Ignite Creation Date:
2024-05-05 @ 11:24 AM
Last Modification Date:
2024-10-26 @ 9:06 AM
Study NCT ID:
NCT00026741
Status:
COMPLETED
Last Update Posted:
2008-03-04
First Post:
2001-11-14
Brief Title:
Research in Skin Inflammation
Sponsor:
National Cancer Institute NCI
Organization:
National Institutes of Health Clinical Center CC
Study Overview
Official Title:
Expression of Chemokine and Chemokine Receptors in Skin in a Model of Delayed-Type Hypersensitivity
Status:
COMPLETED
Status Verified Date:
2002-01
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
This study will examine the production of proteins called chemokines in inflammatory skin reactions It is thought that chemokines attract or recruit white blood cells from the blood stream into the skin when there is a skin injury or infection causing inflammation This study will examine chemokine production in induced inflammatory reactions to try to gain a better understanding of how white blood cells are attracted to inflamed areas of the body
Healthy normal volunteers between 33 and 60 years old may be eligible for this study if they 1 have no history of chronic skin disease 2 are not allergic to eggs and 3 do not tend to form large irregular scars after trauma to the skin from for example cuts scratches and surgical incisions Candidates will be asked a short series of questions and have a limited skin examination
Participants will have 10 ml 2 tablespoons of blood drawn from an arm vein at the start and end of the 5-day study and undergo the following procedures
1 Day 1 - Participants receive an injection in the right upper arm of mumps antigen a protein commonly used to tests for immunization against mumps and an injection of vehicle saline plus the preservatives thimerosal glycine and formaldehyde in the left upper arm
2 Day 3 - Participants who develop a swelling from the mumps antigen larger than 5 mm wide will receive another injection of antigen in the right arm and another injection of vehicle in the left arm Those whose swelling is not greater than 5 mm will be excluded from the study at this point
3 Day 5 - All four injection sites plus another site on the left upper arm will be biopsied For this procedure the five injection areas are numbed with a local anesthetic A punch biopsy instrument that resembles a small cookie cutter about one-third the diameter of a dime is inserted about one-fifth of an inch deep into the skin and the tissue is removed Two stitches are used to close the wound Antibiotic and bandages are applied for 5 days Nine days after the biopsy the participant returns to NIH for removal of the stitches
New molecular biology techniques will be used to measure changes in chemokine production in the biopsied tissue
Healthy normal volunteers between 33 and 60 years old may be eligible for this study if they 1 have no history of chronic skin disease 2 are not allergic to eggs and 3 do not tend to form large irregular scars after trauma to the skin from for example cuts scratches and surgical incisions Candidates will be asked a short series of questions and have a limited skin examination
Participants will have 10 ml 2 tablespoons of blood drawn from an arm vein at the start and end of the 5-day study and undergo the following procedures
1 Day 1 - Participants receive an injection in the right upper arm of mumps antigen a protein commonly used to tests for immunization against mumps and an injection of vehicle saline plus the preservatives thimerosal glycine and formaldehyde in the left upper arm
2 Day 3 - Participants who develop a swelling from the mumps antigen larger than 5 mm wide will receive another injection of antigen in the right arm and another injection of vehicle in the left arm Those whose swelling is not greater than 5 mm will be excluded from the study at this point
3 Day 5 - All four injection sites plus another site on the left upper arm will be biopsied For this procedure the five injection areas are numbed with a local anesthetic A punch biopsy instrument that resembles a small cookie cutter about one-third the diameter of a dime is inserted about one-fifth of an inch deep into the skin and the tissue is removed Two stitches are used to close the wound Antibiotic and bandages are applied for 5 days Nine days after the biopsy the participant returns to NIH for removal of the stitches
New molecular biology techniques will be used to measure changes in chemokine production in the biopsied tissue
Detailed Description:
In the skin T lymphocytes are critical modulators and effectors of acquired defense responses such as delayed-type hypersensitivity DTH T lymphocytes and other leukocytes are recruited to the challenged site via the interaction of selectins integrins immunoglobulin gene superfamily molecules with their ligands and cytokines including the large and growing chemokine group Endogenous proinflammatory agents such as Tumor Necrosis Factor TNF-alpha and Interleukin-1 IL-1 modulate lymphocyte recruitment via up-regulation of endothelial adhesion molecules and chemokines In vitro evidence suggests that endothelial cell-derived chemokines may play a crucial role in inducing firm arrest of leukocytes on endothelial cells prior to transmigration However the investigation of the expression patterns and regulation of chemokines in human skin has been limited Our goal is to qualitatively and quantitatively investigate changes in chemokine expression patterns in human skin using a DTH response to mumps antigen as a model T cell mediated immunological response We will study the effects of intradermal injection of mumps antigen on cutaneous chemokine expression in healthy human volunteers over a five-day period Skin biopsies of treated and mock-treated areas will be obtained and processed for state-of-the-art real-time quantitative RT-PCR analysis of mRNA for chemokines and related molecules of interest Routine and immunohistological analysis of chemokine receptor chemokines cytokines and other cell markers on fixed and frozen tissue will also be performed in an attempt to correlate chemokine expression patterns with the influx of leukocyte subsets into skin Our hypothesis is that the chemokines will be up-regulated but that the kinetics and expression patterns of individual chemokines may not be identical thus possibly accounting for the differential recruitment of T lymphocytes and other leukocytes during the course of the DTH response Chemokine expression as determined by quantitative RT-PCR will be compared with results obtained semi-quantitatively by immunohistochemical staining This study may increase the understanding of the pathogenic mechanisms of inflammatory diseases that are characterized by the recruitment of T lymphocytes thus possibly identifying targets for the treatment of cutaneous inflammatory diseases such as psoriasis
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None
Secondary IDs
| Secondary ID | Type | Domain | Link |
|---|---|---|---|
| 01-C-0112 | None | None | None |