About this trial
Sex hormones are major regulators of skin immunity. Pregnancy represents a unique physiological state of profound hormonal remodeling. In late pregnancy, maternal levels of estrogens, progesterone, and other hormones increase dramatically, offering an unparalleled model to study the impact of sex hormones on skin immunity. Hidradenitis suppurativa (HS) provides a clinically relevant model to examine how sex hormones modulate skin inflammation.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Subject>18 years and <45 years,
Written informed consent of the subject,
Subject affiliated to the Assurance Maladie (French Health System) except Aide Médicale d'Etat (French State Medical Aid),
Subject agrees that genomic analyses may be carried out on the samples
Disqualifiers
Subject immunocompromised,
Subject under legal protection (guardianship or curatorship),
Subject is unable to provide informed consent and to comply with the study requirements due to geographical, social, or psychiatric reasons,
Subject in other research whose procedures may influence the immune system,
Trial population
As part of this study, adults (pregnant women, non-pregnant women, and men), healthy (not affected by HS) and affected by HS, will be recruited.
Trial design
Case-control
Prospective
Treatments tested in this trial
Blood sample, skin microbiota and biopsy
Procedure/SurgeryBlood sample (maximum 40mL) Skin microbiota (collection of cells from the skin surface using a swab (non-invasive) Skin biopsy, in hormone-dependent areas and/or in a non-hormone-dependent areas
Treatment groups
6
Treatment groupsSee each treatment group below.
Trial outcomes
Primary outcomes
Evaluate the impact of sex hormones and pregnancy on skin immunity by comparing immune cell populations in different populations (pregnant women, non-pregnant women, and men) with or without hidradenitis suppurativa.
Percentage of key skin immune cells (ILC2, dendritic cells, Langerhans cells), according to sex, pregnancy, and pathological context (healthy vs HS).
Secondary outcomes
Defining the spatial organisation of skin cells in order to assess how pregnancy remodels cutaneous immune responses in health and HS inflammation.
Immune cell mapping in healthy vs. inflamed skin biopsies across hormonal states (e.g. pregnancy).
Exploring how sex hormones, which are massively increased during pregnancy, and circulating immune profiling impact skin function and immunity.
Measurement of sex hormones and composition of PBMCs (Peripheral Blood Mononuclear Cells) in the blood of pregnant women and in controls (men and non-pregnant women).
Revealing the influence of the skin microbiota on the host immune system adapting to pregnancy in healthy and HS conditions.
Skin microbial metatranscriptomic profiling at the latest stage of pregnancy and in controls (men and non-pregnant women) in healthy and HS conditions.
Locations
Sponsors and contacts
Click on the lead sponsor to view all of their trials.
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