Asprosin in Behect Patients

NCT07803198 — Not yet recruiting, 44 participants, Assiut University

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Asprosin as a Potential Biomarker for Disease Activity in Behcet Disease

RegistryNCT07803198
StatusNot yet recruiting
Study typeObservational
Enrollment44 (Estimated)
SponsorAssiut University (Other)
ConditionsBehcet Disease
Datesstart 2026-09-01 (estimated), primary completion 2027-09-30 (estimated), completion 2027-10-30 (estimated), first posted 2026-09-03, last updated 2026-09-03

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-Summary

This study aims to investigate serum Asprosin concentrations in patients with BD and their relationship with disease activity and major clinical manifestations.

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+Detailed description

Behçet's disease (BD) is a chronic, recurrent, multisystem inflammatory vasculitis characterized by various systemic manifestations involving all vessel sizes in both the arterial and venous systems \[1,2\].

Given that BD is a prototypical systemic vasculitis in which endothelial damage and vascular inflammation are central pathogenic mechanisms, the identification of novel biomarkers reflecting vascular involvement is of major clinical importance\[3\].

Asprosin is an adipokine that beyond its metabolic effects, carries growing evidence suggesting its associated with vascular pathologies \[4\].

Experimental and clinical studies have demonstrated that Asprosin contributes to endothelial dysfunction, induces phenotypic switching in vascular smooth muscle cells, and facilitates vascular remodeling by activating pro-inflammatory signaling pathways such as TLR4-NF-κB-NLRP3 \[4,5\]. Furthermore, Asprosin has been implicated in endothelial-to-mesenchymal transition through TGF-β signaling, thereby exacerbating peripheral arterial disease and vascular stiffness\[4,5\]. Although endothelial dysfunction and surrogate markers of vascular injury (e.g., impaired flow-mediated dilation, increased intima-media thickness, oxidative stress markers) have been extensively studied in BD\[3\], the role of Asprosin in this disease remains unexplored.

In this context, Asprosin may represent a link between metabolic pathways and immune mediated vascular inflammation, warranting investigation in systemic vasculitis as potential biomarkers of disease activity \[6\].

+Outcome measures

Primary outcomes

  • Assessment of asprosin level in behcet disease and its association with disease activity [Baseline]: To investigate serum asprosin level in behcet disease
  • Assessment of asprosin level in behcet disease and its association with disease activity [Baseline assessment at the time of enrollment]: To investigate serum Asprosin concentrations in patients with BD.

+Eligibility

Sex: All, ages: 18 Years to any, accepts healthy volunteers

Inclusion Criteria:

* Adult subjects (≥ 18 years) satisfying the International Criteria for Behçet's Disease (ICBD) will be included in \[7\].

Exclusion Criteria:

* Patients with other autoimmune diseases.
* Patients with Acute inflammatory condition at the time of blood sampling.
* Pregnant participants, and participants with active infection, known malignancy, diabetes mellitus, chronic kidney or liver disease, thyroid or other endocrine disorders, obesity.

+Investigators

  • Marwa Ahmed Abdel- aziz Galal, MD, Study director, Assiut University