Glucosinolates (GLs) are phytocompounds mainly found in the Cruciferae (Brassicacea) and Moringa oleifera plants. The hydrolysis of GLs by myrosinase led to the production of isothiocyanate (ITCs). ITCs consumption was associated with different health promoting effects, including to neuroprotective, anti-oxidant and anti-inflammatory capacities. In particular, they showed neuroprotective effects in experimental models of neurodegenerative diseases, including multiple sclerosis (MS) and Parkinson's disease (PD). From different GLs, different ITCs are originated. In particular, from glucoraphanin (GRA) the ITC sulforaphane (SFN) is obtained. The PI of the project is one of the proprietor of a patent (EP2908850B1) for the application of (Rs)-GRA with myrosinase in a buffered solution for the treatment of neurodegenerative diseases. The aim of this project is to evaluate the effects of the administration of bioactivated GRA in different cohorts of adult patients, affected by MS and PD, but also a cohort of pediatric patients affected by neuromuscolar and degenerative diseases. The effects of bioactivated (Rs)-GRA administration will be evaluated with a combination of clinical evaluations and a multiomic (metabolomic, genomic) approach.
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Unified Parkinson's Disease Rating Scale (UPDRS) Total Score
Timeframe: Baseline, 6 months (end of treatment), 12 months
Hoehn and Yahr scale
Timeframe: Baseline, 6 months (end of treatment), 12 months
Expanded Disability Status Scale (EDSS) for Multiple Sclerosis patients
Timeframe: Baseline, 6 months (end of treatment), 12 months
Cognitive and Neuropsychological Assessments: Montreal Cognitive Assessment (MoCA) and Mini-mental state examination
Timeframe: Baseline, 6 months (end of treatment), 12 months
Brief Repeatable Battery (BRB) of Neuropsychological Tests for Multiple Sclerosis patients
Timeframe: Baseline, 6 months (end of treatment), 12 months
Normalized Brain Volume (NBV)
Timeframe: Baseline, 6 months (end of treatment), 12 months
Normalized Cortical Volume (NCV)
Timeframe: Baseline, 6 months (end of treatment), 12 months
Change from Baseline in Whole-Brain Fractional Anisotropy (FA) in Multiple Sclerosis Patients
Timeframe: Baseline, 6 months (end of treatment), 12 months
Change from Baseline in Whole-Brain Mean Diffusivity (MD) in Multiple Sclerosis patients
Timeframe: Baseline, 6 months (end of treatment), 12 months
Non-Motor Symptoms Scale (NMSS) for Parkinson patients
Timeframe: Baseline, 6 months (end of treatment), 12 months
Quality of Life Assessment: Hamilton Rating Scale for Depression (HRSD) and Hamilton Anxiety Rating Scale.
Timeframe: Baseline, 6 months (end of treatment), 12 months
Parkinson's Disease Quality of Life Questionnaire (PDQ-8)
Timeframe: Baseline, 6 months (end of treatment), 12 months
Parkinson's Disease Sleep Scale (PDSS-2)
Timeframe: Baseline, 6 months (end of treatment), 12 months
Change from Baseline in EuroQol-5D-3L Index Score
Timeframe: Baseline, 6 months (end of treatment), 12 months
Clinical Global Impression of Improvement (CGI-I)
Timeframe: Baseline, 6 months (end of treatment), 12 months
Patient Global Impression of Change (PGI-C)
Timeframe: Baseline, 6 months (end of treatment), 12 months