2: L Piemonti, L. Guidotti: Bone marrow as an alternative site for islet transplantation. Survival of both syngeneic and allogeneic islet grafts in the liver is sub-optimal in the mouse model (Melzi, Mercalli et al 2009 in press). Possible alternatives to the liver as a site for islet engraftment include the spleen, omentum, pancreas, and muscle. We proposed the bone marrow as an alternative site because of its accessibility, its environment rich in stem cells, and its potential for revascularization. Our preliminary data show that islets survive exceptionally well in mice, when transplanted into the bone marrow. The issues with respect to clinical applicability surround safety which will be explored. 3b3: F Ciceri: Development of new pharmacologic and cellular platforms to allow allogeneic SCT from alternative donors. The major limitation in offering a HSCT to any patient in need is the availability of a marrow donor. Over the last decades, alternative donors such as family mismatched up to partially incompatible (haploidentical) and stem cells derived from cord blood have been pioneered in the field of SCT with very promising results. The availability of new immunosuppressants (i.e. rapamycin) and a better knowledge on the immunological mechanisms 20 Aggiornato al 10.10.09 driving graft-versus-host disease and host-versus-graft have favoured a wider application of these technologies. This will eventually allow to offer to almost 100% patients the option of cure through HSCT. Results on the use of genetically engineered donor lymphocytes with the suicide gene HSV-tk have been recently published in Lancet Oncology demonstating the safety and efficacy of this gene therapy technology in the setting of mismatched donors. A phase III multicentreic trial is ongoling. 3b4: F Ciceri: Development of new modalities for hematopoietic stem cells transplantation (HSCT) both in autologous and allogeneic setting to reduce transplant related toxicity. The expertise of the hSR BMT Unit in allogeneic SCT is already focused in testing new conditioning regimens based on reduced-toxicity drugs (i.e. treosulfan, clofarabine) and new anti-infective drugs (i.e. posaconazole, anidulafungin, maribavir) for patients with leukemia, lymphoma, myelosisplasia, myeloma, bone marrow failure syndromes and inherited disorders such as hemoglobinopaties and immunodeficiencies. In 2008 the BMT Unit performed 52 allogeneic adult HSCTs, 62 autologus HSCTs and 17 allogeneic pediatric HSCTs. Our data on clinical performance in 2008 show an engraftment rate >95% and a treatment related mortality (TRM) of <5% in allogeneic family donor HSCT and engraftment 100 % and TRM 3 % in autologous HSCT. Several phase II trials with these drugs are ongoing. Workpackage 3: Milestones 3a1: Development of a tool to measure outcome in DMD patients undergoing cell therapy studies and identification of 3 subjects fulfilling the criteria to be enrolled in a phase I trial with mesoangioblasts. 3a2: Safety of HLA identical donor mesoangioblasts injected intra-muscularly and intra-arterially in DMD patients. 3a3 Data on mortality, surgical morbidity and diabetes development in patients undergoing preemptive total pancreatectomy and islet autotransplantation. 3a4 Data on the efficiency of Plerixator to mobilize stem cells in combination with G-CSF. 3b1 Data on the efficacy and safety of autologous fibrin-cultured limbal stem cells transplantation 3b2 Data on safety and efficacy of intra bone infusion of islet grafts in humans. 3b3 Development of new pharmacologic and cellular platforms to allow allogeneic SCT from alternative donors. 3b4 Development of new modalities for HSCT in autologous and allogeneic setting to reduce transplant related toxicity. Deliverables: Deliverables will be represented by : 1 Publications; 2 Patents ; 3 Protocols 21 Aggiornato al 10.10.09 Time schedule: WP n° 0-12 months 12-24 months 24-36 months 1a1 Blasi Ferrari xxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxx 1a2 Blasi xxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxx 1a3 D’Alessio Blasi xxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxx 1a4 Meldolesi xxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxx 1a5 Cossu xxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxx 1a6 Broccoli xxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxx 1a7 Piemonti xxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxx 1a8 Naldini Cossu xxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxx 1a9 Brunelli xxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxx 1b1 Del Maschio xxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxx 1b2 Bianchi xxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxx 1b3 De Palma xxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxx 1b5 Brunelli xxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxx 1b6 Cossu xxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxx xxxxxxx xxxxxxxxxxxxxxx xxxxxxxxxxxxxxx xxxxxxxxxxxxxxx xxxxxxxxxxxxxxx xxxxxxxxxxxxxxx 1b11 Gregori xxxxxxxxxxxxxxx xxxxxxxxxxxxxxx xxxxxxxxxxxxxxx 1b12 Gregori xxxxxxxxxxxxxxx xxxxxxxxxxxxxxx xxxxxxxxxxxxxxx 1b13 Roncarolo xxxxxxxxxxxxxxx xxxxxxxxxxxxxxx xxxxxxxxxxxxxxx 2a1 Brunelli xxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxx 2a2 Cossu xxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxx 2a3 Clementi xxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxx Broccoli Naldini 1b4 Manfredi Rovere 1b7 Clementi E. 1b8 Fleischhauer 1b9 Bacchetta Roncarolo Gregori 1b10 Bacchetta Roncarolo Gregori Fleischhauer Battaglia 22 Aggiornato al 10.10.09 2a4 Zerbini xxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxx 2a5 Peretti xxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxx 2a6 Piemonti xxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxx 2b1 Cossu xxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxx