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Erschienen in: Rheumatology International 5/2013

01.05.2013 | Original Article

Elevated serum levels of high mobility group box protein 1 (HMGB1) in patients with ankylosing spondylitis and its association with disease activity and quality of life

verfasst von: Pelin Oktayoglu, Serda Em, Mehmet Tahtasiz, Mehtap Bozkurt, Demet Ucar, Levent Yazmalar, Kemal Nas, İbrahim Yardımeden, Figen Cevik, Yusuf Celik, Nuriye Mete

Erschienen in: Rheumatology International | Ausgabe 5/2013

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Abstract

This study was carried out to determine the serum levels of high mobility group box protein 1 (HMGB1) in patients with ankylosing spondylitis (AS) and to evaluate its correlation with disease activity and quality of life. According to our knowledge, it is the first trial evaluating HMGB1 levels in AS. Serum samples of 30 patients (18 males and 12 females) with AS and 29 healthy controls (HC) (15 females and 14 males) were collected. HMGB1 levels were measured by enzyme-linked immunosorbent assay, activity of disease was assessed according to the Bath AS Disease Activity Index (BASDAI), and functional status of patients was evaluated with Bath AS Functional Index (BASFI). Modified Schober, chest expansion values and AS Quality of Life Questionnaire (ASQoL) scores were noted. The serum levels of HMGB1 were obtained significantly increased in AS patients compared to HC (p < 0.05). There was no significant correlation between HMGB1 levels and ESR (p > 0.05), and CRP (p > 0.05) values. BASDAI, BASFI and ASQoL scores were also not correlated with serum levels of HMGB1 (p > 0.05). Our results suggest that HMGB1 might play an important role in the pathogenesis of AS; however, it seems not to be a good candidate for reflecting disease activity, functional abilities and the quality of life in patients with AS; on the other hand, the increased levels of HMGB1 in patients may open a new dimension for targeting this cytokine as a new therapy option in AS.
Literatur
1.
Zurück zum Zitat Gardner DL (1992) Reactive and postinfective arthritis and seronegative spondyloarthropathy. In: Gardner DL (ed) Pathological basis of the connective tissue diseases. London, pp 763–795 Gardner DL (1992) Reactive and postinfective arthritis and seronegative spondyloarthropathy. In: Gardner DL (ed) Pathological basis of the connective tissue diseases. London, pp 763–795
2.
Zurück zum Zitat Pöllänen R, Sillat T, Pajarinen J et al (2009) Microbial antigens mediate HLA-B27 diseases via TLRs. J Autoimmun 32:172–177PubMedCrossRef Pöllänen R, Sillat T, Pajarinen J et al (2009) Microbial antigens mediate HLA-B27 diseases via TLRs. J Autoimmun 32:172–177PubMedCrossRef
3.
Zurück zum Zitat Cruickshank B (1956) Lesions of cartilaginous joints in ankylosing spondylitis. J Pathol Bacteriol 71:73–84PubMedCrossRef Cruickshank B (1956) Lesions of cartilaginous joints in ankylosing spondylitis. J Pathol Bacteriol 71:73–84PubMedCrossRef
4.
Zurück zum Zitat Ball J (1971) Enthesopathy of rheumatoid and ankylosing spondylitis. Ann Rheum Dis 30:213–223PubMedCrossRef Ball J (1971) Enthesopathy of rheumatoid and ankylosing spondylitis. Ann Rheum Dis 30:213–223PubMedCrossRef
5.
Zurück zum Zitat Sieper J, Appel H, Braun J et al (2008) Critical appraisal of assessment of structural damage in ankylosing spondylitis. Arthritis Rheum 58:649–656PubMedCrossRef Sieper J, Appel H, Braun J et al (2008) Critical appraisal of assessment of structural damage in ankylosing spondylitis. Arthritis Rheum 58:649–656PubMedCrossRef
6.
