Inflammatory bowel disease - Crohns disease or ulcerative colitis
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - Written informed consent - >= 18- years old at time of signing informed consent - Must understand and voluntarily sign an informed consent document prior to any study related assessments/procedures being conducted. - Must be able to adhere to the study visit schedule and other protocol requirements;At least one of the following; - Patients suffering from CD or UC diagnosed by the treating physician according to established clinical, serological and pathological definitions, who are planned for routine diagnostic endoscopy. - Patients with suspected IBS according the treating physician, who are planned for routine diagnostic endoscopy - Patients planned for routine screening/follow-up endoscopy for colorectal carcinoma and or adenomatous polyps. - Patients who are suffering from intestinal inflammatory disorders other than IBD (including but not limited to celiac disease or graft-versus-host-disease), who are planned for routine diagnostic endoscopy.
Exclusion criteria
Exclusion criteria: - No informed consent obtained for this study - Severe psychiatric or physical illness - Not being able to understand Dutch language - Pregnancy - Patients on therapeutic anticoagulants and therefore not qualifying for routine endoscopic procedures according to current national guidelines
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Aims: The primary aim of the currently proposed research is to get a better understanding of how functional genetic variants influence the immune system of the gastrointestinal tract. To achieve this, we will apply a holistic approach using both transcriptome and microbiome data in the background of the genetic and phenotypic profile of each individual. To generate this information, we have to profile different cell types from patients and controls that are known to play a role in immune processes. We aim to study immune effector cells, fibroblasts and epithelial cells to get a better understanding of the role of these cells in inflammatory conditions. The datasets derived from cell-specific transcriptomic analyses and the microbiome, genome and phenotype data will be analyzed and integrated using bioinformatics to develop insights into disease mechanisms. Main study parameters/endpoints: We will perform sequence-based transcriptomics (RNAseq) to obtain profiles of all transcripts and correlate this to the microbiome composition, genetic, serological and phenotypic data. We will determine presence and functionality of the epithelial cells in organoids by (immuno)histochemical staining for enzyme activity, antimicrobial proteins and mucus production. Results will be compared between cases and controls. | — |
Secondary
| Measure | Time frame |
|---|---|
| The secondary aim is to construct and implement a patient-specific predictive instrument for severe disease course. | — |
Countries
Netherlands