Vasculitis & polymyalgia rheumatica

The relationship between NETosis findings and disease activity in Behçet disease: an exploratory study

Clin Exp RheumatolPublished Exploratory study

Authors' conclusion

Indirect NETosis findings varied in relation to the systemic and/or local activity of BD patients.

Study context

Population
Patients with Behçet disease (BD) in active and remission periods, and healthy controls
Participants
30 vs 10
Comparison
Active and inactive BD vs healthy controls
  • Active BDn = 30
  • Controlsn = 10reference
Primary endpoint
Serum and saliva cf-DNA, NE, MPO and cit-H3 levels (indirect NETosis findings), unadjusted and adjusted for peripheral blood neutrophil counts, in relation to disease activity
Methodological detailslongitudinal follow-up of a subset
  • Longitudinal follow-up of a subset

Primary result

As reported in the abstract

Indirect NETosis findings vs controls
  • Active BD: unadjusted serum cf-DNA and NE significantly higher than controls; adjusted serum MPO and cit-H3 lower
  • Inactive BD: unadjusted serum NE remained elevated vs controls; unadjusted serum MPO, adjusted serum MPO and adjusted serum cit-H3 lower
  • Salivary NETosis findings: no significant differences between patients and controls

Further findings

Longitudinal follow-up and correlations with inflammatory markers

Unadjusted serum cf-DNA and saliva cf-DNA decreased in parallel with reduced clinical activity
Saliva and unadjusted serum cf-DNA correlated positively with inflammatory markers; adjusted serum MPO and cit-H3 correlated negatively

Original publication

The relationship between NETosis findings and disease activity in Behçet disease: an exploratory study. Clin Exp Rheumatol. Published 4 April 2025. doi:10.55563/clinexprheumatol/4thkqz

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