Sjögren's disease & overlap diseases

The abnormal expression of peripheral blood CD4+ T lymphocyte subsets are correlated with primary Sjögren's syndrome complicated with haematological involvement

Clin Exp RheumatolPublished Cross-sectional study

Authors' conclusion

An immunological mechanism potentially implicated in the development of pSS-HI may be the elevation of IL-10 and the reduction of peripheral blood CD4+ T cell subsets (particularly Treg cells) and serum IL-4 levels.

Study context

Population
Patients with primary Sjögren's syndrome (pSS) with and without haematological involvement and healthy controls, Second Hospital of Shanxi Medical University
Participants
43 / 94 / 40
Exposure
pSS with haematological involvement vs pSS without haematological involvement vs healthy controls
  • pSS-HIn = 43
  • pSS-non-HIn = 94reference
  • Healthy controls (HCs)n = 40
Methodological detailssingle-centre
  • Single-centre

Main finding

As reported in the abstract

  • pSS-HI vs pSS-non-HI: more skin involvement, higher anti-SSA positivity, elevated IgA, IgG and ESR
  • Number of all lymphocyte subsets lower in pSS-HI than pSS-non-HI
  • Proportion of Th2 cells higher in pSS-HI than pSS-non-HI
  • pSS-HI: elevated IL-10 and decreased IL-4 vs pSS-non-HI
  • IL-10 significantly correlated with numbers of total T, CD4+ T, CD8+ T, NK, Th1, Th2 and Th17 cells
  • Possible protective factors for pSS-HI: numbers of Treg and CD4+ T cells; possible risk factors: IgA and number of Th2 cells

Observational data: associations, not effects.

Original publication

The abnormal expression of peripheral blood CD4+ T lymphocyte subsets are correlated with primary Sjögren's syndrome complicated with haematological involvement. Clin Exp Rheumatol. Published 23 February 2024. doi:10.55563/clinexprheumatol/st9u8m

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