Characterization of Peroodontal and Intestinal Microbiota in Patients With Gingival Scarring Pemphigoid: a Matched Controlled Study

Status: Recruiting
Location: See all (3) locations...
Intervention Type: Other
Study Type: Observational
SUMMARY

Patients suffering from Mucous Membrane Pemphigoid with desquamative gingivitis (MMPg) generally present a more degraded periodontal condition compared with controls. Bullous disease could represent a risk factor for plaque-induced periodontal disease, and vice versa. Indeed, the dysbiotic periodontal microbiota could aggravate the gingival damage specific to MMP, either directly by activating inflammatory pathways, or indirectly by degrading cellular and matrix components. On the other hand, areas of erosive gingiva generated by the autoimmune process could increase the virulent power of periodontal pathobionts, by representing accessible, nutrient-rich connective surfaces. Moreover, in recent years, bacterial studies based on a high-throughput metagenomic approach have suggested the existence of a relationship between the oral and intestinal microbiota in patients with degraded periodontal conditions and suffering from autoimmune inflammatory diseases (inflammatory bowel disease, acute graft-versus-host disease). This relationship can also be envisaged in MMPg patients who meet the conditions that allow this type of pathological process to occur: autoimmune disease; disruption of the gingival epithelial barrier in erosive gingival areas (increasing the risk of antigen exposure); large amounts of thick plaque; degraded periodontal condition with the presence of numerous periodontal pockets from which periodontopathogenic bacteria can translocate intra-tissularly and cause distant adverse consequences. The main aim of this observational, multicentre, case-control, matched study is to compare the composition of the periodontal microbiota between MMPg patients and control patients (arm 2 and arm 3). The secondary objectives are to compare the composition of periodontal and intestinal microbiota in cases and control patients (arm 2 and arm 3), to compare periodontal microbiota composition in cases and control patients (arm 2) according to periodontitis severity, and to compare gut microbiota composition between cases and control patients (arm 2 and arm3). To date, no such study exists.

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

⁃ Adults (over 18), non-smokers Arm 1

• MMPg (initial, persistent despite medical treatment, recurrent), periodontitis Arm 2

• non-MMPg, periodontitis, matched to cases on age, gender and severity of periodontitis

⁃ Arm 3:

⁃ \- non-MMPg, healthy periodontal conditions, matched to cases on age and gender

Locations
Other Locations
France
Nice University Hospital
RECRUITING
Nice
Paris hospital Bretonneau (APHP)
RECRUITING
Paris
Paris hospital Pitié Salpetrière (APHP)
RECRUITING
Paris
Contact Information
Primary
Sophie DRIDI, PUPH
dr.sm.dridi@free.fr
04 92 03 30 07
Backup
rachida YATIMI
yatimi.r@chu-nice.fr
04 92 03 30 07
Time Frame
Start Date: 2024-10-24
Estimated Completion Date: 2026-11-15
Participants
Target number of participants: 45
Treatments
MMPg and periodontitis
15 adult patients with MMPg and periodontitis
no MMPg and periodontitis
15 adult patients not suffering from MMPg with periodontitis
no MMPg with healthy periodontal conditions
15 adult patients not suffering from MMPg with healthy periodontal conditions
Sponsors
Leads: Centre Hospitalier Universitaire de Nice

This content was sourced from clinicaltrials.gov