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ArticleClinical rheumatology2026

Elevated levels of nitrotyrosine-modified protein adducts and their association with the severity of primary sjogren's syndrome and secondary sjogren's syndrome with rheumatoid arthritis in Taiwanese Patients.

Hao-En Teng, Yi-Hsuan Tsai, Ya-Ching Mo, Yu-Ju Lu, Hung-Tse Lin, Yu-Sheng Chang, Ching-Yu Lin

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Article in Clinical rheumatology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Hao-En Teng *Department of Laboratory Medicine, Taipei Medical University Hospital, Taipei, 11031, Taiwan.
Yi-Hsuan Tsai *Department of Family Medicine, Wan Fang Hospital, Taipei Medical University, Taipei, 11696, Taiwan.
Ya-Ching Mo *Department of Laboratory Medicine, Shuang Ho Hospital, Taipei Medical University, New Taipei City, 23561, Taiwan.
Yu-Ju Lu *School of Medical Laboratory Science and Biotechnology, College of Medical Science and Technology, Taipei Medical University, Taipei, 11031, Taiwan.
Hung-Tse LinDepartment of Laboratory Medicine, LinKou Chang Gung Memorial Hospital, Taoyuan, 33305, Taiwan.
Yu-Sheng ChangDivision of Allergy, Immunology, and Rheumatology, Department of Internal Medicine, Shuang Ho Hospital, Taipei Medical University, New Taipei City, 23561, Taiwan. yschang@tmu.edu.tw.
Ching-Yu LinSchool of Medical Laboratory Science and Biotechnology, College of Medical Science and Technology, Taipei Medical University, Taipei, 11031, Taiwan. cylin@tmu.edu.tw.ORCID http://orcid.org/0000-0001-8269-797X

Funding

Taipei Medical University Hospital 112TMU-TMUH-23
6 · The paper itself

Abstract

objectivesPrimary Sjogren's syndrome (pSS) is an autoimmune condition characterized by glandular dysfunction. The roles of nitrotyrosine-modified (NT)-protein adducts and anti-NT-peptide adduct autoantibodies in disease progression and their potential as biomarkers remain underexplored. In this study, we assessed NT-protein adducts, related autoantibodies, and their associations with disease progression in pSS patients and their transformation into secondary SS with rheumatoid arthritis (RA-sSS).

methodsThe serum levels of proteins, NT-protein adducts, and autoantibodies against novel pSS-specific component C3 (C3)

resultsNT-protein adduct levels progressively increased across groups, reflecting increasing nitrosative stress. Elevated NT-protein adducts (OR = 4.542) and reduced levels of specific autoantibodies, such as IgA anti-C3

conclusionsOur findings suggest that elevated NT-protein adducts may signify an increased risk for disease progression in pSS patients and transformation to RA-sSS. Machine learning integration of NT-protein adducts, autoantibodies, and traditional biomarkers may enhance early SS diagnosis. Key Points • The elevated nitrotyrosine-modified protein adducts may emerge as significant biomarkers of disease progression in pSS and its transformation into RA-sSS.. • The reduced specific autoantibodies, such as IgA anti-C3

Indexed as

Arthritis, RheumatoidAutoantibodiesSjogren's SyndromeTyrosineAdultAgedBiomarkersDisease ProgressionFemaleHumansMaleMiddle AgedProteomicsSeverity of Illness IndexTaiwan3-nitrotyrosineAutoantibodiesBiomarkersTyrosineAutoantibody isotypeNitrotyrosinePrimary Sjogren’s syndromeSecondary Sjogren’s syndrome with rheumatoid arthritis

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.