Inflammatory myopathies

Association between autoantibodies and interstitial lung disease in autoimmune disease patients: a retrospective study

Clin Exp RheumatolPublished Retrospective cohort study

Authors' conclusion

Anti-Ro52, together with age and anti-MDA5, was identified as a significant predictor of ILD in IIM patients.

Study context

Population
Autoimmune diseases (AID) patients who underwent antinuclear antibody (ANA) testing between 2017 and 2019, Peking Union Medical College Hospital
Participants
2,021 patients
Exposure
AID patients with vs without interstitial lung disease (ILD), by autoantibody profile
Outcome
Association between specific autoantibodies, particularly anti-Ro52, and ILD in AID
Methodological detailssingle-centre, least absolute shrinkage and selection operator (LASSO) regression
  • Single-centre
  • LASSO regression

Main finding

As reported in the abstract

Anti-Ro52 frequency in IIM

P < 0.0001

Observational data: associations, not effects.

Further findings

ILD prevalence across AID subgroups

Highest rates in idiopathic inflammatory myopathies (IIM), overlap syndrome and SSc

Anti-RNP in lupus-ILD

Anti-RNP detected at a significantly higher rate in lupus-ILD patients

Anti-SSA/Ro60 (Sjögren's disease) and anti-CENP B (SSc)

Positivity inversely associated with ILD

ILD progression in MCTD

Anti-Ro52 positivity associated with a more than two-fold increased risk of ILD progression

Original publication

Association between autoantibodies and interstitial lung disease in autoimmune disease patients: a retrospective study. Clin Exp Rheumatol. Published 8 October 2025. doi:10.55563/clinexprheumatol/6r7qg8

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