Sjögren's disease & overlap diseases

Examining the biological pathways underlying clinical heterogeneity in Sjogren's syndrome: proteomic and network analysis

Ann Rheum DisPublished Mechanistic study

Authors' conclusion

Our data provide clues to the pathways contributing to the glandular and non-glandular manifestations of SS and to potential therapeutic targets for different SS subtypes.

Study context

Population
Sjogren's syndrome (SS) subjects stratified into four clinical subtypes by the Newcastle Sjogren's Stratification Tool (NSST)454 unique proteins · 5 O-link panels
Participants
180 subjects
Comparison
Serum proteomic profiles across the four NSST clinical subtypes of SS
Outcome
Differential serum protein expression between SS subtypes
Methodological detailsproteomic and network analysis, ARACNE network reconstruction, reanalysis of phase III tocilizumab trial data stratified by NSST
  • Proteomic and network analysis
  • ARACNE network reconstruction
  • Reanalysis of phase III tocilizumab trial data stratified by NSST

Main finding

As reported in the abstract

  • Differential expression of chemokines, cytokines and the major autoantigen TRIM21 between the SS subtypes
  • Differential expression of transcription factors associated with energy metabolism and redox balance: APE1/Ref-1, FOXO1, TIGAR and BACH1
  • Differentially expressed proteins inter-related in network analysis, supporting distinct molecular networks underlying the clinical subtypes of SS

Further findings

Fatigue score in phase III tocilizumab trial, patients stratified at baseline by NSST

Improvement of fatigue score only in the subtype expressing the highest levels of serum IL-6

Original publication

Examining the biological pathways underlying clinical heterogeneity in Sjogren's syndrome: proteomic and network analysis. Ann Rheum Dis. Published 2 January 2024. doi:10.1136/ard-2023-224503

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