Research Topics
Genomes and GenesSpecies | C LucchinettiSummaryAffiliation: Mayo Clinic Country: USA Publications
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Publications
Meningeal and cortical grey matter pathology in multiple sclerosisBogdan F Gh Popescu
Department of Anatomy and Cell Biology, University of Saskatchewan, 107Wiggins Road, Saskatoon, SK S7N 5E5, Canada
BMC Neurol 12:11. 2012....
A quantitative analysis of oligodendrocytes in multiple sclerosis lesions. A study of 113 casesC Lucchinetti
Department of Neurology, Mayo Clinic, Rochester, Minnesota, USA
Brain 122:2279-95. 1999..The profound heterogeneity in extent and topography of OG destruction in active demyelinating lesions suggests that in subsets of multiple sclerosis patients, myelin, mature OGs and possibly OG progenitors are differentially affected...
Multiple sclerosis: recent developments in neuropathology, pathogenesis, magnetic resonance imaging studies and treatmentC Lucchinetti
aDepartment of Neurology, Mayo Clinic and Foundation, Rochester, Minnesota 55905, USA
Curr Opin Neurol 14:259-69. 2001..This complex pathogenesis is reflected in the variable response of multiple sclerosis patients to immunomodulatory therapy...
A role for humoral mechanisms in the pathogenesis of Devic's neuromyelitis opticaClaudia F Lucchinetti
Department of Neurology, Mayo Clinic, Rochester, MN, USA
Brain 125:1450-61. 2002..Based on this study, future therapeutic strategies designed to limit the deleterious effects of complement activation, eosinophil degranulation and neutrophil/macrophage/microglial activation are worthy of further investigation...
Inflammatory cortical demyelination in early multiple sclerosisClaudia F Lucchinetti
Department of Neurology, Mayo Clinic College of Medicine, Rochester, MN 55905, USA
N Engl J Med 365:2188-97. 2011..Magnetic resonance imaging studies indicate that cortical damage occurs early in the disease...
Bright red nucleiSean J Pittock
Department of Neurology, Mayo Clinic, 200 First Street, SW, Rochester, MN 55905, USA
Neurology 62:619. 2004
The pathology of primary progressive multiple sclerosisClaudia Lucchinetti
Department of Neurology, Mayo Clinic Rochester, 200 First Street SW, Rochester, MN 55905, USA
Mult Scler 10:S23-30. 2004..This review will focus on the pathological aspects of PPMS and pathogenic implications. A better understanding of the differences in PPMS pathology and pathogenesis will lead to more effective treatment strategies...
Pattern-specific loss of aquaporin-4 immunoreactivity distinguishes neuromyelitis optica from multiple sclerosisShanu F Roemer
Department of Neurology, Mayo Clinic, College of Medicine, 200 First St SW, Rochester, MN 55905, USA
Brain 130:1194-205. 2007..These findings strongly support a role for a complement activating AQP4-specific autoantibody as the initiator of the NMO lesion, and further distinguish NMO from MS...
Amphiphysin autoimmunity: paraneoplastic accompanimentsSean J Pittock
Department of Neurology, Mayo Clinic College of Medicine, Rochester, MN 55905, USA
Ann Neurol 58:96-107. 2005..01). Overall, a minority of women (39%) and men (12%) had stiff-man phenomena. Only 10% of women (some with lung carcinoma) and 4% of men fulfilled diagnostic criteria for stiff-man syndrome...
The pathology of MS: new insights and potential clinical applicationsSean J Pittock
Department of Neurology, Mayo Clinic, Rochester, Minnesota, USA
Neurologist 13:45-56. 2007..As the site of disease pathology, the MS lesion remains the target of attack for therapy. Therefore it is essential we better understand MS lesion evolution and its clinical as well as paraclinical correlates...
Anti-neuronal nuclear autoantibody type 2: paraneoplastic accompanimentsSean J Pittock
Department of Neurology, Mayo Graduate and Medical Schools, Mayo Clinic, Rochester, MN 55905, USA
Ann Neurol 53:580-7. 2003....
Diagnosis of neuromyelitis spectrum disorders: comparative sensitivities and specificities of immunohistochemical and immunoprecipitation assaysAndrew McKeon
Department of Neurology, Mayo Clinic College of Medicine, Rochester, Minnesota 55905, USA
Arch Neurol 66:1134-8. 2009....
