Sjögren's disease & overlap diseases

Deep Immunophenotyping and Clustering Identifies Biomarkers Predictive of Lymphoma in Primary Sjögren Disease

Arthritis RheumatolPublished Diagnostic accuracy study

Authors' conclusion

We unveil novel biomarkers of NHL in pSD based on an integrative analysis coupling deep immunophenotyping and clinical, biologic, and histopathologic data. Furthermore, these markers allow distinguishing B cell NHL subtypes in pSD.

Study context

Population
Patients with primary Sjögren disease fulfilling ACR/EULAR 2016 criteria
Participants
206 patients
Comparison
Combination of CD11c+ FcRL5+ tissue-like memory B cells and IFNγ+ TNFα+ conventional T cells vs sum of conventional clinical and biologic markers for non-Hodgkin lymphoma (NHL) in pSD
Outcome
Biomarkers predictive of NHL in pSD
Methodological detailsdeep flow cytometry immunophenotyping, clustering
  • Deep flow cytometry immunophenotyping
  • Clustering

Performance

As reported in the abstract

Discrimination of NHL-pSD
Test or modelSensitivitySpecificity
Combination of two cell population abundances78.9%76.8%
Sum of conventional clinical and biologic markers68.4%78.0%

Sensitivity

Combination of two cell population abundances78.9%
Sum of conventional clinical and biologic markers68.4%

Specificity

Combination of two cell population abundances76.8%
Sum of conventional clinical and biologic markers78.0%

Further findings

NHL subtypes

CD11c+ FcRL5+ tissue-like memory B cells associated with mucosa-associated lymphoid tissue (MALT) marginal-zone NHL
IFNγ+ TNFα+ conventional T cells more indicative of non-MALT B cell NHL

Original publication

Deep Immunophenotyping and Clustering Identifies Biomarkers Predictive of Lymphoma in Primary Sjögren Disease. Arthritis Rheumatol. Published 24 July 2025. doi:10.1002/art.43207

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