Autoimmunity in the Pathogenesis of AF

Mayo Clinic

Status: Completed

Conditions: Atrial Fibrillation

Treatments: Other: Peripheral Blood Sample

Study type: Observational

Funder types: Other; NIH

Identifiers

NCT03498729

16-005678

1K01HL135288-01 (U.S. NIH Grant/Contract)

Details and patient eligibility

About

This research study is being done to find out whether autoimmune mechanisms are associated with the development of atrial fibrillation.

Full description

The study sets out to identify an explanation for the pathogenesis of AF, potentially forming the basis for designing novel targeted therapies to prevent or reverse this prevalent human disease. The overall objectives are to determine whether autoimmune diseases are associated with AF development and to identify specific diagnostic and prognostic biomarkers that will improve the ability to accurately predict risk of AF development. The study will prospectively enroll patients with and without AF and determine their serum cytokine levels and assess the functional responses of T cells on the basis of cytokine production after in vitro T-cell specific stimulation, using Luminex bead-based multiplex technology.

Enrollment: 75 patients

Sex: All

Ages: 18 to 99 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Cases: AF (Persistent, paroxysmal AF)
• Controls 1: (No prior history of AF or inflammatory or autoimmune diseases)
• Controls 2: (biopsy proven Psoriasis)

Exclusion criteria

• Clinically apparent acute infections over the past 4 weeks
• Chronic infections
• Recent malignancies
• Recent Radiation or chemotherapy
• Chronic kidney disease (≥ stage 2)
• Organ transplantation
• History of chronic liver disease
• Major surgery or invasive procedure in the past 6 months
• Internal prosthesis
• Receiving immunosuppressive therapy
• Known rheumatologic diseases (except for the participants with psoriasis)
• Females who are known to be pregnant

Trial design

75 participants in 4 patient groups

Persistent AF

Treatment:

Other: Peripheral Blood Sample

Paroxysmal AF

Treatment:

Other: Peripheral Blood Sample

Psoriasis

Treatment:

Other: Peripheral Blood Sample

Healthy Controls

Treatment:

Other: Peripheral Blood Sample