The primary objective of this study is to search for, in vitro, elements associated with IgG-dependent monocyte activation (signaling pathway activation, expression of pro-coagulant and pro-inflammatory factors) and to describe their prevalence in female patients with a history of proximal venous thromboembolism (proximal deep vein thrombosis or pulmonary embolism) compared to control women.
The secondary objectives of this study include to compare the IgG-dependent monocyte activation profiles as a function of laboratory thrombophilia parameters. Essentially: Is IgG-dependent cell activation associated with the presence of anti-phospholipid antibodies (or their subtypes?), or do these profiles indicate something beyond the nosology of anti-phospholipid syndrome?
Study Type
OBSERVATIONAL
Enrollment
34
Venous blood will be sampled for laboratory analyses (see outcomes).
CHRU de Montpellier - Hôpital Saint-Eloi
Montpellier, France
CHRU de Nîmes - Hôpital Universitaire Carémeau
Nîmes, France
The presence/absence of an activation profile
The following will be taken into account: Six signaling pathways (Protein kinase B, extracellular-signal-regulated kinases, Signal transducer and activator of transcription 5, P38 mitogen-activated protein kinases, Mechanistic Target Of Rapamycin, nuclear factor kappa-light-chain-enhancer of activated B cells), increases in the expression of tissue factor, and 5 pro-inflammatory factors (Intercellular Adhesion Molecule, tumor necrosis factor alpha, interferon gamma, Interleukin-1 beta, Interleukin 8). A pathway will be considered as "activated" or an expression profile as "increased" when the observed value is superior to the 95% confidence interval determined using healthy volunteer values. A patient is considered as having an activation profile if at least one of the above pathways or expressions is considered as activated / increased.
Time frame: Day (0)
History of proximal deep vein thrombosis? yes/no
Time frame: Day (0)
History of pulmonary embolism? yes/no
Time frame: Day (0)
History of placental vascular pathology? yes/no
Time frame: Day (0)
The presence / absence of antiphospholipid antibodies: lupus anticoagulant antibodies
Time frame: Day (0)
The presence / absence of antiphospholipid antibodies: anti-cardiolipid antibodies
Time frame: Day (0)
The presence / absence of antiphospholipid antibodies: anti-beta2-glycoprotein 1 antibodies
Time frame: Day (0)
The presence / absence of a constitutional biological thrombophilia
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The presence / absence of a constitutional biological thrombophilia (mutation of the Leiden V factor and the prothrombin gene, deficiency in physiological coagulation inhibitors)
Time frame: Day (0)
Fibrin monomer (blood; mg/ L)
Time frame: Day (0)
Blood D-dimers (ng/mL)
Time frame: Day (0)