PMID- 30352103 OWN - NLM STAT- MEDLINE DCOM- 20190401 LR - 20190401 IS - 1932-6203 (Electronic) IS - 1932-6203 (Linking) VI - 13 IP - 10 DP - 2018 TI - BDNF rs6265 polymorphism methylation in Multiple Sclerosis: A possible marker of disease progression. PG - e0206140 LID - 10.1371/journal.pone.0206140 [doi] LID - e0206140 AB - INTRODUCTION: Brain-Derived Neurotrophic Factor (BDNF) and its most common polymorphism Val66Met are known to have a role in Multiple Sclerosis (MS) pathogenesis. Evidence is accumulating that there is an involvement of DNA methylation in the regulation of BDNF expression. The aim of this study was to assess in blood samples of MS patients the correlation between the methylation status of the CpG site near BDNF-Val66Met polymorphism and the severity of the disease. METHODS: We recruited 209 MS patients that were genotyped for the BDNF Val66Met polymorphism. For each patient we quantitatively measured the methylation level of cytosine included in the exonic CpG site that can be created or abolished by the Val66Met BDNF polymorphism. Furthermore, we analyzed the clinical history of each patient and determined the time elapsed since the onset of the disease and an EDSS score of 6.0. RESULTS: The genetic analysis identified 122 (58.4%) subjects carrying the Val/Val genotype, 81 (38.8%) with Val/Met genotype, and 6 (2.8%) carrying the Met/Met genotype. When the endpoint of an EDSS score of 6 was taken into account by means of a survival analysis, 52 failures (i.e., reaching an EDSS score of 6) were reported. When the sample was stratified according to the percentage of the BDNF methylation, subjects falling below the median (median methylation = 81%) were at higher risk of failure (IRD = 0.016; 95%CI = 0.0050-0.0279; p = 0.004). CONCLUSIONS: In patients with a high disease progression the hypomethylation of the BDNF gene could increase the secretion of the protective neurotrophin, so epigenetic modifications could be the organism response to limit a brain functional reserve loss. Our study suggests that the percentage of methylation of the BDNF gene could be used as a prognostic factor for disease progression toward a high disability in MS patient. FAU - Nociti, Viviana AU - Nociti V AD - Institute of Neurology, Fondazione Policlinico Universitario A. Gemelli IRCCS-Universita Cattolica del Sacro Cuore, Rome, Italy. FAU - Santoro, Massimo AU - Santoro M AD - IRCCS Fondazione Don Carlo Gnocchi, Milan, Italy. FAU - Quaranta, Davide AU - Quaranta D AD - Institute of Neurology, Fondazione Policlinico Universitario A. Gemelli IRCCS-Universita Cattolica del Sacro Cuore, Rome, Italy. FAU - Losavio, Francesco Antonio AU - Losavio FA AD - Institute of Neurology, Fondazione Policlinico Universitario A. Gemelli IRCCS-Universita Cattolica del Sacro Cuore, Rome, Italy. FAU - De Fino, Chiara AU - De Fino C AD - Institute of Neurology, Fondazione Policlinico Universitario A. Gemelli IRCCS-Universita Cattolica del Sacro Cuore, Rome, Italy. FAU - Giordano, Rocco AU - Giordano R AD - Institute of Neurology, Fondazione Policlinico Universitario A. Gemelli IRCCS-Universita Cattolica del Sacro Cuore, Rome, Italy. FAU - Palomba, Nicole Piera AU - Palomba NP AD - Institute of Neurology, Fondazione Policlinico Universitario A. Gemelli IRCCS-Universita Cattolica del Sacro Cuore, Rome, Italy. FAU - Rossini, Paolo Maria AU - Rossini PM AD - Institute of Neurology, Fondazione Policlinico Universitario A. Gemelli IRCCS-Universita Cattolica del Sacro Cuore, Rome, Italy. FAU - Guerini, Franca Rosa AU - Guerini FR AD - IRCCS Fondazione Don Carlo Gnocchi, Milan, Italy. FAU - Clerici, Mario AU - Clerici M AD - Department of Physiopathology and Transplantation, University of Milan, Milan, Italy. FAU - Caputo, Domenico AU - Caputo D AD - IRCCS Fondazione Don Carlo Gnocchi, Milan, Italy. FAU - Mirabella, Massimiliano AU - Mirabella M AUID- ORCID: 0000-0002-7783-114X AD - Institute of Neurology, Fondazione Policlinico Universitario A. Gemelli IRCCS-Universita Cattolica del Sacro Cuore, Rome, Italy. LA - eng PT - Journal Article DEP - 20181023 PL - United States TA - PLoS One JT - PloS one JID - 101285081 RN - 0 (Brain-Derived Neurotrophic Factor) SB - IM EIN - PLoS One. 2019 Feb 21;14(2):e0212906. PMID: 30789956 MH - Brain-Derived Neurotrophic Factor/*genetics MH - *DNA Methylation MH - Disease Progression MH - Female MH - Follow-Up Studies MH - Gene Frequency MH - Genetic Predisposition to Disease/*genetics MH - Genotype MH - Humans MH - Male MH - Multiple Sclerosis/*genetics/pathology MH - *Polymorphism, Single Nucleotide MH - Prognosis MH - Survival Analysis PMC - PMC6198951 COIS- The authors have declared that no competing interests exist. EDAT- 2018/10/24 06:00 MHDA- 2019/04/02 06:00 PMCR- 2018/10/23 CRDT- 2018/10/24 06:00 PHST- 2018/05/27 00:00 [received] PHST- 2018/10/08 00:00 [accepted] PHST- 2018/10/24 06:00 [entrez] PHST- 2018/10/24 06:00 [pubmed] PHST- 2019/04/02 06:00 [medline] PHST- 2018/10/23 00:00 [pmc-release] AID - PONE-D-18-15886 [pii] AID - 10.1371/journal.pone.0206140 [doi] PST - epublish SO - PLoS One. 2018 Oct 23;13(10):e0206140. doi: 10.1371/journal.pone.0206140. eCollection 2018.