Pharmacogenomics of clinical response to Natalizumab in multiple sclerosis: a genome-wide multi-centric association study.

GRB2 LRP6 Multiple sclerosis Natalizumab Pharmacogenomics

Journal

Journal of neurology
ISSN: 1432-1459
Titre abrégé: J Neurol
Pays: Germany
ID NLM: 0423161

Informations de publication

Date de publication:
12 Sep 2024
Historique:
received: 15 04 2024
accepted: 23 07 2024
revised: 22 07 2024
medline: 12 9 2024
pubmed: 12 9 2024
entrez: 12 9 2024
Statut: aheadofprint

Résumé

Inter-individual differences in treatment response are marked in multiple sclerosis (MS). This is true for Natalizumab (NTZ), to which a subset of patients displays sub-optimal treatment response. We conducted a multi-centric genome-wide association study (GWAS), with additional pathway and network analysis to identify genetic predictors of response to NTZ. MS patients from three different centers were included. Response to NTZ was dichotomized, nominating responders (R) relapse-free patients and non-responders (NR) all the others, over a follow-up of 4 years. Association analysis on ~ 4.7 M imputed autosomal common single-nucleotide polymorphisms (SNPs) was performed fitting logistic regression models, adjusted for baseline covariates, followed by meta-analysis at SNP and gene level. Finally, these signals were projected onto STRING interactome, to elicit modules and hub genes linked to response. Overall, 1834 patients were included: 119 from Italy (R = 94, NR = 25), 81 from Germany (R = 61, NR = 20), and 1634 from Sweden (R = 1349, NR = 285). The top-associated variant was rs11132400 This GWAS, the largest pharmacogenomic study of response to NTZ, suggested MS-implicated genes and Wnt/β-catenin signaling pathway, an essential component for blood-brain barrier formation and maintenance, to be related to treatment response.

Sections du résumé

BACKGROUND BACKGROUND
Inter-individual differences in treatment response are marked in multiple sclerosis (MS). This is true for Natalizumab (NTZ), to which a subset of patients displays sub-optimal treatment response. We conducted a multi-centric genome-wide association study (GWAS), with additional pathway and network analysis to identify genetic predictors of response to NTZ.
METHODS METHODS
MS patients from three different centers were included. Response to NTZ was dichotomized, nominating responders (R) relapse-free patients and non-responders (NR) all the others, over a follow-up of 4 years. Association analysis on ~ 4.7 M imputed autosomal common single-nucleotide polymorphisms (SNPs) was performed fitting logistic regression models, adjusted for baseline covariates, followed by meta-analysis at SNP and gene level. Finally, these signals were projected onto STRING interactome, to elicit modules and hub genes linked to response.
RESULTS RESULTS
Overall, 1834 patients were included: 119 from Italy (R = 94, NR = 25), 81 from Germany (R = 61, NR = 20), and 1634 from Sweden (R = 1349, NR = 285). The top-associated variant was rs11132400
CONCLUSION CONCLUSIONS
This GWAS, the largest pharmacogenomic study of response to NTZ, suggested MS-implicated genes and Wnt/β-catenin signaling pathway, an essential component for blood-brain barrier formation and maintenance, to be related to treatment response.

Identifiants

pubmed: 39264442
doi: 10.1007/s00415-024-12608-6
pii: 10.1007/s00415-024-12608-6
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Subventions

Organisme : Horizon 2020 Framework Programme
ID : MultipleMS
Organisme : Horizon 2020 Framework Programme
ID : ID:733161
Organisme : Horizon 2020 Framework Programme
ID : MultipleMS
Organisme : Horizon 2020 Framework Programme
ID : ID:733161
Organisme : Horizon 2020 Framework Programme
ID : MultipleMS
Organisme : Horizon 2020 Framework Programme
ID : ID:733161
Organisme : Horizon 2020 Framework Programme
ID : MultipleMS
Organisme : Horizon 2020 Framework Programme
ID : ID:733161
Organisme : Horizon 2020 Framework Programme
ID : MultipleMS
Organisme : Horizon 2020 Framework Programme
ID : ID:733161
Organisme : Horizon 2020 Framework Programme
ID : MultipleMS
Organisme : Horizon 2020 Framework Programme
ID : ID:733161
Organisme : Horizon 2020 Framework Programme
ID : MultipleMS
Organisme : Horizon 2020 Framework Programme
ID : ID:733161

Informations de copyright

© 2024. The Author(s).

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Auteurs

Ferdinando Clarelli (F)

Laboratory of Human Genetics of Neurological Disorders, IRCCS San Raffaele Scientific Institute, Via Olgettina 60, Milan, Italy.

Andrea Corona (A)

Laboratory of Precision Medicine of Neurological Diseases, Department of Health Science, University of Milan, Milan, Italy.
CRC "Aldo Ravelli" for Experimental Brain Therapeutics, Department of Health Science, University of Milan, Milan, Italy.

Kimmo Pääkkönen (K)

Institute for Molecular Medicine Finland (FIMM), University of FI Helsinki, Helsinki, Finland.

Melissa Sorosina (M)

Laboratory of Human Genetics of Neurological Disorders, IRCCS San Raffaele Scientific Institute, Via Olgettina 60, Milan, Italy.

Alen Zollo (A)

Laboratory of Precision Medicine of Neurological Diseases, Department of Health Science, University of Milan, Milan, Italy.
CRC "Aldo Ravelli" for Experimental Brain Therapeutics, Department of Health Science, University of Milan, Milan, Italy.

