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| Name | Class |
|---|---|
| URC-CIC Paris Descartes Necker Cochin | OTHER |
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The purpose of this study is to identify the abnormalities of bronchial trans-epithelial transport of chloride, sodium and bicarbonate in patients with idiopathic dilations of the bronchi.
Dilations of the bronchi happens for one child over 3000. The extended forms may progress to respiratory failure. More than one case over two remains of undetermined cause. If the prototype is the cystic fibrosis, other abnormalities of ionic transport may be the cause of a failure of mucociliary clearance and enhance the idiopathic dilations of the bronchi.
The purpose of this study is to identify the abnormalities of bronchial trans-epithelial transport of chloride, sodium and bicarbonate in patients with idiopathic dilations of the bronchi, in comparison to two others groups of patients (without abnormality of ionic transport/with typical cystic fibrosis).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Patients with multiple bronchi dilations | Experimental |
| |
| Control patients without transport abnormality | Active Comparator |
| |
| Patients with typical cystic fibrosis | Active Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| bronchial ddp test | Other | bronchial ddp test during endoscopy, nasal smear, bronchial smear |
|
| Measure | Description | Time Frame |
|---|---|---|
| Response to isoproterenol in solution without chloride ions during bronchial potential difference test (ΔIsoprotérénol / bronchial). | Difference between groups for Level of repolarisation | up to 5 days |
| Measure | Description | Time Frame |
|---|---|---|
| Response to amiloride during bronchial potential difference test | Trans-epithelial transport measured in vivo | up to 5 days |
| trans-epithelial ionic transport in the nasal epithelium (nasal DDP) |
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Inclusion Criteria:
Common criteria for all patients
Specific criteria for "control" patients without abnormal ion transport
Exclusion Criteria:
Common criteria for all patients
Specific criteria for idiopathic DDB patients
Presence of other congenital or acquired etiologies of DDB:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Necker-Enfants Malades Hospital | Paris | 75015 | France |
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Trans-epithelial transport measured in vivo
| up to 5 days |
| trans-epithelial ionic transport of sweat epithelium (sweat test) | Trans-epithelial transport measured in vivo | up to 5 days |
| Basal current short circuit | Trans-bronchial epithelial ionic transport evaluated in vitro on bronchial primary cultures | up to 5 days |
| Response to Epithelial Sodium Channel (ENaC) inhibitors | Trans-bronchial epithelial ionic transport evaluated in vitro on bronchial primary cultures | up to 5 days |
| Activation of Cystic Fibrosis Transmembrane Conductance Regulator (CFTR) | Trans-bronchial epithelial ionic transport evaluated in vitro on bronchial primary cultures | up to 5 days |
| Inhibition of Cystic Fibrosis Transmembrane Conductance Regulator (CFTR) (inh-172) | Trans-bronchial epithelial ionic transport evaluated in vitro on bronchial primary cultures | up to 5 days |
| Activation of Calcium (Ca)-dependent Chloride (Cl-) ion channels | Trans-bronchial epithelial ionic transport evaluated in vitro on bronchial primary cultures | up to 5 days |
| Inhibition of Solute Carrier family 26, member 9 (SLC26A9) | Trans-bronchial epithelial ionic transport evaluated in vitro on bronchial primary cultures | up to 5 days |
| Response to inhibitors of potassium (K+ ) secretion basolateral | Trans-bronchial epithelial ionic transport evaluated in vitro on bronchial primary cultures | up to 5 days |
| Bicarbonate (HCO3- ) secretion in response to forskolin | Trans-bronchial epithelial ionic transport evaluated in vitro on bronchial primary cultures | up to 5 days |