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Elena Ambrosino

Project Manager – GRaPH-Int
Senior Researcher - Public Health Genomics

Institute for Public Health genomics
European Centre for Public Health Genomics (ECPHG)

Faculty of Health, Medicine & Life Sciences

Maastricht University

Universiteitssingel 40, 6229 ER, Maastricht

P.O. Box 616, 6200 MD The Netherlands

Tel: +31 (0) 433884081, Fax: +31 (0) 433884169

www.maastrichtuniversity.nlwww.ecphg.eu www.phgen.eu
elena.ambrosino@gmail.com, e.ambrosino@socmed.unimaas.nl
I am currently Senior Researcher at the Institute for Public Health Genomics (Faculty of Health, Medicine & Life Sciences/FHML) at Maastricht University (The Netherlands).
There, I am coordinating the Genome-based Research and Population Health International Network (GRaPH-Int).
I am also Project Supervisor of the Public Health Genomics European Network (PHGEN) II project.
Furthermore, I am currently the Associate Editor and Editorial Office manager for the journal Public Health Genomics, whose Editorial Office is locate at the Institute for Public Health Genomics (Maastricht University). In addition I am also member of the Editorial Board of the ISRN Journal Preventive Medicine.

Before joining Maastricht University, I completed a PostDoctoral fellowship at the Tropical Institute of the French Army (Marseille, France) in the field of Malaria Research in Sub-Saharan Africa and earlier a PostDoctoral fellowship at the National Cancer Institute (NIH, USA) in Tumor Immunology. My education background includes a Master course in International Health and Tropical Medicine, a PhD in Cancer Immunology, and a PhD in Medical Biotechnology focused on the development and optimization of anti-tumor vaccines.

I have additional clinical experience working with non-profit organizations in the assessment of health conditions, and I have also conducted medical research in parasite immunology in developing countries.

My current goal is to combine my immunology and clinical research experiences into a career that will enable me to pursue my other dream of improving public health in developing countries.
I have additional clinical experience working with non-profit organizations in the assessment of health conditions, and I have also conducted medical research in parasite immunology in developing countries.
My current goal is to combine my immunology and international public health expertise into a career that will enable me to pursue my other dream of improving public health in developing countries.

