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Role of Mitophagy in Myeloid Cells During Coronary Atherosclerosis.

Recruiting
Conditions
Coronary Atherosclerosis
Interventions
Biological: Blood samples
Procedure: myocardial tissue samples
Other: Data collection
Registration Number
NCT05708547
Lead Sponsor
Centre Hospitalier Universitaire Dijon
Brief Summary

Atherosclerosis (deposition of a plaque essentially composed of lipids on the artery walls) is a frequent condition and is a leading cause of death worldwide. In addition to the long-established risk factors such as age, hypertension, diabetes or sedentary lifestyle, it has been demonstrated that immune cells can participate in the genesis of atherosclerotic plaques through metabolic and mitochondrial reprogramming.

A non-invasive marker of this immune reprogramming has yet to be identified. Through the comparison of a group of atheromatous patients and a group of non-atheromatous patients, this study aims to evaluate this reprogramming phenomenon using a novel non-invasive method.

This monocentric interventional study will take place at the Dijon Bourgogne University Hospital and will include 50 patients divided into 2 groups: "atheromatous coronary patients" and "non-atheromatous patients". The duration of participation in this study is 1 month. This study is based on usually performed procedures. Only blood samples will be taken on a catheter usually used during any cardiac surgery in addition to the medical care that is provided during hospitalization.

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
50
Inclusion Criteria
  • Person who provides oral consent

Group 1:

  • Patient scheduled for cardiac bypass surgery (isolated procedure) with extracorporeal circulation

Group 2:

  • Patient scheduled for valve ou ascending aorta surgery with extracorporeal circulation
  • No coronary lesion
  • No peripheral arterial disease (limbs, carotids, aortic aneurysm)
Exclusion Criteria
  • Person not affiliated with national health care system
  • Medication that alters mitochondrial function (Chloroquine, hydroxychloroquine, rapamycin, carbamazepine, resveratrol, sildenafil)
  • Person under a legal protection measure (curatorship, guardianship, tutorship)
  • Pregnant, parturient or breastfeeding women
  • Major unable to express consent
  • Minor

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
Atheromatous coronary patientsmyocardial tissue samplespatients scheduled for coronary artery bypass surgery with extracorporeal circulation
Non-atheratomous patientsmyocardial tissue samplesPatients scheduled for valve or ascending aorta surgery with extracorporeal circulation without coronary lesion or peripheral arterial disease
Non-atheratomous patientsData collectionPatients scheduled for valve or ascending aorta surgery with extracorporeal circulation without coronary lesion or peripheral arterial disease
Atheromatous coronary patientsData collectionpatients scheduled for coronary artery bypass surgery with extracorporeal circulation
Non-atheratomous patientsBlood samplesPatients scheduled for valve or ascending aorta surgery with extracorporeal circulation without coronary lesion or peripheral arterial disease
Atheromatous coronary patientsBlood samplespatients scheduled for coronary artery bypass surgery with extracorporeal circulation
Primary Outcome Measures
NameTimeMethod
Mitophagy level by flow cytometryBefore the introduction of extracorporeal circulation.

Average fluorescence corresponding to PINK1-AF488 intracellular labelling (mitophagy checkpoint) in conventional (CD33+, CD66b-, CD14++, CD16-), intermediate (CD33+, CD66-, CD14++, CD16+), or non-conventional (CD33+, CD66b-, CD14+, CD16++) monocytes.

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Chu Dijon Bourgogne

🇫🇷

Dijon, France

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