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Biology subjects

Zanin, A.

Publications and source records attributed to Zanin, A..

3 recordsLinked to original sources

Predicting Alzheimer's Disease Progression from Sparse Multimodal Data by NeuralODE Models

Alzheimers disease shows significantly variable progressions between patients, making early diagnosis, disease monitoring, and care planning difficult. Existing data-driven Disease Progression Models try to tackle this issue, but they usually require sufficiently large datasets of specific diagnostic modalities, which are rarely available in clinical practice. Here, we introduce a new modeling framework capable of predicting individual disease trajectories from sparse, irregularly sampled, multi-modal clinical data. Our method uses (recurrent) Neural Ordinary Differential Equations to determine the current hidden state of a patient from sparse past exams and to forecast future disease progression, illustrating how biomarkers evolve over time. When applied to the ADNI clinical cohort, the model detected early signs of disease more accurately than common data-driven alternatives and effectively tracked changes in biomarker trajectories that align with established clinical knowledge. This provides a versatile tool for accurate diagnosis and monitoring of neurodegenerative diseases.

neuroscience↗

Enhancing KCC2 function reduces interictal activity and prevents seizures in mesial temporal lobe epilepsy

The neuronal K/Cl cotransporter KCC2 regulates the transmembrane chloride gradient, which controls the efficacy of GABAergic signaling. In mesial temporal lobe epilepsy (mTLE) and other neurological disorders, reduced KCC2 expression or function can result in depolarizing GABA signaling, which is thought to contribute to pathological activity and seizures. Therefore, restoring chloride homeostasis represents a promising therapeutic strategy. We investigated the mechanisms and antiseizure effects of two small molecules, prochlorperazine (PCPZ) and CLP-257, that have been identified as potential KCC2 enhancers. We found that both compounds enhance KCC2 function and clustering in cortical neurons while reducing its membrane diffusion, without altering canonical regulatory phosphorylation. CLP-257 also selectively increased extrasynaptic, but not synaptic, GABAA receptor-mediated currents. Using in vitro recordings from resected brain tissue of patients with drug-resistant mTLE and in vivo recordings from a mouse model, we show that PCPZ and CLP-257 (or its prodrug CLP-290) effectively suppressed spontaneous epileptiform activity in both models. These findings reveal that PCPZ and CLP-257 act as genuine KCC2 enhancers and provide experimental evidence of the therapeutic potential of such compounds for treating drug-resistant mTLE. Significance statementA major challenge in treating epilepsy is the high percentage of patients with drug-resistant forms, like mesial temporal lobe epilepsy (mTLE). This study investigates a therapeutic strategy by targeting the neuronal KCC2 transporter, which is often dysfunctional in epilepsy. Our findings identify two compounds, prochlorperazine and CLP-257, that enhance KCC2 function by promoting its clustering on the cell membrane, a previously uncharacterized mechanism. Importantly, these compounds effectively reduce spontaneous epileptiform activity in human brain tissue from mTLE patients and significantly reduce seizure frequency in a mouse model. This work provides a critical proof-of-concept for activating KCC2 as a viable therapeutic approach for drug-resistant epilepsy.

neuroscience↗

Spontaneous Resolution in Racemic Solutions of N-trifluoroacetylated α-aminoalcohols

The spontaneous resolution was observed in the racemic solution of N-trifluoroacetylated -aminoalcohol (TFAAA-6) in CCl4. In against other cases of the conglomerates formation, the TFAAA-6 forms highly anisometric crystalline structures (strings). Herewith, the spontaneous resolution was not observed in the racemic solution of TFAAA-5 in heptane, where the isometric precipitate was formed. The latter was also observed in the TFAAA-5 solutions in heptane with small enantiomeric excess (EE), down to 2%. With that, the homochiral strings formed in the TFAAA-5 solutions in heptane with larger EEs. In this case, the strings formed from the excess of one of the enantiomers remained in solution after precipitation of the racemic residual. This process leads to the enhancement of chiral polarization in systems close to racemic and can explain the chiral purity of the living cell.

biophysics↗