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| ID | Type | Description | Link |
|---|---|---|---|
| 2023-A00318-37 | Other Identifier | ANSM |
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The coordinating investigator left the sponsor institution and has not been replaced.
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| Name | Class |
|---|---|
| Institut National de Recherche pour l'Agriculture, l'Alimentation et l'Environnement | OTHER |
| Laboratory Physiopathologie et biotherapies des infections muqueuses (GIMAP) | UNKNOWN |
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Anorexia nervosa is characterized by intestinal dysbiosis, related to the feeding behavior impairment presented by these patients. Pathophysiologic hypotheses are involving the trouble of the microbiota-gut-brain axis in the field of mental diseases.
Anorexia nervosa is characterized by intestinal dysbiosis, related to the feeding behavior impairment presented by these patients. Here we aim to characterize the IgA-coated fraction of bacteria from the intestinal microbiota, linked to the regulation of the mucosal immune system and the epithelium physiology. Abnormalities of this microbiota are reported in inflammatory bowel disease and are associated to immune trouble. As food intake plays a key role in shaping microbiota, we aim to correlate data from IgA microbiota to food intake specificity, and to anorexia nervosa phenotypes.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Acute anorexia nervosa | Experimental | patient diagnose for a first episode of pure restrictive anorexia nervosa will be included. They will have stool sample and Food intake evaluation. |
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| Chronic anorexia nervosa | Experimental | Patient diagnose for anorexia nervosa at least 5 years ago and still maintaining a significant thinness will be included. They will have stool sample and Food intake evaluation. |
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| Healthy control | Placebo Comparator | Healthy Patient will be included. They will have stool sample and Food intake evaluation. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Stool sample | Other | Purification by affinity of the IgA coated bacteria from a fecal solution. Genomic analysis of the bacteria for diversity and richness |
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| Measure | Description | Time Frame |
|---|---|---|
| Total microbiotic profile | abundance and diversity parameters of the IgA microbiota fraction of the intestinal microbiota obtained by 16s rDNA analysis of stool suspension samples from acute anorexia nervosa, chronic anorexia nervosa and control subjects. | 1 week after inclusion |
| Measure | Description | Time Frame |
|---|---|---|
| ELISA assay of fecal immunoglobulins | ELISA determination of immunoglobulin A and immunoglobulin M in the stool of acute anorexia nervosa, chronic anorexia nervosa and control subjects. | 1 week after inclusion |
| Microbiotic profile of total intestinal microbiota |
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Inclusion Criteria:
For acute subgroup : BMI between 11 and 17.5 kg/m2, patient with a first episode of restrictive anorexia nervosa or with hyperphagic episodes.
For the chronic subgroup: BMI between 11 and 17.5 kg/m2, disease evolving for more than 5 years.
For Healthy volunteer: BMI between 20 and 24 kg/m², stable weight for the last 3 months, no eating disorder or history of eating disorder
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Tristan GABRIEL-SEGARD, Md | Centre Hospitalier Universitaire de Saint Etienne | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Chu Saint-Etienne | Saint-Etienne | 42055 | France |
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| ID | Term |
|---|---|
| D000856 | Anorexia Nervosa |
| ID | Term |
|---|---|
| D001068 | Feeding and Eating Disorders |
| D001523 | Mental Disorders |
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| Food intake evaluation | Other | Measure (by survey) of food group intake for : lipids /proteins / fibers / carbohydrates |
|
Total microbiotic profile (abundance and diversity) of the intestinal microbiota obtained by 16s rDNA analysis of stool suspension samples from acute anorexia nervosa, chronic anorexia nervosa and control subjects. |
| 1 week after inclusion |
| Food intake characteristics | Qualitative and quantitative assessment of dietary intake by a dietary survey of acute anorexia nervosa, chronic anorexia nervosa and control subjects. | 1 week after inclusion |