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The prevalence of allergic diseases (atopic dermatitis, asthma, rhinitis, conjunctivitis and food allergy) has increased dramatically in industrialized countries over the last 20-30 years.
Allergic diseases are present especially in children and young adults, but all age groups are affected, with variations across countries and age. To propose new therapies, the investigators must first understand the physiopathology.
Since their discovery the regulatory T cells have continued to be the subject of work to understand their role in maintaining immune homeostasis in the human body but also their involvement in autoimmune diseases, inflammatory diseases, transplants of solid organs or fluids and allergic diseases.
It was identified two broad classes of regulatory T cells:
Phenotypic characterization of these is less obvious and even more so than during the last ten years several induced regulatory T cell populations have been described ( eg, Tr1 ).
A new subpopulation of T cells induced in patients with inflammatory bowel disease recently identified have a particular phenotype as bearing the CD4 and CD8 double marking with a regulatory phenotype.
These regulatory T cells are also induced a specific of a commensal intestinal bacterium (Faecalibacterium prausnitzii).
Regarding allergies, it has been widely demonstrated a relationship between changes of the intestinal microbiota and the occurrence of allergic diseases.
The investigators would therefore propose a cross-sectional study, single-center, controlled, single blinded to study the role of T cells called double positive induced regulators DP8 to compare the frequency and the regulatory function of specific DP8 of Faecalibacterium prausnitzii in atopic dermatitis, asthma and allergic rhinitis compared to control samples.
The primary endpoint will be the highlight of a quantitative reduction of double positive T cells (CD4 + / CD8 +) the specific F prausnitzii peripheral blood in patients with allergic asthma, allergic rhinitis and atopic dermatitis compared to samples from a control sample collection made available by the laboratory BIOFORTIS® located near Nantes University of Nantes.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Patients with allergic rhinitis | Patients with rhinitis and / or allergic conjunctivitis duly diagnosed according to the ARIA criteria |
| |
| Patients with atopic dermatitis | The patient has moderate classified atopic dermatitis (SCORAD 25 to 50) or severe (SCORAD> 50). |
| |
| Patients with allergic asthma | The patient has allergic asthma diagnosed according to the criteria GINA21 |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| double positive T cells (CD4 + / CD8 +) to the specific peripheral blood of F prauznitzii analyse | Genetic |
|
| Measure | Description | Time Frame |
|---|---|---|
| average percentage of double positive T cells CD4 + / CD8 + compared to the average percentages of total T lymphocytes (CD3 +), CD4 + and the total number of peripheral blood formed elements | Intermediate biospecimen storage and preparation before centralized analyses | 3 months |
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Inclusion Criteria:
Exclusion Criteria:
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Patients undergoing a consultation with an allergist at the University Hospital of Nantes or city firm under a monitoring or an initial consultation for atopic dermatitis, allergic asthma or allergic rhinitis.
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Nantes University Hospital | Nantes | Pays de la Loire Region | 44000 | France |
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PBMC
| ID | Term |
|---|---|
| D065631 | Rhinitis, Allergic |
| D003876 | Dermatitis, Atopic |
| ID | Term |
|---|---|
| D012220 | Rhinitis |
| D009668 | Nose Diseases |
| D012140 | Respiratory Tract Diseases |
| D012130 | Respiratory Hypersensitivity |
| D010038 | Otorhinolaryngologic Diseases |
| D006969 | Hypersensitivity, Immediate |
| D006967 | Hypersensitivity |
| D007154 | Immune System Diseases |
| D012873 | Skin Diseases, Genetic |
| D030342 | Genetic Diseases, Inborn |
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |
| D003872 | Dermatitis |
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |
| D017443 | Skin Diseases, Eczematous |
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