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The study aims at defining the role of soluble CD95 Ligand in the physiopathology of the non-infectious uveitis. Soluble CD95 Ligand might have a prognostic interest as well as potential for the discovery of new therapeutic strategies
Non-Infectious active uveitis is a severe inflammatory ocular disease which can expose to the blindness. Actually, the knowledge of the physiopathology of uveitis stay poorly. CD95 Ligand (CD95-L) belongs to a TNF (tumor necrosis factors) receptor family. It knows to play a preponderant role to maintain the eye immune privilege. In particular conditions depending on immunologic environment, CD95-L has pro-inflammatory properties and can interact with Th17 lymphocytes and neutrophils, two cells implicated in non-infectious uveitis. The hypothesis is that s-CD95-L levels might be a prognostic factor in non-infectious uveitis and the study of the molecular mechanisms involved could provide new therapeutic targets.
This study will recruit 100 patients with non-infectious uveitis followed in Bordeaux University Hospital. Among classical disease activity information, blood samples will be collected during to assess s-CD95-L. Fundamental research will be realized on patients' sample to evaluate underlying molecular mechanisms.
Clinical and biological disease activity, treatment and outcomes will be studied in correlation with s-CD95-L to describe their potential prognostic role. Patients will be followed at regular intervals, accordingly to usual care.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Biological samples | levels of s-CD95-L (ELISA test) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| s-CD95-L | Other | levels of s-CD95-L (ELISA test) |
|
| Measure | Description | Time Frame |
|---|---|---|
| levels of s-CD95-L | levels of s-CD95-L (ELISA test) in sera of non-infectious uveitis patients | Baseline |
| Measure | Description | Time Frame |
|---|---|---|
| Correlation between levels of s-CD95-L and Disease activity score | Correlation between levels of s-CD95-L and Disease activity score (as defined by ophthalmologic examination) | Baseline, Month 3 |
| Th17 dosage |
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Inclusion Criteria:
Exclusion Criteria:
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patients with non-infectious uveitis
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| CHU Bordeaux | Bordeaux | France |
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Th17 dosage
| Baseline, Month 3 |
| polynuclear neutrophils levels | polynuclear neutrophils levels (Flow cytometry) | Baseline, Month 3 |