Yonsei Med J.  2014 Jul;55(4):960-966. 10.3349/ymj.2014.55.4.960.

Correlation between Soluble Triggering Receptor Expressed on Myeloid Cells-1 and Endoscopic Activity in Intestinal Behcet's Disease

Affiliations
  • 1Department of Internal Medicine and Institute of Gastroenterology, Yonsei University College of Medicine, Seoul, Korea. GENIUSHEE@yuhs.ac
  • 2Brain Korea 21 Project for Medical Science, Yonsei University College of Medicine, Seoul, Korea.

Abstract

PURPOSE
The serum levels of soluble triggering receptor expressed on myeloid cells-1 (sTREM-1) have recently been shown to be correlated highly with disease activity in patients with intestinal Behcet's disease (BD). However, it remains unclear whether sTREM-1 levels reflect endoscopic activity in intestinal BD. This study aimed to evaluate the correlation of sTREM-1 levels with endoscopic activity in intestinal BD.
MATERIALS AND METHODS
A total of 84 patients with intestinal BD were enrolled. Endoscopic activity was compared with sTREM-1 levels as well as other laboratory findings, including erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP).
RESULTS
sTREM-1 levels were significantly increased in intestinal BD patients compared with controls (37.98+/-27.09 pg/mL vs. 16.65+/-7.76 pg/mL, p=0.002), however, there was no difference between endoscopically quiescent and active diseases (43.53+/-24.95 pg/mL vs. 42.22+/-32.68 pg/mL, p=0.819). Moreover, serum sTREM-1 levels did not differ in terms of number, shape, depth, size, margin, or type of ulcer in patients with intestinal BD. However, mean ESR and CRP levels in patients with active disease were significantly higher than those in patients with quiescent disease (p=0.001, p<0.001, respectively). In addition, endoscopic activity scores for intestinal BD were correlated significantly with both CRP levels (gamma=0.329) and ESR (gamma=0.298), but not with sTREM-1 levels (gamma=0.166).
CONCLUSION
Unlike CRP levels and ESR, serum sTREM-1 levels were not correlated with endoscopic activity in patients with intestinal BD.

Keyword

C-reactive protein; endoscopic activity; erythrocyte sedimentation rate; intestinal Behcet's disease; triggering receptor expressed on myeloid cells-1

MeSH Terms

Adult
Behcet Syndrome/*blood/*pathology
Biological Markers/blood
Blood Sedimentation
C-Reactive Protein/metabolism
Female
Humans
Intestinal Diseases/*blood/*pathology
Male
Membrane Glycoproteins/*blood
Receptors, Immunologic/*blood
Biological Markers
C-Reactive Protein
Membrane Glycoproteins
Receptors, Immunologic

Figure

  • Fig. 1 Serum sTREM-1 levels were significantly higher in patients with intestinal BD than in controls. BD, Behçet's disease; sTREM-1, soluble triggering receptor expressed on myeloid cells-1.


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