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Recessive dystrophic epidermolysis bullosa (RDEB) is a hereditary skin disease characterized by cutaneous and mucosa fragility. Blister formations and erosions, resulting in chronic wounds and dystrophic scars, lead development of aggressive cutaneous squamous cell carcinoma (cSCC) in young subjects. cSCC in RDEB patients are often recurrent and sometimes aggressive. Although fibrotic and inflammatory microenvironment plays an important role in the tumoral process, specific mechanisms in cSCC of RDEB patients are still unknown. Actually, the only treatment is a wide surgical excision with poor prognostic (80% of death after the first occurrence of cSCC).
The objective of the study is to describe the molecular signatures in the cSCC in RDEB patients
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| RDEB patients with a cSCC | |||
| Non-RDEB patients with a SCC induced by ultraviolet radiation | |||
| Healthy donors without RDEB nor SCC |
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| Measure | Description | Time Frame |
|---|---|---|
| Characterize the molecular signatures in the cSCC and the peri-tumoral dystrophic area occurring in RDEB patients | Molecular signatures will be assessed by genomic, transcriptomic, and proteomic analyses | at inclusion |
| Measure | Description | Time Frame |
|---|---|---|
| Comparison of molecular signature according to the aggressive evolution | Molecular signatures will be assessed by genomic, transcriptomic, proteomic analyses and will be compared between RDEB patients with different clinical outcomes (cSCC with an aggressive and metastatic evolution versus cSCC without aggressive evolution at 3 months). | at inclusion |
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Inclusion Criteria:
for RDEB patients with a SCC :
for non-RDEB patients with a SCC induced by ultraviolet radiation :
Exclusion Criteria:
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RDEB patients with a SCC and non-RDEB patients with a SCC induced by ultraviolet radiation
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Emmanuel BOURRAT, Dr | Contact | +33 1 42 49 90 90 | emmanuelle.bourrat@aphp.fr | |
| Matthieu Resche-Rigon, Pr | Contact | matthieu.resche-rigon@univ-paris-diderot.fr |
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| ID | Term |
|---|---|
| D016108 | Epidermolysis Bullosa Dystrophica |
| ID | Term |
|---|---|
| D004820 | Epidermolysis Bullosa |
| D012868 | Skin Abnormalities |
| D000013 | Congenital Abnormalities |
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |
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| Comparison of molecular signatures between cSCC from RDEB patients versus cSCC from non-RDEB patients (induced by ultraviolet radiation) | Molecular signatures will be assessed by genomic, transcriptomic, and proteomic analyses and will be compared between cSCC from RDEB patients versus cSCC from non-RDEB patients (induced by ultraviolet radiation) | at inclusion |
| D012873 | Skin Diseases, Genetic |
| D030342 | Genetic Diseases, Inborn |
| D003095 | Collagen Diseases |
| D003240 | Connective Tissue Diseases |
| D017437 | Skin and Connective Tissue Diseases |
| D012871 | Skin Diseases |
| D012872 | Skin Diseases, Vesiculobullous |