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| Name | Class |
|---|---|
| Instituto Mexicano del Seguro Social | OTHER_GOV |
| University of Guadalajara | OTHER |
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HLA-DRB1 * Gene and some genes involved in inflammation and immunity (IL-7R, GPC5, CTSS) have been linked to risk of MS and the response to treatment with immunomodulators. This research aims to estimate the risk that confers some variations in the sequence of these genes.
Genes HLA-DRB1 * and some genes involved in inflammation and immunity have been linked to risk of MS and the response to treatment with immunomodulators.
The HLA-DRB1 * genes have been associated with risk and response to treatment in MS in multiple studies; however, other genes have been controversial. This research aims to estimate the risk for MS that confers some variations in the sequence of IL-7R, GPC5, CTSS, HLA-DRB1 genes. Furthermore, it seeks to determine whether these gene variants (polymorphisms) are associated with treatment response to immunomodulators.
Subjects with MS and healthy subjects will be taken to assess the risk for MS. Besides the investigators obtain the medical history of relapse to assess response to treatment in accordance with Expanded Disability Status Scale (EDSS) and relapses.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Cases | Subjects with Relapsing-Remitting Multiple Sclerosis. Polymorphisms frequencies of Interleukins, Glypican, and Human Leukocyte Antigen Genes are determined. |
| |
| Controls | Healthy subjects. Polymorphisms frequencies of Interleukins, Glypican, and Human Leukocyte Antigen Genes are determined. |
| |
| Responders | Subjects with MS treated for at least two years that have less than one relapse per year or who had an increase of <1.5 points on the Expanded Disability Status Scale (EDSS) (if baseline EDSS was 0) or no increase in EDSS (baseline EDSS ≥1). Polymorphisms frequencies of Interleukins, Glypican, and Human Leukocyte Antigen Genes are determined. |
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| No responders | Subjects with MS that have more than one relapse per year treated for at least two years, and who had ≥1 relapse(s) or an increase of 1.5 points on the EDSS (if baseline EDSS was 0) or an increase of ≥0.5 points (baseline EDSS ≥1). Polymorphisms frequencies of Interleukins, Glypican, and Human Leukocyte Antigen Genes are determined. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Polymorphism of Interleukins, Glypican, and Human Leukocyte Antigen Genes. | Genetic | The frequencies of the polymorphic variants in subjects with MS and healthy subjects were evaluated. Also in subjects with MS, the response to treatment with the number of relapses and EDSS was assessed; to compare the allele frequencies of SNPs of Interleukins, Glypican, and Human Leukocyte Antigen Genes, between responders and no responders MS patients. |
| Measure | Description | Time Frame |
|---|---|---|
| Treatment response evaluated by relapses per year, evaluated during two years after recruitment. | Treatment response evaluated by relapses per year during two years after recruitment. The relapses are defined by any neurological sign or symptom that happens at least 30 days after any previous neurological deterioration episode began. | Two Years |
| Treatment response evaluated by Expanded Disability Status Scale (EDSS) during two years after recruitment. | Treatment response evaluated by Expanded Disability Status Scale (EDSS) during two years after recruitment. The EDSS scale ranges from 0 to 10; the increments are in 0.5. Scoring is based on an examination by a neurologist about the level of disability. | Two Years |
| Measure | Description | Time Frame |
|---|---|---|
| Multiple Sclerosis Risk Conferred by Single Nucleotide Polymorphisms (SNPs) of Interleukins, Glypican, and Human Leukocyte Antigen Genes. | The risk conferred by SNPs of Interleukins, Glypican, and Human Leukocyte Antigen Genes: calculated by odds ratio when the allele frequencies of SNPs cases are compared with the allele frequencies of SNPs in healthy subjects. | One Year |
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Inclusion Criteria for Cases:
Inclusion Criteria for Controls:
Exclusion Criteria for Cases:
Exclusion Criteria for Controls:
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Subjects with multiple sclerosis and healthy subjects were studied. In subjects with multiple sclerosis, the number of relapses and EDSS was evaluated for two years.
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| JOSE A. CRUZ RAMOS, PhD | Contact | 0152 3314886313 | josealfonsocr@gmail.com | |
| EMMANUEL DE LA MORA JIMENEZ, PhD | Contact | 0152 36580556 | moraej@hotmail.com |
| Name | Affiliation | Role |
|---|---|---|
| JOSE A. CRUZ RAMOS, PhD | Instituto Jalisciense de CancerologÃa | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Instituto Jalisciense de CancerologÃa | Recruiting | Guadalajara | Jalisco | 44280 | Mexico |
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Total blood for posterior extraction of DNA.
|
| ID | Term |
|---|---|
| D020529 | Multiple Sclerosis, Relapsing-Remitting |
| ID | Term |
|---|---|
| D009103 | Multiple Sclerosis |
| D020278 | Demyelinating Autoimmune Diseases, CNS |
| D020274 | Autoimmune Diseases of the Nervous System |
| D009422 | Nervous System Diseases |
| D003711 | Demyelinating Diseases |
| D001327 | Autoimmune Diseases |
| D007154 | Immune System Diseases |
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| ID | Term |
|---|---|
| D053673 | Glypicans |
| ID | Term |
|---|---|
| D058851 | GPI-Linked Proteins |
| D008562 | Membrane Glycoproteins |
| D006023 | Glycoproteins |
| D006001 | Glycoconjugates |
| D002241 | Carbohydrates |
| D019812 | Heparan Sulfate Proteoglycans |
| D011509 | Proteoglycans |
| D011506 | Proteins |
| D000602 | Amino Acids, Peptides, and Proteins |
| D058635 | Lipid-Linked Proteins |
| D008565 | Membrane Proteins |
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