Systemic sclerosis & Raynaud's

Phenotype-specific associations of mosaic chromosomal alterations in systemic sclerosis

Ann Rheum DisPublished Case-control study

Authors' conclusion

Loss and mLOX were significantly and differentially associated with SSc and its subtypes, underscoring potential phenotype-specific contributions of mCAs.

Study context

Population
Subjects from 2 independent datasets; Mosaic chromosomal alterations (mCAs) (loss, LOH, gain, mLOX) detected from peripheral blood samples2 independent datasets
Comparison
Systemic sclerosis (SSc) vs controls
Outcome
Associations between mCAs (loss, LOH, gain, mLOX) and SSc and its clinical subtypes
Methodological details2 independent datasets, meta-analysis of cohort-level logistic regression, stratified analyses
  • 2 independent datasets
  • Meta-analysis of cohort-level logistic regression
  • Stratified analyses

Main finding

As reported in the abstract

Trend of increased loss in SSc, especially in old age
P = .0063

Observational data: associations, not effects.

Further findings

OutcomeORP value
Loss, lcSSc (subtype)lcSSc vs Controls2.22P = 0.019
Loss, SSc with vascular complications (digital ulcers, pulmonary hypertension or renal crisis)SSc with vascular complications vs Controls3.30P = 0.0054

mLOX, limited cutaneous systemic sclerosis (lcSSc) vs dcSSc and ACA-SSc vs ATA-SSc

mLOX significantly associated with lcSSc and ACA-SSc even compared with dcSSc and ATA-SSc, respectively; consistent in each of the 2 datasets

Loss by age at onset

Majority of the associations of Loss mainly driven by SSc with late age at onset

Original publication

Phenotype-specific associations of mosaic chromosomal alterations in systemic sclerosis. Ann Rheum Dis. Published 9 July 2026. doi:10.1016/j.ard.2026.06.006

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