Official Title
Impaired Type I IFN Immunity Due to Autoantibodies or a Genetic Defect: a Prospective National Cohort
Brief Summary

The major role of human genetic factors in the immune response to infections is now wellestablished, particularly for viral infections. In the context of the COVID-19 pandemic,the following results have identified 1) several inborn errors of immunity (IEI)affecting the response or production of type I interferons (type I IFNs) in around 4% ofadult patients with severe clinical disease, and 2) the presence of type IIFN-neutralizing autoantibodies (auto-Abs) in around 15% of severe cases, and 20% ofdeaths. The investigators would like to carry out a longitudinal immunological andclinical follow-up study on a prospective cohort of patients with either a genetic defectaffecting the type I IFN-dependent immune response, or anti-IFN-I auto-Abs, to monitorthe incidence of infectious and/or autoimmune events in these individuals, the evolutionof neutralizing power, and the kinetics of auto-Abs. This should lead to a betterunderstanding of the prevention and management of these patients.The research design is a national multicenter prospective cohort of adults with 1)anti-IFN-I auto-Abs or 2) IEI- IFN-I, with follow-up from 1 to 4 years. These individualsmay be: 1) patients who have or have had clinical disease (related to COVID-19, otherviral infections, autoimmune disorders); or 2) "healthy" participants (e.g. blood donors,relatives of an IEI patient).Follow-up will include: - yearly visits to the Clinical Investigation Center (CIC) or a clinical department with blood sampling; - specific visit in case of hospitalization for infectious events or adverse effects of vaccination, exacerbation or new diagnosis of auto-immune disease, new diagnosis of cancer, or SARS-CoV-2 infection whether or not patients are admitted to hospital, with blood sampling.In addition, a retrospective "passive" follow-up will be implemented through matchingwith the data from the SNDS (National Health Data System), in order to collect clinicalevents of and healthcare resource consumption. Moreover, matching with controls adultsfrom the national CONSTANCES cohort, not carrying auto-Abs against type I IFNs norIEI-IFN-I, will be performed. (ratio 3:1; matching on age (+/- 5 years), gender andgeographic region of recruitment). Individuals under long-lasting immunosuppressive orimmunomodulatory drugs will not be eligible. Follow-up of controls, which will be carriedout as part of the CONSTANCES cohort, will include web-based questionnaires, every 12months, in addition to linking with SNDS data as already done in this cohort.Inclusion visit:After signing the consent form, the following tests will be performed: - Demographic characteristics (sex, age, country of birth) - Medical history from participant and family member(s) including infectious and auto-immune diseases, cancers and vaccination status and side effects - Blood samples for: - full blood cell count; - classical autoimmune investigations (anti-nuclear, anti-ENA, native anti-DNA, anti- thyroid antibodies, rheumatoid factor); - immunophenotyping*; - auto-Abs against type I IFNs, other cytokines*, or other target proteins* (dosage and neutralization activity); - Genetic explorations by whole-exome or whole-genome sequencing*; - Biobanking (DNA, plasma/sera; cryopreserved peripheral blood mononuclear cells (PBMCs). - these biological analyses will be carried out as part of dedicated COVIFERON RHU5 workpackages.In addition, vaccination against SARS-CoV-2 and influenza will be offered to thesesubjects as a priority, as part of their usual care.Follow-up visits :Annual visits to the CIC : - Medical history since last visit, including infectious, auto-immune and oncologic events, vaccination status and side effects - Blood samples for: - full blood cell count; - classical autoimmune investigation (anti-nuclear, anti-ENA, native anti- DNA, anti-thyroid antibodies, rheumatoid factor); - immunophenotyping; - Auto-Abs against type I IFNs, other cytokines, or other target proteins (dosage and neutralization) - Biobanking (DNA, plasma, cryopreserved peripheral blood mononuclear cells (PBMCs))Additional specific visit in the event of a clinical event of interest, at any timeduring follow-up: - In case of SARS-CoV-2 infection, whatever the severity of the disease: blood sampling for determination and neutralization of type I anti-IFN autoAbs, CBC, and biobanking (plasma and PBMC) and teleconsultation with the CIC in charge of patients, as soon as possible. - In the event of hospitalization for infectious events or exacerbation or new diagnosis of an auto-immune disease: blood sampling for determination and neutralization of anti-IFN-I autoAbs, CBC, and biobanking (plasma and PBMCs) and collection of the hospitalization report in the case report form on a dedicated page.

Detailed Description

Not Provided

Not yet recruiting
Immunology
Allergy
Genetic Diseases
Infectious Diseases

Other: blood sample

After signature of consent form,blood samples will be collected for full blood cell
count;classical autoimmune investigations, immunophenotyping;auto-Abs against type IIFNs,
other cytokines, or other target proteins ,Genetic explorations by whole-exome or
whole-genome sequencing;Biobanking

Eligibility Criteria

Inclusion Criteria:

- Age >18 years

- History of carrying 1) auto-Abs against type I IFNs or 2) IEI impairing the response
to, or the production of, type I IFNs (IFN-I-IEI)

- Affiliated to social security

- Written informed consent

Exclusion Criteria:

- Participation to an interventional clinical trial on a pharmacological treatment

- Clinical condition leading to life expectancy less than 1 year

- Subject to a legal protection measure (safeguard of justice, curatorship, tutorship)

- Individuals deprived of freedom

Eligibility Gender
All
Eligibility Age
Minimum: 18 Years ~ Maximum: N/A
Countries
France
Locations

Cic Lille
Lille 2998324, France

LYON HCL
Lyon 2996944, France

Cic Montpellier
Montpellier 2992166, France

Cic Bichat
Paris 2988507, France

Cic Creteil
Paris 2988507, France

Cic La Salpetriere
Paris 2988507, France

Cic Necker
Paris 2988507, France

Cic St Louis
Paris 2988507, France

Cic Tours
Tours 2972191, France

Contacts

Xavier-Marie DUVAL, PU-PH
01 40 25 71 48
xavier.duval@aphp.fr

Not Provided

Institut National de la Santé Et de la Recherche Médicale, France
NCT Number
Keywords
Covid-19
auto-immunity
Type I interferon
kinetics
infectious diseases
MeSH Terms
Hypersensitivity
Genetic Diseases, Inborn
Communicable Diseases
COVID-19
Phlebotomy