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Effect of Epstein-Barr Virus on Macrophage M2/M1 Migration and EphA2 Expression in Adverse Drug Reactions

NCT06456086 — Unknown, 27 participants, First Affiliated Hospital of Kunming Medical University

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RegistryNCT06456086
StatusUnknown
Study typeObservational
Enrollment27 (Actual)
SponsorFirst Affiliated Hospital of Kunming Medical University (Other)
ConditionsAdverse Drug Reactions
Interventionsstimulation with EB virus (Biological)
Datesstart 2020-12-01, primary completion 2024-03-31, completion 2024-10-31 (estimated), first posted 2024-06-13, last updated 2024-06-13
Locations1 site in China

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-Summary

This study aims to investigate the effect of EBV reactivation or EBV reactivation added with dexamethasone(DXM) in patients with adverse drug reactions(CDR) , through evaluating the levels on monocyte, macrophage M2/M1 and cytokines. To investigate whether expression of EBV receptors EphA2 could specifically influence on EBV activation in CDRs. We performed a prospective longitudinal study on the frequencies of Monocyte, Macrophage, M2/M1 and cytokines included IL-4,IL-13,TNF-α,IFN-γ,IFN-β, CXCL9 and CXCL10 after onset of MPE ,SJS/TEN and control groups. PBMCs collected from peripheral blood were cocultured with EBV or EBV with DXM. We next examined whether EBV or EBV with DXM could have a strong impact on the MOs, Mac, M2/M1 and cytokines and which cytokines could be crucial for the interaction between M2/M1 and EBV, by in vitro cocultures. Finally, EphA2 were detected to evaluate reactivation of EBV.

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+Arms and interventions

ArmTypeInterventionsDescription
Stevens-Johnson syndrome/toxic epidermal necrolysisBiological: stimulation with EB virus
healthy control groupBiological: stimulation with EB virus
Maculopapular EruptionBiological: stimulation with EB virus
  • stimulation with EB virus (Biological): stimulation with EB virus

+Outcome measures

Primary outcomes

  • changes in the levels of monocytes, macrophages, M2/M1 ratio, and cytokines [24 hours and 48 hours]

+Eligibility

Sex: All, ages: 18 Years to any, accepts healthy volunteers

Inclusion Criteria:

1. Age and Gender: The study includes male and female patients aged 18 years and older.
2. a.Erythema Multiforme (MPE) Patients: Diagnosed based on clinical presentation and medical examination findings.b.Stevens-Johnson Syndrome/Toxic Epidermal Necrolysis (SJS/TEN) Patients: Diagnosed according to the criteria set by the International Dermatology Society for SJS or TEN.c.Control Group: Healthy volunteers, without any history of chronic disease or acute infection, and not currently on any medications.

Exclusion Criteria:

1. Other Chronic Diseases: Patients with active heart, liver, kidney disease, or other systemic conditions.
2. Acute Infection: Patients who have had a viral or bacterial infection within the month prior to enrollment.
3. Immune Status: Patients who are immunocompromised or are receiving immunosuppressive therapy.
4. Allergy History: Patients with a known allergy to any drugs or agents used in the study.
5. Pregnancy or Lactation: Women who are currently pregnant or breastfeeding.

+Locations (1)

FacilityCityCountryStatus
Tang JuntingKunming, YunnanChina

My Notes