The main objective of SAFIR is to identify the atherosclerotic genetic factors in these patients, which will identify new therapeutic targets for the treatment of CV and Familial Hypercholesterolemia diseases. In addition, SAFIR will allow the identification of new CV protection biomarkers, which will be useful tools for the development of a personalized medicine for the management of dyslipidemias.
The objective of the SAFIR study is to perform non-invasive coronary vascular phenotyping of familial hypercholesterolemia (FH) families by performing a coronary calcium score and then to detect protective genetic factors in patients who do not have a significant atheroma despite a perturbed biological phenotype. The investigators will also conduct biochemical, lipidemic and metabolomic analyzes to identify a signature of biomarkers protective of cardiovascular risk in FH patients. The investigators will use the French FH register, which already includes 3889 patients, to identify these "protected" FH families within the main reference centers for the management of FH for inclusion and follow-up of patients.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
OTHER
Masking
NONE
Enrollment
562
Whole Genome Sequencing Biomarkers analyses
Le Bocage Hospital
Dijon, France
CHRU de Lille
Lille, France
Louis Pradel Cardiovascular Hospital
Lyon, France
La Conception Hospital
Marseille, France
Identification of genes associated with the resistance to development of coronary atherosclerosis in subjects with heterozygous familial hypercholesterolemia
Identification of functional genetic variants by a Whole Genome Sequencing (WGS) approach in case-control analysis (FH without and with advanced coronary atherosclerosis) and/or family analysis (protected and affected relatives)
Time frame: 3 years
Identification of new biochemical, lipidemic, metabolomic and metagenomic biomarkers associated with cardiovascular protection in FH patients.
Lipidic panel, phosphocalcic panel, Ceramides, Alipoproteins, Lp(a), lipidomic, LDL size, Phospholipids, TMAO, Carnitin, Cholin, microbiota, metabolomic, LDL Ox, Sterols, Isoprostan, oxidation, inflammation, cytokins, oxidative stress.
Time frame: 3 years
Association of arterial stiffness (reflected by the pulse wave velocity) with the development of coronary atherosclerosis in FH patients
Measurement of arterial stiffness measured by popmeter® (pulse wave velocity)
Time frame: 3 years
Association of atherosclerosis of supra-aortic trunks (AST) with the development of coronary atherosclerosis in FH patients
Measurement of ASD through arterial Doppler ultrasonography (Intra-media thickness (IMT), degree of stenosis (ESCT), plaque)
Time frame: 3 years
Association of atherosclerosis of the lower limbs with the development of coronary atherosclerosis (PAD) in FH patients
Measurement of lower extremity involvement by arterial doppler ultrasonography
Time frame: 3 years
Association between aortic valvular score and development of coronary atherosclerosis in FH patients
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Nantes University Hospital
Nantes, France
Saint-Antoine Hospital
Paris, France
Pitié-Salpêtrière Hospital
Paris, France
Rennes University Hospital
Rennes, France
Toulouse Hospital
Toulouse, France
Measurement of coronary calcium score and aortic valvular score (optional) by a thoracic CT scan
Time frame: 3 years
Association between coronary calcium score and aortic valvular score in HF patients
Measurement of coronary calcium score and aortic valvular score (optional) by a thoracic CT scan
Time frame: 3 years