CHU de Nîmes, Hôpital Universitaire Caremeau
Nîmes, France, 30029
NCT Number: NCT05655351
Knowing that the vaccine antigen includes the ACE2 binding moiety (RBD), the hypothesis is that circulating vaccine antigen could reduce the enzymatic activity of ACE2, and thus increase circulating AngII concentration, monocyte ROS production and lymphocyte apoptosis. This hypothesis is supported by the fact that the Spike protein of SARSCoV-1, which uses the same receptor as SARS-CoV-2, induces a decrease in expression and activation of the Angiotensin II pathway in mice (Kuba et al. 2005).
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Notify Me18 year and older
All sexes
Interventional
Early Phase 1
Nîmes, France, 30029
In this pandemic period, vaccination against SARSCoV- 2 is an essential weapon. However, the immune memory induced by current vaccines remains ephemeral, requiring early booster shots. It is primordial to improve this vaccine memory.
Recently it has been demonstrated that monocytes from certain individuals hospitalized for SARSCoV-2 infection spontaneously overproduced oxygenated derivatives (ROS) capable of inducing DNA damage in neighboring cells and T cell apoptosis (Kundura et al., 2022). In agreement with these observations, up to 50% of peripheral blood mononuclear cells (PBMC) from these patients showed DNA damage and its intensity was correlated with the percentage of apoptotic CD8+ T cells and lymphopenia.
Upon entry into the target cell, SARS-CoV-2 induces the internalization of its receptor, the protease Angiotensin Converting Enzyme 2 (ACE2), which is able to degrade Angiotensin II (AngII). Consequently, the circulating level of AngII was observed to be increased in some COVID-19 patients. It was also found that AngII induced monocyte ROS production via its receptor Angiotensin receptor 1 (AT1), making monocytes capable of damaging the DNA of co-cultured cells. Moreover, the plasma level of AngII in patients correlates with the level of ROS production and the ability to damage DNA of their monocytes. The level of anti SARS-CoV-2 antibodies was shown to be inversely correlated with the level of monocyte production of ROS production during the acute phase. This suggests that the activation cascade leading to lymphopenia described could damage the specific immune memory.
Now, a recent article has established the presence of circulating S1 vaccine antigen following the injection of an anti-SARS-CoV-2 vaccine with mRNA vaccine from D1 to D7 at a level of 68 ± 21 pg/mL (Ogata et al. 2022) similar to the level described in COVID-19 (Ogata et al. 2020). If the cascade of events we have identified is triggered by the circulation of the vaccine antigen, this could lead to could result in a reduced vaccine memory via lymphocyte apoptosis.
Knowing that the vaccine antigen includes the ACE2 binding moiety (RBD), the hypothesis is that circulating vaccine antigen could reduce the enzymatic activity of ACE2, and thus increase circulating AngII concentration, monocyte ROS production and lymphocyte apoptosis. This hypothesis is supported by the fact that the Spike protein of SARSCoV-1, which uses the same receptor as SARS-CoV-2, induces a decrease in expression and activation of the Angiotensin II pathway in mice (Kuba et al. 2005).
Healthy volunteers accepted: No
Only the study team can determine whether someone qualifies for participation.
Inclusion criteria
Exclusion criteria
For the purposes of the study, 10 mL of venous blood will be collected from each patient.
Other names: Blood test
Time frame: Day 0
The change (%) in the mean intensity of monocyte oxygen derivative (Reactive oxygen species) production will be measured by flow cytometry.
All data will be collected on standardized electronic clinical report form available online.
For ROS quantification: 106 PBMC will be re-suspended in 1μM dichloro-dihydro-fluorescein acetate (DCFH-DA) for 25minutes at room temperature. Data will be acquired on a Navios flow cytometer (Beckman Coulter) from 20,000 controlled events per sample and analyzed using Kaluza software (Kundura et al. 2022, in revision).
The samples will be anonymized for blind measurement (at the Institute of Human Genetics in the team of Prof. Pierre Corbeau).
Time frame: Day 7
The change (%) in the mean intensity of monocyte oxygen derivative (Reactive oxygen species) production will be measured by flow cytometry.
All data will be collected on standardized electronic clinical report form available online.
For ROS quantification: 106 PBMC will be re-suspended in 1μM dichloro-dihydro-fluorescein acetate (DCFH-DA) for 25minutes at room temperature. Data will be acquired on a Navios flow cytometer (Beckman Coulter) from 20,000 controlled events per sample and analyzed using Kaluza software (Kundura et al. 2022, in revision).
