Extracellular proteasome in the alveolar space: characterisation and function under physiological and pathophysiological condition

ISRCTN ISRCTN20709647
DOI https://doi.org/10.1186/ISRCTN20709647
Secondary identifying numbers N/A
Submission date
15/09/2007
Registration date
19/10/2007
Last edited
18/09/2017
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Respiratory
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Not provided at time of registration

Contact information

Dr Stephan Urs Sixt
Scientific

Klinik fur Anasthesiologie und Intensivmedizin
Hufelandstrasse 55
Essen
45122
Germany

Study information

Study designThis study is an observational, single-centre study. The aim of this study is the description and characterisation of the extracellular alveolar proteasome in healthy and sick subjects.
Primary study designObservational
Secondary study designCase-control study
Study setting(s)Hospital
Study typeScreening
Scientific titleExtracellular proteasome in the alveolar space: characterisation and function under physiological and pathophysiological condition: an observational study
Study acronymALIHD
Study objectivesWe hypothesised that 20S proteasome is present and functional in the extracellular alveolar space of healthy subjects and patients with Acute Respiratory Distress Syndrome (ARDS), sarcoidosis and in the alveolar space after lung transplantation in humans.
Ethics approval(s)Ethics approval received from the local ethics committee (Vorsitzender der Ethikkommission, Institut für Pharmakologie, Universitätsklinikum Essen) on the 9th December 2002 (ref: 01-97-1697).
Health condition(s) or problem(s) studiedExtracellular proteasome in the alveolar space
InterventionHealthy caucasians subjects and patients with ARDS, sarcoidosis and patients after lung transplantation were included after approval of the local ethics committee and informed written consent.

Observational trial:
Proteasomal activity will be measured in Broncho-Alveolar Lavage (BAL) supernatant from healthy subjects, patients with acute respiratory distress syndrome and lung transplantation using specific proteasomal fluorogenic substrates and I125 albumin, with and without specific proteasome inhibitors. After that the different enzyme activities of the study groups were compared with healthy subjects. Furthermore, gel filtration, western blot technique, Enzyme-Linked Immuno-Sorbent Assay (ELISA) and mass spectrometry, were applied for proteasome characterisation in the different study groups.
Intervention typeOther
Primary outcome measure1. Enzyme activity using specific proteasomal fluorogenic substrates and I125 albumin, with and without specific proteasome inhibitors
2. Detection of 20S proteasome with polyclonal antibody (western-blot)
3. Detection of immunoproteasome with LMP2 and LMP7 antibody (western-blot)
4. Gel filtration to evaluate the molecular weight of the extracellular proteasome in the bronchoalveolar space
5. Mass spectrometry of the gel filtration revealed hydrolysing activity and ELISA technique for the amount of extracellular, alveolar proteasome
Secondary outcome measuresNo secondary outcome measures
Overall study start date01/01/2003
Completion date01/01/2008

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
Upper age limit70 Years
SexBoth
Target number of participants300 subjects, including healthy subjects and patients with acute respiratory distress syndrome, sarcoidosis and lung transplantation.
Key inclusion criteria1. Acute respiratory distress syndrome:
1.1. Timing: acute onset
1.2. Oxygenation: Partial Pressure of Oxygen in Arterial Blood (PaO2)/Fraction of Inspired Oxygen (FiO2) ratio less than 200 mmHg (regardless of Positive End Expiratory Pressure [PEEP])
1.3. Chest radiograph: bilateral infiltrates seen on frontal chest radiograph
1.4. Pulmonary Artery Wedge (PAW): less than 18 mmHg when measured or no clinical evidence of left atrial hypertension
2. Sarcoidosis
3. Lung transplantation: patient after lung transplantation were lavaged in a routine diagnostic, for the screening of organ rejection and infection
4. Aged 18 to 70 years, both genders
Key exclusion criteria1. Acute respiratory distress syndrome: contraindication against bronchoscopy
2. Sarcoidosis: contraindication against bronchoscopy
3. Lung transplantation: contraindication against bronchoscopy
4. Healthy subjects:
4.1. Contraindication against bronchoscopy
4.2. Any lung diseases
4.3. Infection
4.4. Sepsis
4.5. Coronary heart disease
Date of first enrolment01/01/2003
Date of final enrolment01/01/2008

Locations

Countries of recruitment

  • Germany

Study participating centre

Klinik fur Anasthesiologie und Intensivmedizin
Essen
45122
Germany

Sponsor information

German Research Council (Deutsche Forschungsgemeinschaft [DFG]) (Germany)
Research council

c/o Dr. Simone Mueller
Lebenswissenschaften 1
Geschaftsstelle
Kennedyallee 40
Bonn
53170
Germany

Website http://www.dfg.de/
ROR logo "ROR" https://ror.org/018mejw64

Funders

Funder type

Research council

German Research Council (Deutsche Forschungsgemeinschaft [DFG]) (Germany) (ref: PE 301/4-1) - submitted

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Interim results article initial findings 01/05/2007 Yes No
Results article additional results 01/10/2014 Yes No

Editorial Notes

18/09/2017: Publication reference added.