Journal articles

2012
2011
2010
2009
2008
E Ambrosino, J A Berzofsky, M Terabe (2008)  Regulation of tumor immunity: the role of NKT cells.   Expert Opinion on Biological Therapy 8: 6. 725-34 Jun  
Abstract: BACKGROUND: Tumor immunosurveillance is a part of the dynamic process of interaction between abnormal cells and the host immune system. Tumor immunosurveillance is actively and continuously regulated in both positive and negative ways. Natural killer T (NKT) cells are cells that have been shown to play a role in both positive and negative regulation of tumor immunosurveillance. Recent studies suggest that NKT cells are a heterogeneous cell population with multiple subsets with distinct functions. OBJECTIVE: This review discusses the functions of those NKT cell subsets in regulating tumor immunity and potential interactions or counter-regulation among the NKT cell subsets. METHOD: Selected literature is reviewed. CONCLUSION: Manipulation of the balance among those subsets may provide new modes of intervention for tumor immunotherapy.
Notes: Review
2007
E Ambrosino, M Terabe, R C Halder, J Peng, S Takaku, S Miyake, T Yamamura, V Kumar, J A Berzofsky (2007)  Cross-regulation between type I and type II NKT cells in regulating tumor immunity: a new immunoregulatory axis.   Journal of Immunology 179: 8. 5126-36 Oct 15  
Abstract: Negative immunoregulation is a major barrier to successful cancer immunotherapy. The NKT cell is known to be one such regulator. In this study we explored the roles of and interaction between the classical type I NKT cell and the poorly understood type II NKT cell in the regulation of tumor immunity. Selective stimulation of type II NKT cells suppressed immunosurveillance, whereas stimulation of type I NKT cells protected against tumor growth even when responses were relatively skewed toward Th2 cytokines. When both were stimulated simultaneously, type II NKT cells appeared to suppress the activation in vitro and protective effect in vivo of type I NKT cells. In the absence of type I, suppression by type II NKT cells increased, suggesting that type I cells reduce the suppressive effect of type II NKT cells. Thus, in tumor immunity type I and type II NKT cells have opposite and counteractive roles and define a new immunoregulatory axis. Alteration of the balance between the protective type I and the suppressive type II NKT cell may be exploited for therapeutic intervention in cancer.
Notes:
2006
S Cabodi, A Tinnirello, P Di Stefano, B Bisarò, E Ambrosino, I Castellano, A Sapino, R Arisio, F Cavallo, G Forni, M Glukhova, L Silengo, F Altruda, E Turco, G Tarone, P Defilippi (2006)  p130Cas as a new regulator of mammary epithelial cell proliferation, survival, and HER2-neu oncogene-dependent breast tumorigenesis.   Cancer Research 66: 9. 4672-80 May 1  
Abstract: To investigate the mechanisms through which p130Cas adaptor protein is linked to tumorigenesis, we generated mouse mammary tumor virus (MMTV)-p130Cas mice overexpressing p130Cas in the mammary gland. MMTVp130Cas transgenic mice are characterized by extensive mammary epithelial hyperplasia during development and pregnancy and by delayed involution at the end of lactation. These phenotypes are associated with activation of Src kinase, extracellular signal-regulated kinase 1/2, mitogen-activated protein kinase, and Akt pathways, leading to an increased rate of proliferation and a decreased apoptosis. A double-transgenic line derived from crossing MMTV-p130Cas with MMTV-HER2-Neu mice expressing the activated form of the HER2-Neu oncogene develops multifocal mammary tumors with a significantly shorter latency than the HER2-Neu parental strain alone. Mammary epithelial cells isolated from tumors of double-transgenic mice display increased tyrosine phosphorylation, c-Src, and Akt activation compared with cells derived from HER2-Neu tumors. In addition, p130Cas down-regulation by RNA interference increases apoptosis in HER2-Neu-expressing cells, indicating that p130Cas regulates cell survival. Consistently with the double-transgenic mice model, p130Cas is overexpressed in a significant subset of human breast cancers and high levels of p130Cas in association with HER2 expression correlate with elevated proliferation. These findings provide evidences for a role of p130Cas as a positive regulator of both proliferation and survival in normal and transformed mammary epithelial cells. Its overexpression contributes to HER2-Neu-induced breast tumorigenesis, thus identifying this protein as a putative target for clinical therapy.
Notes:
T Pannellini, M Spadaro, E Di Carlo, E Ambrosino, M Iezzi, A Amici, P L Lollini, G Forni, F Cavallo, P Musiani (2006)  Timely DNA vaccine combined with systemic IL-12 prevents parotid carcinomas before a dominant-negative p53 makes their growth independent of HER-2/neu expression.   Journal of Immunology 176: 12. 7695-703 Jun 15  
Abstract: Double transgenic mice overexpressing the transforming rat HER-2/neu oncogene and the mutated p53, with both dominant-negative and a gain-of-function properties, display early aggressive and metastasizing parotid tumors. Multiple acinar and ductal hyperplasia foci overexpressing the HER-2/neu gene product are evident at wk 5 and progress to poorly differentiated carcinoma by wk 7. Mice die before wk 18 with invasive carcinomas and multiple metastases that no longer express HER-2/neu. A combination of repeated electroporations of plasmids coding for the extracellular and transmembrane domains of the rat HER-2/neu receptor with systemic IL-12 administrations started when the parotids that present diffuse hyperplasia protected all female and 50% of the male mice until the close of the experiment at wk 40. This combined treatment began when multifocal in situ carcinomas that were already present cured 33% of the females and 25% of the males. The most prominent immunologic features associated with the antitumor protection were the production of high titers of anti-HER-2/neu Abs and the nonappearance of cell-mediated cytotoxic reactivity. In conclusion, anti-HER-2/neu vaccination combined with systemic IL-12 control parotid carcinomas as far as p53 mutation makes their growth independent of HER-2/neu expression.
Notes:
L Holmgren, E Ambrosino, O Birot, C Tullus, N Veitonmäki, T Levchenko, L M Carlson, P Musiani, M Iezzi, C Curcio, G Forni, F Cavallo, R Kiessling (2006)  A DNA vaccine targeting angiomotin inhibits angiogenesis and suppresses tumor growth.   Proceedings of the National Academy of Science U S A 103: 24. 9208-13 Jun 13  
