Sjögren's disease & overlap diseases

Increased risk of malignancy and osteoporosis in primary Sjögren’s syndrome with thyroid diseases: potential implication from T cells

Rheumatology (Oxford)Published Retrospective cohort study

Main finding · MalignancyResult — go to the resultHazard ratio 4.7 95% CI 1.1–19.3

Authors' conclusion

The incidence risk of malignancy and OP was significantly elevated in pSS patients with TD.

Study context

Population
Patients diagnosed with pSS admitted between January 2018 and September 2023
Participants
329 patients
Exposure
pSS with thyroid disease vs pSS without thyroid disease
  • TDn = 109
Outcome
Incidence of comorbidities (malignancy and osteoporosis)
Methodological detailsKaplan-Meier and Cox proportional hazards survival analysis, flow cytometry and immunofluorescence of lymphocyte subtypes
  • Kaplan-Meier and Cox proportional hazards survival analysis
  • Flow cytometry and immunofluorescence of lymphocyte subtypes

Main finding

Malignancy

Hazard ratio

4.7

95% CI 1.1–19.3

P = 0.03

By group

TDvs Without TD
HR 4.7 (95% CI 1.1–19.3); P = 0.03

As reported in the abstract

Observational data: associations, not effects.

Further findings

Osteoporosis (OP)

P = 0.03

OutcomeHR (95% CI)P value
Osteoporosis (OP)Independent risk factor3.7 (1.3–10.2)P = 0.01

Peripheral blood lymphocyte subsets

Higher ratio of PD1+ subsets of total CD3+ T cells, Th and Tc cells in TD (all P = 0.03)
Lower ratio of unswitched memory B cells in TD (P = 0.01)

PD1+ Th cells in salivary glands

Increased in TD vs without TD (P = 0.03) and vs controls (P < 0.01)

Original publication

Increased risk of malignancy and osteoporosis in primary Sjögren’s syndrome with thyroid diseases: potential implication from T cells. Rheumatology (Oxford). Published 13 December 2024. doi:10.1093/rheumatology/keae627

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