Psoriasis
Conditions
Keywords
immunology, genetics
Brief summary
The purpose of this study is to understand how genetics play a role in psoriasis. Specifically, a genetic allele HLA-Cw6 is known to be associated with psoriasis, and this study aims to find out how it affects genetic and protein expression in patients with psoriasis, compared to healthy people, at a single-cell level using a novel flow cytometry and RNA-sequencing protocol.
Interventions
Four 4-5 mm punch biopsies of the skin
Blood will be drawn to test for HLA-cw6 status
Sponsors
Study design
Eligibility
Inclusion criteria
For subjects in the psoriasis group: 1. Ability to provide written consent and comply with the protocol 2. At least 18 years of age 3. Diagnosis of plaque psoriasis for at least 6 months prior to enrollment 4. BSA \> 5% and at least one target plaque on trunk or extremities greater than 10cm2 For control subjects: 1. Ability to provide written consent and comply with the protocol 2. At least 18 years of age 3. No previous diagnosis of psoriasis or other inflammatory skin conditions
Exclusion criteria
For subjects in the psoriasis group: 1. Subject has non-plaque form of psoriasis. 2. Subject has drug-induced psoriasis. 3. Pregnancy at any point during the study period. 4. Known allergy to lidocaine, other local anesthetics, or any component of local anesthetic agents. 5. Known HIV positive status. 6. Evidence of abnormality of any immune cell population from a drug-induced or genetic cause. 7. Known coagulopathy. For control subjects: 1. Any physical examination findings by the investigators consistent with psoriasis or other inflammatory skin conditions. 2. Pregnancy at any point during the study period. 3. Known allergy to lidocaine, other local anesthetics, or any component of local anesthetic agents. 4. Known HIV positive status. 5. Evidence of abnormality of any immune cell population from a drug-induced or genetic cause. 6. Known coagulopathy. 7. Use of any immunosuppressant or immunomodulating therapies within 6 months.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Determination of immune cell population from skin biopsies | once |
Secondary
| Measure | Time frame |
|---|---|
| Determination of diferentially expressed genes from skin biopsies | once |
| Determination of HLA -cw6 status from blood samples | once |
Countries
United States