Deep Phenotyping of Peripheral Blood Cells and Circulating Factors in Metabolic Diseases
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- NAFLD
- Sponsor
- Technische Universität Dresden
- Enrollment
- 180
- Locations
- 1
- Primary Endpoint
- Qualitative differences in platelets
- Status
- Recruiting
- Last Updated
- 2 years ago
Overview
Brief Summary
The goal of this cross-sectional observational study is to to perform a thorough characterization of the quantitative and qualitative differences in peripheral blood cells, and circulating factors (proteins, metabolites, lipids, extracellular vesicles) in different stages of several metabolic diseases (diabetes, obesity, non-alcoholic fatty liver disease) that share common pathophysiological mechanisms and in comparison with adult healthy controls. The main question[s] it aims to answer are:
- Which are the quantitative (number and concentration) and qualtitative (characteristics, functional assays) differences in platelets in patients with metabolic diseases vs subjects without metabolic diseases
- Which are the quantitative (number and concentration) and qualtitative (characteristics, functional assays) differences in leucocytes or circulating molecules in patients with metabolic diseases vs subjects without metabolic diseases
Investigators
Eligibility Criteria
Inclusion Criteria
- •Age \> 18 years old
- •Additional inclusion criteria for case groups:
- •High risk group for significant liver fibrosis
- •FIB-4 score ≥ 1.3 AND
- •Fibroscan measurement ≥ 8kPa
- •Steatotic Liver Disease group
- •Diagnosis of steatosis in ultrasound AND CAP \> 275 dB/m
- •Prediabetes
- •HbA1c \>5.7 AND \<6.5% OR/AND
- •Fasting Glucose 100-125 mg/dl OR/AND
Exclusion Criteria
- •Diabetes mellitus Typ 1
- •BMI \< 18.5 kg/m2
- •Transfusion of blood or major bleeding in the last six months
- •Anaemia with haemoglobin \< 9,0 g/dl
- •Chronic alcohol or drug abuse
- •Presence of any acute or chronic liver disease apart from non-alcoholic fatty liver disease (i.e. viral, autoimmune or alcoholic hepatitis, haemochromatosis, Morbus Wilson etc.)
- •Systemic infections (CRP \> 1 mg/dl)
- •Medications that affect blood glucose levels (e.g. antidiabetics \[except from the subjects forming the diabetes group\], steroids) in the last six months
- •Medications that affect coagulation (e.g. anticoagulants and antiplatelet agents) in the last six months
- •Medications that affect immune function (e.g. immunosuppressive drugs) in the last six months
Outcomes
Primary Outcomes
Qualitative differences in platelets
Time Frame: 1 day
% of Platelet aggregation
Quantitative differences in platelets
Time Frame: 1 day
Platelet count in GPt/L
Secondary Outcomes
- Qualitative differences in neutrophils in NETosis(1 day)
- Quantitative differences in neutrophils(1 day)
- Quantitative differences in leukocytes(1 day)
- Quantitative differences in lymphocytes(1 day)
- Qualitative differences in neutrophils in phagocytosis(1 day)
- Quantitative differences in monocytes(1 day)
- Quantitative differences in Interleukin-8(1 day)
- Qualitative differences in monocytes(1 day)
- Quantitative differences in Interleukin-6(1 day)