IN UTERO SMOKING AND PREMATURE CELLULAR SENESCENCE

Public Assistance-Hospitals of Marseille (AP-HM)

Status: Completed

Conditions: Chronic Obstructive Pulmonary Disease

Treatments: Genetic: cord blood sample

Study type: Interventional

Funder types: Other

Identifiers

NCT01865435

2012-52 (Other Identifier)

2012-A01655-38

Details and patient eligibility

About

Actually, there is an increasing number of arguments for a premature origin of chronic adult's diseases, as the chronic obstructive pulmonary disease (COPD). Several factors interacting with the foetal or postnatal lung growth are associated with early and long-lasting respiratory functional changes susceptible to contribute very significantly to the arisen of a COPD in the adulthood. It is possible that these situations reflect phenomena of premature cellular senescence, recently involved in the physiopathology of the COPD. An in utero exposition to cigarette smoking is one of these situations, because it is known to induce, not only functional respiratory changes, but also multiple diseases in the child which could testify of cellular ageing phenomena.

Our project aims to demonstrate that in utero smoking is associated with markers of premature cellular senescence in newborn children

The study will be driven in human newborn child's, with comparison of the length of the telomeres in circulating lymphocytes (umbilical blood is collected), according to the exposure in in utero smoking and also according to the degree of hypotrophy. This study will be a pilot study completed by an animal experimental study.

Enrollment: 40 patients

Sex: All

Ages: Under 27 days old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Born weight upper or equal to the 10th percentile and absence of smoking declared by the mother
• Born weight lower than the 10th percentile and absence of smoking declared by the mother
• Born weight upper or equal to the 10th percentile and smoking declared by the mother of at least 5 cigarettes a day
• Born weight lower than the 10th percentile and smoking declared by the mother of at least 5 cigarettes a day

Exclusion criteria

• Gestationnel age 37 LIMITED COMPANIES
• Low(Weak) declaratory(declarative) maternal smoking (1 in 4 cigarettes a day)
• Pathologies associated by the newborn child (deformations, foetal suffering, infection maternofœtale, respiratory distress syndrome)

Trial design

40 participants in 1 patient group

new borns

Experimental group

Treatment:

Genetic: cord blood sample