Context: Until 70% of thrombotic event are reported during Sars-CoV2 infection.Antiphospholipid antibodies (aPL) tests are often positive. We aim to determine if aPLpositivity is involved in thrombose of Sars-CoV2 infection investigating the effect ofaPL on thrombin generation (TG) and leucocyte pathway activation (neutrophilsextracellular traps (NETs) and activation of triggering receptor expressed on myeloidcells 1 (TREM-1)).Method: We will compare plasma from five groups of subjects: patients withantiphospholipid syndrome (APS) and patients hospitalized for Sars-CoV-2 infection withor without aPL, and as control, patients with acute venous thromboembolism event andhealthy volunteers. For each subject, we will analyze aPL, activated protein C (APC)resistance measured by TG and leukocytes markers as circulating neutrophils extracellulartraps (NETs) and soluble triggering receptor expressed on myeloid cells one (sTREM-1). Wewill control aPL test at three month and analyze their persistent positivity andassociation with thrombotic event.Results: we hypothesize that patients with COVID-19 and aPL will have a similar aPL andlevel of APS resistance that patients with APS. Also, we think that circulating NETs andsTREM-1 levels will be more important in patients with COVID-19 with aPL than patientswithout aPL and similar in patients with COVID-19 and aPL and patients with APS.Conclusion: our study will be the first to analyze the potential role of aPL on APCresistance measured by TG and neutrophil activation in COVID-19.
Not Provided
Diagnostic Test: characterization of aPL
characterization of aPL profile, GT profile and leukocytes activations markers (NETs,
TREM-1)
Inclusion Criteria:
- Patient receiving a comprehensive information about the study, and not opposed to
participate
- one criterion among :
- patient hospitalized fo a COVID-19
- Patient with known APS
- Patients hospitalized for an acute venous thromboembolism event aPL positivity or
COVID-19
- healthy volunteers
Exclusion Criteria:
- For all participants : pregnancy, age below 18 years-old, absence of written
informed consent , autoimmune or inflammatory disease except antiphospholipid
syndrome
- For patients with COVID-19: previous aPL positivity (before COVID-19 infection)
- For patients with APS: previous symptomatic COVID-19 infection
- For patients control with acute venous thromboembolism event: previous symptomatic
COVID-19 infection, infection or inflammatory disease in flare at the time of
thromboembolism event, known aPL positivity
- For Healthy volunteers: history of thrombosis (venous, arterial or small vessels),
previous symptomatic COVID-19 infection, infection or inflammatory disease in flare
at the time of inclusion, known aPL positivity
Virginie Dufrost
Nancy, France
Investigator: Virginie Dufrost, MD
Virginie DUFROST, MD
+33383157828
v.dufrost@chru-nancy.fr
Stephane Zuily, MD, PhD
+33383157354
s.zuily@chru-nancy.fr