Neuromyelitis optica and non organ-specific autoimmunitySean J Pittock
Department of Neurology, Mayo Clinic, Rochester, Minnesota 55905, USA
Arch Neurol 65:78-83. 2008..Neuromyelitis optica (NMO) is often associated with other clinical or serological markers of non-organ-specific autoimmunity...
Neuromyelitis optica IgG serostatus in fulminant central nervous system inflammatory demyelinating diseaseSetty M Magaña
Department of Neurology, Mayo Clinic College of Medicine, 200 First Ave SW, Rochester, MN 55902, USA
Arch Neurol 66:964-6. 2009..To our knowledge, this study is the first to compare NMO IgG serostatus among patients with fulminant central nervous system inflammatory demyelinating disease (CNS IDD)...
Comparative immunopathogenesis of acute disseminated encephalomyelitis, neuromyelitis optica, and multiple sclerosisDean M Wingerchuk
Mayo Clinic College of Medicine, Scottsdale, Arizona 85259, USA
Curr Opin Neurol 20:343-50. 2007..We review recent progress in differentiating and understanding the disease mechanisms of acute disseminated encephalomyelitis, neuromyelitis optica, and classical multiple sclerosis...
The spectrum of neuromyelitis opticaDean M Wingerchuk
Department of Neurology, Mayo Clinic College of Medicine, Scottsdale, AZ 85259, USA
Lancet Neurol 6:805-15. 2007..The knowledge gained from further assessment of the exact role of NMO-IgG in the pathogenesis of neuromyelitis optica will provide a foundation for rational therapeutic trials for this rapidly disabling disease...
Multiple sclerosis and the spectrum of CNS inflammatory demyelinating diseasesClaudia F Lucchinetti
Department of Neurology, Mayo Clinic College of Medicine, Rochester, Minnesota 55905, USA
Semin Neurol 28:3-6. 2008
Primary central nervous system lymphoma can be histologically diagnosed after previous corticosteroid use: a pilot study to determine whether corticosteroids prevent the diagnosis of primary central nervous system lymphomaAlyx B Porter
Department of Neurology, Mayo Clinic Rochester, Rochester MN, USA
Ann Neurol 63:662-7. 2008..0). The majority of PCNSL patients who received corticosteroids before diagnosis did not experience significant radiographic change or require second biopsy for diagnosis...
Kallikreins are associated with secondary progressive multiple sclerosis and promote neurodegenerationIsobel A Scarisbrick
Program for Molecular Neuroscience, Mayo Clinic College of Medicine, Rochester, MN 55905, USA
Biol Chem 389:739-45. 2008..These novel findings suggest that KLK1 and KLK6 may serve as serological markers of progressive MS and contribute directly to the development of neurological disability by promoting axonal injury and neuron cell death...
Immunoglobulin derived depositions in the nervous system: novel mass spectrometry application for protein characterization in formalin-fixed tissuesFausto J Rodriguez
Department of Laboratory Medicine and Pathology, Research Center, Mayo Clinic, Rochester, MN 55905, USA
Lab Invest 88:1024-37. 2008..LC-MS/MS represents a novel application for characterization of these deposits and is of diagnostic utility in addition to standard immunohistochemical analyses...
Paraneoplastic jaw dystonia and laryngospasm with antineuronal nuclear autoantibody type 2 (anti-Ri)Sean J Pittock
Mayo Medical School College of Medicine, Mayo Clinic, Rochester, MN 55905, USA
Arch Neurol 67:1109-15. 2010..However, the neurologic spectrum of ANNA-2 autoimmunity is broader, includes a syndrome of jaw dystonia and laryngospasm, and can be accompanied by lung carcinoma...
Default mode network disruption secondary to a lesion in the anterior thalamusDavid T Jones
Department of Neurology, Mayo Clinic, 200 First St SW, Rochester, MN 55905, USA
Arch Neurol 68:242-7. 2011..To describe the neuroanatomical correlations of an isolated lesion in the anterior thalamus using functional imaging in a 40-year-old man with multiple sclerosis...
NMO-IgG: a specific biomarker for neuromyelitis opticaBrian G Weinshenker
Department of Neurology, Mayo Clinic College of Medicine, Rochester, MN 55905, USA
Dis Markers 22:197-206. 2006....
Multiple sclerosis, brain radiotherapy, and risk of neurotoxicity: the Mayo Clinic experienceRobert C Miller
Department of Radiation Oncology, Mayo Clinic, Rochester, MN55905, USA
Int J Radiat Oncol Biol Phys 66:1178-86. 2006..The aim of this study was a retrospective assessment of neurotoxicity in patients with multiple sclerosis (MS) receiving external beam radiotherapy (EBRT) to the brain...
