Autoimmune Diseases, Chronic Inflammatory Demyelinating Polyradiculoneuropathy, Clarkson Syndrome, Muscular Autoimmune Disorders
Conditions
Keywords
Transcriptome analysis, peripheral blood, chronic inflammatory demyelinating polyradiculoneuropathy, auto immune diseases, IVIg
Brief summary
Chronic inflammatory demyelinating polyradiculoneuropathy (CIDP) is an immune-mediated disorder of peripheral nerves. Intravenous immunoglobulins (IVIg) are a first line therapy for CIDP. The investigators used a transcriptomic approach to compare the gene expression profiles in the peripheral blood of patients having a CIDP or autoimmune diseases, before and after IVIg treatment, in order to identify their mechanism of action in this condition, to lead to a better understanding of CIDP pathophysiology, and potentially determine factors associated with the response to the treatment.
Detailed description
We study the change of the: * gene profile on transcriptome analysis of peripheral blood * T cell repertory * igG dosage * immunological profile Before IVIG (T1 time) and and 3 weeks after IVIg treatment (T2 time). On a population of patients having: CIDP, autoimmune muscular disease, Clarkson syndrome, or autoimmune diseases. We also search for polymorphism of FCgammareceptor, TKPC et CASP3 genes in CIDP patients
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
: * Age ≥ 18 years old * Obtained informed consent * Patient having a definite or probable CIDP according to EFNS/PNS criteria or atypical CIDP corresponding to patients having the EFNS/PNS clinical criteria and at least two EFNS/PNS supportive criteria * Or * Patient having a muscular autoimmune disease, or a Clarkson syndrome or other autoimmune disease * Currently treated by IVIG
Exclusion criteria
: * pregnancy * breastfeeding
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Gene expression profile | 3 weeks | Change of the gene expression profile of a peripheral blood sample collected. just before IVIg administration (T1), and 3 weeks after IVIg treatment (T2) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Gene expression profile in each lymphocytary sub-group | 3 weeks | Change of the gene expression profile of a peripheral blood sample collected. just before IVIg administration (T1), and 3 weeks after IVIg treatment (T2), in each lymphocytary sub-group : CD3+CD4+, CD3+CD8+, CD4+FoxP3+, CD4+CD25+ |
| IgG | 3 weeks | To measure IgG in a peripheral blood sample at T1 and T2 time |
Countries
France