xxxxxxx 2b2 Cossu xxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxx 2b3 Previtali xxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxx xxxxxxxx xxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxx 2b4 Gabellini 2b5 Peretti 2b6 Gregori xxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxx 2c1 Grohovaz xxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxx 2c2 Del Maschio xxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxx 2c3 Politi xxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxx 3a1 Cossu Torrente xxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxx Bacchetta Ciceri 3a2 Torrente Ciceri xxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxx Cossu 3a3 Piemonti 3°4 Ciceri xxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxx xxxxxx xxxxxxxxxx 3b1 Rama xxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxx 3b2 Piemonti xxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxx 3b3 Ciceri xxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxx 3b4 Ciceri xxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxx Guidotti 23 Aggiornato al 10.10.09 References: Aiuti et al. Science 28, 5577, 2002. Barbero A et al. Osteoarthritis Cartilage 12 (6), 476, 2004 Bifari et al. J Cell Mol Med, in press Brunelli et al. Circ Res, 94: 1571-1578, 2004 Brunelli et al., Proc Natl Acad Sci USA 104, 264, 2007 Chou et al. Cell 135, 449, 2008. D’Alessio et al. J Cell Sci 121: 3922-3932, 2008. Dellavalle et al. Nature Cell Bioll. 9, 255, 2007. Deponti et al. J Cell Biol, 179: 305-319, 2007 Di Terlizzi et al., Biol Blood Marrow Transpl 12: 95-101, 2006 Donisi et al. Cornea. 22:533-8, 2003 Fleischhauer et al., Blood 1072984-2992, 2006: Gabellini et al. Nature 439, 973, 2006. Hacein-Bey-Abina et al. J Clin Invest. 118, 3132, 2008. Hisatsune H et al. Blood 105: 4657-4663, 2005 Hoshiya et al. Mol Ther. 2008 Nov 25. [Epub ahead of print] Hyun et al. Cell Stem Cell 3, 607, 2008. Kuroda R et al. Arthritis Rheum 54(2), 433,2006 Mazzi et al. Leukemia 22: 2119-2222, 2008 Meinen et al. J Cell Biol 176, 979, 2007 Melzi, Cell transplantation in press 2009 Miyagoe et al.. FEBS 415, 33, 1997. Moll et al. Nature 413, 302, 2001. Murdoch AD et al. Stem Cells 25(11), 2786, 2007 Nisoli et al., Proc Natl Acad Sci USA, 101, 16507, 2004; Palumbo R. et al J Cell Biol 164: 441-9, 2004 Palumbo R. et al J Cell Biol 179: 33-41, 2007 Pellegrini et al. J Cell Biol. 145:769-82, 1999 Pellegrini et al. J Pathol: 217: 217-28, 2009 Peretti GM et al. Tissue Engineering 12(5), 1151, 2006 Pisconti et al., J Cell Biol 172, 233, 2006; Qiao et al. PNAS 102, 11999, 2005. Rama et al. Transplantation. 72:1478-85, 2001 24 Aggiornato al 10.10.09 Sciorati et al., J Cell Sci 119, 5114, 2006; Sciorati et al. J Cell Sci, 2009, in press. Sordi et al. Blood 106, 419-427, 2005 Takahashi et al. Cell 131, 861, 2007. 5. GOVERNANCE The initial plan is based on monthly meetings consisting of one progress report from one participating unit and open discussion on progress, funding opportunities and problems. The large size of the program and the many participants requires the creation of a Steering Committee, necessary to monitor progress of the program, problems and possible solutions. 25 Aggiornato al 10.10.09 6. PARTICIPATING UNITS (COMPONENTS, FUNDING AND PUBLICATIONS 2005-2008) Francesco Blasi. Researcher: Silvia D’Alessio (HSR) Post-doctoral fellows: Giorgio Iotti (AIRC), Audrey Laurent (IFOM) Graduate Students: Patrizia Marzorati (UVSSR), Silvia Mori (UVSSR), Livia Modica (IFOM), Leila Dardaei (IFOM). Technicians: Massimo Resnati (HSR), Laura Gerasi (HSR), Ambra Crippa (HSR). Funding. AIRC (2007-2010) Telethon (2007-2009) Cariplo (2009-2010) Min San Progetti Finalizzati (2009-2011) 5 relevant publications (2005-2008): Micali, N. Ferrai, C., Fernandez Diaz, L.C., Blasi, F and Crippa, M.P. Prep1 regulates the intrinsic apoptotic pathway by directly controlling Bcl-XL expression. In press Mol Cell Biol. D’Alessio, S., Gerasi, L. and Blasi, F. The urokinase receptor (uPAR) Ko mice keratinocytes fail to produce EGF-receptor-dependent Laminin-5 affecting migration in vitro and in vivo. 2008. J Cell Sci 121, 3922-3932. Caiolfa V, Zamai M, Malengo G, Andolfo A, Madsen CD, Sutin J, Digman M, Gratton E, Blasi F, Sidenius N. Monomer-dimer dynamics and distribution of GPI-anchored uPAR are determined by cell surface protein assemblies. (2007) J. Cell Biol., 179, 1067-1082. Diaz, VM Mori, S, Longobardi, E, Menendez, G., Ferrai, C. RA Keough, A Bachi and F Blasi. p160 myb-binding-protein interacts with Prep1 and inhibits its transcriptional activity. (2007) Mol. Cell Biol. 27, 7981-7990. Ferretti, E., J.Carlos Villaescusa, Patrizia Di Rosa, Luis C. Fernandez-Diaz, Elena Longobardi, Roberta Mazzieri, Annarita Miccio, Nicola Micali, Licia Selleri, Giuliana Ferrari and Francesco Blasi. Hypomorphic mutation of the TALE gene Prep1 (pKnox1) causes a major reduction of Pbx Alessandra Biffi (Group Leader) Capotondo Alessia (PhD student) Cesani Martina (PhD student) Delai Stefania (Research Fellow) Plati Tiziana (Technician) Funding Telethon B1 562.000,00 € (2006-2010) ELA 250.000,00 € (2007-2010) Italian Ministry of Health 129.800,00 € (with A. Gritti, 2007-2009) Italian MIUR (PRIN project) 90.000,00 € (2007-2009) National Tay Sachs and Allied Diseases Association (NTSAD) 22.500,00 € (with A. Gritti, 2009) 5 relevant publications (2005-2008): 1. Visigalli I., Moresco R.M., Belloli S., Politi L.S., Gritti A., Ungaro D., Matarrese M., Turolla E., Coradeschi E., Falini A., Scotti G., Naldini L., Fazio F., Biffi A.§. Monitoring disease evolution and treatment response in lysosomal disorders by the peripheral benzodiazepine receptor ligand PK11195. Neurobiology of Disease, in press. 