Role of Macrophage in Inflammation Resolution in Periodontal Patients

This study is not yet open for participant recruitment.
Verified June 2011 by Hadassah Medical Organization
Sponsor:
Information provided by:
Hadassah Medical Organization
ClinicalTrials.gov Identifier:
NCT01379950
First received: May 25, 2011
Last updated: June 22, 2011
Last verified: June 2011

May 25, 2011
June 22, 2011
August 2011
August 2012   (final data collection date for primary outcome measure)
The macrophage phenotype (M1, M2, resolution phase macrophage) [ Time Frame: 1 year ] [ Designated as safety issue: No ]
we will try to specify the characteristics of the macrophage phenotype and to see whether there is a difference between periodontal patients and healthy ones.
Same as current
Complete list of historical versions of study NCT01379950 on ClinicalTrials.gov Archive Site
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Role of Macrophage in Inflammation Resolution in Periodontal Patients
The Role of Macrophages in the Inflammatory Resolution Phase in Periodontal Patients

There is a growing body of evidence to suggest that the resolution of an inflammatory reaction is an active process. This process requiring signals that turn off early inflammatory stages, as neutrophil infiltration and promote resolution phase, as clearance of apoptotic cells. In this array,the relationship between neutrophils, monocytes, and macrophages is crucial for the concert process.

Macrophages possess a plasticity of phenotype that explains their protective as well as potentially detrimental role in chronic inflammation and tissue injury. Such heterogeneity arises as macrophages differentiate from monocytes and are exposed to specific tissue- and hematopoietic cell-derived stimuli. It is important to be able to identify the different types of macrophages in this setting. Today's literature can distinguish between 3 main phenotypic groups of macrophages. The classically activated M1 macrophages, the alternatively activated-M2 macrophages and the "resolution phase" - rMs macrophages. The third phenotypic macrophage might play a crucial rule in the resolution phase, and is called the "resolving macrophage".

All of those pro-resolving lipid mediators promote the return to tissue homeostasis .

The investigators hypothesis is that in periodontal patients the inflammatory process continues because the process does not reach the resolution phase, and in that milieu, the macrophage might be a key component.

Within the overall concept of periodontal disease as a model for an inflammatory disease with an stoppable inflammatory reaction, the primary aim of the study is to check the macrophage characteristics in periodontal patients and to compare it to healthy people.

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Observational
Observational Model: Cohort
Time Perspective: Prospective
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Non-Probability Sample

patients coming to the periodontal clinic in the dental school in order to attend a periodontal treatment

Periodontitis
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periodontitis
patients diagnosed with periodontal disease
Bystrom J, Evans I, Newson J, Stables M, Toor I, van Rooijen N, Crawford M, Colville-Nash P, Farrow S, Gilroy DW. Resolution-phase macrophages possess a unique inflammatory phenotype that is controlled by cAMP. Blood. 2008 Nov 15;112(10):4117-27. Epub 2008 Sep 8.

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Not yet recruiting
30
August 2012
August 2012   (final data collection date for primary outcome measure)

Inclusion Criteria:

  • 18 years old and more, male & female
  • generally healthy
  • does not take medicine on a regular basis
  • has a periodontal disease. control - without a periodontal disease
  • no periodontal treatment for at list 6 months prior to his acceptance to the trail
  • willing to donate 50 ml of blood twice during the trail
  • understands the trail and gave a consent to participate

Exclusion Criteria:

  • pregnancy or nursing
  • chronic use of alcohol
  • systemic conditions - diseases, neoplastic lesions in the oral cavity
Both
18 Years and older
Yes
Contact: jacob ekstein, Dr. 00 972 6777826 drcobi@gmail.com
Israel
 
NCT01379950
perio1-HMO-CTIL
No
Jacob (Cobi) Ekstein - principal investigator, Hadassah Medical Organization
Hadassah Medical Organization
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Hadassah Medical Organization
June 2011

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP