Chitinases and Transforming Growth Factor Beta (TGFB) in Human Asthma (AADCRC)
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Purpose
The purpose of this study is to find out the roles of two specific gene families (the chitinase gene family and the TGFB family). We hypothesize that chitinases and TGFb pathway genes will be differentially expressed in the airways of non-asthmatic subjects and subjects with asthma. We further hypothesize that genetic variants in CHIT1, AMCase, and TGFb pathway genes that show associations with asthma and related phenotypes will change the expression and/or function of the protein of these genes in the airway in several ways, including the transcript numbers for full length genes and splice variants and, for the chitinase genes, the levels of chitinase activity in airway secretions.
| Condition |
|---|
|
Asthma |
| Study Type: | Observational |
| Study Design: | Observational Model: Case Control Time Perspective: Prospective |
| Official Title: | Chitinases and TGFB in Human Asthma |
- Expression of CHIT1, AMCase, and TGFb pathway genes in asthma [ Time Frame: Current ] [ Designated as safety issue: No ]
Biospecimen Retention: Samples With DNA
sputum, blood, saliva, DNA, RNA, Plasma
| Estimated Enrollment: | 45 |
| Study Start Date: | February 2010 |
| Estimated Study Completion Date: | December 2013 |
| Primary Completion Date: | December 2012 (Final data collection date for primary outcome measure) |
| Groups/Cohorts |
|---|
|
Healthy, non-asthmatic controls
People who are non-asthmatic and non-smokers.
|
|
Asthmatics
People who have been diagnosed with asthma.
|
Detailed Description:
This is a cross-sectional study in patients with asthma and healthy controls in which we will analyze how the expression or function of CHIT1, AMCase, and TGFb pathway genes in the asthmatic airway is affected by genetic variation in these genes. We propose detailed phenotyping of the asthmatic subjects and the healthy controls, including collection of induced sputum, exhaled air and detailed physiologic measures including measures of airflow, lung volumes, and methacholine responsiveness as well as collection of airway cells and tissues by bronchoscopy. We will determine the relative expression of CHIT1 and AMCase in specific lung compartments (large airways, small airways, epithelial cells, macrophages) and the effects of genetic variants in CHIT1 and AMCase on expression of splice variants and levels of chitinase activity in the airway. These human samples will also allow us to determine if any of the multiple TGFb pathway genes analyzed show differential expression in the lung in asthma.
Eligibility| Ages Eligible for Study: | 18 Years to 70 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
| Sampling Method: | Non-Probability Sample |
Community sample
Inclusion Criteria:
- History of asthma
- No use of oral or inhaled corticosteroids for the treatment of asthma in the past 6 weeks
- Hyperreactivity to methacholine (PC20FEV1 Methacholine ≤ 8.0 mg/mL).
At least one of the following symptoms, beta agonist use, or FEV1 criteria:
- Asthma symptoms on at least two days per week, or
- Beta agonist use on at least two days per week, or
- FEV1 < 85% predicted
- Subjects must be non-smokers (patients who have never smoked or patients who have not smoked for 1 year and have a total pack-year smoking history < 15 packs).
Exclusion Criteria:
- Cigarette smoking: Subjects must be non-smokers. Non smokers are defined as subjects who have never smoked or who have not smoked for 1 year and have a total pack-year smoking history < 15 packs.
- Pregnant women
- Subjects with a history of a medical disease which in the opinion of the investigator may put the subject at extra risk from study-related procedures or because the disease may influence the results of the study.
- Healthy control subjects must have no history of asthma or allergic rhinitis
- Upper respiratory tract infection in the 4 weeks prior to enrollment in the study
Contacts and Locations| Contact: Kelly Norsworthy, BA | 415-502-8791 | kelly.norsworthy@ucsf.edu |
| United States, California | |
| UCSF Airway Clinical Research Center | Recruiting |
| San Francisco, California, United States, 94143 | |
| Contact: Kelly Norsworthy, BA 415-502-8791 kelly.norsworthy@ucsf.edu | |
| Contact: , BA | |
| Principal Investigator: John V Fahy, MD, M.Sc. | |
| Principal Investigator: | John V Fahy, MD | University of California, San Francisco |
More Information
No publications provided
| Responsible Party: | University of California, San Francisco |
| ClinicalTrials.gov Identifier: | NCT01073410 History of Changes |
| Other Study ID Numbers: | H6788-32208 |
| Study First Received: | February 19, 2010 |
| Last Updated: | March 11, 2013 |
| Health Authority: | United States: UCSF Committee on Human Research |
Additional relevant MeSH terms:
|
Asthma Bronchial Diseases Respiratory Tract Diseases Lung Diseases, Obstructive Lung Diseases |
Respiratory Hypersensitivity Hypersensitivity, Immediate Hypersensitivity Immune System Diseases |
ClinicalTrials.gov processed this record on May 22, 2013