26 Aggiornato al 10.10.09 § 2. Biffi A. , Cesani M., Fumagalli F., del Carro U., Baldoli C., Canale S., Gerevini S., Amadio S., Falautano M., Rovelli A., Comi G., Roncarolo M.G., Sessa M. (2008). Metachromatic leukodystrophy - mutation analysis provides further evidence of genotype-phenotype correlation. Clin. Genet. 74: 349-357. 3. Capotondo A., Cesani M., Pepe S., Fasano S., Gregori S., Tononi L., Venneri M.A., Brambilla R., Quattrini A., Ballabio A., Cosma M.P., Naldini L., Biffi A.§ (2007). Overexpression of arylsulfatase A in target cells is safe and enables efficacious gene therapy of metachromatic leukodystrophy. Hum. Gene Ther. 18(9): 821-36. § 4. Fraldi A.*, Biffi A.* , Lombardi A., Visigalli I., Pepe A., Settembre C., Nusco E., Auricchio A., Naldini L., Ballabio A., Cosma M.P.§ (2007). SUMF1 enhances sulfatase activities in vivo in five sulfatase deficiencies. Biochem. J. 403(2): 305-12. § 5. Biffi A. , Capotondo A., Fasano S., del Carro U., Marchesini S., Azuma H., Malaguti M.C., Amadio S., Brambilla R., Grompe M., Bordignon C., Quattrini A., Naldini L.§ (2006). Gene therapy of metachromatic leukodystrophy reverses neurological damage and deficits in mice. J. Clin. Invest. 116(11):3070-82. (IF 16,915) Marco E. Bianchi / Roberta Palumbo Project Leader : Roberta Palumbo Technician: Francesco De Marchis Funding; AIRC 5 relevant publications (2005-2008): 1. Palumbo R, Galvez BG, Pusterla T, De Marchis F, Cossu G, Marcu KB and Bianchi ME (2007) Cells migrating to sites of tissue damage in response to the danger signal HMGB1 require NF-kB activation. J Cell Biol 19: 33-40 2. De Mori R, Straino S, Di Carlo A, Pompilio G, Palumbo R, Bianchi ME, Capogrossi MC and Germani A (2007) Multiple effects of High Mobility Group Box 1 in skeletal muscle regeneration. Arterioscler Thromb Vasc Biol 27: 2377-83 3. Raucci A, Palumbo R and Bianchi ME (2007) HMGB1: a signal of necrosis. Autoimmunity 40: 285-9 4. Porto A, Palumbo R, Pieroni M, Aprigliano G, Chiesa R, Sanvito F, Maseri A and Bianchi ME (2006) Smooth muscle cells in human atherosclerotic plaques secrete and proliferate in response to High Mobility Protein Box 1. FASEB J 20: 2565-6 and E1955-63 5. Limana F, Germani A, Zacheo A, Kajstura J, Di Carlo A, Borsellino G, Leoni O, Palumbo R, Battistini L, Rastaldo R, Müller S, Pompilio G, Anversa P, Bianchi ME, and Capogrossi MC (2005) Exogenous High-Mobility Group Box 1 protein induces myocardial regeneration following infarction via enhanced cardiac c-kit+ cell proliferation and differentiation. Circ Res 97: 73-83 Vania Broccoli: PhD students: Serena Giannelli (HSR-ANC); Gaia Colasante (HSR); Alessandro Sessa (HSR) Sara Ricciardi (HSR-E-RARE) Fellows: Federica Ungaro (Telethon), Giorgia Colciago (Telethon), Sara Loponte (AIP) Funding; 27 Aggiornato al 10.10.09 Telethon GGP07181 E-RARE Min San ( Progetti Giovani Ricercatori) AIP (Associazione Nazionale Parkinson) Min San Progetti Finalizzati Associazione Nazionale Cechi 2008-2010 2008-2011 2009-2011 2009-2010 2007-2009 2009-2011 5 relevant publications (2005-2008): 1) Sessa A, Mao CA, Hadjantonakis AK, Klein WH, Broccoli V. (2008). Tbr2 directs conversion of radial glia into basal precursors and guides neuronal amplification by indirect neurogenesis in the developing neocortex. Neuron 60(1):56-69. 2) Colasante G, Collombat P, Raimondi V, Bonanomi D, Ferrai C, Maira M, Yoshikawa K, Mansouri A, Valtorta F, Rubenstein JL, Broccoli V. (2008) Arx is a direct target of Dlx2 and thereby contributes to the tangential migration of GABAergic interneurons. J Neurosci. 28(42):10674-86. 3) Di Stefano B, Prigione A, Broccoli V. (2008) Efficient genetic reprogramming of unmodified somatic neural progenitors uncovers the essential requirement of Oct4 and Klf4. Stem Cells Dev. 2008 Aug 25. [Epub ahead of print] 4) Rusconi L, Salvatoni L, Giudici L, Bertani I, Kilstrup-Nielsen C, Broccoli V*, Landsberger N.* (2008). CDKL5 expression is modulated during neuronal development and its subcellular distribution is tightly regulated by the C-terminal tail. J Biol Chem. 283(44):30101-11. *Cocorresponding authors 5) Wernig M, Zhao JP, Pruszak J, Hedlund E, Fu D, Soldner F, Broccoli V, Constantine-Paton M, Isacson O, Jaenisch R. (2008). Neurons derived from reprogrammed fibroblasts functionally integrate into the fetal brain and improve symptoms of rats with Parkinson's disease. Proc Natl Acad Sci U S A. 105(15):5856-61. Silvia Brunelli: Post-doctoral fellows: Thierry Touvier (CAR-MEDEA); Stephanie François (Telethon). PhD students: Emanuele Azzoni (Unimib); Patrizia Pessina (Unimib). Graduate student Valentina Conti (Telethon) Funding; Telethon GGP071013 Cariplo CAR-MEDEA PI Cariplo CAR-5121 MinSan PSX56/5/76 PI Min San Progetti Finalizzati PI PI co-PI 2007-2009 2008-2010 2008-2010 2007-2009 2009-2011 5 relevant publications (2005-2008): Sciorati, C., Touvier, T., Buono, R., Pessina, P., François, S., Perrotta, C., Meneveri, R., Clementi, E., and Brunelli, S. Necdin is expressed in cachectic skeletal muscle to physiologically protect fibers from tumor-induced wasting. J Cell Sci, in press, 2009. Messina, G., Sirabella, D., Monteverde, S., Galvez, B. G., Tonlorenzi, R., Schnapp, E., De Angelis, L., Brunelli, S., Relaix, F., Buckingham, M., and Cossu, G. Skeletal Muscle Differentiation Of Embryonic Mesoangioblasts Requires Pax3 Activity. Stem Cells, 2008 Deponti, D., Francois, S., Baesso, S., Sciorati, C., Innocenzi, A., Broccoli, V., Muscatelli, F., Meneveri, R., Clementi, E., Cossu, G., and Brunelli, S. Necdin mediates skeletal muscle regeneration by promoting myoblast survival and differentiation. J Cell Biol, 179: 305-319, 2007. Brunelli, S., Sciorati, C., D'Antona, G., Innocenzi, A., Covarello, D., Galvez, B. G., Perrotta, C., Monopoli, A., Sanvito, F., Bottinelli, R., Ongini, E., Cossu, G., and Clementi, E. Nitric oxide 28 Aggiornato al 10.10.09 release combined with nonsteroidal antiinflammatory activity prevents muscular dystrophy pathology and enhances