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The purpose of this study is to assess the determinants of immunologic variance within the general healthy population.
Susceptibility to infections, disease severity, and response to medical therapies and vaccines are highly variable from one individual to another. While the question of variance in human populations continues to be a focal point of scientific research, medical practices and public health policies typically take a 'one size fits all' model to disease management and drug development.
Individual heterogeneity in the immune response can have an enormous impact on the likelihood to respond to therapy or the development of side effects secondary to vaccine administration. Because of the complexity of immune responses in the individual and within the population, it has not been possible thus far to define the parameters (genetic or environmental) that constitute a healthy immune system and its natural occurring variability.
Efforts to restore the 'personal' in medical care are the current challenge, and the driving vision of the project, to which the current study belongs.
In order to realize the promise of personalized medicine, an in-depth understanding of the determinants of heterogeneity in host response to stress is required.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| unique arm | Experimental |
|
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| unique arm | Other | blood, nasal swab, skin biopsy, stool samples |
|
| Measure | Description | Time Frame |
|---|---|---|
| Measurement of cytokine/chemokine stimulated by 40 pattern-recognition receptors agonists (PRR agonists) or immune stimulators. | V2 (28days after V1) |
| Measure | Description | Time Frame |
|---|---|---|
| Determination of genotype-to-phenotype associations at a mechanistic level | 4 days after V0 |
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Inclusion Criteria:
6)Ability to give their informed consent in writing 7)Must understand spoken and written French 8)Affiliated to the French social security or assimilated regimens 9)Registered on the French "Fichier des Volontaires se prêtant à la Recherche Biomédicale (VRB)"
Exclusion Criteria:
Subjects who can not participate according to their status on the registry mentioned at Art L. 1121-16 of the French Public Health Code
Participation in another clinical study in the last 3 months in which the subject has been exposed to an investigational product (pharmaceutical product or placebo or medical device) or concurrent participation in another clinical study during the study period
Relatedness to previously recruited individuals in the study cohort
Travel in (sub-)tropical countries within the last 3 months
For women: pregnant or breastfeeding or intending to become pregnant or peri-menopausal*
* Peri-menopausal women as defined by menstrual irregularity: either a change in the menstrual cycle length of more than seven days (early perimenopause) or two or more missed periods with an interval of 60 days or more between periods (late perimenopause) (Stages of Reproductive Aging Workshop, STRAW)(11)
Any physical exercise within the last 8 hours before inclusion (V1) and before (V2)
Subjects following a special diet for medical reasons as prescribed by a GP or dietician (e.g. calorie restricted or weight-loss diet for significant overweight, cholesterol lowering diet or subjects suffering from any clinically diagnosed food allergy or intolerance)
Alcohol abuse (more than 50 g of pure ethanol per day: for example, more than 4 x 150 mL glasses of wine, more than 4 x 250 mL glasses of beer, more than 4 x 40 mL glasses of high alcohol content drinks)
Illicit drug use or substance abuse within 3 months prior to inclusion
Presence of evidence of neurological or psychiatric diagnoses which, although stable, are deemed by the investigator to render the potential subject unable/unlikely to participate in the study satisfactorily.
Severe/chronic/recurrent pathological conditions,
Chronic administration (defined as more than 14 days) of immunosuppressants or other immune-modifying drugs within the 6 months prior to the inclusion. For corticosteroids, this will mean a dose equivalent to 20 mg/day of prednisone or equivalent for > 2 weeks (inhaled and topical steroids allowed)
Chronic administration of NSAIDs, including aspirin: prolonged intake (> 2 weeks) within 6 months before study or any intake within the 7 days preceding skin biopsy [exception for low dose aspirin: maximum 250mg/daily, see 8.1]
Receipt of any vaccination 3 months before the inclusion or planning to receive any vaccination during the study
Receipt of blood products or immunoglobulins within 3 months prior the inclusion or planning to receive blood products or immunoglobulins during the study
Hemoglobin measurement less than 10.0 g/dL for women and less than 11.5 g/dL for men
Platelet count less than 120.000/mm3
ALAT and/or ASAT > 3 times the upper limit of the norm (ULN)
Allergy to lidocaine
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| Name | Affiliation | Role |
|---|---|---|
| Matthew ALBERT | Institut Pasteur / Inserm | Study Chair |
| Lluis QUINTANA-MURCI | Institut Pasteur / CNRS | Study Chair |
| Nicolas FAUCHOUX | Biotrial Rennes | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| BIOTRIAL | Rennes | 35042 | France |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 38355791 | Derived | Saint-Andre V, Charbit B, Biton A, Rouilly V, Posseme C, Bertrand A, Rotival M, Bergstedt J, Patin E, Albert ML, Quintana-Murci L, Duffy D; Milieu Interieur Consortium. Smoking changes adaptive immunity with persistent effects. Nature. 2024 Feb;626(8000):827-835. doi: 10.1038/s41586-023-06968-8. Epub 2024 Feb 14. | |
| 31519223 | Derived |
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| Scepanovic P, Hodel F, Mondot S, Partula V, Byrd A, Hammer C, Alanio C, Bergstedt J, Patin E, Touvier M, Lantz O, Albert ML, Duffy D, Quintana-Murci L, Fellay J; Milieu Interieur Consortium. A comprehensive assessment of demographic, environmental, and host genetic associations with gut microbiome diversity in healthy individuals. Microbiome. 2019 Sep 13;7(1):130. doi: 10.1186/s40168-019-0747-x. |
| 31051503 | Derived | Partula V, Mondot S, Torres MJ, Kesse-Guyot E, Deschasaux M, Assmann K, Latino-Martel P, Buscail C, Julia C, Galan P, Hercberg S, Rouilly V, Thomas S, Quintana-Murci L, Albert ML, Duffy D, Lantz O, Touvier M; Milieu Interieur Consortium. Associations between usual diet and gut microbiota composition: results from the Milieu Interieur cross-sectional study. Am J Clin Nutr. 2019 May 1;109(5):1472-1483. doi: 10.1093/ajcn/nqz029. |
| 30053915 | Derived | Scepanovic P, Alanio C, Hammer C, Hodel F, Bergstedt J, Patin E, Thorball CW, Chaturvedi N, Charbit B, Abel L, Quintana-Murci L, Duffy D, Albert ML, Fellay J; Milieu Interieur Consortium. Human genetic variants and age are the strongest predictors of humoral immune responses to common pathogens and vaccines. Genome Med. 2018 Jul 27;10(1):59. doi: 10.1186/s13073-018-0568-8. |