The samples will be anonymized for blind measurement (at the Institute of Human Genetics in the team of Prof. Pierre Corbeau).
Time frame: Day 14
The change (%) in the mean intensity of monocyte oxygen derivative (Reactive oxygen species) production will be measured by flow cytometry.
All data will be collected on standardized electronic clinical report form available online.
For ROS quantification: 106 PBMC will be re-suspended in 1μM dichloro-dihydro-fluorescein acetate (DCFH-DA) for 25minutes at room temperature. Data will be acquired on a Navios flow cytometer (Beckman Coulter) from 20,000 controlled events per sample and analyzed using Kaluza software (Kundura et al. 2022, in revision).
The samples will be anonymized for blind measurement (at the Institute of Human Genetics in the team of Prof. Pierre Corbeau).
Time frame: Day 28
The change (%) in the mean intensity of monocyte oxygen derivative (Reactive oxygen species) production will be measured by flow cytometry.
All data will be collected on standardized electronic clinical report form available online.
For ROS quantification: 106 PBMC will be re-suspended in 1μM dichloro-dihydro-fluorescein acetate (DCFH-DA) for 25minutes at room temperature. Data will be acquired on a Navios flow cytometer (Beckman Coulter) from 20,000 controlled events per sample and analyzed using Kaluza software (Kundura et al. 2022, in revision).
The samples will be anonymized for blind measurement (at the Institute of Human Genetics in the team of Prof. Pierre Corbeau).
Time frame: Day 0
The change (%) in the mean intensity of monocyte oxygen derivative (Reactive oxygen species) production will be measured by flow cytometry.
All data will be collected on standardized electronic clinical report form available online.
For ROS quantification: 106 PBMC will be re-suspended in 1μM dichloro-dihydro-fluorescein acetate (DCFH-DA) for 25minutes at room temperature. Data will be acquired on a Navios flow cytometer (Beckman Coulter) from 20,000 controlled events per sample and analyzed using Kaluza software (Kundura et al. 2022, in revision).
The samples will be anonymized for blind measurement (at the Institute of Human Genetics in the team of Prof. Pierre Corbeau).
Time frame: Day 7
The change (%) in the mean intensity of monocyte oxygen derivative (Reactive oxygen species) production will be measured by flow cytometry.
All data will be collected on standardized electronic clinical report form available online.
For ROS quantification: 106 PBMC will be re-suspended in 1μM dichloro-dihydro-fluorescein acetate (DCFH-DA) for 25minutes at room temperature. Data will be acquired on a Navios flow cytometer (Beckman Coulter) from 20,000 controlled events per sample and analyzed using Kaluza software (Kundura et al. 2022, in revision).
The samples will be anonymized for blind measurement (at the Institute of Human Genetics in the team of Prof. Pierre Corbeau).
Time frame: Day 14
The change (%) in the mean intensity of monocyte oxygen derivative (Reactive oxygen species) production will be measured by flow cytometry.
All data will be collected on standardized electronic clinical report form available online.
For ROS quantification: 106 PBMC will be re-suspended in 1μM dichloro-dihydro-fluorescein acetate (DCFH-DA) for 25minutes at room temperature. Data will be acquired on a Navios flow cytometer (Beckman Coulter) from 20,000 controlled events per sample and analyzed using Kaluza software (Kundura et al. 2022, in revision).
The samples will be anonymized for blind measurement (at the Institute of Human Genetics in the team of Prof. Pierre Corbeau).
Time frame: Day 28
The change (%) in the mean intensity of monocyte oxygen derivative (ROS) production will be measured by flow cytometry.
All data will be collected on standardized electronic clinical report form available online.
For ROS quantification: 106 PBMC will be re-suspended in 1μM dichloro-dihydro-fluorescein acetate (DCFH-DA) for 25minutes at room temperature. Data will be acquired on a Navios flow cytometer (Beckman Coulter) from 20,000 controlled events per sample and analyzed using Kaluza software (Kundura et al. 2022, in revision).
The samples will be anonymized for blind measurement (at the Institute of Human Genetics in the team of Prof. Pierre Corbeau).
Time frame: Day 0
The change (%) in the mean intensity of monocyte oxygen derivative (Reactive oxygen species) production will be measured by flow cytometry.
All data will be collected on standardized electronic clinical report form available online.
