Sjögren's disease & overlap diseases

Association of Combined Anti‐Ro52 / TRIM21 and Anti‐Ro60 / SSA Antibodies With Increased Sjögren Disease Severity Through Interferon Pathway Activation

Arthritis RheumatolPublished Cohort study

Authors' conclusion

These results suggest that the combination of anti-Ro52/TRIM21 and anti-Ro60/SSA antibodies is associated with a clinical, biologic, and transcriptional profile linked to greater disease severity in SjD through the potentiation of the interferon pathway activation by anti-Ro52/TRIM21 antibodies.

Study context

Population
Patients with Sjögren disease (SjD) from the European PRECISESADS and Brittany DIApSS cohortsPRECISESADS 376 · European PRECISESADS 376 · Brittany DIApSS 146
Exposure
Ro52+/Ro60+ vs Ro52-/Ro60-, Ro52+ and Ro60+ patients with SjD
Outcome
Clinical and biologic features by anti-Ro52/Ro60 status (DIApSS cohort)
Methodological detailstwo cohorts (PRECISESADS, DIApSS), whole-blood RNA sequencing, type I and II interferon signatures
  • Two cohorts (PRECISESADS, DIApSS)
  • Whole-blood RNA sequencing
  • Type I and II interferon signatures

Main finding

As reported in the abstract

Parotidomegaly, Ro52+/Ro60+ vs other groups
33.3% vs 0%-11%
Higher β2-microglobulin in Ro52+/Ro60+ vs other groups
P = 0.0002
Higher total immunoglobulin in Ro52+/Ro60+ vs other groups
P < 0.0001
Higher ESR in Ro52+/Ro60+ vs other groups
P = 0.002
Rheumatoid factor (RF) positivity, Ro52+/Ro60+ vs other groups
66.2% vs 20.8%-25%

Observational data: associations, not effects.

Further findings

Clinical and biologic features in Ro52+/Ro60+ (PRECISESADS cohort)

Increased arthritis
P = 0.046
Increased inflammation
P = 0.005
Increased hypergammaglobulinemia
P < 0.0001
Increased positive RF
P < 0.0001
Increased leukopenia
P = 0.004
Increased lymphopenia
P = 0.009

Cumulative ESSDAI

Disparities confirmed
P = 0.002

Transcriptome analysis

Anti-Ro52/TRIM21 positivity linked to interferon pathway activation

Original publication

Association of Combined Anti‐Ro52 / TRIM21 and Anti‐Ro60 / SSA Antibodies With Increased Sjögren Disease Severity Through Interferon Pathway Activation. Arthritis Rheumatol. Published 14 February 2024. doi:10.1002/art.42789

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