Zurück zum Zitat Bianchi ME (2007) DAMPs, PAMPs and alarmins: all we need to know about danger. J Leukoc Biol 81:1–5PubMedCrossRef Bianchi ME (2007) DAMPs, PAMPs and alarmins: all we need to know about danger. J Leukoc Biol 81:1–5PubMedCrossRef
7.
Zurück zum Zitat Pisetsky DS, Erlandsson-Harris H, Andersson U (2008) High-mobility group box protein 1 (HMGB1): an alarmin mediating the pathogenesis of rheumatic disease. Arthritis Res Ther 10:209PubMedCrossRef Pisetsky DS, Erlandsson-Harris H, Andersson U (2008) High-mobility group box protein 1 (HMGB1): an alarmin mediating the pathogenesis of rheumatic disease. Arthritis Res Ther 10:209PubMedCrossRef
8.
Zurück zum Zitat Taniguchi N, Kawahara K, Yone K et al (2003) High mobility group box chromosomal protein 1 plays a role in the pathogenesis of rheumatoid arthritis as a novel cytokine. Arthritis Rheum 48:971–981PubMedCrossRef Taniguchi N, Kawahara K, Yone K et al (2003) High mobility group box chromosomal protein 1 plays a role in the pathogenesis of rheumatoid arthritis as a novel cytokine. Arthritis Rheum 48:971–981PubMedCrossRef
9.
Zurück zum Zitat Chun yun ma C, MaJiao Y, Zhang J et al (2012) Elevated plasma level of HMGB1 is associated with disease activity and combined alterations with IFN-alpha and TNF-alpha in systemic lupus erythematosus. Rheumatol Int 32:395–402CrossRef Chun yun ma C, MaJiao Y, Zhang J et al (2012) Elevated plasma level of HMGB1 is associated with disease activity and combined alterations with IFN-alpha and TNF-alpha in systemic lupus erythematosus. Rheumatol Int 32:395–402CrossRef
10.
Zurück zum Zitat Yu M, Wang H, Ding A et al (2006) HMGB1 signals through toll-like receptor (TLR) 4 and TLR2. Shock 26:174–179PubMedCrossRef Yu M, Wang H, Ding A et al (2006) HMGB1 signals through toll-like receptor (TLR) 4 and TLR2. Shock 26:174–179PubMedCrossRef
11.
Zurück zum Zitat Park JS, Gamboni-Robertson F, He Q et al (2006) High mobility group box 1 protein interacts with multiple Toll-like receptors. Am J Physiol Cell Physiol 290:917–924CrossRef Park JS, Gamboni-Robertson F, He Q et al (2006) High mobility group box 1 protein interacts with multiple Toll-like receptors. Am J Physiol Cell Physiol 290:917–924CrossRef
12.
Zurück zum Zitat Anderson U, Wang H, Palmblad K et al (2000) High mobility group 1 protein (HMG 1) stimulates proinflammatory cytokine synthesis in human monocytes. J Exp Med 192:565–570CrossRef Anderson U, Wang H, Palmblad K et al (2000) High mobility group 1 protein (HMG 1) stimulates proinflammatory cytokine synthesis in human monocytes. J Exp Med 192:565–570CrossRef
13.
Zurück zum Zitat Bal A, Unlu E, Bahar G et al (2007) Comparison of serum IL-1, sIL-2R, IL-6 and TNF- alpha levels with disease activity parameters in ankylosing spondylitis. Clin Rheumatol 26:211–215PubMedCrossRef Bal A, Unlu E, Bahar G et al (2007) Comparison of serum IL-1, sIL-2R, IL-6 and TNF- alpha levels with disease activity parameters in ankylosing spondylitis. Clin Rheumatol 26:211–215PubMedCrossRef
14.
Zurück zum Zitat Gratacos J, Collado A, Fiella X et al (1994) Serum cytokines (IL-6, TNF-alpha, IL-1 beta and IFN-gamma) in ankylosing spondylitis: a close correlation between serum IL-6 and disease activity and severity. Br J Rheum 33:927–931CrossRef Gratacos J, Collado A, Fiella X et al (1994) Serum cytokines (IL-6, TNF-alpha, IL-1 beta and IFN-gamma) in ankylosing spondylitis: a close correlation between serum IL-6 and disease activity and severity. Br J Rheum 33:927–931CrossRef
15.
Zurück zum Zitat Taniguchi N, Yoshida K, Ito T et al (2007) The stage specific secretion of HMGB1 in cartilage regulates endochondral ossification. Mol Cell Biol 27:5650–5663PubMedCrossRef Taniguchi N, Yoshida K, Ito T et al (2007) The stage specific secretion of HMGB1 in cartilage regulates endochondral ossification. Mol Cell Biol 27:5650–5663PubMedCrossRef
