Sjögren's disease & overlap diseases

Distinctive profile of monomeric and polymeric anti-SSA/Ro52 immunoglobulin A1 isoforms in saliva of patients with primary Sjögren’s syndrome and Sicca

RMD OpenPublished Cross-sectional study

Authors' conclusion

Salivary anti-Ro52 polymeric IgA1 isoform is associated with glandular inflammation in pSS, while salivary monomeric IgA1 is associated with Sicca.

Study context

Population
Patients with Primary Sjögren's syndrome (pSS), patients with Sicca and healthy controls; salivary anti-SSA/Ro52 antibodies
Participants
34 / 35 / 41
Exposure
pSS vs non-pSS Sicca vs healthy controls
  • pSSn = 34
  • Siccan = 35
  • Healthy controlsn = 41reference
Outcome
Salivary IgG/M/A, IgG, IgA, IgA isotypes (IgA1, IgA2) and IgA1 subclasses (polymeric, monomeric) to anti-SSA/Ro52
Methodological detailsnovel electrochemical detection platform (Electric Field-Induced Release and Measurement)
  • Novel electrochemical detection platform (Electric Field-Induced Release and Measurement)

Main finding

As reported in the abstract

Salivary anti-SSA/Ro52 antibodies
  • Saliva IgG/M/A, IgG, IgA, IgA isotypes and IgA1 subclasses to anti-SSA/Ro52 differed significantly between pSS, non-pSS Sicca and healthy subjects
  • Elevated monomeric IgA1 in non-pSS Sicca
  • Elevated polymeric IgA1 in pSS

Observational data: associations, not effects.

Further findings

Correlation of salivary polymeric IgA1 with focus score

Polymeric IgA1 vs focus score, r2
0.467
Polymeric IgA1 vs focus score, p
P = 0.001
Monomeric IgA1 did not correlate with focus score

Original publication

Distinctive profile of monomeric and polymeric anti-SSA/Ro52 immunoglobulin A1 isoforms in saliva of patients with primary Sjögren’s syndrome and Sicca. RMD Open. Published 10 April 2024. doi:10.1136/rmdopen-2023-003666

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