Sjögren's disease & overlap diseases

CXCL9 may serve as a potential biomarker for primary Sjögren’s syndrome with extra-glandular manifestations

Arthritis Res TherPublished Cross-sectional study

Authors' conclusion

CXCL9 proves to be a valuable biomarker in pSS, specifically due to its strong ability to differentiate between pSS patients with EGM and those without EGM. There is a significant correlation between CXCL9 and various clinical parameters both at the gene and protein level.

Study context

Population
Patients with Primary Sjögren's syndrome (pSS) (with and without extra-glandular manifestations (EGM)) and non-pSS individuals; minor salivary gland gene expression profiles
Exposure
pSS vs non-pSS individuals; PSS with EGM (pSS-EGM) vs pSS-non-EGM
  • pSSn = 63
  • non-pSSn = 12reference
Outcome
CXCL9 expression: Minor salivary glands (MSG) gene and plasma protein
Methodological detailsRNA sequencing of minor salivary glands, bioinformatics analysis with PPI network, validation in peripheral blood plasma
  • RNA sequencing of minor salivary glands
  • Bioinformatics analysis with PPI network
  • Validation in peripheral blood plasma

Main finding

As reported in the abstract

  • 725 differentially expressed genes (DEGs) between pSS and non-pSS
  • 727 DEGs between pSS-EGM and pSS-non-EGM
  • CXCL9 gene expression and protein levels notably higher in pSS with EGM and in those with SSA antibodies
  • CXCL9 gene expression correlated with EULAR Sjogren's Syndrome Disease Activity Index (ESSDAI), immunoglobulin G (IgG) levels and erythrocyte sedimentation rate (ESR)
  • CXCL9 protein levels correlated with IgG levels and ESSDAI
  • pSS vs non-pSS: P < 0.001

Observational data: associations, not effects.

Original publication

CXCL9 may serve as a potential biomarker for primary Sjögren’s syndrome with extra-glandular manifestations. Arthritis Res Ther. Published 17 January 2024. doi:10.1186/s13075-023-03229-x

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