Role of Mitophagy in Myeloid Cells During Coronary Atherosclerosis. (MITOCARDIA)

University Hospital Center (CHU) Dijon Bourgogne

Status: Completed

Conditions: Coronary Atherosclerosis

Treatments: Biological: Blood samples; Procedure: myocardial tissue samples; Other: Data collection

Study type: Observational

Funder types: Other

Identifiers

NCT05708547

NUGUYEN AOI 2022

Details and patient eligibility

About

Atherosclerosis (deposition of a plaque essentially composed of lipids on the artery walls) is a frequent condition and is a leading cause of death worldwide. In addition to the long-established risk factors such as age, hypertension, diabetes or sedentary lifestyle, it has been demonstrated that immune cells can participate in the genesis of atherosclerotic plaques through metabolic and mitochondrial reprogramming.

A non-invasive marker of this immune reprogramming has yet to be identified. Through the comparison of a group of atheromatous patients and a group of non-atheromatous patients, this study aims to evaluate this reprogramming phenomenon using a novel non-invasive method.

This monocentric interventional study will take place at the Dijon Bourgogne University Hospital and will include 50 patients divided into 2 groups: "atheromatous coronary patients" and "non-atheromatous patients". The duration of participation in this study is 1 month. This study is based on usually performed procedures. Only blood samples will be taken on a catheter usually used during any cardiac surgery in addition to the medical care that is provided during hospitalization.

Enrollment: 61 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

- Person who provides oral consent

Group 1:

- Patient scheduled for cardiac bypass surgery (isolated procedure) with extracorporeal circulation

Group 2:

• Patient scheduled for valve ou ascending aorta surgery with extracorporeal circulation
• No coronary lesion
• No peripheral arterial disease (limbs, carotids, aortic aneurysm)

Exclusion criteria

• Person not affiliated with national health care system
• Medication that alters mitochondrial function (Chloroquine, hydroxychloroquine, rapamycin, carbamazepine, resveratrol, sildenafil)
• Person under a legal protection measure (curatorship, guardianship, tutorship)
• Pregnant, parturient or breastfeeding women
• Major unable to express consent
• Minor

Trial design

61 participants in 2 patient groups

Atheromatous coronary patients

Description:

patients scheduled for coronary artery bypass surgery with extracorporeal circulation

Treatment:

Other: Data collection

Procedure: myocardial tissue samples

Biological: Blood samples

Non-atheratomous patients

Description:

Patients scheduled for valve or ascending aorta surgery with extracorporeal circulation without coronary lesion or peripheral arterial disease

Treatment:

Other: Data collection

Procedure: myocardial tissue samples

Biological: Blood samples