Neuron-specific Humoral and Cellular Immune Correlates of Structural and Functional Brain Connectomics in Neuropsychiatric Lupus

Status: Recruiting
Location: See location...
Intervention Type: Diagnostic test
Study Type: Observational
SUMMARY

Systemic lupus erythematosus (SLE) is the prototype systemic autoimmune disease. Neuropsychiatric SLE (NPSLE) is a major cause of morbidity. Its pathophysiology remains unclear and target autoantigens have not yet been identified. Site- specific autoantigen expression might correlate with imaging abnormalities. Based on existing expertise on the use of peptide/protein arrays and on antigen-specific T cell tracking, we plan to identify new fingerprints and targets for NPSLE. SLE patients +/- NPSLE and healthy subjects will undergo advanced magnetic resonance imaging. Three-dimensional data on structural or functional brain architecture will be integrated with brain transcriptome atlases and candidate antigens for autoreactive autoantibodies and T lymphocytes identified and validated. The evidence will add to current knowledge on NPSLE pathophysiology, provide new multimodal diagnostic tools for better patient care and a platform for innovative, personalized treatments.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 15
View:

⁃ Patients with SLE

• Diagnosis of SLE according to the ACR 1997, SLICC 2012 or EULAR/ACR 2019 criteria

• age ≥ 18 years (reference centre)

• age 15-17 years (affiliated centre)

⁃ Healthy subjects

• Charlson's Comorbidity Index=0 and no chronic treatment

• age ≥ 18 years (reference centre)

• age 15-17 years (affiliated centre)

Locations
Other Locations
Italy
IRCCS Ospedale San Raffaele
RECRUITING
Milan
Time Frame
Start Date: 2023-04-30
Estimated Completion Date: 2026-04-29
Participants
Target number of participants: 200
Treatments
systemic lupus erythematosus
Patients with SLE according to the 1997 ACR, 2012 SLICC or 2019 EULAR/ACR criteria will undergo MRI along with neuropsychological tests, rheumatological evaluation and blood sample collection at baseline and after at least 12 months or during a new neuropsychiatric manifestation. In case of existing MRI with compatible features, they will be used as baseline studies.
healthy controls
Subjects with Charlson's Comorbidity Index=0 with no ongoing chronic therapy and no history of immune-mediated disease will undergo a single MRI study, along with neuropsychological tests and blood sample collection. In case of existing MRI with compatible features, no additional studies will be performed in this cohort.
Related Therapeutic Areas
Sponsors
Collaborators: Istituto Giannina Gaslini
Leads: IRCCS San Raffaele

This content was sourced from clinicaltrials.gov