stem cell therapy. Proc Natl Acad Sci U S A, 104: 264-269, 2007 Brunelli, S., Relaix, F., Baesso, S., Buckingham, M., and Cossu, G. Beta catenin-independent activation of MyoD in presomitic mesoderm requires PKC and depends on Pax3 transcriptional activity. Dev Biol, 304: 604-614, 2007. Emilio Clementi: Researchers: Clara De Palma (Unimi-Sacco) Cristiana Perrotta (Unimi-Sacco) Post-doctoral fellows: Viviana Pisa (Telethon); Chris Panzeri (Cariplo) Graduate students: Roberta Buono (Unimi); Denise Cazzato (Medea); Laura Bizzozero (Uimi), Serena Pisoni (Medea) Technicians: Clara Sciorati (HSR); Greta Milani (EC) Funding; EC Otpistem (FP7 Project 223098) Telethon GGP07006 AIRC 5469 AFM 13470 Min San Progetti Finalizzati 2009-2013 2008-2010 2009-2011 2008-2009 2008-2009 5 relevant publications (2005-2008): 1) E. Nisoli, C. Tonello, A. Cardile, V. Cozzi, R. Bracale, L. Tedesco, S. Falcone, A. Valerio, O. Cantoni, E. Clementi, S. Moncada and M.O. Carruba. Calorie restriction promotes mitochondrial biogenesis by inducing expression of eNOS. Science, 310: 314-317, 2005. 2) A. Pisconti, S. Brunelli, M. Di Padova, C. De Palma, D. Deponti, S. Baesso, V. Sartorelli, G. Cossu, and E. Clementi. Follistatin induction by nitric oxide through cyclic GMP: a tightly regulated signalling pathway that controls myoblast fusion. J. Cell Biol. 172: 233-244, 2006 3) C. Sciorati, B.G. Galvez, S. Brunelli, E. Tagliafico, S. Ferrari, G. Cossu, and E. Clementi. Ex vivo treatment with nitric oxide increases mesoangioblast therapeutic efficacy in muscular dystrophy. J. Cell Sci. 119: 5114-5123, 2006 4) S. Brunelli, C. Sciorati, G. D’Antona, A. Innocenzi, D. Covarello, B.G. Galvez, C. Perrotta, A. Monopoli, F. Sanvito, R. Bottinelli, E. Ongini, G. Cossu, and E. Clementi. NO release combined with nonsteroidal antinflammatory activity prevents muscular dystrophy pathology and enhances stem cell therapy. Proc. Natl. Acad. Sci. USA 104: 264-269, 2007 5) C. Colussi, C. Mozzeta, A. Gurtner, B. Illi, J. Rossi, S. Straino, G. Ragone, M. Pescatori, G. Zaccagnini, A. Antonini, G. Minetti, F. Martelli, G. Piaggio, P. Gallinari, C. Steinkluher, E. Clementi, C. Dell’Aversana, L. Altucci, A. Mai, M.C. Capogrossi, P.L. Puri, and C. Gaetano. HDAC2 blockade by nitric oxide and histone deacetylase inhibitors reveals a common target in Duchenne muscular dystrophy treatment. Proc. Natl. Acad. Sci. USA 105: 19183-19187, 2008 Giulio Cossu: Researchers: Messina Graziella (Unimi) Post-doctoral fellows: Dellavalle Arianna (FIRB); Hoshiya Hidetoshi (ERC); Ugarte Gonzalo (EC) Graduate students: Benedetti Sara (Uniroma1); Cappellari Ornella (Uniroma1); Tedesco Saverio (HSR) Maciotta Simona (HSR) 29 Aggiornato al 10.10.09 Technicians: Covarello Diego (EC); Innocenzi Anna (HSR); Monteverde Stefania (EC); Perani Laura (AFM); Tonlorenzi Rossana (HSR) Funding; EC Otpistem (FP7 Project 223098) EC Heart Repair (LSHM-CT-2005-0186309) EC MyoAmp (LSH-2005-1.2.4-7) ERC 2008 AdG 233263 Telethon GGP03080 FIRB RBIN063EWP Cure Duchenne AFM 12071 Min San Progetti Finalizzati 2009-2013 2007-2009 2007-2009 2009-2012 2008-2010 2008-2011 2008 2008-2009 2008-2009 5 relevant publications (2005-2008): 1) Galvez, B.G., Sampaolesi, M., Brunelli, S., Covarello, D., Gavina, M., Rossi, B., Costantin, G., Torrente, Y. and Cossu (2006). Complete repair of dystrophic skeletal muscle by mesoangioblasts with enhanced migratory ability. J. Cell Biol. 174, 231-243. 2) Sampaolesi, M., Blot, S., D’Antona, G., Granger, N., Tonlorenzi, R., Innocenzi, A., Mognol, P., Thibaud, J.L., Galvez, B.G., Barthélémy, I., Perani, L., Mantero, S., Guttinger, M., Pansarasa, O., Rinaldi, C., Cusella De Angelis, M.G., Torrente, Y., Bordignon, C., Bottinelli, R. and Cossu, G. (2006). Mesoangioblast stem cells ameliorate muscle function in dystrophic dogs. Nature 444:5749. 3) Morosetti, R., Mirabella, M. Gliubizzi, C., Broccolini, A., De Angelis, L., Tagliafico, E., Sampaolesi, M., Gidaro, T., Papacci, M., Roncaglia, E., Rutella, S., Ferrari, St., Tonali, P.A., Ricci, E. and Cossu, G. (2006). MyoD expression reverts a BHLHB3-dependent block of myogenic differentiation of human mesoangioblasts from inclusion-body myositis muscle (2006). Proc. Natl. Acad. Sci. USA 103:16995-7000. 4) Dellavalle, A, Sampaolesi, M, Tonlorenzi, R, Tagliafico, E, Sacchetti, B, Perani, L,, Innocenzi, B, Galvez, BG, Messina, G, Morosetti, R, Li, S, Belicchi, M, Peretti, G, Chamberlain, JS, Wright, WE, Torrente, Y, Ferrari, S, Bianco, P and Cossu, G. 2007. Pericytes of human skeletal muscle are myogenic precursors distinct from satellite cells. Nature Cell Biol. 9:255-267. 5) Gargioli, C., Coletta, M., De Grandis, F., Cannata, S.M. and Cossu G. 2008. PlGF-MMP9 expressing cells restore microcirculation and efficacy of cell therapy in old dystrophic muscle. Nature Med. 14:973-8. Alessandro Del Maschio: Project Leader : Francesco De Cobelli, MD Researchers: Antonio Esposito, MD Claudio Losio, MD Massimo Venturini, MD Funding; AIRC (with F. Blasi) CARIPLO (with R. Pardi) 5 relevant publications (2005-2008): 1) Manfredi AA, Capobianco A, Esposito A, De Cobelli F, Canu T, Monno A, Raucci A, Sanvito F, Doglioni C, Nawroth PP, Bierhaus A, Bianchi ME, Rovere-Querini P, Del Maschio A. Maturing 30 Aggiornato al 10.10.09 dendritic cells depend on RAGE for in vivo homing to lymph nodes. J Immunol. 2008 Feb 15;180(4):2270-5. Michele De Palma/Luigi Naldini: Director: Luigi Naldini, MD, PhD Project Leader: Michele De Palma, PhD Senior post-doc: Roberta Mazzieri, PhD Post-doc: Mary Anna Venneri, PhD PhD students: Ferdinando Pucci; Erika Zonari, Mario Squadrito Fellow: Daniela Biziato Technician: Davide Moi Funding; AIRC 2008-2010 EU (FP6 Tumor-Host Genomics) 2007-2009 Ministry of Health (Challenge in Oncology) 2008-2010 5 relevant publications (2005-2008): 1) De Palma M, R Mazzieri, LS Politi, F Pucci, E Zonari, S Mazzoleni, G Sitia, D Moi, MA Venneri, S Indraccolo, A Falini, LG Guidotti, R Galli, L Naldini. Tumor-targeted Interferon-α Delivery by Tie2-Expressing Monocytes Inhibits Tumor Growth and Metastasis. Cancer Cell, 2008 Oct 7;14(4):299-311. 