UVB-induced Treg Cells Exert Antigen-specific Suppression Through LAG-3

Study Overview
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Brief Summary
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The goal of this clinical trial is to compare the immune cell population in blood of the participants with psoriasis/atopic dermatitis before and after UVB treatment. The main questions it aims to answer are: how immune cells in the PBMCs from blood of participants are affected by UVB treatment will UVB treatment expand the antigen-specific Treg cell population will UVB treatment enhance the suppressive function of Treg cells Participants giving written informed consent will donate their blood (20 ml) before UVB treatment begins. After 8 to 10-week treatment course, the participants will donate their blood (20 ml) again. Researchers will compare immune cell population changes in the PBMCs of participants before and after UVB treatment. In addition, researchers will purify Treg cells from participant blood before and after UVB treatment to test their suppressive activity by ex vivo suppression assay.

Detailed Description
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UVB irradiation suppresses immune responses partly via the induction of Treg cells. However, it is still not clear whether the therapeutic effect of UVB to treat skin inflammatory diseases (such as psoriasis and atopic dermatitis) results from the increase of Treg cell population. In addition, how UVB induces antigen-specific Treg cells needs to be elucidated. In this study, researchers will examine the Treg cell population in the blood of participants with psoriasis or atopic dermatitis under UVB treatment. We will analyse changes of immune cell populations in the blood of participants using mess cytometry. We will also investigate the suppressive function of Treg cells sorted from peripheral blood mononuclear cells (PBMCs) to see whether UVB treatment will affect the function of Treg cells. Enrolled participants will donate 20 ml of blood before UVB treatment begins. They will receive UVB irradiation 2 to 3 times per week, and the treatment course will last 8 to 10 weeks, which is defined as a complete treatment. After a complete treatment, the participants will donate 20 ml of blood again, and the trial ends.

Official Title
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UVB-induced Treg Cells Exert Antigen-specific Suppression Through LAG-3

Conditions
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Psoriasis, Atopic Dermatitis

Intervention / Treatment
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* Radiation: UVB treatment


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: At least 20 years of age Able and willing to provide written informed consent Exclusion Criteria: UV exposure in the last 8 weeks before study entry Patients with contraindications for UV-treatment History of cancer and primary immunodeficiency pregnant or nursing mother participating in another clinical trial

Ages Eligible for Study
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Minimum Age: 20 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Basic Science
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: UVB treatment<br>UVB treatment 3 times per week for 10 weeks Before treatment starts, researchers will collect 20 ml of blood from participants. After 10-week treatment, researchers will collect 20 ml of blood from participants again. | Radiation: UVB treatment<br>* UVB treatment 3 times per week for 10 weeks<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in the percentage of Treg cells | Change from baseline in Treg cell percentage in the peripheral blood of psoriasis patients treated with UVB | 10 weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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UVB treatment, antigen specificity, regulatory T cell, mass cytometry