Characterization of Adenosine A2A Receptor Expression and Fubnction in Hypercholesterolemic Patients

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

Hypercholesterolemia promotes chronic inflammation, endothelial dysfunction, atherosclerosis and is a major risk factor for cardiovascular disease (CVD). Treatment with lipid-lowering drugs (statins, ezetimibe, PCSK9 inhibitors or LDL-apheresis) reduces the risk of major cardiovascular events in proportion to the absolute reduction of LDL-cholesterol (LDL-C). Nevertheless, a better understanding of the effects of hypercholesterolemia on the cardiovascular and immune systems could help identify all the mechanisms responsible for the excess risk of CVD in hypercholesterolemic patients and develop better prevention and treatment strategies. Adenosine via A2A receptors (A2AR) plays a crucial role in the regulation of the cardiovascular and immune systems. In this project, the investigators wish : * To study whether the expression and function of A2AR in PBMCs are altered in human hypercholesterolemia, using as a study model a larger cohort of patients with hypercholesterolemia of increasing level and severity: polygenic form, heterozygous genetic form and homozygous genetic form in comparison with healthy subjects with normal cholesterol levels. * To study whether A2AR expression and function in PBMCs are associated with blood levels of LDL-C and homocysteine and with the inflammatory status of patients. * To assess whether the cholesterol-lowering therapies currently used to reduce LDL-C levels and thus the risk of CVD in hypercholesterolemic patients have an impact on possible alterations of A2AR expression and function in PBMCs.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Maximum Age: 80
Healthy Volunteers: t
View:

• Male or female subjects aged 18-80 years

• For the group of hypercholesterolemic patients :

⁃ LDL-cholesterol level \>1.9 g/L with or without treatment to make the diagnosis of hypercholesterolemia (laboratory test less than 12 months old at inclusion)

• For the healthy group :

• ● No cholesterol-modifying therapy.

• Subject not having hypercholesterolemia (biological assessment less than 12 months old at inclusion with LDL-cholesterol level \< 1.9 g/L) and not taking cholesterol-lowering treatment.

• Subjects who are affiliated or beneficiaries of a social security plan

• Subject agreeing to participate in the study and having signed an informed consent

Locations
Other Locations
France
Service Endocrinologie
RECRUITING
Marseille
Contact Information
Primary
René Valero
rene.valero@ap-hm.fr
0491387577
Backup
René Valéro
rene.valero@ap-hm.fr
0491387577
Time Frame
Start Date: 2021-09-20
Estimated Completion Date: 2026-06-19
Participants
Target number of participants: 150
Treatments
Other: Healthy volunteers
volunteers showing no hypercholesterolemia
Experimental: Patients with untreated hypercholesterolemia at the time of inclusion
patients presenting hypercholesterolemia with no treatment at the time of inclusion
Experimental: Patients with treated hypercholesterolemia at the time of inclusion
patients presenting hypercholesterolemia and treated at the time of inclusion
Related Therapeutic Areas
Sponsors
Leads: Assistance Publique Hopitaux De Marseille

This content was sourced from clinicaltrials.gov

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