Lupus & antiphospholipid syndrome

Clinical significance of anti-Ro and Anti-La antibodies: The role of isolated anti-La

LupusPublished Retrospective cross-sectional study

Authors' conclusion

The study suggests that patients with isolated anti-La/SSB antibodies may have a unique clinical profile, with a potential protective effect against lupus nephritis but an increased likelihood of cardiac manifestations.

Study context

Population
Patients with systemic lupus erythematosus (SLE) (≥4 ACR-1997 criteria) in the RELESSER registry3,893 tested for antibodies
Participants
4,219 patients
Exposure
Isolated anti-La/SSB positive vs the rest of the SLE patients
  • Anti-Ro-/La +n = 44
Outcome
Prevalence of isolated anti-La/SSB antibodies
Methodological detailsregistry-based (RELESSER), multivariable regression model
  • Registry-based (RELESSER)
  • Multivariable regression model

Main finding

As reported in the abstract

Anti-Ro-/La +

1.1%

44 events

Observational data: associations, not effects.

Further findings

Characteristics of isolated anti-La/SSB positive patients: mean age, female, Caucasian

Mean age (years)
33.77
Female
88.6%
Caucasian
90.5%

Most frequent comorbidities: smoking, dyslipidemia, arterial hypertension

Smoking
48.8%
Dyslipidemia
47.7%
Arterial hypertension
31.8%

Photosensitivity and mucosal ulcers

More common in anti-Ro+/La + patients compared to anti-Ro+/La- and anti-Ro-/La- patients

LN

Anti-Ro+/La + patients had a lower frequency of LN compared to anti-Ro+/La- patients

Original publication

Clinical significance of anti-Ro and Anti-La antibodies: The role of isolated anti-La. Lupus. Published 1 April 2025. doi:10.1177/09612033251331249

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