2) De Palma M, C Murdoch, MA Venneri, L Naldini, CE Lewis. Tie2-expressing Monocytes: Regulation of Tumor Angiogenesis and Therapeutic Implications. Trends Immunol. 2007 Dec;28(12):519-24. 3) Venneri MA, M De Palma, M Ponzoni, F Pucci, C Scielzo, E Zonari, R Mazzieri, C Doglioni, L Naldini. Identification of Proangiogenic Tie2-Expressing Monocytes (TEMs) in Human Peripheral Blood and Cancer. Blood. 2007 Jun 15;109(12):5276-85. 4) De Palma M, L Naldini. Role of Haematopoietic Cells and Endothelial Progenitors in Tumour Angiogenesis. Biochim Biophys Acta–Reviews on Cancer, 2006 Aug;1766(1):159-66. 5) De Palma M, MA Venneri, R Galli, L Sergi Sergi, LS Politi, M Sampaolesi, L Naldini. Tie2 Identifies a Hematopoietic Lineage of Pro-Angiogenic Monocytes Required for Tumor Vessel Formation and a Mesenchymal Population of Pericyte Progenitors. Cancer Cell. 2005 Sep; 8(3):211-26. Heads: Angelo Manfredi / Patrizia Rovere-Querini Researchers: Corna Gianfranca Maugeri Norma PhD students: Bosurgi Lidia Campana Lara Castiglioni Alessandra Cottone Lucia Vezzoli Michela 31 Aggiornato al 10.10.09 Technicians: Capobianco Annalisa Monno Antonella Fundings: FIRB IDEAS (FIRBROVERE) Metadistretti Ricerca Oncologica (ROCONV20/07) AIRC (R0354) PRIN (R0331) Strategico Oncologia (RO-7OAF5-1) Ricerca Finalizzata (RF07-MDM-1) 2009-2014 2009-2012 2007-2010 2009-2010 2007-2009 2008-2011 2008-2010 5 relevant publications (2005-2009): Manfredi Angelo 1. Maugeri N, Rovere-Querini P, Evangelista V, Covino C, Capobianco A, Bertilaccio MT, Piccoli A, Totani L, Cianflone D, Maseri A, Manfredi AA. Neutrophils phagocytose activated platelets in vivo: a phosphatidylserine, P-selectin and ß2 integrin-dependent cell clearance program. Blood. 2009 In press. 2. Bianchi ME, Manfredi AA. Immunology. Dangers in and out. Science. 2009; 323:1683-4. 3. Manfredi AA, Capobianco A, Esposito A, De Cobelli F, Canu T, Monno A, Raucci A, Sanvito F, Doglioni C, Nawroth PP, Bierhaus A, Bianchi ME, Rovere-Querini P, Del Maschio A. Maturing dendritic cells depend on RAGE for in vivo homing to lymph nodes. J Immunol. 2008; 180:2270-5. 4. Manfredi AA, Rovere-Querini P, Bottazzi B, Garlanda C, Mantovani A. Pentraxins, humoral innate immunity and tissue injury. Curr Opin Immunol. 2008; 20:538-44. 5. Baruah P, Propato A, Dumitriu IE, Rovere-Querini P, Russo V, Fontana R, Accapezzato D, Peri G, Mantovani A, Barnaba V, Manfredi AA. The pattern recognition receptor PTX3 is recruited at the synapse between dying and dendritic cells, and edits the cross-presentation of self, viral, and tumor antigens. Blood. 2006; 107:151-8. Rovere-Querini Patrizia 1. Lolmede K, Campana L, Vezzoli M, Bosurgi L, Tonlorenzi R, Clementi E, Bianchi ME, Cossu G, Manfredi AA, Brunelli S, Rovere-Querini P. Inflammatory and alternatively activated human macrophages attract vessel-associated stem cells, relying on separate HMGB1- and MMP-9-dependent pathways. J Leukoc Biol. 2009; In press. 2. Campana L, Bosurgi L, Rovere-Querini P. HMGB1: a two-headed signal regulating tumor progression and immunity. Curr Opin Immunol. 2008; 20:518-23. 3. Urbonaviciute V, Fürnrohr BG, Meister S, Munoz L, Heyder P, De Marchis F, Bianchi ME, Kirschning C, Wagner H, Manfredi AA, Kalden JR, Schett G, Rovere-Querini P, Herrmann M, Voll RE. Induction of inflammatory and immune responses by HMGB1-nucleosome complexes: implications for the pathogenesis of SLE. J Exp Med. 2008; 205:3007-18. 4. Rovere-Querini P, Antonacci S, Dell'Antonio G, Angeli A, Almirante G, Cin ED, Valsecchi L, Lanzani C, Sabbadini MG, Doglioni C, Manfredi AA, Castiglioni MT. Plasma and tissue expression of the long pentraxin 3 during normal pregnancy and preeclampsia. Obstet Gynecol. 2006; 108:148-55. 5. Dumitriu IE, Baruah P, Valentinis B, Voll RE, Herrmann M, Nawroth PP, Arnold B, Bianchi ME, Manfredi AA, Rovere-Querini P. Release of high mobility group box 1 by dendritic cells controls T cell activation via the receptor for advanced glycation end products. J Immunol. 2005; 174:7506-15. Katharina Fleischhauer: 32 Aggiornato al 10.10.09 Researchers: Jessica Marcon (AIRC) Graduate students: Luca Vago (HSR), Pietro Crivello (Cariplo) Technicians: Laura Zito (Ministry of Health) Funding; AIRC IG 44/2007 Cariplo 2007.5486 Ministero della Salute Challenge in Oncology RO10/07R Telethon GGP08201 Ministero della Salute Ricerca Finalizzata 2007 2008-2011 2008-2010 2008-2011 2009-2011 2009-2011 5 relevant publications (2005-2008): 1. Vago L, Forno B, Sormani MP, Crocchiolo R, Zino E, Di Terlizzi S, Lupo Stanghellini MT, Mazzi B, Perna SK, Bondanza A, Middleton D, Palini A, Bernardi M, Bacchetta R, Peccatori J, Rossini S, Roncarolo MG, Bordignon C, Bonini C, Ciceri F, Fleischhauer K. Temporal, quantitative and functional characteristics of single-KIR positive alloreactive NK cell recovery account for impaired graft versus leukemia activity after haploidentical HSCT. Blood 2008: 112: 3488-3499. Epub 2008 Jul 21. 2. Mazzi B, Clerici TD, Zanussi M, Lupo Stanghellini MT, Vago L, Sironi E, Peccatori J, Bernardi M, Carrera P, Palini A, Rossini S, Bordigon C, Bonini C, Ferrari M, Ciceri F, Fleischhauer K. Genomic typing for patient-specific human leukocyte antigen-alleles is an efficient tool for relapse detection of high-risk hematopoietic malignancies after stem cell transplantation from alternative donors. Leukemia 2008: 22: 2119-2222. Epub May 1. 3. Zino E, Vago L, Di Terlizzi S, Mazzi B, Zito L, Sironi E, Rossini S, Bonini C, Ciceri F, Roncarolo MG, Bordignon C, Fleischhauer K. Frequency and targeted detection of HLADPB1 T cell epitope disparities relevant in unrelated hematopoietic stem cell transplantation. Biol Blood Marrow Transplant 2007: 13: 1031-1040. 