Fibre Specific Signalling in the Locomotor Myopathy of Chronic Obstructive Pulmonary Disease
Fibre Specific Signalling in the Locomotor Myopathy of COPD
Skeletal muscle is composed of two fibre types which are intertwined. Skeletal muscle weakness, particularly of the walking muscles, is an important complication of Chronic Obstructive Pulmonary Disease (COPD) but so far the investigators do not know what mechanisms drive the process.
All existing studies have investigated signalling pathways in the whole muscle so they have been forced to consider type I and type II fibres together. It is possible that disease selectively affects one fibre type, most likely type I fibres which are in fact lost in COPD patients. For this reason mechanisms of disease may have been overlooked by current studies.
The applicants have acquired the technology which allows type I and type II fibres in a muscle specimen to be split (by laser capture microdissection) and so signalling pathways can be assessed separately in type II and type I fibres which is what this proposal sets out to do.
The proposal therefore aims to capture well characterised clinical data from 60 COPD patients and 20 age matched controls, from whom a biopsy of the main walking muscle, the quadriceps, will be taken. In the samples the investigators will assess at a fibre specific level inflammatory signalling. Surplus material will be retained for subsequent fibre specific analysis.
Studieoversigt
Status
Betingelser
Undersøgelsestype
Tilmelding (Forventet)
Kontakter og lokationer
Studiesteder
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UK
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London, UK, Det Forenede Kongerige, SE8 4DY
- Rekruttering
- Royal Brompton Hospital
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Kontakt:
- Michael I Polkey, PhD FRCP
- Telefonnummer: +44 20 7351 8058
- E-mail: m.polkey@rbht.nhs.uk
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Ledende efterforsker:
- Michael I Polkey, PhD FRCP
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Deltagelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Prøveudtagningsmetode
Studiebefolkning
Beskrivelse
Inclusion Criteria:
- Male or female aged 40 - 90 years inclusive.
- A clinical diagnosis of COPD based on spirometry (FEV1/FVC ratio < 70% on entry to the study with FEV1 < 80% predicted)
Exclusion Criteria:
- History or current diagnosis of alpha 1-anti-trypsin deficiency, asthma, lung cancer, bronchiectasis or other significant respiratory disease (including treated TB in the past 10 years)
- Contraindication to biopsy for research purpose (e.g. use of anticoagulant in the 1 week prior to biopsy)
- Joint or neurological disease which on its own would preclude exercise
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
Kohorter og interventioner
Gruppe / kohorte |
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Patienter med KOL
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Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Tidsramme |
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inflammatory signalling at a fibre specific level
Tidsramme: 2 years
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2 years
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Samarbejdspartnere og efterforskere
Efterforskere
- Ledende efterforsker: Michael I Polkey, PhD FRCP, RBHFT
Publikationer og nyttige links
Datoer for undersøgelser
Studer store datoer
Studiestart
Primær færdiggørelse (Forventet)
Studieafslutning (Forventet)
Datoer for studieregistrering
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først opslået (Skøn)
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Skøn)
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
- ERICA WP1b
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