Arachidonic Acid Metabolism in Carotid Stenosis Plaque in Diabetic Patients

NCT ID: NCT03202823

Last Updated: 2021-01-26

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

204 participants

Study Classification

OBSERVATIONAL

Study Start Date

2017-04-13

Study Completion Date

2020-12-11

Brief Summary

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Diabetes is associated with an increased risk of cardiovascular complications, as a reflection of the chronic inflammatory status. Monocytes-macrophages in diabetic subjects present impaired arachidonic acid metabolism. Moreover, atheromatous plaques in diabetic subjects seem to be significantly enriched in 2-AA-LPC (2-arachidonoyl-lysophosphatidylcholine) and are more inflammatory and more likely to rupture than are plaques in non-diabetic subjects. We therefore hypothesize that this vulnerability of atheromatous plaques in diabetic subjects could be explained by impaired 2-AA-LPC metabolism within the plaque.

Detailed Description

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Conditions

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Carotid Stenosis

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

PROSPECTIVE

Study Groups

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Diabetics

blood samples

Intervention Type PROCEDURE

3 tubes (5 ml volume) collected during surgery

recover samples of atheromatous plaque

Intervention Type PROCEDURE

a carotid sample collected during surgery

Non-diabetics

blood samples

Intervention Type PROCEDURE

3 tubes (5 ml volume) collected during surgery

recover samples of atheromatous plaque

Intervention Type PROCEDURE

a carotid sample collected during surgery

Interventions

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blood samples

3 tubes (5 ml volume) collected during surgery

Intervention Type PROCEDURE

recover samples of atheromatous plaque

a carotid sample collected during surgery

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Patients who have provided explicit consent
* Patients older than 18 years
* Patients about to undergo surgery for carotid stenosis
* Haemoglobin ≥ 7g/dl at the time the sample is taken
* Respect the maximum volume of blood taken (treatment + research) in 30 days

SPECIFIC TO DIABETICS

\- Patients with type 1 or 2 diabetes diagnosed more than 6 months earlier

Exclusion Criteria

* Patients under guardianship
* Patients without health insurance cover
* Pregnant or breast-feeding women
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Centre Hospitalier Universitaire Dijon

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Chu Dijon Bourgogne

Dijon, , France

Site Status

Countries

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France

References

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Menegaut L, Laubriet A, Crespy V, Leleu D, Pilot T, Van Dongen K, de Barros JP, Gautier T, Petit JM, Thomas C, Nguyen M, Steinmetz E, Masson D. Inflammation and oxidative stress markers in type 2 diabetes patients with Advanced Carotid atherosclerosis. Cardiovasc Diabetol. 2023 Sep 14;22(1):248. doi: 10.1186/s12933-023-01979-1.

Reference Type DERIVED
PMID: 37710315 (View on PubMed)

Other Identifiers

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MENEGAUT 2016

Identifier Type: -

Identifier Source: org_study_id

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