4. Di Terlizzi S, Zino E, Mazzi B, Magnani C, Tresoldi C, Perna SK, Bregni M, Rossini S, Ciceri F, Bordignon C, Bonini C, Fleischhauer K. Therapeutic and diagnostic applications of minor histocompatibility antigen HA-1 and HA-2 disparities in allogeneic hematopoietic stem cell transplantation: a survey of different populations. Biol Blood Marrow Transplant 2006: 12: 95-101. 5. Fleischhauer K, Locatelli F, Zecca M, Orofino MG, Giardini C, De Stefano P, Pession A, Iannone AM, Carcassi C, Zino E, La Nasa G. Graft rejection after unrelated donor hematopoietic stem cell transplantation for thalassemia is associated with non-permissive HLA-DPB1 disparity in host-versus-graft direction. Blood 2006: 107: 2984-2992. Epub 2005 Nov 29. Davide Gabellini: Post-doctoral fellows: Sergia Bortolanza (ERC); Cristina Godio (ERC); Alexandros Xynos (MDA); Mariaelena Pistoni (ERC) Graduate students: Daphne Cabianca (UniSR); Claudia Huichalaf (UniSR) Funding DTI EC EURASNET NoE AFM ERC StG 2006-2011 2006-2009 2007-2009 2008-2013 33 Aggiornato al 10.10.09 MDA 2009-2011 5 relevant publications (2005-2008): Gabellini D, D’Antona G, Moggio M, Prelle A, Zecca C, Adami R, Angeletti B, Ciscato P, Pellegrino MA, Bottinelli R, Green MR, Tupler R. 2006. Facioscapulohumeral Muscular Dystrophy in Transgenic Mice by Over-Expression of FRG1. Nature 439:973-977. Rossella Galli Researchers: Rossella Galli (HSR) Post-doctoral fellows: Barbara Cipelletti (Fondazione Cariplo); Mauro Pala (Fondazione Cariplo). Graduate students: Stefania Mazzoleni (Ministero della Salute, Programma Integrato Oncologia); Daniela Corno (UniSR-Molecular Medicine); Laura Magri (UniSR-Molecular and Cellular Biology). Technicians: Vivian Deidda Vigoriti (Compagnia San Paolo). Funding: Ministero della Salute, Programma Integrato Oncologia Compagnia di San Paolo Fondazione Cariplo Istituto Superiore Sanità – Alleanza contro il cancro 2008-2011 2007-2010 2008-2010 2007-2009 5 relevant publications (2005-2008): 1. Galli R, Binda E, Orfanelli U, Cipelletti B, Gritti A, De Vitis S, Fiocco R, Foroni C, DiMeco F and Vescovi A (2004). Isolation and characterization of tumorigenic, stem-like neural precursors from human glioblastoma. Cancer Research, 64: 7011-7021. 2. Colombo, E. Giannelli, S. G., Galli, R., Tagliafico, E., Foroni, C., Tenedini, E., Ferrari, S., Corte, G., Vescovi, A., Cossu, G., Broccoli, V. (2006). Embryonic stem-derived versus somatic neural stem cells: a comparative analysis of their developmental potential and molecular phenotype. Stem Cells, 24: 825-34. 3. De Palma M, Venneri MA, Galli R, Sergi LS, Politi LS, Sampaolesi M, Naldini L. (2005). Tie2 identifies a hematopoietic lineage of proangiogenic monocytes required for tumor vessel formation and a mesenchymal population of pericyte progenitors. Cancer Cell 8:211-226. 4. Vescovi A, Galli R, and Reynolds B (2006). Brain tumour stem cells. Nature Reviews Cancer, 6: 425-436. 5. Foroni C., Galli R, Cipelletti B, Caumo A, Alberti S, Fiocco R, Vescovi A (2007). Resilience To Transformation And Inherent Genetic And Functional Stability of Adult Neural Stem Cells Ex Vivo. Cancer Research, 67(8): 3725-33. 6. De Palma M, Mazzieri R, Politi LS, Pucci F, Zonari E, Sitia G, Mazzoleni S, Moi D, Venneri MA, Indraccolo S, Falini A, Guidotti LG, Galli R, Naldini L (2008). Tumor-targeted interferon-alpha delivery by Tie2-expressing monocytes inhibits tumor growth and metastasis. Cancer Cell, 14(4):299-311. A. Gritti 34 Aggiornato al 10.10.09 PhD students: Santambrogio Sara (UniHSR); Cavazzin Chiara (Univ Perugia); Neri Margherita (HSR), Lattanzi Annalisa (Univ Perugia) Fellows Alcala’-Franco Beatriz (HSR) Technicians: Maderna Claudio 5 relevant publications (2005-2008): 1. Martino S, di Girolamo I, Cavazzin C, Tiribuzi R, Galli R, Rivaroli A, Valsecchi M, Sandhoff K, Sonnino S, Vescovi A, Gritti A* and Orlacchio A*. Neural precursor cell cultures from GM2-gangliosidosis animal models recapitulate the biochemical and molecular hallmarks of the brain pathology. J. of Neurochemistry, in press. * corresponding authors 2. Martino S, Tiribuzi R, Tortori A, Conti D, Visigalli I, Lattanzi A, Biffi A, Gritti A and Orlacchio A. Specific determination of β-galactocerebrosidase activity via competitive inhibition of βgalactosidase. Clinical Chemistry, in press 3. Santoni de Sio FR, Gritti A, Cascio P, Neri M, Sampaolesi M, Galli C, Luban J, Naldini L. Lentiviral Vector Gene Transfer is Limited by the Proteasome at Post-Entry Steps in Various Types of Stem Cells. Stem Cells. 2008 26(8):2142-52. Epub 2008 May 15. 4. Neri M, Maderna C, Cavazzin C, Deidda-Vigoriti V, Politi LS, Scotti G, Marzola P, Sbarbati A, Vescovi AL, Gritti A. Efficient In Vitro Labeling Of Human Neural Precursor Cells With Superparamagnetic Iron Oxide Particles: Relevance For In Vivo Cell Tracking. Stem Cells. 2008 26(2):505-16. Epub 2007 Nov 1. 5. Cavazzin C, Ferrari D, Facchetti F, Russignan A, Vescovi AL, La Porta CA, Gritti A. Unique expression and localization of aquaporin- 4 and aquaporin-9 in murine and human neural stem cells and in their glial progeny. Glia. 2006 15;53(2):167-81. FUNDING Telethon TGT06B02 NTSAD Italian Ministry of Health (ex-art 56L289/2002) European Leukodystrophy Association (ELA) 2006-2010 31/08/2008-31/08/2009 2007-2009 2009-2010 Jacopo Meldolesi Researcher: Paola Podini (HSR) Senior Post-doc: Rosalba D’Alessandro (Uni-SR) PhD students: Ilaria Prada (Uni-SR) Technician: Gabriella Racchetti (HSR) Funding; IIT MIUR prot. RBLA03AF28 MIUR prot. 2006059395 2007-2011 2007-2009 2007-2009 PI PI PI 35 Aggiornato al 10.10.09 5 relevant publications (2005-2008): 1. D’Alessandro R, Klajn A and Meldolesi J. Expression of dense-core vesicles and of their exocytosis are governed by the repressive transcription factor, NRSF/REST. Ann N Y Acad