Loss of Y Chromosome in Aortic Stenosis

Purpose

The most common heart valve disease in humans is aortic stenosis which is a critical narrowing of the valve through which the heart has to pump blood to the rest of the body. This condition occurs in 2-3% of adults over 65 years of age and when it progresses to a severe stage leads to heart failure and need for valve replacement procedures (including surgery and catheter-based replacement). Aortic stenosis has a strong male predominance. The purpose of this study is to evaluate whether loss of Y-chromosome from circulating blood cells in males, which has been associated with TGF-beta-related fibrosis of other organs, is associated with the development of aortic stenosis.

Condition

  • Aortic Stenosis

Eligibility

Eligible Ages
Over 40 Years
Eligible Sex
Male
Accepts Healthy Volunteers
Yes

Inclusion Criteria

  • Aortic stenosis (valve area <1.5cm2)

Exclusion Criteria

  • Bicuspid aortic valve - History of radiation to chest - Inflammatory (autoimmune, rheumatologic) disease associated with aortic stenosis - Active cancer

Study Design

Phase
Study Type
Observational
Observational Model
Case-Control
Time Perspective
Prospective

Arm Groups

ArmDescriptionAssigned Intervention
Males with aortic stenosis Males with mild or greater aortic stenosis (aortic valve area <1.5 cm2) due to calcific non-congenital aortic stenosis.
  • Diagnostic Test: Blood analysis for loss-of-Y chromosome
    Analysis for the percentage of circulating leukocytes with loss-of-y chromosome
Control males without aortic stenosis Males without any diagnosis for aortic stenosis (matched for aortic stenosis group).
  • Diagnostic Test: Blood analysis for loss-of-Y chromosome
    Analysis for the percentage of circulating leukocytes with loss-of-y chromosome

Recruiting Locations

University of Virginia
Charlottesville, Virginia 22903
Contact:
Jonathan Lindner
503-260-0672
jlindner@virginia.edu

More Details

Status
Recruiting
Sponsor
University of Virginia

Study Contact

Jonathan R Lindner, MD
434 2979442
jlindner@virginia.edu