Abstract: Endogenous angiogenesis inhibitors have shown promise in preclinical trials, but clinical use has been hindered by low half-life in circulation and high production costs. Here, we describe a strategy that targets the angiostatin receptor angiomotin (Amot) by DNA vaccination. The vaccination procedure generated antibodies that detected Amot on the endothelial cell surface. Purified Ig bound to the endothelial cell membrane and inhibited endothelial cell migration. In vivo, DNA vaccination blocked angiogenesis in the matrigel plug assay and prevented growth of transplanted tumors for up to 150 days. We further demonstrate that a combination of DNA vaccines encoding Amot and the extracellular and transmembrane domains of the human EGF receptor 2 (Her-2)/neu oncogene inhibited breast cancer progression and impaired tumor vascularization in Her-2/neu transgenic mice. No toxicity or impairment of normal blood vessels could be detected. This work shows that DNA vaccination targeting Amot may be used to mimic the effect of angiostatin.
Notes: Epub 2006 Jun 5
E Ambrosino, M Spadaro, M Iezzi, C Curcio, G Forni, P Musiani, W Z Wei, F Cavallo (2006)  Immunosurveillance of Erbb2 carcinogenesis in transgenic mice is concealed by a dominant regulatory T-cell self-tolerance.   Cancer Research 66: 15. 7734-40 Aug 1  
Abstract: To assess the role of CD4(+)CD25(+)Foxp3(+) regulatory T (Treg) cells in overcoming immunosurveillance of Erbb2 (HER-2/neu) mammary lesions, we studied the effects of their sustained removal in BALB/c female mice made transgenic for the rat Erbb2 (r-Erbb2) oncogene (BALB-neuT mice), which develop multiple mammary carcinomas. During the progression of these lesions, Treg cells expand in the spleen, tumor draining lymph nodes, and tumors. Repeated administration of anti-CD25 antibodies extends tumor-free survival, reduces carcinoma multiplicity, and leads to the manifestation of a natural antibody and CTL-mediated reactivity against r-Erbb2. Loss of Foxp3(+) Treg cells during anti-CD25 treatment remarkably caused the disappearance of Gr1(+) immature myeloid cells, suggesting a cross-talk between these two inhibitory immune cell types. Treg cell expansion associated with r-Erbb2 overexpression may be seen as a physiologic response to dampen the immune reaction elicited by local anomalous overexpression of a self-antigen.
Notes:
2005
M Spadaro, E Ambrosino, M Iezzi, E Di Carlo, P Sacchetti, C Curcio, A Amici, W Z Wei, P Musiani, P L Lollini, F Cavallo, G Forni (2005)  Cure of mammary carcinomas in Her-2 transgenic mice through sequential stimulation of innate (neoadjuvant interleukin-12) and adaptive (DNA vaccine electroporation) immunity.   Clinical Cancer Research 11: 5. 1941-52 Mar 1  
Abstract: PURPOSE: Whereas neoadjuvant therapy is emerging as a treatment option in early primary breast cancer, no data are available on the use of antiangiogenic and immunomodulatory agents in a neoadjuvant setting. In a model of Her-2 spontaneous mammary cancer, we investigated the efficacy of neoadjuvant interleukin 12 (IL-12) followed by "immune-surgery" of the residual tumor. EXPERIMENTAL DESIGN: Female BALB/c mice transgenic for the rat Her-2 oncogene inexorably develop invasive carcinomas in all their mammary glands by the 23rd week of age. Mice with multifocal in situ carcinomas received four weekly i.p. injections of 100 ng IL-12 followed by a 3-week rest. This course was given four times. A few mice additionally received DNA plasmids encoding portions of the Her-2 receptor electroporated through transcutaneous electric pulses. RESULTS: The protection elicited by IL-12 in combination with two DNA vaccine electroporations kept 63% of mice tumor-free. Complete protection of all 1-year-old mice was achieved when IL-12-treated mice received four vaccine electroporations. Pathologic findings, in vitro tests, and the results from immunization of both IFN-gamma and immunoglobulin gene knockout transgenic mice and of adoptive transfer experiments all show that IL-12 augments the B- and T-cell response elicited by vaccination and slightly decreases the number of regulatory T cells. In addition, IL-12 strongly inhibits tumor angiogenesis. CONCLUSIONS: In Her-2 transgenic mice, IL-12 impairs tumor progression and triggers innate immunity so markedly that DNA vaccination becomes effective at late points in time when it is ineffective on its own.
Notes:
M Terabe, J Swann, E Ambrosino, P Sinha, S Takaku, Y Hayakawa, D I Godfrey, S Ostrand-Rosenberg, M J Smyth, J A Berzofsky (2005)  A non classical non-Valpha14Jalpha18 CD1d-restricted (type II) NKT cell is sufficient for down-regulation of tumor immunosurveillance.   Journal of Experimental Medicine 202: 12. 1627-1633 Dec  
Abstract: The importance of immunoregulatory T cells has become increasingly apparent. Both CD4+CD25+ T cells and CD1d-restricted NKT cells have been reported to down-regulate tumor immunity in mouse tumor models. However, the relative roles of both T cell populations have rarely been clearly distinguished in the same tumor models. In addition, CD1d-restricted NKT cells have been reported to play a critical role not only in the down-regulation of tumor immunity but also in the promotion of the immunity. However, the explanation for these apparently opposite roles in different tumor models remains unclear. We show that in four mouse tumor models in which CD1d-restricted NKT cells play a role in suppression of tumor immunity, depletion of CD4+CD25+ T cells did not induce enhancement of immunosurveillance. Surprisingly, among the two subpopulations of CD1d-restricted NKT cells, Valpha14Jalpha18+ (type I) and Valpha14Jalpha18- (type II) NKT cells, type I NKT cells were not necessary for the immune suppression. These unexpected results may now resolve the paradox in the role of CD1d-restricted NKT cells in the regulation of tumor immunity, in that type II NKT cells may be sufficient for negative regulation, whereas protection has been found to be mediated by alpha-galactosylceramide-responsive type I NKT cells.
Notes:

PhD theses

2007

Other

2011
2010
E Ambrosino (2010)  Global aspects of Public Health Genomics: fighting infectious diseases in Global Health   European Journal of Public Health, Volume 20 suppl 1  
Abstract:
Notes: Oral presentation at the 3RD European Public Health Conference Integrated Public Health Amsterdam, 10–13 November 2010
2005

MSc/PhD Thesis

2003

Contribution to Articles

2010
2005

Book review

2012
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