Inflammatory myopathies

Soluble SIGLEC1 as a biomarker of disease activity in idiopathic inflammatory myopathies

Rheumatology (Oxford)Published Prospective cohort study

Main finding · scSIGLEC1 level, active vs inactive disease on PGAResult — go to the resultDifference 2.7 ng/ml 95% CI 0.7–4.8

Authors' conclusion

scSIGLEC1 levels are a promising biomarker for monitoring overall IIM disease activity, as well as activity involving the cutaneous, musculoskeletal and gastrointestinal systems.

Study context

Population
Canadian multicentre cohort of idiopathic inflammatory myopathies (IIM) patients with biobanked serum and clinical data at baseline and 1-year follow-up67.8% female
Participants
87 participants
Exposure
scSIGLEC1 levels in active vs inactive disease; scSIGLEC1 vs MYOACT and creatine kinase for assessing disease activity
Outcome
Baseline serum scSIGLEC1 levels in relation to disease activity (PGA, TIS, MYOACT organ VAS)
Follow-up
Baseline
Methodological detailsmulticentre, biobanked serum samples
  • Multicentre
  • Biobanked serum samples

Main finding

As reported in the abstract

scSIGLEC1 level, active vs inactive disease on PGA

Difference

2.7 ng/ml

95% CI 0.7–4.8

Active diseasevs Inactive disease
difference 2.7 ng/ml (95% CI 0.7–4.8)

Observational data: associations, not effects.

Further findings

OutcomeValuesDifference (ng/ml) (95% CI)
scSIGLEC1 level, organ disease activity vs none (cutaneous, skeletal, gastrointestinal) · baselineCutaneous activityvs No cutaneous activity1.7 (0.1–3.4)
scSIGLEC1 level, organ disease activity vs none (cutaneous, skeletal, gastrointestinal) · baselineSkeletal activityvs No skeletal activity2.0 (0.1–3.9)
scSIGLEC1 level, organ disease activity vs none (cutaneous, skeletal, gastrointestinal) · baselineGastrointestinal activityvs No gastrointestinal activity2.2 (0.5–3.9)
OutcomeValues
Performance in assessing disease activityscSIGLEC1 AUC 0.74 (95% CI 0.61-0.86)

Total Improvement Scores (TIS) at 1-year follow-up

Higher scSIGLEC1 levels associated with lower TIS scores at 1-year follow-up

Performance in assessing disease activity

scSIGLEC1 matched MYOACT performance and outperformed creatine kinase

Original publication

Soluble SIGLEC1 as a biomarker of disease activity in idiopathic inflammatory myopathies. Rheumatology (Oxford). Published 23 March 2026. doi:10.1093/rheumatology/keag139

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