RecruitingNCT04160455

Study of Autophagy and the Effects of GALIG Gene Products in HIV-1 Infected Patients Who Are Under Antiretroviral Therapy Since Primary-infection, Chronic Phase, or Never Treated.


Sponsor

Centre Hospitalier Régional d'Orléans

Enrollment

180 participants

Start Date

Nov 7, 2019

Study Type

OBSERVATIONAL

Conditions

Summary

Little is known about autophagy during HIV infection. Recently, two different teams reported important dysfunctions of autophagy in HIV-infected patients despite sustained suppressive antiretroviral therapy. As altered autophagy is strongly linked to cellular senescence and chronic inflammation, two hallmarks of HIV-infected patients despite long-term suppressive antiretroviral therapy, it is important to improve our knowledge in the area. Our main objective is to determine whether all or part of mononuclear cell subpopulations (CD4+ and CD8+ T lymphocytes, and monocytes) exhibit a defect in autophagy function in a cohort of HIV-infected patients who are virologically-controlled (plasma HIV RNA \<50 copies / ml) either spontaneously (i.e. HIV controllers or post-treatment controllers) or after they started antiretroviral therapy at different time points (i.e. at the acute or chronic phases), as compared with a control group (i.e. uninfected healthy blood donors).


Eligibility

Min Age: 18 Years

Plain Language Summary

Simplified for easier understanding

This study is looking at how a cellular process called autophagy (where cells clean up and recycle their own damaged parts) is affected in HIV-infected patients on antiretroviral therapy. Specifically, it focuses on a gene called GALIG, which may play a role in how immune cells survive or die. The goal is to better understand why some HIV patients have poor immune recovery even when their virus is suppressed. **You may be eligible if...** - You are 18 or older - You are infected with HIV-1 (not HIV-2) - You are followed at Orleans' Regional Hospital - You fall into one of several study groups: on long-term suppressive therapy started during chronic infection (with either low or high CD4 counts), on therapy started during early (primary) infection, or not yet on treatment **You may NOT be eligible if...** - You are co-infected with HIV-2 - You are not followed at the specified hospital - You have not provided written consent Talk to your doctor to see if this trial is right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

BIOLOGICALexpression of a panel

Quantify, by droplet digital PCR, the expression of a panel of 7 genes (+ GALIG) involved in autophagy2 on sub-populations (CD4+ and CD8+ lymphocytes and monocytes) after their sorting using magnetic bead cell then RNA extraction Evaluate, on a functional test (as previously described1), whether the observed expression dysregulation is associated with a deregulation of the autophagic function, whether constitutive or induced.


Locations(1)

CHU Orleans

Orléans, France

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NCT04160455


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