Cystic Fibrosis, Dietary Modification
Conditions
Keywords
PUFA, Cystic Fibrosis, Nasal brushing, Mucins, Mucin production
Brief summary
Background : Cystic fibrosis (CF) patients are prone to recurrent pulmonary infection have different secreted mucin pattern from healthy subjects. Long chain polyunsaturated fatty acids have been shown to influence survival and MUC5B expression in mice model of chronic pulmonary infection. Method : To study the impact of LCPUFA n-3 on MUC5B expression (mRNA level by RT-PCR) collected in airway epithelial cells obtained by nasal brushing. The secondary aim is to assess : MUC1, MUC2, MUC4, MUC5AC, MUC7 expression (mRNA level) in airway epithelial cells obtained by nasal brushing; Lund-Kennedy score; TNK-alpha, IL-6, IL-8 in blood plasma. This study is a double parallel, controlled double blind, randomized clinical trial : LCPUFA n-3 (1 g/day) vs placebo for 6 weeks. 30 subjects will be included in this study. Primary and secondary study end point will be assessed two times: before randomization and after 60 days of treatment. Statistical analysis : Treatment group and placebo will be compared using U-Mann-Whitney, intention to treat and per protocol.
Detailed description
Primary Outcome Measure : Mucin MUC5B (mRNA level) in native airway epithelial cells obtained by nasal brushing Secondary Outcome Measures : Mucin MUC1, MUC2, MUC4, MUC5AC, MUC7 (mRNA level) in native airway epithelial cells obtained by nasal brushing. Lund-Kennedy score TNF-alpha, IL-6, IL-8 in plasma
Interventions
polyunsaturated fatty acids n-3 1 gram per day during two months
sun flower oil with Poly Unsaturated Fatty Acid 1g/day
Sponsors
Study design
Eligibility
Inclusion criteria
: * Cystic fibrosis patient * Aged 18 to 30 year * No modification of long term therapy (Corticoids, antibiotics, pancreatic extract, antiacid) before 4 weeks before randomization
Exclusion criteria
* Awaiting transplantation * Patients on anticoagulants * Contraindication to supplementation with polyunsaturated fatty acids * Taking antibiotics in progress ( less than 15 days) * Taking anti- inflammatory ongoing (more than one week per month , steroids , or nonsteroidal )
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Expression of Mucin MUC5B by measurement of messenger Ribo Nucleic Acid (mRNA) level in native airway epithelial cells obtained by nasal brushing | baseline and 2 months |
Secondary
| Measure | Time frame |
|---|---|
| Mucin MUC1, MUC2, MUC4, MUC5AC, MUC7 (mRNA level) in native airway epithelial cells obtained by nasal brushing. Lund-Kennedy score TNF-alpha, IL-6, IL-8 in plasma | baseline and two months |
Countries
France