DNA Exome Sequencing TCM for Sjögren's Syndrome

Sponsor
Taipei Veterans General Hospital, Taiwan (Other)
Overall Status
Unknown status
CT.gov ID
NCT03935373
Collaborator
(none)
40
1
9
4.4

Study Details

Study Description

Brief Summary

To explore the association among gene, TCM pattern, TCM tongue diagnosis and TCM pulse diagnosis with the DNA Exome sequencing tools for Sjögren's syndrome

Condition or Disease Intervention/Treatment Phase
  • Diagnostic Test: DNA Exome sequencing
  • Diagnostic Test: Oral microbiome
  • Diagnostic Test: Proteomics
  • Diagnostic Test: RNA sequencing
  • Diagnostic Test: Cytokine
  • Diagnostic Test: Traditional Chinese Medicine pattern
  • Diagnostic Test: Traditional Chinese Medicine tongue diagnosis
  • Diagnostic Test: Traditional Chinese Medicine pulse diagnosis
  • Diagnostic Test: Heart rate variability
  • Diagnostic Test: Schirmer's test
  • Diagnostic Test: Blood function test, liver function test, kidney function test, and immune function test

Detailed Description

Objective: To explore the association among gene, TCM pattern, TCM tongue diagnosis and TCM pulse diagnosis with the DNA Exome sequencing tools for Sjögren's syndrome

Method:

This study wants to establish the reference value of DNA gene variants of healthy control for comparing with the Sjögren's syndrome subjects. And the investigators want to use the DNA Exome sequencing tools, proteomics and oral microbiome to explore the association of gene expression between at least 30 Sjögren's syndrome subjects and at least 10 healthy control subjects. Finally, the investigators also analyze the association among gene expression, proteomics and oral microbiome, TCM pattern, TCM tongue diagnosis, TCM pulse diagnosis, and heart rate variability (HRV) for this purpose.

Expected Results:
  1. To evaluate the difference among TCM pattern, TCM tongue diagnosis, TCM pulse diagnosis, and HRV for the Sjögren's syndrome and healthy control.

  2. To evaluate the immunity-related gene expression for the Sjögren's syndrome and healthy control.

  3. To evaluate the proteomics for the Sjögren's syndrome and healthy control.

  4. To evaluate the oral microbiome for the Sjögren's syndrome and healthy control.

  5. To evaluate the association among the immunity-related gene expression, SSA, SSB and RF.

Keyword: Sjögren's syndrome, Immune regulation, Gene modulation, TCM pattern, TCM tongue diagnosis, TCM pulse diagnosis, proteomics, oral microbiome

Study Design

Study Type:
Observational
Anticipated Enrollment :
40 participants
Observational Model:
Case-Control
Time Perspective:
Cross-Sectional
Official Title:
Using the DNA Exome Sequencing Tools to Explore the Association Among Gene Sequence, TCM Pattern, TCM Tongue Diagnosis and TCM Pulse Diagnosis for Sjögren's Syndrome
Actual Study Start Date :
Apr 1, 2019
Anticipated Primary Completion Date :
May 15, 2019
Anticipated Study Completion Date :
Dec 31, 2019

Arms and Interventions

Arm Intervention/Treatment
Sjögren's syndrome

Sjögren's syndrome patients were screened in the rheumatology outpatient departments and Center for Traditional Medicine at Taipei Veterans General Hospital, and were enrolled with the inclusion criteria: (1) primary or secondary SS; (2) aged between 20 and 75 years; (3) fulfilled the 2002 American-European Consensus Criteria for SS (AECG); (4) had no abnormal findings of immune, liver, kidney, or blood function evaluations. And the exclusion criteria were: (1) a history of alcohol abuse, diabetes mellitus, or major life-threatening condition; (2) pregnancy or breastfeeding; or (3) steroid pulse therapy within three months prior to the commencement of our study.

Diagnostic Test: DNA Exome sequencing
The DNA of Sjögren's syndrome patients and health subjects will take to do the DNA Exome sequencing.

