Unique ID issued by UMIN | UMIN000019115 |
---|---|
Receipt number | R000022086 |
Scientific Title | Pathophysiological roles of atherosclerotic carotid plaque phenotypes and bioactive substances in patients undergoing carotid endarterectomy |
Date of disclosure of the study information | 2015/09/25 |
Last modified on | 2015/10/01 19:46:19 |
Pathophysiological roles of atherosclerotic carotid plaque phenotypes and bioactive substances in patients undergoing carotid endarterectomy
Pathophysiological characteristics of carotid plaque and circulating monocytes
Pathophysiological roles of atherosclerotic carotid plaque phenotypes and bioactive substances in patients undergoing carotid endarterectomy
Pathophysiological characteristics of carotid plaque and circulating monocytes
Japan |
1. Atherosclerosis
2. Stroke
3. Carotid stenosis
4. Diabetes
Medicine in general | Cardiology | Endocrinology and Metabolism |
Vascular surgery | Neurosurgery | Cardiovascular surgery |
Others
NO
In this study, we will examine the expression levels of a series of bioactive substances such as inflammatory cytokines in carotid plaque of patients undergoing carotid endarterectomy. In addition, we will assess the relationship of pro-inflammatory/anti-inflammatory phenotypes of carotid plaque with glucose metabolism and pro-inflammatory/anti-inflammatory phenotypes of circulating monocytes, which will help us to develop new strategies for the prevention and control of atherosclerotic cardiovascular diseases.
Efficacy
Exploratory
Pragmatic
Not applicable
inflammatory mediators
IL-6,IL-10,TNFalfa,MCP-1
activation/inflammatory markers in plaque and peripheral blood monocytes
MHC-II, CD86, Dectin-1, CD206, CD16, CD68
body weight,BMI,waist circumference,blood pressure,HbA1c,FPG,TC,TG,LDL-C,HDL-C, UA,BUN,Cre
Observational
20 | years-old | <= |
80 | years-old | > |
Male and Female
1. Outpatients undergoing carotid endarterectomy in the Department of Neurosurgery of our hospital
2. Patients who are able to attend the hospital
3. Age: 20 years of age and older, and below 80 years old
4. Patients providing written informed consent
1. Subjects who have been determined to be unsuitable for the attending physician
30
1st name | |
Middle name | |
Last name | Noriko Satoh-Asahara |
National Hospital Organization,
Kyoto Medical Center
Clinical Research Institute
1-1 Mukaihata-cho,Fukakusa,Fushimi-ku,Kyoto
075-645-9161
nsato@kyotolan.hosp.go.jp
1st name | |
Middle name | |
Last name | Noriko Satoh-Asahara |
National Hospital Organization, Kyoto Medical Center
Clinical Research Institute
1-1 Mukaihata-cho,Fukakusa,Fushimi-ku,Kyoto
075-641-9161
nsato@kyotolan.hosp.go.jp
National Hospital Organization,
Kyoto Medical Center
National Hospital Organization,
Kyoto Medical Center
Self funding
NO
2015 | Year | 09 | Month | 25 | Day |
Unpublished
No longer recruiting
2011 | Year | 02 | Month | 14 | Day |
2011 | Year | 03 | Month | 01 | Day |
This study is prospective cohort study. We will investigate the patients undergoing carotid endarterectomy from March 1st, 2011, to February 29th, 2014, in the Department of Neurosurgery of Kyoto Medical Center, who meet the selection criteria and whose informed consent is obtained. In this study, the expression levels of a series of inflammatory/anti-inflammatory mediators (TNF-alpha, IL-6, IL-10, MCP-1, TREM2) will be quantified in carotid plaque obtained from surgical patients undergoing carotid endarterectomy by real-time PCR, and the protein levels of inflammatory/anti-inflammatory mediators in blood samples will be determined by ELISA.
In addition, anthropometric and metabolic parameters will be measured (height, body weight, waist circumference, body mass index, systolic and diastolic blood pressures, HbA1c, FPG, TG, TC, LDL-C, HDL-C, UA, BUN, Cre). Circulating monocyte fractions will be isolated from the peripheral blood samples by MACS and subjected to the measurement of gene expression of the inflammatory/anti-inflammatory mediators (TNF-alpha, IL-6, IL-10, MCP-1, MHC-II, CD86, Dectin-1, CD206, CD16, CD68, TREM2).
These studies will reveal the mechanisms underlying the development of atherosclerotic plaque in patients with carotid stenosis and/or stroke, which will help us to develop new strategies for evaluating the progression of atherosclerosis and the postoperative prognosis.
2015 | Year | 09 | Month | 25 | Day |
2015 | Year | 10 | Month | 01 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000022086