Investigating the Role of Hematopoietic Mutations and Mosaic Mutation in the Y Chromosome in Autoimmune Rheumatologic Diseases

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

The AYLo study (AutoimmunitY and Loss of y - Investigating the Role of Hematopoietic Mutations and Mosaic Mutation in the Y Chromosome in Autoimmune Rheumatologic Diseases) aims to systematically investigate hematopoietic mutations, such as hematopoietic (mosaic) loss of the Y chromosome (mLOY), focusing on their underlying causes, pathophysiological significance, patterns of manifestation, and impact on disease progression in autoimmune, rheumatologic disorders. This research seeks to bridge existing knowledge gaps by exploring how such mutations influence immune homeostasis, cellular function, and susceptibility to inflammation-driven pathologies. Through the integration of advanced immunological profiling, the study aspires to uncover key mechanisms that drive the initiation, progression, and complications of autoimmune rheumatic diseases. These analyses will combine single nucleotide polymorphisms (SNP) arrays, multiplex assays, transcriptomics, and flow cytometry staining of peripheral blood mononuclear cells to delineate the interplay between hematopoietic mutations and immune dysregulation. A further objective is the development of a multimodal framework for disease-specific characterization, enabling precise mapping of mutation-driven phenotypes across diverse autoimmune conditions. This framework will incorporate clinical, molecular, and imaging data. Additionally, the AYLo study aims to explore the potential role of mLOY and other hematopoietic mutations as biomarkers for disease stratification, prognosis, and therapeutic response. The findings may open avenues for personalized treatment approaches, leveraging the molecular insights to inform targeted interventions and improve patient outcomes in autoimmune rheumatic disorders. By integrating translational and basic science approaches, this study has the potential to redefine current paradigms in autoimmune disease research and therapy.

Eligibility
Participation Requirements
Sex: Male
Minimum Age: 50
Healthy Volunteers: t
View:

• Male

• \> 50 years

• Diagnosis of arthritis (RA, PsA), collagen diseases (SLE, systemic sclerosis, Sjögren's syndrome, mixed connective tissue diseases), vasculitis (eGPA, GPA, MPA, IgG4-related disease, GCA, PMR), sarcoidosis, COPD, ILD or asthma bronchiale confirmed by the treating physician.

• Male

• \> 50 years

Locations
Other Locations
Germany
Department of Rheumatology
RECRUITING
Bonn
Contact Information
Primary
Simon Michael Petzinna, MD
Simon_Michael.Petzinna@ukbonn.de
0049 151 382 337 07
Backup
Valentin Sebastian Schäfer, MD
valentin.schaefer@ukbonn.de
0049 228 287 17000
Time Frame
Start Date: 2024-11-15
Estimated Completion Date: 2026-07
Participants
Target number of participants: 500
Treatments
Giant Cell Arteritis (GCA)
Patients with GCA (cross sectional, newly diagnosed with follow-up after twelve months).
Polymyalgia Rheumatica (PMR)
Patients with PMR (cross sectional, newly diagnosed with follow-up after twelve months).
ANCA Associated Vasculitis (AAV)
Patients with AAV (cross sectional, newly diagnosed with follow-up after twelve months).
IgG4 Related Diseases
Patients with IgG4 Related Diseases (cross sectional, newly diagnosed with follow-up after twelve months).
Idiopathic Inflammatory Myopathies (IIM)
Patients with IIM (cross sectional, newly diagnosed with follow-up after twelve months).
Rheumatoid Arthritis (RA)
Patients with RA (cross sectional, newly diagnosed with follow-up after twelve months).
Psoriatic Arthritis (PsA)
Patients with PsA (cross sectional, newly diagnosed with follow-up after twelve months).
Connective Tissue Diseases (CTD)
Patients with CTD (cross sectional, newly diagnosed with follow-up after twelve months).
Sarcoidosis
Patients with sarcoidosis (cross sectional, newly diagnosed with follow-up after twelve months).
Interstitial Lung Diseases (ILD)
Patients with ILD (cross sectional, newly diagnosed with follow-up after twelve months).
Chronic Obstructive Pulmonary Disease (COPD)
Patients with COPD (cross sectional, newly diagnosed with follow-up after twelve months).
Asthma Bronchiale
Patients with asthma bronchiale (cross sectional, newly diagnosed with follow-up after twelve months).
Healthy Control Group
Age-/ gender matched healthy controls
Sponsors
Leads: University of Bonn

This content was sourced from clinicaltrials.gov