COLATA: Mapping the Human Colon Using Single Cell Sequencing

Sponsor
Bispebjerg Hospital (Other)
Overall Status
Recruiting
CT.gov ID
NCT05195502
Collaborator
The Novo Nordisk Foundation Center for Basic Metabolic Research (Other)
20
1
24
0.8

Study Details

Study Description

Brief Summary

The overall purpose of this study is to describe the cellular composition of the human colon and its gene expression using scRNAseq and scATACseq methods. This will potentially provide is with a detailed map of the colon aiding our understanding of how diseases of the colon develop as well as the colons influence on systemic diseases such as type II diabetes.

Condition or Disease Intervention/Treatment Phase
  • Diagnostic Test: Biopsy

Detailed Description

The human colon is composed of four distinct histological layers: Serosa, muscularis externa, submucosa, and mucosa. The inner mucosal surface is composed of columnar epithelium and glandular tissue containing crypts of Lieberkühn and secretory goblet cells, lamina propria and muscularis mucosa. Several distinct cell types have been discovered in varying degree in the colon for example enteroendocrine cells and M-cells.

The cellular composition, patterns of gene expression and upstream regulatory pathways of the human colon varies across different anatomical location. This is evident in the anatomical bias in benign and malignant colorectal diseases. For example, the distal colon has a higher incidens of ulcerative colitis, diverticulitis, and chromosomal instability cancer whereas in the proximal colon ischemic colitis, collagenous colitis and microsatellite instability-induced cancer are predominant.

Currently there are no studies describing baseline data for genome-wide coding, methylation or gene expression related to specific anatomic locations in the human colon.

By using scRNAseq and scATACseq (Single-cell Assay of Transposase Accessible Chromatin sequencing) we will be able to map open regions in the cell's DNA and RNA, thus providing us with a unique "map" of the cells in the colon as well is their gene expression. ScATACseq visualizes open regions in the chromatin, generating "peaks" which can then be used to map DNA motifs, such as transcription factor binding sites. With the emergence of scATACseq, chromatin accessibility is in combination with gene expression data an extremely useful resource to study cell type specific regulatory DNA interactions. To further study the immunological aspects of the colon, we will extract immune cells from the colon. Lastly, full blood will be extracted to better analyze metabolic risk factors in relation to the colon's metabolic cellular regulation.

The overall purpose of this study is to describe the cellular composition of the human colon and its gene expression using scRNAseq and scATACseq methods. This will potentially provide is with a detailed map of the colon aiding our understanding of how diseases of the colon develop as well as the colons influence on systemic diseases such as type II diabetes.

Study Design

Study Type:
Observational
Anticipated Enrollment :
20 participants
Observational Model:
Cohort
Time Perspective:
Prospective
Official Title:
Cellular Composition of the Human Colon Using Single-cell RNA and Single-cell ATAC-sequencing.
Actual Study Start Date :
Jul 1, 2022
Anticipated Primary Completion Date :
Dec 1, 2023
Anticipated Study Completion Date :
Jul 1, 2024

Arms and Interventions

Arm Intervention/Treatment
Screening colonoscopy patients

Patients referred for out-patient colonoscopy in the Danish Colorectal Screening program

Diagnostic Test: Biopsy
Participants included in the study, will have additional biopsies performed during their colonoscopy

Outcome Measures

Primary Outcome Measures

  1. Profiling of open chromatin regions [2 years]

    Mapping of cell types, including rare cell types, using profiling of open chromatin regions. (ATAC-seq) in mucosal biopsies from the large bowel

  2. Evaluation of metabolic profile [2 years]

    Using bioimpedance, insulin and glucose measurements and CHiP-seq we will determine patient phenotype and epigenetics to evaluate their metabolic risk-profile and correlate this to cell types in the large bowel

Secondary Outcome Measures

  1. Colonic biofilm [2 years]

    By sequencing bacterial DNA in our samples, we will evaluate the mucosa-associated microbiome of the large bowel. This will be correlated to the two primary outcome measures

Eligibility Criteria

Criteria

Ages Eligible for Study:
18 Years and Older
Sexes Eligible for Study:
All
Inclusion Criteria:
  • Patients referred for out-patient colonoscopy as a result of positive hemoccult.

  • Patients able to read and understand danish.

  • Patients able to give informed consent.

  • Patients of Scandinavian ethnicity.

Exclusion Criteria:
  • Previous large bowel resections

  • Suspicion pre or intraoperatively of benign or malignant disease of the colon

  • Known inflammatory bowel disease.

  • Immuno-modulation treatment

  • Chemotherapy.

  • Daily smoking

  • 21 weekly units of alcohol

  • < 18 years of age

Contacts and Locations

Locations

Site City State Country Postal Code
1 Bispebjerg University Hospital Copenhagen Denmark 2720

Sponsors and Collaborators

  • Bispebjerg Hospital
  • The Novo Nordisk Foundation Center for Basic Metabolic Research

Investigators

  • Principal Investigator: Jacob Antonsen, MD, Bispebjerg Hospital

Study Documents (Full-Text)

None provided.

More Information

Publications

Responsible Party:
Jacob Antonsen, Senior Registrar, Bispebjerg Hospital
ClinicalTrials.gov Identifier:
NCT05195502
Other Study ID Numbers:
  • COLKEND01
First Posted:
Jan 19, 2022
Last Update Posted:
Aug 8, 2022
Last Verified:
Aug 1, 2022
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
Additional relevant MeSH terms:

Study Results

No Results Posted as of Aug 8, 2022