Diagnostic Test: Oral microbiome
The saliva of Sjögren's syndrome patients and health subjects will take to do the oral microbiome.

Diagnostic Test: Proteomics
The protein of Sjögren's syndrome patients and health subjects will take to do the proteomics.

Diagnostic Test: RNA sequencing
The RNA of Sjögren's syndrome patients and health subjects will store to do the RNA sequencing.

Diagnostic Test: Cytokine
The serum of Sjögren's syndrome patients and health subjects will store to do the cytokine detection in the future.

Diagnostic Test: Traditional Chinese Medicine pattern
Sjögren's syndrome patients and health subjects will take the Traditional Chinese Medicine pattern.

Diagnostic Test: Traditional Chinese Medicine tongue diagnosis
Sjögren's syndrome patients and health subjects will take the Traditional Chinese Medicine tongue diagnosis.

Diagnostic Test: Traditional Chinese Medicine pulse diagnosis
Sjögren's syndrome patients and health subjects will take the Traditional Chinese Medicine pulse diagnosis.

Diagnostic Test: Heart rate variability
Sjögren's syndrome patients and health subjects will take the heart rate variability.

Diagnostic Test: Schirmer's test
Sjögren's syndrome patients will take the Schirmer's test.

Diagnostic Test: Blood function test, liver function test, kidney function test, and immune function test
Sjögren's syndrome patients and health subjects will take the blood function test (WBC, RBC, Hb, HCT, Platelet, MCV, MCH, and MCHC), liver function test (AST and ALT), kidney function test (BUN and Cre), and immune function test (RF, Anti-SSA, Anti-SSB Ab, ESR, and CRP)

Health subjects

Health subjects were screened in the rheumatology outpatient departments and Center for Traditional Medicine at Taipei Veterans General Hospital, and were enrolled with the inclusion criteria: (1) aged between 41 and 63 years (which the age could match the SS patients enrolling in the SS-1 trial); (2) had no chronic inflammatory illness. And the exclusion criteria were: (1) a history of alcohol abuse, diabetes mellitus, or major life-threatening condition; (2) pregnancy or breastfeeding; (3) abnormal findings of immune, liver, kidney, or blood function evaluations; (4) total sleeping time insufficiency less than 6 hours before one day of enrollment; (5) ever took the conventional medicine or hormone within one month; (6) ever encountered the acute illness, allergy reaction, immune, or rheumatic disease within one month.

Diagnostic Test: DNA Exome sequencing
The DNA of Sjögren's syndrome patients and health subjects will take to do the DNA Exome sequencing.

Diagnostic Test: Oral microbiome
The saliva of Sjögren's syndrome patients and health subjects will take to do the oral microbiome.

Diagnostic Test: Proteomics
The protein of Sjögren's syndrome patients and health subjects will take to do the proteomics.

Diagnostic Test: RNA sequencing
The RNA of Sjögren's syndrome patients and health subjects will store to do the RNA sequencing.

Diagnostic Test: Cytokine
The serum of Sjögren's syndrome patients and health subjects will store to do the cytokine detection in the future.

Diagnostic Test: Traditional Chinese Medicine pattern
Sjögren's syndrome patients and health subjects will take the Traditional Chinese Medicine pattern.

Diagnostic Test: Traditional Chinese Medicine tongue diagnosis
Sjögren's syndrome patients and health subjects will take the Traditional Chinese Medicine tongue diagnosis.

Diagnostic Test: Traditional Chinese Medicine pulse diagnosis
Sjögren's syndrome patients and health subjects will take the Traditional Chinese Medicine pulse diagnosis.

Diagnostic Test: Heart rate variability
Sjögren's syndrome patients and health subjects will take the heart rate variability.

Diagnostic Test: Blood function test, liver function test, kidney function test, and immune function test
Sjögren's syndrome patients and health subjects will take the blood function test (WBC, RBC, Hb, HCT, Platelet, MCV, MCH, and MCHC), liver function test (AST and ALT), kidney function test (BUN and Cre), and immune function test (RF, Anti-SSA, Anti-SSB Ab, ESR, and CRP)

Outcome Measures

Primary Outcome Measures

  1. Immunity-related gene expression [One year]

    To evaluate the immunity-related gene expression for the Sjögren's syndrome and healthy control. DNA exome combine the GATK (Genome Analysis Toolkit) is a tool for detecting the ratio of immunity-related gene expression.

  2. TCM pattern [One year]

    To evaluate the difference of TCM pattern between Sjögren's syndrome and healthy control. TCM pattern is a tool for detecting the constitution.

  3. TCM tongue diagnosis [One year]

    To evaluate the difference of TCM tongue diagnosis between Sjögren's syndrome and healthy control. TCM tongue diagnosis is a tool for detecting tongue expression.

  4. TCM pulse diagnosis [One year]

    To evaluate the difference of TCM pulse diagnosis between Sjögren's syndrome and healthy control. TCM pulse diagnosis is a tool for detecting pulse of radial artery.

  5. Heart rate variability (HRV) [One year]

    To evaluate the difference of Heart rate variability (HRV) between Sjögren's syndrome and healthy control. HRV is a tool for detecting the ratio between High-frequency (HF) activity and low-frequency (LF) activity.

  6. Immunity-related proteomics expression [One year]

    To evaluate the proteomics for the Sjögren's syndrome and healthy control. Proteomics is a tool for detecting the ratio of immunity-related proteomics expression.

  7. Immunity-related microbiome expression [One year]

    To evaluate the oral microbiome for the Sjögren's syndrome and healthy control. Oral microbiome is a tool for detecting the ratio of immunity-related microbiome expression.

Eligibility Criteria

Criteria

Ages Eligible for Study:
20 Years to 75 Years
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
Yes

Sjögren's syndrome

Inclusion Criteria:
  • (1) primary or secondary SS

  • (2) aged between 20 and 75 years

  • (3) fulfilled the 2002 American-European Consensus Criteria for SS (AECG)

  • (4) had no abnormal findings of immune, liver, kidney, or blood function evaluations.

Exclusion Criteria:
  • (1)a history of alcohol abuse, diabetes mellitus, or major life-threatening condition

  • (2) pregnancy or breastfeeding

  • (3) steroid pulse therapy within three months prior to the commencement of our study.

Health Subjects

Inclusion Criteria:
  • (1) aged 20 and 75 years

  • (2) had no chronic inflammatory illness.

Exclusion Criteria:
  • (1) a history of alcohol abuse, diabetes mellitus, or major life-threatening condition

  • (2) pregnancy or breastfeeding

  • (3) abnormal findings of immune, liver, kidney, or blood function evaluations

  • (4) total sleeping time insufficiency less than 6 hours before one day of enrollment

  • (5) ever took the conventional medicine or hormone within one month

  • (6) ever encountered the acute illness, allergy reaction, immune, or rheumatic disease within one month.

Contacts and Locations

Locations

Site City State Country Postal Code
1 Ching-Mao Chang Taipei Taiwan (r.o.c.) Taiwan 112

Sponsors and Collaborators

  • Taipei Veterans General Hospital, Taiwan

Investigators

  • Principal Investigator: Ching-Mao Chang, M.D., Ph.D., Taipei Veterans General Hospital, Taiwan

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.
Responsible Party:
Taipei Veterans General Hospital, Taiwan
ClinicalTrials.gov Identifier:
NCT03935373
Other Study ID Numbers:
  • 2017-09-006C#3
First Posted:
May 2, 2019
Last Update Posted:
May 6, 2019
Last Verified:
May 1, 2019
Individual Participant Data (IPD) Sharing Statement:
No
Plan to Share IPD:
No
Studies a U.S. FDA-regulated Drug Product:
No
Studies a U.S. FDA-regulated Device Product:
No
Keywords provided by Taipei Veterans General Hospital, Taiwan
Additional relevant MeSH terms:

Study Results

No Results Posted as of May 6, 2019