Sjögren's disease & overlap diseases

A non-invasive model for diagnosis of primary Sjogren’s disease based on salivary biomarkers, serum autoantibodies, and Schirmer’s test

Arthritis Res TherPublished Diagnostic accuracy study

Authors' conclusion

The 6-biomarker panel could provide a novel non-invasive tool for the classification of pSjD.

Study context

Population
Patients with primary Sjögren's disease (pSjD) and non-Sjögren control subjects (non-pSjD)derivation 186, validation 72
Comparison
6-biomarker model for pSjD vs non-pSjD
Outcome
Discrimination of pSjD from non-pSjD (ROC AUC, sensitivity, specificity)
Methodological detailsproteomic discovery (LC-MS/MS) with ELISA confirmation, multivariate logistic regression, derivation and validation cohorts
  • Proteomic discovery (LC-MS/MS) with ELISA confirmation
  • Multivariate logistic regression
  • Derivation and validation cohorts

Performance

As reported in the abstract

Diagnosis of pSjD, derivation cohort
Test or modelAUCSensitivitySpecificity
6-biomarker model0.930 (95% CI 0.877-0.965, P < 0.001)84.85%92.45%

6-biomarker model

AUC0.930 (95% CI 0.877-0.965, P < 0.001)
Sensitivity84.85%
Specificity92.45%

Further findings

Diagnosis of pSjD, validation cohort

Similar results obtained in a validation cohort

Independent predictors of pSS (multivariate analyses)

Complement factor B (CFB), clusterin (CLU), and neutrophil elastase (NE) were independent predictors of pSS

Original publication

A non-invasive model for diagnosis of primary Sjogren’s disease based on salivary biomarkers, serum autoantibodies, and Schirmer’s test. Arthritis Res Ther. Published 19 December 2024. doi:10.1186/s13075-024-03459-7

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