Clinical trial NCT05017649: Role of A2A Receptor in Hypercholesterolemic Patients
Official title: Characterization of Adenosine A2A Receptor Expression and Fubnction in Hypercholesterolemic Patients
Study type: INTERVENTIONAL
Overall status: RECRUITING
Phase: NA
Conditions: Hypercholesterolemia
Keywords: hypercholesterolemia
adenosine receptor
PBMC
Lead sponsor: Assistance Publique Hopitaux De Marseille
Sponsor class: OTHER
First posted: 2021-08-24
Enrollment: 150
Sex: ALL
Minimum age (years): 18
Maximum age (years): 80
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: NON_RANDOMIZED
Intervention model: PARALLEL
Primary purpose: DIAGNOSTIC

Brief summary: Hypercholesterolemia promotes chronic inflammation, endothelial dysfunction, atherosclerosis and is a major risk factor for cardiovascular disease (CVD). Treatment with lipid-lowering drugs (statins, ezetimibe, PCSK9 inhibitors or LDL-apheresis) reduces the risk of major cardiovascular events in proportion to the absolute reduction of LDL-cholesterol (LDL-C). Nevertheless, a better understanding of the effects of hypercholesterolemia on the cardiovascular and immune systems could help identify all the mechanisms responsible for the excess risk of CVD in hypercholesterolemic patients and develop better prevention and treatment strategies.

Adenosine via A2A receptors (A2AR) plays a crucial role in the regulation of the cardiovascular and immune systems.

In this project, the investigators wish :

* To study whether the expression and function of A2AR in PBMCs are altered in human hypercholesterolemia, using as a study model a larger cohort of patients with hypercholesterolemia of increasing level and severity: polygenic form, heterozygous genetic form and homozygous genetic form in comparison with healthy subjects with normal cholesterol levels.
* To study whether A2AR expression and function in PBMCs are associated with blood levels of LDL-C and homocysteine and with the inflammatory status of patients.
* To assess whether the cholesterol-lowering therapies currently used to reduce LDL-C levels and thus the risk of CVD in hypercholesterolemic patients have an impact on possible alterations of A2AR expression and function in PBMCs.


Eligibility criteria: Inclusion Criteria:

* Male or female subjects aged 18-80 years
* For the group of hypercholesterolemic patients :

  * LDL-cholesterol level \>1.9 g/L with or without treatment to make the diagnosis of hypercholesterolemia (laboratory test less than 12 months old at inclusion)
* For the healthy group :

  ● No cholesterol-modifying therapy.
* Subject not having hypercholesterolemia (biological assessment less than 12 months old at inclusion with LDL-cholesterol level \< 1.9 g/L) and not taking cholesterol-lowering treatment.
* Subjects who are affiliated or beneficiaries of a social security plan
* Subject agreeing to participate in the study and having signed an informed consent

Exclusion Criteria:

* Protected person, as defined by articles L1121-5, L1121-6 and L1121-8 of the Public Health Code: pregnant or breastfeeding woman, person deprived of liberty by judicial decision, adult person unable to give consent.
* Person who does not understand the French language

Primary outcomes:
measure: Quantification of A2AR expression in PBMCs
timeFrame: Baseline
measure: Quantification of A2AR expression in PBMCs
timeFrame: 3 months after initiation of treatment
measure: Quantification of A2AR function in PBMC
timeFrame: 3 months after initiation of treatment
measure: Quantification of A2AR function in PBMC
timeFrame: Baseline
Secondary outcomes:
Other outcomes:
Locations:
city: Marseille
country: France
facility: Service Endocrinologie
Study officials:
affiliation: AP-HM
name: François CREMIEUX
role: STUDY_DIRECTOR
References: