Lupus & antiphospholipid syndrome

Beyond the surface: soluble SIGLEC-1 as a clinically applicable type I IFN biomarker

Rheumatology (Oxford)Published Diagnostic accuracy study

Authors' conclusion

Our study supports sSIGLEC-1 as a reliable and scalable biomarker of IFN-I activity in SLE.

Study context

Population
SLE patients and blood donors as controls23 patients over 57 visits longitudinally
Participants
61 vs 100
Comparison
sSIGLEC-1 vs mbSIGLEC-1 as IFN-I biomarkers in SLE
  • SLEn = 61
  • Blood donorsn = 100reference
Outcome
sSIGLEC-1 threshold (ROC)
Methodological detailsproof-of-concept, prospective, longitudinal, cohort-specific threshold by ROC analysis
  • Proof-of-concept
  • Prospective
  • Longitudinal
  • Cohort-specific threshold by ROC analysis

Performance

As reported in the abstract

sSIGLEC-1 threshold

4.55 ng/ml

Sensitivity

70.49%

Specificity

90%

Further findings

Cross-sectional correlations of sSIGLEC-1

With mbSIGLEC-1, r (P < 0.001)
0.67
With BILAG, r (P = 0.004)
0.37
With SLEDAI, r (P = 0.005)
0.36
With IFN-α, r (P = 0.006)
0.35
With IP-10, r (P < 0.001)
0.57
Similar results for mbSIGLEC-1

Sensitivity by disease activity

Moderate activity, sSIGLEC-1
76%
Moderate activity, mbSIGLEC-1
84%
Severe activity, both
100%

Longitudinal correlation of changes in BILAG with changes in biomarker

sSIGLEC-1, r (P = 0.014)
0.36
mbSIGLEC-1, r (P = 0.009)
0.38
  • 23 patients over 57 visits

Flare prediction (27 patients with quiescent disease, 180 days)

Neither sSIGLEC-1 nor mbSIGLEC-1 showed significant results

Original publication

Beyond the surface: soluble SIGLEC-1 as a clinically applicable type I IFN biomarker. Rheumatology (Oxford). Published 18 January 2026. doi:10.1093/rheumatology/keag027

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