Sjögren's disease & overlap diseases

A proteomic profile correlates with salivary gland inflammation and disease-associated antibodies in Sjögren’s disease

Ann Rheum DisPublished Proteomic biomarker study

Authors' conclusion

We define a validated serum proteomic signature that reflects local glandular inflammation and correlates with genetic and serological features.

Study context

Population
Patients with primary Sjögren's disease (SjD) and controls; Swedish and Norwegian cohorts
Participants
81 / 19 / 456 / 141 / 233 / 137
Comparison
SjD vs sicca or healthy controls
  • SjD (paired gland/serum)n = 81
  • Sicca controlsn = 19reference
  • SjD (Swedish)n = 456
  • Controls (Swedish)n = 141reference
  • SjD (Norwegian)n = 233
  • Controls (Norwegian)n = 137reference
Outcome
Serum and salivary gland proteomic biomarkers of SjD and their correlation with tissue inflammation
Methodological detailscase-control, discovery and replication cohorts, proximity extension assay, paired salivary gland extracts and serum
  • Case-control, discovery and replication cohorts
  • Proximity extension assay
  • Paired salivary gland extracts and serum

Main finding

As reported in the abstract

Serum proteins associated with SjD

Proteins associated with SjD in serum, Swedish discovery cohort

27

Proteins validated in Norwegian replication cohort

16

Observational data: associations, not effects.

Further findings

OutcomeValues
'Sjögren protein score': SjD vs healthy controlsSjögren protein score AUC 0.888 · specificity 89% · sensitivity 76%

Serological subgroups and human leukocute antigen (HLA)

Levels of 16 validated proteins increased stepwise from antinuclear antibodies (ANA) negative (lowest) to anti-Ro/SSA and anti-La/SSB double-positive (highest); linked to HLA-DRB1*03 and DRB1*15

Extraglandular manifestations

CXCL10, CXCL13, lysosome-associated membrane glycoprotein 3 and cytotoxic and regulatory T cell molecule correlated with extraglandular manifestations, particularly pulmonary involvement

Original publication

A proteomic profile correlates with salivary gland inflammation and disease-associated antibodies in Sjögren’s disease. Ann Rheum Dis. Published 12 December 2025. doi:10.1016/j.ard.2025.11.013

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