Sjögren's disease & overlap diseases

Association Between Bruton's Tyrosine Kinase Gene Overexpression and Risk of Lymphoma in Primary Sjögren's Syndrome

Arthritis RheumatolPublished Nested case-control transcriptomic analysis of a prospective cohort

Authors' conclusion

BTK and APRIL were overexpressed in the peripheral blood of primary SS patients prior to lymphoma.

Study context

Population
Well-phenotyped patients with pSS enrolled in the prospective Assessment of Systemic Signs and Evolution in Sjögren's Syndrome (ASSESS) cohort21 with primary SS-NHL
Participants
345 patients
Comparison
pSS patients with incident lymphoma vs pSS patients without lymphoma
  • I-primary SS-NHLn = 8
  • H-primary SS-NHLn = 13
  • Without lymphoman = 324reference
Outcome
Whole blood gene expression in incident primary SS-NHL vs patients without lymphoma
Methodological detailsprospective cohort (ASSESS), whole blood transcriptomic analysis (Clariom S Arrays), sensitivity analyses, multivariate analysis
  • Prospective cohort (ASSESS)
  • Whole blood transcriptomic analysis (Clariom S Arrays)
  • Sensitivity analyses
  • Multivariate analysis

Main finding

As reported in the abstract

Gene expression before lymphoma, incident lymphoma vs without lymphoma
  • Bruton's tyrosine kinase (BTK) and a proliferation-inducing ligand (APRIL) genes overexpressed before lymphoma in incident lymphoma vs without lymphoma
  • Functional clustering: enrichment of innate and adaptive immunity genes, incl. B cell-related genes

Observational data: associations, not effects.

Further findings

Sensitivity analyses (all primary SS-NHL vs controls stratified on lymphoma risk factors)

BTK consistently up-regulated across all comparisons

BTK expression and lymphoma risk, multivariate analysis

BTK expression associated with risk of lymphoma, considering 9 validated predictors

Original publication

Association Between Bruton's Tyrosine Kinase Gene Overexpression and Risk of Lymphoma in Primary Sjögren's Syndrome. Arthritis Rheumatol. Published 28 July 2023. doi:10.1002/art.42550

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