16.
Zurück zum Zitat Yang J, Shah R, Robling AG, Templeton E et al (2008) HMGB1 is a bone-active cytokine. J Cell Physiol 214:730–739PubMedCrossRef Yang J, Shah R, Robling AG, Templeton E et al (2008) HMGB1 is a bone-active cytokine. J Cell Physiol 214:730–739PubMedCrossRef
17.
Zurück zum Zitat Garrett S, Jenkinson T, Kennedy LG et al (1994) A new approach to defining disease status in ankylosing spondylitis: the bath ankylosing spondylitis disease activity index. J Rheumatol 21:2286–2291PubMed Garrett S, Jenkinson T, Kennedy LG et al (1994) A new approach to defining disease status in ankylosing spondylitis: the bath ankylosing spondylitis disease activity index. J Rheumatol 21:2286–2291PubMed
18.
Zurück zum Zitat Akkoc Y, Karatepe AG, Akar S et al (2005) A Turkish version of the Bath Ankylosing Spondylitis Disease Activity Index: reliability and validity. Rheumatol Int 25:280–284PubMedCrossRef Akkoc Y, Karatepe AG, Akar S et al (2005) A Turkish version of the Bath Ankylosing Spondylitis Disease Activity Index: reliability and validity. Rheumatol Int 25:280–284PubMedCrossRef
19.
Zurück zum Zitat Calin A, Garrett S, Whitelock H et al (1994) A new approach to defining functional ability in ankylosing spondylitis: the development of the Bath Ankylosing Spondylitis Functional Index. J Rheumatol 21:2281–2285PubMed Calin A, Garrett S, Whitelock H et al (1994) A new approach to defining functional ability in ankylosing spondylitis: the development of the Bath Ankylosing Spondylitis Functional Index. J Rheumatol 21:2281–2285PubMed
20.
Zurück zum Zitat Doward LC, Spoorenberg A, Cook SA, Whalley D, Helliwell PS, Kay LJ et al (2003) Development of ASQoL: a quality of life instrument specific to ankylosing spondylitis. Ann Rheum Dis 62:20–26PubMedCrossRef Doward LC, Spoorenberg A, Cook SA, Whalley D, Helliwell PS, Kay LJ et al (2003) Development of ASQoL: a quality of life instrument specific to ankylosing spondylitis. Ann Rheum Dis 62:20–26PubMedCrossRef
21.
Zurück zum Zitat Duruoz T, Doward L, Cerrahoglu L et al (2008) Translation and validation of the Turkish version of the ankylosing spondylitis quality of life (ASQoL) Questionnaire. Abstract Book, EULARl Duruoz T, Doward L, Cerrahoglu L et al (2008) Translation and validation of the Turkish version of the ankylosing spondylitis quality of life (ASQoL) Questionnaire. Abstract Book, EULARl
22.
Zurück zum Zitat Lotze MT, Tracey KJ (2005) High-mobility group box 1 protein (HMGB1): nuclear weapon in the immune arsenal. Nat Rev Immunol 5:331–342PubMedCrossRef Lotze MT, Tracey KJ (2005) High-mobility group box 1 protein (HMGB1): nuclear weapon in the immune arsenal. Nat Rev Immunol 5:331–342PubMedCrossRef
23.
Zurück zum Zitat Braun J, Bollow M, Neure L et al (1995) Use of immunohistologic and in situ hybridization techniques in the examination of sacroiliac joint biopsy specimens from patients with ankylosing spondylitis. Arthritis Rheum 38:499–505PubMedCrossRef Braun J, Bollow M, Neure L et al (1995) Use of immunohistologic and in situ hybridization techniques in the examination of sacroiliac joint biopsy specimens from patients with ankylosing spondylitis. Arthritis Rheum 38:499–505PubMedCrossRef
24.
Zurück zum Zitat Braun J, van den Berg R, Baraliakos X et al (2010) 2010 update of the ASAS/EULAR recommendations for the management of ankylosing spondylitis. Ann Rheum Dis 70:896–904CrossRef Braun J, van den Berg R, Baraliakos X et al (2010) 2010 update of the ASAS/EULAR recommendations for the management of ankylosing spondylitis. Ann Rheum Dis 70:896–904CrossRef
25.
Zurück zum Zitat Wang H, Bloom O, Zhang M et al (1999) HMG-1 as a late mediator of endotoxin lethality in mice. Science 285:248–251PubMedCrossRef Wang H, Bloom O, Zhang M et al (1999) HMG-1 as a late mediator of endotoxin lethality in mice. Science 285:248–251PubMedCrossRef