Fredrik Piehl (F)

The Karolinska Neuroimmunology & Multiple Sclerosis Centre, Department of Clinical Neuroscience, Karolinska Institutet, Center for Molecular Medicine, Karolinska University Hospital, Visionsgatan 18, 171 76, Stockholm, Sweden.

Tomas Olsson (T)

The Karolinska Neuroimmunology & Multiple Sclerosis Centre, Department of Clinical Neuroscience, Karolinska Institutet, Center for Molecular Medicine, Karolinska University Hospital, Visionsgatan 18, 171 76, Stockholm, Sweden.

Pernilla Stridh (P)

The Karolinska Neuroimmunology & Multiple Sclerosis Centre, Department of Clinical Neuroscience, Karolinska Institutet, Center for Molecular Medicine, Karolinska University Hospital, Visionsgatan 18, 171 76, Stockholm, Sweden.

Maja Jagodic (M)

The Karolinska Neuroimmunology & Multiple Sclerosis Centre, Department of Clinical Neuroscience, Karolinska Institutet, Center for Molecular Medicine, Karolinska University Hospital, Visionsgatan 18, 171 76, Stockholm, Sweden.

Bernhard Hemmer (B)

Department of Neurology, School of Medicine, Technical University of Munich, Klinikum Rechts Der Isar, Ismaninger Str. 22, Munich, Germany.
Munich Cluster for Systems Neurology (SyNergy), Munich, Germany.

Christiane Gasperi (C)

Department of Neurology, School of Medicine, Technical University of Munich, Klinikum Rechts Der Isar, Ismaninger Str. 22, Munich, Germany.

Adil Harroud (A)

Department of Neurology and Neurosurgery, McGill University, Montréal, QC, Canada.

Klementy Shchetynsky (K)

The Karolinska Neuroimmunology & Multiple Sclerosis Centre, Department of Clinical Neuroscience, Karolinska Institutet, Center for Molecular Medicine, Karolinska University Hospital, Visionsgatan 18, 171 76, Stockholm, Sweden.

Alessandra Mingione (A)

Laboratory of Precision Medicine of Neurological Diseases, Department of Health Science, University of Milan, Milan, Italy.
CRC "Aldo Ravelli" for Experimental Brain Therapeutics, Department of Health Science, University of Milan, Milan, Italy.

Elisabetta Mascia (E)

Laboratory of Human Genetics of Neurological Disorders, IRCCS San Raffaele Scientific Institute, Via Olgettina 60, Milan, Italy.

Kaalindi Misra (K)

Laboratory of Human Genetics of Neurological Disorders, IRCCS San Raffaele Scientific Institute, Via Olgettina 60, Milan, Italy.

Antonino Giordano (A)

Laboratory of Human Genetics of Neurological Disorders, IRCCS San Raffaele Scientific Institute, Via Olgettina 60, Milan, Italy.
Neurology Unit, IRCCS San Raffaele Scientific Institute, Via Olgettina 60, 20132, Milan, Italy.

Maria Laura Terzi Mazzieri (MLT)

Laboratory of Precision Medicine of Neurological Diseases, Department of Health Science, University of Milan, Milan, Italy.
CRC "Aldo Ravelli" for Experimental Brain Therapeutics, Department of Health Science, University of Milan, Milan, Italy.

Alberto Priori (A)

CRC "Aldo Ravelli" for Experimental Brain Therapeutics, Department of Health Science, University of Milan, Milan, Italy.
Clinical Neurology Unit, Azienda Socio-Sanitaria Territoriale Santi Paolo E Carlo and Department of Health Sciences, University of Milan, Milan, Italy.

Janna Saarela (J)

Institute for Molecular Medicine Finland (FIMM), University of FI Helsinki, Helsinki, Finland.

Ingrid Kockum (I)

The Karolinska Neuroimmunology & Multiple Sclerosis Centre, Department of Clinical Neuroscience, Karolinska Institutet, Center for Molecular Medicine, Karolinska University Hospital, Visionsgatan 18, 171 76, Stockholm, Sweden.

Massimo Filippi (M)

Neurology Unit, IRCCS San Raffaele Scientific Institute, Via Olgettina 60, 20132, Milan, Italy.
Neurorehabilitation Unit, IRCCS San Raffaele Scientific Institute, Via Olgettina 48, Milan, Italy.
Neurophysiology Service, IRCCS San Raffaele Scientific Institute, Via Olgettina 60, Milan, Italy.
Neuroimaging Research Unit, Division of Neuroscience, IRCCS San Raffaele Scientific Institute, Via Olgettina 60, Milan, Italy.
Vita-Salute San Raffaele University, Via Olgettina, 60, Milan, Italy.

Federica Esposito (F)

Laboratory of Human Genetics of Neurological Disorders, IRCCS San Raffaele Scientific Institute, Via Olgettina 60, Milan, Italy. esposito.federica@hsr.it.
Neurology Unit, IRCCS San Raffaele Scientific Institute, Via Olgettina 60, 20132, Milan, Italy. esposito.federica@hsr.it.

Filippo Giovanni Martinelli Boneschi (FGM)

Laboratory of Precision Medicine of Neurological Diseases, Department of Health Science, University of Milan, Milan, Italy. filippo.martinelli@unimi.it.
CRC "Aldo Ravelli" for Experimental Brain Therapeutics, Department of Health Science, University of Milan, Milan, Italy. filippo.martinelli@unimi.it.
Clinical Neurology Unit, Azienda Socio-Sanitaria Territoriale Santi Paolo E Carlo and Department of Health Sciences, University of Milan, Milan, Italy. filippo.martinelli@unimi.it.

Classifications MeSH