Sci, in press 2. D’Alessandro R, Klajn A, Stucchi L, Podini P, Malosio ML and Meldolesi J. Expression of the neurosecretory process in PC12 cells is governed by REST. J Neurochem 2008;105:1369-138 3. Volterra A and Meldolesi J. Astrocytes, from brain glue to communication elements: the revolution. Nat Rev Neurosci 2005;6:626-640 4. Sala C, Roussignol G, Meldolesi J and Fagni L. Key role of the postsynaptic density scaffold proteins Shank and Homer in the functional architecture of Ca2+ homeostasis at dendritic spines in hippocampal neurons. J Neurosci 2005; 25:4587-4592 5. Malosio ML, Giordano T, Laslop A and Meldolesi J. Dense-Core Granules: a Specific Hallmark of the Neuronal/Neurosecretory cell Phenotype. J Cell Science 2004; 117:743749 6. Grundschober C, Malosio ML, Astolfi L, Giordano T, Nef P. and Meldolesi J. Neurosecretion competence. A comprehensive gene expression program identified in PC12 cells. Biol Chem 2002; 277:36715-24 GIUSEPPE PERETTI: Post-doctoral fellows: Deponti Daniela (UNIMI) Residents and applicants to a residency program Laura Mangiavini (UNIMIB) Celeste Scotti (UNIMI) Alessandro Pozzi Rosa Ballis Attending Gianfranco Fraschini (HSR) Corrado Sosio (HSR) Funding; BAYER (ODIX aHip-OD study) BAYER (RECORD I study) FIRST (UNIMI) CARIPLO FOUNDATION 2005 2006 2007 2008-2010 5 relevant publications (2005-2008): 1) Peretti G.M., Xu J.W., Bonassar L.J., Kirchhoff K.H., Yaremchuk M.J., Randolph M.A. 2006. Review of injectable cartilage engineering using fibrin gel in mice and swine models. Tissue Engineering May;12(5):1151-68. 2) Dellavalle, A, Sampaolesi, M, Tonlorenzi, R, Tagliafico, E, Sacchetti, B, Perani, L,, Innocenzi, B, Galvez, BG, Messina, G, Morosetti, R, Li, S, Belicchi, M, Peretti, G, Chamberlain, JS, Wright, WE, Torrente, Y, Ferrari, S, Bianco, P and Cossu, G. 2007. Pericytes of human skeletal muscle are myogenic precursors distinct from satellite cells. Nature Cell Biol. 9:255-267. 3) Scotti C., Buragas M.S., Mangiavini L., Sosio C., Di Giancamillo A., Domeneghini C., Fraschini G., Peretti G.M. 2007. A tissue engineered osteochondral plug: an in vitro morphological evaluation. Knee Surg Sports Traumatol Arthrosc Nov;15(11):1363-9. 36 Aggiornato al 10.10.09 4) Sosio C., Boschetti F., Bevilacqua C.. Mangiavini L., Scotti C., Buragas M.S., Biressi S., Gigante A., Fraschini G., Peretti G.M. 2007. Effect of blood on the morphological, biochemical, and biomechanical properties of engineered cartilage. Knee Surg Sports Traumatol Arthrosc 2007 Oct;15(10):1251-7. 5) Boschetti F., Peretti G.M. 2008. Tensile and compressive properties of healthy and osteoarthritic human articular cartilage. Biorheology. 45(3-4):337-44. Lorenzo Piemonti: ISLET PROCESSING FACILITY Researcher: Rita Nano (HSR) Technicians: Raffaella Melzi (HSR); Antonioli Barbara (HSR) BETA CELL BIOLOGY UNIT Post doctoral fellow: Leda Racanicchi (HSR) PhD student: Valeria Sordi (Uni Vita Salute San Raffaele) Fellows: Alessia Mercalli (HSR); Dugnani Erica (HSR); Cantarelli Elisa (HSR) Funding; -Diabetes Type 1 Prediction, Early Pathogenesis and Prevention EC 2008-11 -Protection of graft failure of transplanted pancreatic islets in T1D Dompe 2008-09 -New targets in tumor microenvironment Min Sal 2008-10 -Identification of novel genetic pathways regulating the Cariplo 2008-10 development and biological behaviour of cancer stem cells -Multi step trial towards single donor islet transplantation in T1D JDRF-ECIT 2007-9 patients using calcineurin inhibitor free immunosuppression -Islet for basic research program JDRF-ECIT 2009 5 relevant publications (2005-2008): 1) Sordi V, Melzi R, Mercalli A, Formicola R, Doglioni C, Ferrari G, Antonioli B, Nano R, Bonifacio E, Piemonti L Mesenchymal cells appearing in pancreatic tissue culture are bone marrow-derived stem cells with the capacity to improve transplanted islet function (submitted) 2) Melzi R, Sanvito F, Mercalli A, Andralojc K, Bonifacio E and Piemonti L. Intrahepatic islet transplant in the mouse: functional and morphological characterization. Cell transplantation: in press 3) Marchesi F§, Piemonti L§, Fedele G, Destro A, Roncalli M, Albarello L, Doglioni C, Anselmo A, Doni A, Bianchi P, Laghi L, Malesci A, Cervo L, Malosio ML, Reni M, Zerbi A, Di Carlo V, Mantovani A, Allavena P. The chemokine receptor CX3CR1 is involved in the neural tropism and malignant behavior of pancreatic ductal adenocarcinoma. Cancer Res. 2008 Nov 1;68(21):9060-9. (§ these authors equally contributed to the study) 4) Melzi R, Battaglia M, Draghici E, Bonifacio E, Piemonti L. Relevance of hyperglycemia on the timing of functional loss of allogeneic islet transplants: implication for mouse model. Transplantation. 2007 Jan 27;83(2):167-73 5) Sordi V, Malosio ML, Marchesi F, Mercalli A, Giordano T, Belmonte N, Ferrari G, Leone BE, Bertuzzi F, Zerbini G, Allavena P, Bonifacio E and Piemonti L. Bone marrow mesenchymal stem cells express a restricted set of functionally active chemokine receptors capable of promoting migration to pancreatic islets. Blood. 2005;106:419-27. Epub 2005 Mar 22. 37 Aggiornato al 10.10.09 Letterio Politi (Group Leader, Neuroradiology Research Group) Antonella Iadanza (Technician) Sara Pizzi (Research Fellow) Funding; CARIPLO € 250.000,00 (2006-2009) CARIPLO € 90.000,00 (2008-2011) 5 relevant publications (2005-2008): 1) Politi LS. “MR-based Imaging of neural stem cells”. Review. Neuroradiology, 2007;6: 523-534. Epub 2007 March 8. 2) Politi LS, Bacigaluppi M, Brambilla E, Cadioli M, Falini A, Comi G, Scotti G, Martino G, Pluchino S. “Magnetic Resonance-based Tracking and Quantification of Intravenously-injected Neural Stem Cell Accumulation in the Brain of Mice With Experimental Multiple Sclerosis”. Stem Cells 2007; 25(10):2583-92. Epub 2007 Jun 28. 