For ROS quantification: 106 PBMC will be re-suspended in 1μM dichloro-dihydro-fluorescein acetate (DCFH-DA) for 25minutes at room temperature. Data will be acquired on a Navios flow cytometer (Beckman Coulter) from 20,000 controlled events per sample and analyzed using Kaluza software (Kundura et al. 2022, in revision).
The samples will be anonymized for blind measurement (at the Institute of Human Genetics in the team of Prof. Pierre Corbeau).
Time frame: Day 7
The change (%) in the mean intensity of monocyte oxygen derivative (Reactive oxygen species) production will be measured by flow cytometry.
All data will be collected on standardized electronic clinical report form available online.
For ROS quantification: 106 PBMC will be re-suspended in 1μM dichloro-dihydro-fluorescein acetate (DCFH-DA) for 25minutes at room temperature. Data will be acquired on a Navios flow cytometer (Beckman Coulter) from 20,000 controlled events per sample and analyzed using Kaluza software (Kundura et al. 2022, in revision).
The samples will be anonymized for blind measurement (at the Institute of Human Genetics in the team of Prof. Pierre Corbeau).
Time frame: Day 14
The change (%) in the mean intensity of monocyte oxygen derivative (Reactive oxygen species) production will be measured by flow cytometry.
All data will be collected on standardized electronic clinical report form available online.
For ROS quantification: 106 PBMC will be re-suspended in 1μM dichloro-dihydro-fluorescein acetate (DCFH-DA) for 25minutes at room temperature. Data will be acquired on a Navios flow cytometer (Beckman Coulter) from 20,000 controlled events per sample and analyzed using Kaluza software (Kundura et al. 2022, in revision).
The samples will be anonymized for blind measurement (at the Institute of Human Genetics in the team of Prof. Pierre Corbeau).
Time frame: Day 28
The change (%) in the mean intensity of monocyte oxygen derivative (Reactive oxygen species) production will be measured by flow cytometry.
All data will be collected on standardized electronic clinical report form available online.
For ROS quantification: 106 PBMC will be re-suspended in 1μM dichloro-dihydro-fluorescein acetate (DCFH-DA) for 25minutes at room temperature. Data will be acquired on a Navios flow cytometer (Beckman Coulter) from 20,000 controlled events per sample and analyzed using Kaluza software (Kundura et al. 2022, in revision).
The samples will be anonymized for blind measurement (at the Institute of Human Genetics in the team of Prof. Pierre Corbeau).
Time frame: Day 0
The AngII level before anti-SARS-CoV-2 vaccination with an mRNA vaccine will be measured by ELISA assay.
Time frame: Day 0
The AngII level before anti-SARS-CoV-2 vaccination with an mRNA vaccine will be measured by ELISA assay.
Time frame: Day 0
The AngII level before anti-SARS-CoV-2 vaccination with an mRNA vaccine will be measured by ELISA assay.
Time frame: Day 7
The AngII level before anti-SARS-CoV-2 vaccination with an mRNA vaccine will be measured by ELISA assay.
Time frame: Day 7
The AngII level before anti-SARS-CoV-2 vaccination with an mRNA vaccine will be measured by ELISA assay.
Time frame: Day 7
The AngII level before anti-SARS-CoV-2 vaccination with an mRNA vaccine will be measured by ELISA assay.
Time frame: Day 14
The AngII level before anti-SARS-CoV-2 vaccination with an mRNA vaccine will be measured by ELISA assay.
Time frame: Day 14
The AngII level before anti-SARS-CoV-2 vaccination with an mRNA vaccine will be measured by ELISA assay.
Time frame: Day 14
The AngII level before anti-SARS-CoV-2 vaccination with an mRNA vaccine will be measured by ELISA assay.
Time frame: Day 28
The AngII level before anti-SARS-CoV-2 vaccination with an mRNA vaccine will be measured by ELISA assay.
Time frame: Day 28
The AngII level before anti-SARS-CoV-2 vaccination with an mRNA vaccine will be measured by ELISA assay.
Time frame: Day 28
The AngII level before anti-SARS-CoV-2 vaccination with an mRNA vaccine will be measured by ELISA assay.
Time frame: Day 0
Immunofluorescence measurement of the amount of γ-H2AX foci in PBMC as a percentage.
Time frame: Day 0
Immunofluorescence measurement of the amount of γ-H2AX foci in PBMC as a percentage.
Time frame: Day 0
Immunofluorescence measurement of the amount of γ-H2AX foci in PBMC as a percentage.
Time frame: Day 7
Immunofluorescence measurement of the amount of γ-H2AX foci in PBMC as a percentage.
