Endometrial Carcinoma, Ovarian Carcinoma, Weight Loss
Conditions
Keywords
weight loss, ovarian cancer, endometrial cancer, energy metabolism, Body mass index, obesity, muscle energy
Brief summary
the aim is to study skeletal muscle metabolism alterations métaboliques associated with weight loss in women with ovarian and/or endometrial cancer according to BMI.
Interventions
Blood samples, muscle biopsy, adipose tissue samples and ovarian cancer tumor sample
Sponsors
Study design
Eligibility
Inclusion criteria
Case group selection criteria: Inclusion Criteria: * Women aged 18 years old and more * Ovarian and/or endometrial cancer * weight loss related to cancer (weight loss \> 5% weight in one month or 10% in 6 months) * Indication to therapeutic surgery * Women affiliated to social security scheme * Women who can understand French and able to sign Informed consent
Exclusion criteria
* Unbalanced Diabetes * Chronic neuromuscular disorder * Any severe uncontrolled medical condition Control group selection criteria: Inclusion Criteria: * Women aged 18 years and more * Surgery Indication for a benign endometrial and/ or ovarian disease * Patient affiliated to social security scheme * Women who can understand French and able to sign Informed consent
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Measurement of muscle mitochondrial bioenergetics according to BMI | muscle biopsy realized during surgery | Measurement of muscle mitochondrial bioenergetics by high resolution oxygraphy |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| on muscle biopsy | muscle biopsy realized during surgery | * Quantification of lipids on electron microscope * Type of muscular fibers * Analyze of gene expression and proteins involved in 1/ Mitochondrial metabolism 2/ lipid metabolism and 3/ muscular proteolysis by RTqPCR with SyBR Green and Western Blot |
| on white adipose tissue | adipose tissue samples taken during surgery | adipose tissue composition (fatty acids quantification, sterols, steroids) * RT-qPCR quantification of molecules involved in lipid metabolism (synthesis, transport) and in inflammation (immune profile and cytokines) * RTqPCR analysis, western blot and immunohistochemical expression of markers of transformation into brown adipose tissue * in specific milieu, in vitro experimentation on skeletal muscular cells |
| on ovarian cancer tumor samples | ovarian tumor biopsies realized during surgery | * lipid composition (fatty acids quantification, sterols, steroids) * RT-qPCR quantification of molecules involved in lipid metabolism (synthesis, transport) and in inflammation (immune profil and cytokines) * culture of tumour cells to evaluate resistance to chemotherapy (platinum) |
| on computerized tomography | 1 day of abdominal CT scan imaging procedure performed at diagnosis | assessment of body composition (fat and muscle compartments) |
Countries
France