Inflammatory transverse myelitis: evolving conceptsSean J Pittock
Department of Neurology, Mayo Clinic College of Medicine, Rochester, Minnesota 55905, USA
Curr Opin Neurol 19:362-8. 2006..Here we describe recent advances in inflammatory non-infectious transverse myelitis. Particular attention will be paid to the serum autoantibody marker NMO-IgG and its application to acute transverse myelitis...
The pathology of multiple sclerosisClaudia F Lucchinetti
Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA
Neurol Clin 23:77-105, vi. 2005
A serum autoantibody marker of neuromyelitis optica: distinction from multiple sclerosisVanda A Lennon
Department of Neurology, Mayo Clinic Rochester, Rochester, MN 55905, USA
Lancet 364:2106-12. 2004..We assessed the capacity of a putative marker for neuromyelitis optica (NMO-IgG) to distinguish neuromyelitis optica and related disorders from multiple sclerosis...
The pathology of multiple sclerosis: evidence for heterogeneityYazmin Morales
Clinical Research Training Program, Mayo Clinic College of Medicine, Mayo Graduate School, Rochester, Minnesota, USA
Adv Neurol 98:27-45. 2006....
Neuromyelitis optica IgG predicts relapse after longitudinally extensive transverse myelitisBrian G Weinshenker
Department of Neurology, Mayo Clinic College of Medicine, Rochester, MN 55905, USA
Ann Neurol 59:566-9. 2006..We investigated whether neuromyelitis optica (NMO) IgG seropositivity at the initial presentation of longitudinally extensive transverse myelitis (LETM) predicts relapse of myelitis or development of optic neuritis...
Brain abnormalities in neuromyelitis opticaSean J Pittock
Department of Neurology, Laboratory Medicine and Pathology, Radiology, and Immunology, Mayo Clinic College of Medicine, Rochester, Minn, USA
Arch Neurol 63:390-6. 2006..CONCLUSIONS: Asymptomatic brain lesions are common in NMO, and symptomatic brain lesions do not exclude the diagnosis of NMO. These observations justify revision of diagnostic criteria for NMO to allow for brain involvement...
Neuromyelitis optica brain lesions localized at sites of high aquaporin 4 expressionSean J Pittock
Department of Neurology, Mayo Clinic College of Medicine, Rochester, MN 55905 0001, USA
Arch Neurol 63:964-8. 2006..Although it is conventionally believed that the brain is spared, brain imaging abnormalities are not uncommon in patients with NMO...
Aquaporin-4-binding autoantibodies in patients with neuromyelitis optica impair glutamate transport by down-regulating EAAT2Shannon R Hinson
Department of Laboratory Medicine and Pathology, Mayo Clinic College of Medicine, Rochester, MN 55905, USA
J Exp Med 205:2473-81. 2008..Thus, binding of NMO-IgG to astrocytic AQP4 initiates several potentially neuropathogenic mechanisms: complement activation, AQP4 and EAAT2 down-regulation, and disruption of glutamate homeostasis...
CCR5Delta32 polymorphism effects on CCR5 expression, patterns of immunopathology and disease course in multiple sclerosisOrhun H Kantarci
Department of Neurology, Mayo Clinic College of Medicine, 200 First Street SW, Rochester, MN 55905, USA
J Neuroimmunol 169:137-43. 2005..Furthermore it does not segregate with patterns of immunopathology in MS. We did not find an association between CCR5*Delta32 mutation and disease severity and age of onset in MS...
Not every patient with multiple sclerosis should be treated at time of diagnosisSean J Pittock
Department of Neurology, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA
Arch Neurol 63:611-4. 2006
Coexistence of myasthenia gravis and serological markers of neurological autoimmunity in neuromyelitis opticaAndrew McKeon
Department of Neurology, Mayo Clinic College of Medicine, Rochester, Minnesota, USA
Muscle Nerve 39:87-90. 2009..0001. The coexistence of NMO and MG should be considered in atypical or refractory presentations of either disorder...
Multiple sclerosis with predominant, severe cognitive impairmentNathan P Staff
Department of Neurology, Mayo Clinic College of Medicine, 200 First St SW, Rochester, MN 55905, USA
Arch Neurol 66:1139-43. 2009..To describe the characteristics of multiple sclerosis (MS) presenting with severe cognitive impairment as its primary disabling manifestation...