Time frame: Day 7
Immunofluorescence measurement of the amount of γ-H2AX foci in PBMC as a percentage.
Time frame: Day 7
Immunofluorescence measurement of the amount of γ-H2AX foci in PBMC as a percentage.
Time frame: Day 14
Immunofluorescence measurement of the amount of γ-H2AX foci in PBMC as a percentage in patients aged under 30
Time frame: Day 14
Immunofluorescence measurement of the amount of γ-H2AX foci in PBMC as a percentage in patients aged under 30
Time frame: Day 14
Immunofluorescence measurement of the amount of γ-H2AX foci in PBMC as a percentage in patients aged under 30
Time frame: Day 28
Immunofluorescence measurement of the amount of γ-H2AX foci in PBMC as a percentage in patients aged under 30
Time frame: Day 28
Immunofluorescence measurement of the amount of γ-H2AX foci in PBMC as a percentage in patients aged under 30
Time frame: Day 28
Immunofluorescence measurement of the amount of γ-H2AX foci in PBMC as a percentage in patients aged under 30
Time frame: Day 0
The percentage of T cells positive for annexin V (labelled with fluorescent annexin V) will be measured by flow cytometry
Time frame: Day 0
The percentage of T cells positive for annexin V (labelled with fluorescent annexin V) will be measured by flow cytometry
Time frame: Day 0
The percentage of T cells positive for annexin V (labelled with fluorescent annexin V) will be measured by flow cytometry
Time frame: Day 7
The percentage of T cells positive for annexin V (labelled with fluorescent annexin V) will be measured by flow cytometry
Time frame: Day 7
The percentage of T cells positive for annexin V (labelled with fluorescent annexin V) will be measured by flow cytometry
Time frame: Day 7
The percentage of T cells positive for annexin V (labelled with fluorescent annexin V) will be measured by flow cytometry
Time frame: Day 14
The percentage of T cells positive for annexin V (labelled with fluorescent annexin V) will be measured by flow cytometry
Time frame: Day 14
The percentage of T cells positive for annexin V (labelled with fluorescent annexin V) will be measured by flow cytometry
Time frame: Day 14
The percentage of T cells positive for annexin V (labelled with fluorescent annexin V) will be measured by flow cytometry
Time frame: Day 28
The percentage of T cells positive for annexin V (labelled with fluorescent annexin V) will be measured by flow cytometry
Time frame: Day 28
The percentage of T cells positive for annexin V (labelled with fluorescent annexin V) will be measured by flow cytometry
Time frame: Day 28
The percentage of T cells positive for annexin V (labelled with fluorescent annexin V) will be measured by flow cytometry
Time frame: Day 0
Complete blood count. Lymphocytes will be measured as a percentage.
Time frame: Day 0
Complete blood count. Lymphocytes will be measured as a percentage.
Time frame: Day 0
Complete blood count. Lymphocytes will be measured as a percentage.
Time frame: Day 7
Complete blood count. Lymphocytes will be measured as a percentage.
Time frame: Day 7
Complete blood count. Lymphocytes will be measured as a percentage.
Time frame: Day 7
Complete blood count. Lymphocytes will be measured as a percentage.
Time frame: Day 14
Complete blood count. Lymphocytes will be measured as a percentage.
Time frame: Day 14
Complete blood count. Lymphocytes will be measured as a percentage.
Time frame: Day 14
Complete blood count. Lymphocytes will be measured as a percentage.
Time frame: Day 28
Complete blood count. Lymphocytes will be measured as a percentage.
Time frame: Day 28
Complete blood count. Lymphocytes will be measured as a percentage.
Time frame: Day 28
Complete blood count. Lymphocytes will be measured as a percentage.
Time frame: Day 0
Anti-S antibodies will be quantified by enzyme-linked immunosorbent assay (ELISA) in Antibody Units/mL
Time frame: Day 28
Anti-S antibodies will be quantified by enzyme-linked immunosorbent assay (ELISA) in Antibody Units/mL
Time frame: Day 28
Anti-S antibodies will be quantified by enzyme-linked immunosorbent assay (ELISA) in Antibody Units/mL
Time frame: Day 28
Plasma and cell samples will be referenced and stored for use in future studies.
Centre Hospitalier Universitaire de Nīmes
Other
How Does Vaccination Against COVID-19 Affect Monocyte Production of Oxygenated Derivatives ?
Acronym: VACTICOV2
OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.
View the official ClinicalTrials.gov record (opens in a new tab)This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.
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