Sjögren's disease & overlap diseases

Phosphorylated signal transducer and activator of transcription proteins 1 in salivary glandular tissue: an important histological marker for diagnosis of primary Sjögren’s syndrome

RMD OpenPublished Diagnostic accuracy study

Authors' conclusion

The IFN pathway is the key pathogenic pathway in SjS. p-STAT1 may serve as an important biomarker, in addition to lymphocytic infiltration, to diagnose SjS. Particularly in SG samples with negative lymphatic foci, p-STAT1 confers pathological diagnostic value.

Study context

Population
Patients with Sjögren's syndrome (SjS) and non-SjS controls; Salivary gland (SG) tissue
Comparison
p-STAT1 immunohistochemistry vs Focus Score in salivary gland tissue for diagnosis of pSS
Outcome
Diagnostic value of p-STAT1 for SjS
Methodological detailscase-control, bioinformatics transcriptome analysis, immunohistochemical analysis
  • Case-control
  • Bioinformatics transcriptome analysis
  • Immunohistochemical analysis

Performance

As reported in the abstract

Diagnostic performance for SjS
Test or modelAUCYouden (Jorden) index
p-STAT10.990 (95% CI 0.969 to 1.000)0.968 (95% CI 0.586 to 0.999)

p-STAT1

AUC0.990 (95% CI 0.969 to 1.000)
Youden (Jorden) index0.968 (95% CI 0.586 to 0.999)
  • p-STAT1 vs Focus Score: P < 0.05 — significant difference in both accuracy and sensitivity

Further findings

OutcomeP value
Integrated optical density of p-STAT1 expressionSjS vs Controls · significant differenceP < 0.05
Integrated optical density of p-STAT1 expressionSjS lymphatic foci-negative vs Controls · significant differenceP < 0.05

Transcriptome pathway analysis

Interferon (IFN)-related pathways aberrantly activated in SjS

Original publication

Phosphorylated signal transducer and activator of transcription proteins 1 in salivary glandular tissue: an important histological marker for diagnosis of primary Sjögren’s syndrome. RMD Open. Published 27 February 2023. doi:10.1136/rmdopen-2022-002694

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