26.
27.
Zurück zum Zitat Andersson U, Erlandsson-Harris H (2004) HMGB1 is a potent trigger of arthritis. J Intern Med 255:344–350PubMedCrossRef Andersson U, Erlandsson-Harris H (2004) HMGB1 is a potent trigger of arthritis. J Intern Med 255:344–350PubMedCrossRef
28.
Zurück zum Zitat Assassi S, Reveille JD, Arnett FC et al (2011) Whole-blood gene expression profiling in ankylosing spondylitis shows upregulation of toll-like receptor 4 and 5. J Rheumatol 38:87–98PubMedCrossRef Assassi S, Reveille JD, Arnett FC et al (2011) Whole-blood gene expression profiling in ankylosing spondylitis shows upregulation of toll-like receptor 4 and 5. J Rheumatol 38:87–98PubMedCrossRef
29.
Zurück zum Zitat Ek M, Popovic K, Harris HE et al (2006) Increased extracellular levels of the novel proinflammatory cytokine high mobility group box chromosomal protein 1 in minor salivary glands of patients with Sjogren’s syndrome. Arthritis Rheum 54:2289–2294PubMedCrossRef Ek M, Popovic K, Harris HE et al (2006) Increased extracellular levels of the novel proinflammatory cytokine high mobility group box chromosomal protein 1 in minor salivary glands of patients with Sjogren’s syndrome. Arthritis Rheum 54:2289–2294PubMedCrossRef
30.
Zurück zum Zitat Ahn JK, Cha HS, Bae EK et al (2011) Extracellular high-mobility group box 1 is increased in patients with Behçet’s disease with intestinal involvement. J Korean Med Sci 26:697–700PubMedCrossRef Ahn JK, Cha HS, Bae EK et al (2011) Extracellular high-mobility group box 1 is increased in patients with Behçet’s disease with intestinal involvement. J Korean Med Sci 26:697–700PubMedCrossRef
31.
Zurück zum Zitat Liu B, Guo CY, Liu WQ et al (2005) The value of erythrocyte sedimentation rate and C-reactive protein in evaluating disease activity in ankylosing spondylitis. Zhonghua Nei Ke Za Zhi 44:566–569PubMed Liu B, Guo CY, Liu WQ et al (2005) The value of erythrocyte sedimentation rate and C-reactive protein in evaluating disease activity in ankylosing spondylitis. Zhonghua Nei Ke Za Zhi 44:566–569PubMed
32.
Zurück zum Zitat Yildirim K, Erdal A, Karatay S et al (2004) Relationship between some acute phase reactants and the Bath Ankylosing Spondylitis Disease Activity Index in patients with ankylosing spondylitis. South Med J 97:350–353PubMedCrossRef Yildirim K, Erdal A, Karatay S et al (2004) Relationship between some acute phase reactants and the Bath Ankylosing Spondylitis Disease Activity Index in patients with ankylosing spondylitis. South Med J 97:350–353PubMedCrossRef
33.
Zurück zum Zitat Spoorenberg A, van der Heijde D, de Klerk E et al (1999) Relative value of erythrocyte sedimentation rate and C-reactive protein in assessment of disease activity in ankylosing spondylitis. J Rheumatol 26:980–984PubMed Spoorenberg A, van der Heijde D, de Klerk E et al (1999) Relative value of erythrocyte sedimentation rate and C-reactive protein in assessment of disease activity in ankylosing spondylitis. J Rheumatol 26:980–984PubMed
Metadaten
Titel
Elevated serum levels of high mobility group box protein 1 (HMGB1) in patients with ankylosing spondylitis and its association with disease activity and quality of life
verfasst von
Pelin Oktayoglu
Serda Em
Mehmet Tahtasiz
Mehtap Bozkurt
Demet Ucar
Levent Yazmalar
Kemal Nas
İbrahim Yardımeden
Figen Cevik
Yusuf Celik
Nuriye Mete
Publikationsdatum
01.05.2013
Verlag
Springer-Verlag
Erschienen in
Rheumatology International / Ausgabe 5/2013
Print ISSN: 0172-8172
Elektronische ISSN: 1437-160X
DOI
https://doi.org/10.1007/s00296-012-2578-y

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