Study of Molecular Markers in Cutaneous Inflammation Between Psoriatic Lesional Skin and Healthy Non-lesional Skin

NCT ID: NCT03423004

Last Updated: 2019-12-04

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

Clinical Phase

NA

Total Enrollment

9 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-01-11

Study Completion Date

2019-07-11

Brief Summary

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The project topic consists on re-conciliating the fine tuners of the gene expression "microRNAs" and the immunopathogenic occasions responsible for skin disorders in context of skin infection and inflammation such as psoriasis. The skin is a network of effector cells and molecular mediators that constitute a highly sophisticated "Skin Immune System (SIS) described by Jan D Bos in 1986. The cutaneous homeostasis maintenance is dependent on the cross talk between several immune sentinels present in the different compartments of the skin as well as the interplay between innate and adaptive immune responses. The whole is under the control of gene regulation. However, cutaneous homeostasis disruption occurs when the SIS safe framework erroneously sends aggravation signals due to gene regulation disbalance via inflammatory cellular and molecular mediators into the site of infection causing chronic inflammation characterized by thick red irritated skin lesions. The latter was showed to have a characteristic microRNA (regulators of gene expression) signature.

Detailed Description

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Conditions

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Psoriasis

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

BASIC_SCIENCE

Blinding Strategy

NONE

Study Groups

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Patient with lesional skin

the sample will be taken by superficial cutaneous biopsy in psoriasic patients

Group Type EXPERIMENTAL

Biopsy

Intervention Type PROCEDURE

the sample will be taken by superficial cutaneous biopsy in psoriasic patients

Patients with healthy skin

the skin will be recovered during a surgical procedure (surgical waste) for patients who will not be opposed

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Biopsy

the sample will be taken by superficial cutaneous biopsy in psoriasic patients

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Men or women between 18 and 75
* Clinical diagnosis of chronic active psoriasis in non-pustular plaque
* Treated locally with topical corticosteroids

Exclusion Criteria

* Patient who did not give express consent to participate
* No affiliation to a social security scheme
* Patient treated systemically
* Thrombocytopenic patient
* Patient known to be HIV-positive
* Septic patient
* Patient with only facial lesions
* Patient with psoriasis with joint involvement
* Patient participating in another study
* Patient protected under the law (under guardianship or trusteeship)
* Pregnant or lactating woman
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Centre Hospitalier Régional d'Orléans

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Ali ARAR, Dr

Role: PRINCIPAL_INVESTIGATOR

CHR d'Orléans

Locations

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CHR d'Orleans

Orléans, , France

Site Status

Countries

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France

References

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Nestle FO, Di Meglio P, Qin JZ, Nickoloff BJ. Skin immune sentinels in health and disease. Nat Rev Immunol. 2009 Oct;9(10):679-91. doi: 10.1038/nri2622. Epub 2009 Sep 18.

Reference Type BACKGROUND
PMID: 19763149 (View on PubMed)

Finlay AY. Current severe psoriasis and the rule of tens. Br J Dermatol. 2005 May;152(5):861-7. doi: 10.1111/j.1365-2133.2005.06502.x.

Reference Type BACKGROUND
PMID: 15888138 (View on PubMed)

Sobhan MR, Farshchian M, Hoseinzadeh A, Ghasemibasir HR, Solgi G. Serum Levels of IL-10 and IL-22 Cytokines in Patients with Psoriasis. Iran J Immunol. 2016 Dec;13(4):317-323.

Reference Type BACKGROUND
PMID: 27999243 (View on PubMed)

Carrascosa JM, Toro Montecinos M, Ballesca F, Teniente Serra A, Martinez Caceres E, Ferrandiz C. Correlation between trough serum levels of adalimumab and absolute PASI score in a series of patients with psoriasis. J Dermatolog Treat. 2018 Mar;29(2):140-144. doi: 10.1080/09546634.2017.1341619. Epub 2017 Jul 6.

Reference Type BACKGROUND
PMID: 28604127 (View on PubMed)

Duhen T, Geiger R, Jarrossay D, Lanzavecchia A, Sallusto F. Production of interleukin 22 but not interleukin 17 by a subset of human skin-homing memory T cells. Nat Immunol. 2009 Aug;10(8):857-63. doi: 10.1038/ni.1767. Epub 2009 Jul 5.

Reference Type BACKGROUND
PMID: 19578369 (View on PubMed)

Other Identifiers

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CHRO-2017-12

Identifier Type: -

Identifier Source: org_study_id

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