DNA Methylation Trajectories in Aging

Trial statusNot yet recruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18+
SponsorUniversity of Campania Luigi Vanvitelli

About this trial

The goal of this observational study is to profile changes in DNA methylation of circulating CD4+ T and CD8+ T cells from healthy young to aged with diagnosis of HFpEF, a particular phenotype of HF which is highly prevalent in aging.

The main question it aims to answer is:

-Do DNA methylation biomarkers help us to understand the role of inflammation in HFpEF during aging?

Our goal is to provide a simple large-scale panel of epigenetic-sensitive biomarkers useful in aged patients with HF in the early natural history of the disease (HFpEF).

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Healthy subjects aged between 18 and 40 years

Aged subjects (≥65) without signs and symptoms of heart failure

Aged subjects (≥65) with diagnosis of heart failure with preserved ejection fraction (EF major than 50%)

Disqualifiers

Heart failure with reduced ejection fraction (EF minor than 40%)

Heart failure with mildly reduced EF (HFmrEF) (EF 41-49%)

History or diagnosis of cancer and inflammatory diseases

Trial population

A total of 150 subjects will be enrolled; n=50 healthy young, n=50 aged (≥65) without signs and symptoms of heart failure, and n=50 aged (≥65) with diagnosis of HFpEF will be enrolled at Trasfusion Medicine and Cardiology Departments of University of Campania Luigi Vanvitelli; Each group will be matched for sex (25 M and 25 F), smoker habits, and comorbidities. Demographic and clinical characteristics will be collected both from patients and healthy subjects at baseline. For HFpEF patients, echocardiographic parameters will be reported based on the echocardiogram acquired at the time of enrollment.

Trial design

Design model

Case-control

Time perspective

Cross-sectional

Treatments tested in this trial

  • RRBS

    Other intervention

    Measure of genomic regions with differentially methylated profiles and differentially expressed protein

Treatment groups

150 Participants
are divided into 3 treatment groups
Group A: Young healthy subjects1 intervention
Group B: Aged healthy subjects1 intervention
Group C: Patients with heart failure1 intervention

Trial outcomes

Primary outcomes

1

Number of differentially methylated positions and regions as assessed by RRBS

We will identify a panel of positions and regions of the genome which are differentially methylated using as measure diff.meth more than or minor than 2 and p minor than 0.05

Time frame
6 months

Secondary outcomes

Other outcomes

Sponsors and contacts

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