• GülerDilara DönmezDDDepartment of Internal Medical Sciences, Faculty of Medicine, Ankara University, Ankara, Turkey., Ayşe Bahar Keleşoğlu Dinçer, Zeynep Ceren Karahan, Hasan Selim Güler, Müçteba Enes Yayla, Serdar Sezer, Emine Gözde Aydemir Gülöksüz, İlyas Ercan Okatan, Murat Torgutalp, EroğluDidem ŞahinDŞDivision of Rheumatology, Department of Internal Medicine, Faculty of Medicine,Ankara University, Ankara, Turkey., Mehmet Levent Yüksel, Tahsin Murat Turgay, Gülay Kınıklı, and Aşkın Ateş.
• Department of Internal Medical Sciences, Faculty of Medicine, Ankara University, Ankara, Turkey.
• Turk J Med Sci. 2021 Oct 1; 51 (5): 269026972690-2697.

BackgroundHigh mobility group box- 1 (HMGB- 1) is a nuclear protein acting as a proinflammatory molecule. The serum HMGB- 1 levels were found elevated in chronic inflammatory diseases. In this cross-sectional study, serum HMGB- 1 levels in Behcet's disease (BD) patients and healthy controls (HC) were studied. Also, its association with disease activity scores and clinical findings were evaluated.MethodsNinety BD patients and 50 age-sex matched HC were included in the study. Disease activity scores were assessed by Behcet Disease Current Activity Form (BDCAF) and Behcet Syndrome Activity Score (BSAS). Serum HMGB- 1 levels were measured using a commercial ELISA kit. A p value of < 0.05 was considered to be statistically significant.ResultsSerum HMGB- 1 levels were significantly higher in BD than in HC (43.26 pg/mL and 16.73 pg/mL; p < 0.001, respectively). Serum HMGB- 1 levels were statistically significantly associated with presence of erythema nodosum (EN) and genital ulcers in the last one month prior to recruitment (p = 0.041 and p < 0.001, respectively). BDCAF and BSAS scores were positively correlated with serum HMGB- 1 level ( p = 0.03 and p = 0.02, respectively).DiscussionHMGB - 1 may play a role in the development of BD. Also, due to its positive correlation with disease activity indices, it can be used as a novel disease activity parameter in BD.

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