Primary Immune Thrombocytopenia (ITP)
Conditions
Brief summary
Immune thrombocytopenia (ITP) is an autoimmune disease characterized by a low platelet count responsible for bleedings. The disease is mostly mediated by antiplatelet antibodies produced by specific B cells. However, T cells are also involved but their role is not completely understood. The aim of this study is to determine the implication of T cells in the pathogenesis of ITP, notably regulatory T cells (Treg, CD4+CD25highFoxp3+), cytotoxic T cells (CD3+CD8+) and T follicular helper cells (TFH, CD3+CD4+CXCR5+PD-1+ICOS+), in blood and in the spleen of primary ITP patients, compared to healthy controls.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients with ITP, defined as thrombocytopenia \< 30 G/L, once causes related to infection, medication, systemic auto-immune disease or malignant hemopathy have been ruled out * persons who have provided written informed consent
Exclusion criteria
* persons without national health insurance * persons under 18 years old * patients under guardianship * pregnancy * subjects suffering from a systemic auto-immune disease, cancer, a progressive infection, or treated with steroids or immunosuppressants.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| blood level T cell in ITP patients and in healthy controls | baseline |
| blood level T cell in ITP patients after treatments | change from baseline at 4 to 8 weeks |
Secondary
| Measure | Time frame |
|---|---|
| blood level splenic T cell in ITP patients and in healthy controls | baseline |
| frequency of innate immune cells (dendritic cells, monocytes, NK cells…) and their functions in blood and spleens, in patients and in controls | through study completion, an average of 3 years |
| level of T follicular helper cell | through study completion, an average of 3 years |
Countries
France