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The syndrome of anorexia-cachexie, which accompanies numerous cancers is a major comorbidity which compromises the forecast of these patients. Several cytokines pro-inflammatory as interleukines IL1 ß, IL6 or TNFa participate in the physiopathology of this syndrome at the man and the animal. Besides, it is now established that different neuronal populations, localized in the hypothalamus, are nerve centers of the control of the appetite and the energy homéostasie. However, there is not enough evidence of a direct action of cytokines on these neurones, suggesting the participation of intermediate molecules as chimiokines, inflammatory molecules produced in reaction to an immunological stress by gliales cells and acting directly on the surrounding neurones. The implication of chimiokines in the syndrome of anorexia-cachexie associated with the cancer thus seems very likely Among these, chimiokines " Monocyte Chemoattractant Proteins 1-3 " or MCPs represent obvious candidates because they are produced by multiple tumors. Furthermore, to the mouse, the intellectual expression of MCP1 is correlated in the anorexia led by peripheral injections of a bacterial by-product, the lipopolysaccharide (LPS).
The investigators' main objective is to test at the Man's, in situation of cancer of the pancreas any confused stages, the degree of prédictivité of the chimiokine MCP1 towards the syndrome of anorexia-cachexie associated with the cancer. The investigator also suggest describing: i) the link between rate plasmatique of MCP1 and energy metabolism on one hand, physical composition on the other hand;; ii) the impact of the other chimiokines, particularly those of the family of the MCPs, on the anorexia-cachexie bound to the cancer, iii) the correlation enters their profile of expression plasmatique and the severity of the anorexia, the energy metabolism and the physical composition; iv) the same research on the other inflammatory factors plasmatiques, of nature different from chimiokines; v) the correlation between thin mass and anorexia; vi) the evolution of the chimiokines various and inflammatory factors after surgical treatment or chemotherapy with curative aim in 6 months.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| groupe1 | Other | cancer of the pancreas WITH syndrome of anorexia-cachexie Dosage of chimiokines |
|
| groupe2 | Other | cancer of the pancreas WITHOUT syndrome of anorexia-cachexie Dosage of chimiokines |
|
| groupe3 | Other | pure food limitation typifies restrictive anorexia nervosa Dosage of chimiokines |
|
| groupe4 | Other | unhurt individual of any appetite-suppressing evolutionary disease and cachectisante Dosage of chimiokines |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Dosage of chimiokines | Other |
|
| Measure | Description | Time Frame |
|---|---|---|
| chimiokine MCP1 expression | Study at the Man's, in situation of cancer of the pancreas, diagnosed of novo and any confused stages, the prediction of the chimiokine MCP1 towards the syndrome of anorexia-cachexie associated with the cancer | change from baseline to 180 days |
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Group 1 {cancer of the pancreas WITH syndrome of anorexia-cachexie}
Inclusion Criteria:
Exclusion Criteria:
Groupe 2 {cancer du pancréas SANS syndrome d'anorexie-cachexie}
Inclusion Criteria:
Exclusion Criteria:
Group 3 {pure food limitation typifies restrictive anorexia nervosa}
Inclusion Criteria:
Exclusion Criteria:
Group 4 {unhurt individual of any appetite-suppressing evolutionary disease and cachectisante}
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Stéphane SCHNEIDER, Pr | Centre Hospitalier Universitaire de Nice | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| CHU de Nice | Nice | 06000 | France |
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| ID | Term |
|---|---|
| D010190 | Pancreatic Neoplasms |
| D000855 | Anorexia |
| ID | Term |
|---|---|
| D004067 | Digestive System Neoplasms |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D004701 | Endocrine Gland Neoplasms |
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| D004066 |
| Digestive System Diseases |
| D010182 | Pancreatic Diseases |
| D004700 | Endocrine System Diseases |
| D012817 | Signs and Symptoms, Digestive |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |