Genetic Polymorphisms, Steatosis and Diabetes
Genetic Polymorphisms, Hepatic Steatosis and Lipid Anomalies in Diabetic Patients
1 other identifier
observational
507
1 country
1
Brief Summary
- Our research hypothesis is to show that a certain number of genetic polymorphisms of the proteins involved in glucose, lipid and adipocyte metabolism are factors that favour the development of steatosis in patients with Type 2 diabetes.
- We also wish to evaluate more thoroughly lipid anomalies associated with the presence of steatosis, notably with regard to monocyte expression of LDL receptors. We hypothesize that hepatic steatosis is accompanied by activation of transcription factors involved in lipogenesis, notably SREBP factors. The activation of these factors could cause an increase in the expression of LDL receptors, leading to increased LDL catabolism.
- Chronological description of the study During an outpatient consultation at the endocrinology department, diabetic patients, programmed to undergo an examination to assess their diabetes will be invited to participate in the study. Once written informed consent has been provided and clinical data has been recorded, patients with type 1 or type 2 diabetes will have standard biological examination, which is systematically done in such patients (Fasting glycemia, HBA1c, aspartate aminotransferase, alanine amino transferase, Gammaglutamyl-transferases, PAL, bilirubin, blood proteins, albuminemia, Total Cholesterol total, HDL cholesterol, triglycerides, Sedimentation Rate, C-reactive protein, fibrinogen). As well as the systematic biological tests, 3 additional tubes will be taken to screen for genetic polymorphism in 3 proteins (Microsomal Transfer Protein, Adiponectin receptor - 1, Apolipoprotein A - II). IN addition, magnetic resonance imaging and magnetic resonance spectroscopy will be done to look for the presence of liver steatosis and to measure carotid intima-media thickness.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started Oct 2007
Longer than P75 for all trials
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
October 15, 2007
CompletedFirst Submitted
Initial submission to the registry
January 21, 2014
CompletedFirst Posted
Study publicly available on registry
January 27, 2014
CompletedPrimary Completion
Last participant's last visit for primary outcome
March 25, 2015
CompletedStudy Completion
Last participant's last visit for all outcomes
March 25, 2015
CompletedFebruary 21, 2024
February 1, 2024
7.4 years
January 21, 2014
February 20, 2024
Conditions
Outcome Measures
Primary Outcomes (1)
Determination of the existence of liver steatosis measured by magnetic resonance spectroscopy spectrometry
At inclusion
Secondary Outcomes (1)
Measurement of monocyte expression of LDL receptors
At inclusion
Study Arms (3)
Patients with type-1 diabetes
Patients with type-2 diabetes
Volontaires sains
Interventions
Eligibility Criteria
The study population consists of type 2 diabetes over 18 subjects treated with diet alone or with oral antidiabetic glitazones outside of patients with type 1 and of age-matched healthy volunteers and sex.
You may qualify if:
- Type 2 diabetes
- HbA1C\>6.5%
- \<BMI\<55
- Type 1 diabetes
- BMI\<55 Diagnosis of type-1 diabetes based on the clinical history of the patient and/or the presence of anti-glutamate decarboxylase auto antibodies and/or a plasma level of C peptide below 0,5 ng/l.
- Non diabetic
- Alcohol consumption \< 2 glasses per day
- Without hyperglycemic treatment (corticoids, ...)
- Without liver disease (cirrhosis, hepatitis, ...)
You may not qualify if:
- Pacemaker
- Daily alcohol consumption above 4 glasses per day
- Presence of implants
- Claustrophobia
- Patient \< 18 years
- Patient under guardianship or not intellectually independent
- Pregnancy
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
CHU de DIJON
Dijon, 21079, France
MeSH Terms
Interventions
Intervention Hierarchy (Ancestors)
Study Design
- Study Type
- observational
- Observational Model
- OTHER
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
January 21, 2014
First Posted
January 27, 2014
Study Start
October 15, 2007
Primary Completion
March 25, 2015
Study Completion
March 25, 2015
Last Updated
February 21, 2024
Record last verified: 2024-02