The pathological spectrum of CNS inflammatory demyelinating diseasesWei Hu
Department of Neurology, Mayo Clinic College of Medicine, Rochester, MN 55905, USA
Semin Immunopathol 31:439-53. 2009..Herein, we review the clinicopathologic features of these CNS inflammatory demyelinating disorders and discuss recent advances in understanding their immunopathogenesis...
Radiation-induced optic neuritis after pituitary adenoma radiosurgery in a patient with multiple sclerosis: case reportThomas B Daniels
Department of Radiation Oncology, Mayo Clinic, Rochester, MN 55905, USA
J Neurooncol 93:263-7. 2009..To describe a rare case of optic neuritis onset after Gamma Knife stereotactic radiosurgery...
Perivenous demyelination: association with clinically defined acute disseminated encephalomyelitis and comparison with pathologically confirmed multiple sclerosisNathan P Young
Department of Neurology, Mayo Clinic College of Medicine, Rochester, MN 55905, USA
Brain 133:333-48. 2010....
Pathological heterogeneity of idiopathic central nervous system inflammatory demyelinating disordersC Lucchinetti
Department of Neurology, Mayo Clinic College of Medicine, 200 First St SW, Rochester, MN 55905, USA
Curr Top Microbiol Immunol 318:19-43. 2008....
Acute disseminated encephalomyelitis: current understanding and controversiesNathan P Young
Department of Neurology, Mayo Clinic College of Medicine, Rochester, Minnesota 55905, USA
Semin Neurol 28:84-94. 2008..We review pathological differences between ADEM and MS in terms of their utility in the diagnosis of ADEM. Finally, we present a practical approach for management of patients suspected of having ADEM when the diagnosis is uncertain...
Characterizing the mechanisms of progression in multiple sclerosis: evidence and new hypotheses for future directionsE M Frohman
Department of Neurology, University of Texas Southwestern Medical Center at Dallas, 75235, USA
Arch Neurol 62:1345-56. 2005....
Absence of cortical demyelination in neuromyelitis opticaB F Gh Popescu
Department of Neurology, Mayo Clinic, Rochester, MN 55905, USA
Neurology 75:2103-9. 2010..NMO is an autoimmune inflammatory demyelinating disease that specifically targets aquaporin-4-rich regions of the CNS. Since aquaporin-4 is highly expressed in normal cortex, we anticipated that cortical demyelination may occur in NMO...
Beneficial plasma exchange response in central nervous system inflammatory demyelinationSetty M Magaña
Department of Neurology, Mayo Clinic College of Medicine, Rochester, MN 55905, USA
Arch Neurol 68:870-8. 2011..Despite the approximately 45% PLEX response rate reported among patients with CNS-IDD, determinants of interindividual differences in PLEX response are not well characterized...
A case of multiple sclerosis presenting with inflammatory cortical demyelinationB F Gh Popescu
Department of Neurology, Mayo Clinic, Rochester, MN 55905, USA
Neurology 76:1705-10. 2011....
Childhood-onset multiple sclerosis with progressive dementia and pathological cortical demyelinationReem F Bunyan
Department of Neurology, Mayo Clinic, College of Medicine, Rochester, MN 55905, USA
Arch Neurol 68:525-8. 2011..To describe a case of childhood-onset progressive multiple sclerosis with dementia and evidence of extensive cortical demyelination from brain biopsy specimen...
Neuromyelitis optica unique area postrema lesions: nausea, vomiting, and pathogenic implicationsB F Gh Popescu
Mayo Clinic, College of Medicine, Rochester, MN 55905, USA
Neurology 76:1229-37. 2011..Aquaporin-4 (AQP4) autoimmunity targets this region, resulting in intractable nausea associated with vomiting or hiccups in NMO...
Intractable vomiting as the initial presentation of neuromyelitis opticaMetha Apiwattanakul
Department of Laboratory Medicine and Pathology, Mayo Clinic College of Medicine, Rochester, MN 55905, USA
Ann Neurol 68:757-61. 2010..Our clinical, pathologic and neuroimaging observations suggest the aquaporin-4-rich area postrema may be a first point of attack in neuromyelitis optica...
Relation between humoral pathological changes in multiple sclerosis and response to therapeutic plasma exchangeMark Keegan
Department of Neurology, Mayo Clinic College of Medicine, Rochester, MN 55905, USA
Lancet 366:579-82. 2005..0001). Patients with multiple sclerosis with pattern II pathology are more likely to respond favourably to TPE than are patients with patterns I or III...
