Open this publication in new window or tab >>Karolinska Inst, Dept Med, Div Rheumatol, Solna, Sweden.;Acad Specialist Ctr, Ctr Rheumatol, Stockholm, Sweden..
Karolinska Inst, Dept Med, Div Rheumatol, Solna, Sweden..
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Stavanger Univ Hosp, Res Dept, Stavanger, Norway.;Univ Bergen, Dept Clin Sci, Broegelmann Res Lab, Bergen, Norway..
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Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Medical Sciences, Rheumatology. Uppsala University, Science for Life Laboratory, SciLifeLab.
Karolinska Inst, Dept Med, Div Rheumatol, Solna, Sweden.;Univ Bergen, Dept Clin Sci, Broegelmann Res Lab, Bergen, Norway..
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Medical Sciences, Rheumatology. Uppsala University, Science for Life Laboratory, SciLifeLab.
Uppsala University, Science for Life Laboratory, SciLifeLab. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Medical Sciences, Rheumatology.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Medical Sciences, Rheumatology. Uppsala University, Science for Life Laboratory, SciLifeLab.
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2025 (English)In: Rheumatology, ISSN 1462-0324, E-ISSN 1462-0332, Vol. 64, no 7, p. 4341-4346Article in journal (Refereed) Published
Abstract [en]
Objectives
To calculate a polygenic risk score (PRS) based on single nucleotide variants (SNVs) previously associated with primary Sjögren’s disease (SjD) with genome-wide significance and determine the genetic risk for SjD stratified by antibodies, sex and age at diagnosis.
Methods
Patients with SjD (n = 1065) were genotyped using Illumina OmniExpressExome chip. Control genotype data were available (n = 7742). Two PRSs were constructed, one including HLA gene variants (n = 21 SNVs), and one without HLA (n = 18 SNVs). High PRS quartile (Q4) individuals were compared with low PRS (Q1–3).
Results
A high PRS was associated with SSA antibody-positive SjD (OR 9.16, 95% CI 7.75–10.85, P = 3.7 × 10−146), and strengthened in SjD positive for both SSA/SSB antibodies (OR 13.67, 95% CI 10.88–17.32, P = 4.6 × 10−108). High PRS classified SSA/SSB antibody-positive SjD with very good accuracy (AUC 0.86). PRS without HLA showed a weaker association with SSA/SSB positive SjD (OR 2.09, 95% CI 1.71–2.55, P = 6.4 × 10−13). Antibody negative SjD displayed a PRS similar to controls. Patients in the high PRS quartile were significantly younger at diagnosis, 48.9 ± 14.9 vs 53.4 ± 13.4 years in the low PRS quartiles (Q1–3), P = 2.2 × 10−6, and presented higher frequencies of ANA, SSA and SSA/SSB antibodies, P < 1 × 10−5.
Conclusion
A high PRS is associated with SSA/SSB antibody positivity and early disease onset, both largely attributed to the weight of the HLA alleles. Integration of PRS with other biomarkers applied to clinical phenotypes could be a useful tool for disease risk stratification and treatment decisions.
Place, publisher, year, edition, pages
Oxford University Press, 2025
Keywords
Sjögren’s disease, polygenic risk score (PRS), single nucleotide variant (SNV), genome-wide association studies (GWAS), HLA, antinuclear antibodies, SSA, SSB
National Category
Medical Genetics and Genomics Rheumatology
Identifiers
urn:nbn:se:uu:diva-566957 (URN)10.1093/rheumatology/keae693 (DOI)001394323500001 ()39693120 (PubMedID)2-s2.0-105010129256 (Scopus ID)
Funder
Swedish Research Council, 2018-05973Swedish Research Council, 2022-00637Swedish Research Council, 2021-02503Knut and Alice Wallenberg Foundation, KAW 2014.0272Swedish National Infrastructure for Computing (SNIC), sens2020501
2025-09-102025-09-102025-09-10Bibliographically approved