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The facial-glenohumeral muscular dystrophy type 1 (DMFSH1) is characterized by a selective and asymmetrical involvement of the facial muscles, the shoulder girdle and the anterolateral lodge legs. Genetically, the disease is transmitted in an autosomal dominant manner and is caused by a pathogen contraction of repeat units (UR) say D4Z4 localized to the telomeric portion of chromosome 4qA. The loss of UR causes hypomethylation of DNA and chromatin relaxation of the region that lead to inappropriate expression of DUX4 retrogene highly toxic. The inappropriate expression induces a T cell reaction inflammatory response that participate and increase muscle damage. In favor of this hypothesis, several muscle MRI studies have shown that atrophy and fibro-adipose degeneration (hyper signal in T1) were preceded by the appearance of muscle inflammation (hyper signal T2STIR) confirmed on histologically and dysregulation of genes involved in adaptive and innate immunity. scientific hypothesis and potential benefits: the investigateur hypothesize that in patients of DMFSH1, the immune system cells may participate in the pathophysiology of the disease through changes in serum secretion of one or more cytokines and / or a modification of the response of inflammatory cells in some cell damage stimuli. Design: this is a single-center pilot study, interventional. In this study, the investigator will assay the serum cytokines and changes in peripheral blood cells of the expression of cytokines in response to some stimuli in 20 patients with Type 1 DMFSH genetically confirmed at an intermediate stage of clinical disease (kept walking, but at least one muscle of lower limbs reached) and compare with controls from the CYTOKINAGE study. The investigator will also carry patients clinical testing (MMT sum score) and functional (6minute test march MFM) and a MRI not injected whole body (T1 sequences + and T2STIR) to study the relationship between these parameters and secretion cytokines or serum in response to certain stimuli Main objective: to compare serum levels of IL-6 in patients with DMFSH and controls.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Facioscapulohumeral muscular dystrophy | Experimental | Adult ambulant patients with facioscapulohumeral muscular dystrophy type 1 (FSHD1) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| cytokines dosage | Other | Mesure of cytokines concentration in serum |
|
| Measure | Description | Time Frame |
|---|---|---|
| Comparison of serum IL-6 levels between FSHD1 patients and control subjects (from other previous studies) comparable in terms of age and sex | Serum IL-6 levels will be measured using v-plex technology (MSD) in FSHD1 patients and compared with results obtained in paired control subjects from 2 cohorts (NCT00998231 and Cytokinage study NCT02660723) | 21 months |
| Measure | Description | Time Frame |
|---|---|---|
| Comparison of serum levels of 28 oher pro-inflammatory cytokines between FSHD1 patients and control subjects | Serum levels of 28 other cytokines will be measured using v-plex technology (MSD) in FSHD1 patients and compared with results obtained in paired control subjects | 21 months |
| Comparison of cytokines produced upon in vitro stimulation of blood cells in FSHD1 patients and control subjects |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| CHU de NICE | Nice | France |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 40898356 | Result | Sanson B, Slioui A, Garcia J, Klouvi L, Lejeune J, Stalens C, Guien C, Rabarimeriarijaona S, Bernard R, Nectoux J, Attarian S, Bedat-Millet AL, Bouhour F, Boyer FC, Chanson JB, Choumert A, Cintas P, De La Cruz E, Feasson L, Fournier M, Ghorab K, Jacquin-Piques A, Laforet P, Magot A, Michaud M, Noury JB, Sole G, Spinazzi M, Stojkovic T, Tard C, Villa L, Beroud C, Sacconi S; French FSHD registry collaboration group. Prevalence and predictors of uncommon features in FSHD1 patients: insights from the French FSHD registry. Orphanet J Rare Dis. 2025 Sep 2;20(1):470. doi: 10.1186/s13023-025-03877-z. | |
| 41058127 |
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| ID | Term |
|---|---|
| D009136 | Muscular Dystrophies |
| ID | Term |
|---|---|
| D020966 | Muscular Disorders, Atrophic |
| D009135 | Muscular Diseases |
| D009140 | Musculoskeletal Diseases |
| D009468 | Neuromuscular Diseases |
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| ID | Term |
|---|---|
| D057919 | Biological Oxygen Demand Analysis |
| ID | Term |
|---|---|
| D004784 | Environmental Monitoring |
| D004781 | Environmental Exposure |
| D004787 | Environmental Pollution |
| D011634 | Public Health |
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Interventional pilot study
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| test of walk | Procedure | patient must walk during 6 minutes on a flat surface |
|
| Manual muscular test | Procedure | test performed to evaluate the patient muscular weakness |
|
| Motrice fonction mesurement | Procedure | scale allowing the evaluation of patient posture and upper body movements |
|
Cytokine production will be induced in blood cells by non-specific stimulation with LPS, ATP+LPS-EB or poly (I:C) in FSHD1 patients and compared with results obtained in control subjects |
| 21 months |
| Evaluation of potential correlations between cytokines levels (either in the serum or produced upon in vitro stimulation) and clinical severity in FSHD1 patients | Clinical severity and muscle impairment will be evaluated using standardized clinical scales (Manual Muscle Testing, Motor Function Measure-32, 6-minute walk test, age-corrected Clinical Severity Score) | 21 months |
| Evaluation of potential correlations between cytokines levels (either in the serum or produced upon in vitro stimulation) and muscle MRI caracteristics in FSHD1 patients | Whole body MRI will be recorded (T1 and T2STIR sequences) in order to evaluate muscle oedema, inflammation and degeneration | 21 months |
| Derived |
| Pini J, Martinuzzi E, Dhifallah S, Slioui A, Puma A, Villa L, Cavalli M, Ezaru A, Garcia J, Gambella M, Torre F, Pavan LJ, Glaichenhaus N, Sacconi S. Interleukin-6 as a Key Biomarker in Facioscapulohumeral Dystrophy: Evidence From Longitudinal Analyses. Ann Clin Transl Neurol. 2026 Feb;13(2):310-323. doi: 10.1002/acn3.70210. Epub 2025 Oct 7. |
| D009422 | Nervous System Diseases |
| D030342 | Genetic Diseases, Inborn |
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |
| D004778 |
| Environment and Public Health |
| D015980 | Public Health Practice |