Ornithine transcarbamylase deficiency presenting as encephalopathy during adulthood following bariatric surgeryWilliam T Hu
Department of Neurology, Mayo Clinic College of Medicine, Rochester, Minn 55905, USA
Arch Neurol 64:126-8. 2007..Whereas nutritional deficiencies are the most common cause of neurological symptoms, the unmasking of previously subclinical metabolic disorders can also lead to significant morbidity...
Neuromyelitis optica: changing conceptsAnu Jacob
Department of Neurology, Mayo Clinic College of Medicine, Rochester, MN 55905, USA
J Neuroimmunol 187:126-38. 2007..The development of animal models and further analysis of the association of NMO-IgG with disease severity and treatment response will elucidate the pathobiology of NMO...
Gray matter involvement in multiple sclerosisIstvan Pirko
Department of Neurology, University of Cincinnati, OH, USA
Neurology 68:634-42. 2007..However, continued studies of GM pathology as well as neuronal and axonal involvement in MS and related experimental models are necessary to better understand the etiology and pathogenesis of the degenerative components...
Autologous haematopoietic stem cell transplantation fails to stop demyelination and neurodegeneration in multiple sclerosisImke Metz
Department of Neuropathology, Georg August University, Gottingen, Germany
Brain 130:1254-62. 2007....
Myelin transcription factor 1 (Myt1) expression in demyelinated lesions of rodent and human CNSAdam C Vana
Program in Neuroscience, Uniformed Services University of the Health Sciences, Bethesda, Maryland
Glia 55:687-97. 2007..These results suggesta potential role for Myt1 in the regeneration of oligodendrocyte lineage cells in response to demyelination...
Widespread demyelination in the cerebellar cortex in multiple sclerosisAlexandra Kutzelnigg
Center for Brain Research, Medical University of Vienna, Austria
Brain Pathol 17:38-44. 2007..Our data identify cortical demyelination as a potential substrate of cerebellar dysfunction in MS...
Cortical demyelination in CNS inflammatory demyelinating diseasesHans Lassmann
Neurology 70:332-3. 2008
Expression of chemokine receptors CCR1 and CCR5 reflects differential activation of mononuclear phagocytes in pattern II and pattern III multiple sclerosis lesionsDon J Mahad
Department of Neurosciences, The Lerner Research Institute, The Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA
J Neuropathol Exp Neurol 63:262-73. 2004..As judged by mononuclear phagocyte chemokine receptor expression, there appear to be distinct tissue environments in pattern II and III MS lesions...
Evidence for pathogenic heterogeneity in multiple sclerosisClaudia F Lucchinetti
Ann Neurol 56:308. 2004
Cortical demyelination and diffuse white matter injury in multiple sclerosisAlexandra Kutzelnigg
Center for Brain Research, Medical University of Vienna, Vienna, Austria
Brain 128:2705-12. 2005..With chronicity, diffuse inflammation accumulates throughout the whole brain, and is associated with slowly progressive axonal injury in the NAWM and cortical demyelination...
Tissue preconditioning may explain concentric lesions in Baló's type of multiple sclerosisChristine Stadelmann
Brain Research Center, Medical University of Vienna, Vienna, Austria
Brain 128:979-87. 2005..Due to their neuroprotective effects, the rim of periplaque tissue, where these proteins are expressed, may be resistant to further damage in an expanding lesion and may therefore remain as a layer of preserved myelinated tissue...
The immunopathology of multiple sclerosis: an overviewHans Lassmann
Centre for Brain Research, Medical University of Vienna, Vienna, Austria
Brain Pathol 17:210-8. 2007..This heterogeneity is reflected by different clinical manifestations of the disease, such as relapsing or progressive MS, and also explains at least in part the relation of MS to other inflammatory demyelinating diseases...
CC chemokine receptor 8 in the central nervous system is associated with phagocytic macrophagesCorinna Trebst
Department of Neurosciences, The Lerner Research Institute, Cleveland, Ohio 44195, USA
Am J Pathol 162:427-38. 2003..CCR8 expression may also indicate a selective program of mononuclear phagocyte gene expression...
Research Grants
- Genetic Determinants of Pathologic Heterogeneity in MSClaudia Lucchinetti; Fiscal Year: 2007....
- Mechanisms of Multiple Sclerosis Tissue PathologyClaudia Lucchinetti; Fiscal Year: 2009....
- Mechanisms of Multiple Sclerosis Tissue PathologyClaudia Lucchinetti; Fiscal Year: 2010....
