Sjögren's disease & overlap diseases

Anti-SSA Ro52 and anti-Ro60 autoantibodies: association with clinical phenotypes

Clin Exp RheumatolPublished Cross-sectional study

Authors' conclusion

Anti-Ro52+ antibody alone is frequently found in patients with non-rheumatic diseases. In addition, anti-Ro52+ antibody is also prevalent in patients with CTD and associated with clinical phenotypes that are different from anti-Ro60+ antibody.

Study context

Population
Patients positive for anti-Ro52 and/or Ro60 antibodies followed at 10 rheumatology centres, January 2018 to December 2021female: 83.1%
Participants
776 participants
Exposure
Ro52+/Ro60- vs Ro52-/Ro60+ vs Ro52+/Ro60+
Outcome
Disease phenotype by anti-Ro52/anti-Ro60 antibody group
Methodological detailsmulticentre, logistic regression
  • Multicentre
  • Logistic regression

Main finding

As reported in the abstract

Clinical phenotype by anti-Ro52/anti-Ro60 profile
Each group vs group 1Odds ratio (95% CI)P value
Group 2SLE diagnosis among patients with CTD
2.8(1.60–4.97)
P < 0.001
Group 3SLE diagnosis among patients with CTD
2.2(1.28–3.86)
P < 0.01
Group 2Inflammatory myositis; Group 1 more frequently associated
0.09(0.01–0.33)
P < 0.001
Group 3Inflammatory myositis; Group 1 more frequently associated
0.08(0.01–0.29)
P < 0.001
Anti-Ro52 alone more frequently associated with non-rheumatic diseases, older age and men
P < 0.05
Group 1 more frequently associated with arthritis
P < 0.01
Group 1 more frequently associated with ILD
P < 0.01
Group 1 more frequently associated with myositis
P < 0.01

Observational data: associations, not effects.

Further findings

Undifferentiated connective tissue diseases (CTD)

More frequent in group 2 than in the other groups

Arthritis, ILD and myositis

Group 1 more frequently associated with arthritis
P < 0.01
Group 1 more frequently associated with ILD
P < 0.01
Group 1 more frequently associated with myositis
P < 0.01

Original publication

Anti-SSA Ro52 and anti-Ro60 autoantibodies: association with clinical phenotypes. Clin Exp Rheumatol. Published 11 November 2023. doi:10.55563/clinexprheumatol/puxml7

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