3) Neri M, Maderna C, Cavazzin C, Deidda-Vigoriti V, Politi LS, Scotti G, Marzola P, Sbarbati A, Vescovi AL, Gritti A. “Efficient in vitro labeling of human neural precursor cells with superparamagnetic iron oxide particles: relevance for in vivo cell tracking.”. Stem Cells 2008; 26(2):505-16. Epub 2007 Nov 1. 4) De Palma M, Mazzieri R, Politi LS, Pucci F, Zonari E, Sitia G, Mazzoleni S, Moi D, Venneri MA, Indraccolo S, Falini A, Guidotti LG, Galli R, Naldini L. “Tumor-targeted interferon-alpha delivery by Tie2-expressing monocytes inhibits tumor growth and metastasis”. Cancer Cell 2008; 14:299-311. 5) De Palma M, Venneri MA, Galli R, Sergi LS, Politi LS, Sampaolesi M, Naldini L. “Tie2 identifies a hematopoietic lineage of proangiogenic monocytes required for tumor vessel formation and a mesenchymal population of pericyte progenitors”. Cancer Cell 2005; 8:211-226. Previtali Stefano Carlo Scarlato Marina, MD researcher Teuta Domi, PhD, post-doc Porrello Emanuela, PhD student Lorenzetti Isabella, Technician Lopez Ignazio, Specializzando Funding Telethon GGP08037 2009-2011 5 relevant publication 2005-2008 1) Nodari A, Previtali SC, Dati G, Occhi S, Court FA, Colombelli A, Zambroni D, Dina G, Del Carro U, Campbell KP, Quattrini A, Wrabetz L, Feltri ML. α6β4 integrin and dystroglycan cooperate to stabilize the myelin sheath. J Neurosci 2008; 28: 6714-6719. 2) Previtali SC, Malaguti MC, Riva N, Scarlato M, Dacci P, Dina G, Triolo D, Porrello E, Fazio R, Comi G, Bolino A, Quattrini A. The extracellular matrix composition affects regeneration and clinical outcome in axonal neuropathies. Neurology 2008, 71(5): 322-331 3) Benedetti S, Menditto I, Degano M, Rodolico C, Merlini L, D'Amico A, Palmucci L, Berardinelli A, Pegoraro E, Trevisan CP, Morandi L, Moroni I, Galluzzi G, Bertini E, Toscano A, Olivè M, Bonne G, Mari F, Caldara R, Fazio R, Mamm I, Carrera P, Toniolo D, Comi G, Quattrini A, Ferrari M, and Previtali SC. Phenotypic clustering of lamin A/C mutations in neuromuscular patients. Neurology 2007; 69(12): 1285-1292 4) Triolo D, Dina G, Lorenzetti I, Malaguti MC, Morana P, Del Carro U, Comi G, Messing A, Quattrini A, Previtali SC. Loss of Glial Fibrillary Acidic Protein (GFAP) impairs Schwann cell proliferation and delays nerve regeneration after damage. J Cell Sci 2006; 119: 3981-3993 38 Aggiornato al 10.10.09 5) Benedetti S, Bertini E, Iannaccone S, Angelini C, Toniolo D, Sferrazza B, Carrera P, Comi G, Ferrari M, Quattrini A, Previtali SC. Dominant LMNA mutations can cause combined muscular dystrophy and peripheral neuropathy. J Neurol Neurosurg Psy 2005; 76: 1019-1021 Maria Grazia Roncarolo: Researchers: Bacchetta Rosa (HSR), Battaglia Manuela (HSR), Gregori Silvia (HSR) Graduate students: Passerini Laura (HSR), Sara Di Nunzio (Universita’ di Tor Vergata), Chiara Francesca Magnani (HSR), Maura Rossetti (HSR), Giada Alberigo (HSR), Didem Aydin (HSR). MD PhD student. Lucarelli Barbarella (Visiting scientist) Technicians: Grazia Andolfi (HSR), Claudia Sartirana (HSR), Daniela Tomasoni (HSR), Eleonora Tresoldi (HSR) Funding; RISET (FP6 Project) Telethon A3 project Telethon E1 project Telethon E2 project Telethon GGP07241 Cariplo Nobel Cariplo AIRC 2007 Min Progetto giovani ricercatori 2005-2010 2006-2010 2006-2010 2006-2010 2008-2010 2007-2009 june2008-june2010 2007-2009 2008-2010 5 relevant publications (2005-2008): 1) S. Gregori, R. Bacchetta, E. Hauben, M. Battaglia and M.G. Roncarolo (2005). Regulatory T cells: prospective for clinical application in hematopoietic stem cell transplantation. Curr Opin Hematol 12: 451-456. 2) R. Bacchetta, L. Passerini, E.Gambineri, M. Dai, S.E.Allan, L. Perroni, F. Dagna-Bricarelli, C. Sartirana, S. Matthes-Martin, A. Lawitschka, C. Azzari, S.F. Ziegler, M.K. Levings, and M.G. Roncarolo. (2006). Defective regulatory and effector T cell functions in patients with FOXP3 mutations. J Clin. Invest. 116:1713-1722. 3) M.G. Roncarolo, S. Gregori, M. Battaglia, R. Bacchetta, K. Fleischhauer and M.K. Levings. (2006). Interleukin-10-secreting type 1 regulatory T cells in rodents and humans. Immunol Reviews. 212:28-50. 4) 24. M. Battaglia, A. Stabilini, B. Migliavacca, J. Horejs-Hoeck, T. Kaupper, and M.G. Roncarolo. (2006). Rapamycin promotes expansion of functional CD4+CD25+FOXP3+ regulatory T cells of both healthy subjects and Type 1 diabetic patients. J Immunol. 177: 8338-8347. 5) M.G. Roncarolo, and M. Battaglia (2007). Regulatory T-cell immunotherapy for tolerance to self antigens and alloantigens in humans. Nat Rev Immunol 7:585-598. Gianpaolo Zerbini (Diabetic Complications Unit) Post-doctoral fellows: Gemma Tremolada (HSR), Anna Maestroni (HSR) Graduate students: Anna Pulcina (UniSR) Technicians: Daniela Gabellini (HSR) Funding; JDRF Associazione Nazionale Cechi 2007-2010 2009-2010 39 Aggiornato al 10.10.09 5 relevant publications (2005-2008): 1. Asnaghi V, Lattanzio R, Mazzolari G, Pastore MR, Ramoni A, Maestroni A, Ruggieri D, Luzi L, Brancato R, Zerbini G. Increased clonogenic potential of circulating endothelial progenitor cells (EPCs) in patients with type 1 diabetes and proliferative retinopathy. Diabetologia. 49:1109-1111, 2006 2. Del Bo R, Scarlato M, Ghezzi S, Maestroni A, Sjölind L, Forsblom C, Wessman M, Groop P-H, Comi GP, Bresolin N, Luzi L, Zerbini G. VEGF gene variability and type 1 diabetes: evidence for a protective role. Immunogenetics 58:107-112, 2006 3. Zerbini G , Piemonti L, Maestroni A, Dell’Antonio G, Bianchi G. Stem cells and the kidney, a new therapeutic tool? J Am Soc Nephrol 2006 17:S123-6 4. Zerbini G, Bonfanti R, Meschi F, Bognetti E, Paesano PL, Gianolli L, Querques M, Maestroni A, Calori G, Del Maschio A, Fazio F, Luzi L, Chiumello G. Persistent renal hypertrophy and faster decline of glomerular filtration rate precede the development of microalbuminuria in type 1 diabetes. Diabetes 2006; 55:2620-2625. 5. Tumor angiogenesis. Zerbini G, Lorenzi M, Palini A. N Engl J Med. 2008 14; 359:763; 40