Sjögren's disease & overlap diseases

A high polygenic risk score is associated with SSA/SSB antibody positivity and early onset in primary Sjögren’s disease

Rheumatology (Oxford)Published Case-control genetic association study

Authors' conclusion

A high PRS is associated with SSA/SSB antibody positivity and early disease onset, both largely attributed to the weight of the HLA alleles.

Study context

Population
Patients with primary Sjögren's disease (SjD) and controls; Polygenic risk score (PRS) from single nucleotide variants (SNVs) previously associated with SjD with genome-wide significance (with HLA, 21 SNVs; without HLA, 18 SNVs)1,065 SjD, 7742 controls
Comparison
High PRS quartile vs low PRS
Outcome
Genetic risk for SjD stratified by antibodies, sex and age at diagnosis
Methodological detailspolygenic risk score, genotyped with Illumina OmniExpressExome chip
  • Polygenic risk score
  • Genotyped with Illumina OmniExpressExome chip

Main finding

As reported in the abstract

SSA antibody-positive SjD
Each group vs low PRS (Q1-3)Estimate (95% CI)P value
High PRS (Q4)
OR 9.16(7.75–10.85)
P = 3.7 × 10-146
High PRS (Q4)
OR (SSA/SSB antibody-positive SjD) 13.67(10.88–17.32)
P = 4.6 × 10-108
High PRS classified SSA/SSB antibody-positive SjD (AUC)
0.86

Observational data: associations, not effects.

Further findings

SSA/SSB antibody-positive SjD, PRS without HLA (18 SNVs)

OR (95% CI)P value
PRS without HLAWeaker association than PRS with HLA2.09 (1.71–2.55)P = 6.4 × 10-13

Age at diagnosis · significantly younger at diagnosis

P = 2.2 × 10-6

Frequencies of ANA, SSA and SSA/SSB antibodies · higher frequencies in high PRS quartile
P < 1 × 10-5

Classification of SSA/SSB antibody-positive SjD by high PRS

AUC (very good accuracy)
0.86

PRS in antibody-negative SjD

Antibody negative SjD displayed a PRS similar to controls

Original publication

A high polygenic risk score is associated with SSA/SSB antibody positivity and early onset in primary Sjögren’s disease. Rheumatology (Oxford). Published 18 December 2024. doi:10.1093/rheumatology/keae693

Composed by AI from the published abstract and checked against it. How Briefs are made →

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