Inflammatory myopathies

Anti-Sp4 and anti-CCAR1 autoantibodies in UK vs US patients with adult and juvenile-onset anti-TIF1γ-positive myositis

Rheumatology (Oxford)Published Cross-sectional study

Authors' conclusion

Anti-Sp4 and anti-CCAR1 autoantibodies are less common in the adult UK anti-TIF1γ-positive myositis population compared with published data from the USA, limiting their use as biomarkers for cancer risk. In patients with juvenile onset disease, anti-Sp4 is less frequent in UK patients compared with the USA, but the prevalence of anti-CCAR1 autoantibodies is similar.

Study context

Population
UK patients with adult-onset and juvenile-onset anti-TIF1γ-positive myositis
Participants
51 / 55 / 24
Exposure
UK adult-onset idiopathic inflammatory myopathy (IIM) vs UK JDM, all anti-TIF1γ positive; healthy controls
  • Adult-onset IIMn = 51
  • JDMn = 55
  • Healthy controlsn = 24reference
Outcome
Frequency of anti-Sp4 and anti-CCAR1 autoantibodies
Methodological detailsELISA screening
  • ELISA screening

Main finding

As reported in the abstract

UK adult anti-TIF1γ+ IIM: anti-Sp4

4%

2/51

UK adult anti-TIF1γ+ IIM: anti-CCAR1

16%

8/51

UK juveniles: anti-CCAR1

13%

7/55

Observational data: associations, not effects.

Further findings

Cancer in UK adult anti-TIF1γ+ myositis

Adults with cancer
Nineteen (37%)
Anti-CCAR1-positive adults with cancer
25% (2/8)
Neither of the two anti-Sp4-positive adults had cancer

Clinical associations of anti-Sp4 and anti-CCAR1

No anti-Sp4 or anti-CCAR1 clinical associations identified

Original publication

Anti-Sp4 and anti-CCAR1 autoantibodies in UK vs US patients with adult and juvenile-onset anti-TIF1γ-positive myositis. Rheumatology (Oxford). Published 7 November 2024. doi:10.1093/rheumatology/keae574

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