Characterization of Natural Killer Cells in Severe Asthma Patients in Comparison With Control Subjects: Identification of Biomarkers, Response During Virus-induced Exacerbations, and Interaction With Bronchial Epithelial Cells

Status: Recruiting
Location: See location...
Intervention Type: Biological
Study Type: Interventional
Study Phase: Not Applicable
SUMMARY

Asthma is a common chronic bronchial disease affecting 300 million people worldwide. The disease can be severe when it is not managed properly or when it is not controlled by treatments. Asthma is characterized by bronchial inflammation, bronchial hyperreactivity and tissue remodeling. Symptoms include episodes of coughing, dyspnoea and wheezing in relation with bronchial obstruction. The evolution is marked by the occurrence of exacerbations (increase of symptoms), most often triggered by viral infections, mostly due to rhinoviruses. The treatment of asthma is based on inhaled corticosteroid therapy sometimes combined with other treatments that help control the majority of asthma. However, about 10% of patients suffer from persistent symptoms despite these treatments. Natural killer (NK) cells are important actors of the antiviral innate immune response and are present in high numbers in the lungs. However, their role in severe asthma and its virus-induced exacerbations is unknown. The purpose of this work is to characterize NK cells in severe asthma in order to identify molecules expressed differently from control subjects. The goal is to assess whether these molecules could be potential biomarkers of a severe asthma subtype, also known as the endotype, and/or be the molecular control for exacerbation. The advantage of identifying biomarkers for inflammatory diseases lies in their usefulness in establishing a correct diagnosis, monitoring the progress of the disease and the effectiveness of treatments. The secondary objectives are to characterize the activation of NK cells in response to in vitro rhinovirus infection of different types, in monoculture or in a model of interaction with a bronchial epithelium, and identify one or more molecules involved in the interaction between bronchial epithelial cells and NK cells.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Healthy Volunteers: t
View:

⁃ Cases asthma controlled, uncontrolled excluding exacerbation, uncontrolled asthma exacerbation, and healthy volunteers:

• Consent form read, understood, approved and signed before any study procedure

• Membership of a social security scheme or beneficiary of such a scheme

• Patient aged over 18

⁃ Cases asthma controlled, uncontrolled excluding exacerbation, uncontrolled exacerbation:

⁃ \- Diagnosis of severe asthma confirmed by a respirologist at an expert centre

⁃ Case asthma controlled:

⁃ \- Asthma control confirmed by a lung specialist from an expert centre

⁃ Case uncontrolled asthma excluding exacerbation:

⁃ \- Uncontrolled asthma confirmed by a lung specialist from an expert centre

⁃ Case uncontrolled asthma with exacerbation:

⁃ \- Current exacerbation

Locations
Other Locations
France
Hôpital NORD - AP-HM, Clinique des bronches, de l'allergie et du sommeil
RECRUITING
Marseille
Contact Information
Primary
Pascal Chanez, PU-PH
pascal.chanez@univ-amu.fr
+334.91.96.58.64
Backup
Catherine Duez, CRCN
catherine.duez@inserm.fr
+334.91.32.42.74
Time Frame
Start Date: 2023-09-07
Estimated Completion Date: 2030-09
Participants
Target number of participants: 448
Treatments
Other: Severe uncontrolled asthma in exacerbation
Other: Severe uncontrolled asthma excluding exacerbation
Other: Severe controlled asthma
Other: Healthy volunteers (control group)
Related Therapeutic Areas
Sponsors
Leads: Institut National de la Santé Et de la Recherche Médicale, France

This content was sourced from clinicaltrials.gov