Evidence map›Paper›PMID 42773973›Full record

ArticleImmunity, inflammation and disease2026

The Clinical Utility of Labial Gland Biopsy in Patients With Suspected Neuro-Sjögren.

Zhen Tian, Xuemei Li, Xia Li, Yajie Wang, Chunxiu Wang, Yi Zhao

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Article in Immunity, inflammation and disease, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

6 authors.

Zhen TianDepartment of Rheumatology and Allergy, Xuanwu Hospital of Capital Medical University, Beijing, China.ORCID https://orcid.org/0009-0004-2843-0472
Xuemei LiDepartment of Rheumatology and Allergy, Xuanwu Hospital of Capital Medical University, Beijing, China.ORCID https://orcid.org/0000-0002-0802-5793
Xia LiDepartment of Rheumatology and Allergy, Xuanwu Hospital of Capital Medical University, Beijing, China.ORCID https://orcid.org/0000-0001-5663-0026
Yajie WangDepartment of Pathology, Xuanwu Hospital of Capital Medical University, Beijing, China.
Chunxiu WangEvidence-Based Medicine Centre, Xuanwu Hospital of Capital Medical University, Beijing, China.
Yi ZhaoDepartment of Rheumatology and Allergy, Xuanwu Hospital of Capital Medical University, Beijing, China.ORCID https://orcid.org/0000-0002-0000-3792

Funding

Xuanwu Hospital of Capital Medical University LCYJ2023 + 04
6 · The paper itself

Abstract

backgroundNeuro-Sjögren, the neurological subtype of Sjögren's Disease (SjD), is difficult to diagnose due to its heterogeneity and diverse manifestations. While the diagnostic role of labial gland biopsy (LGB) in SjD is established, its significance in Neuro-Sjögren remains unclear.

objectiveTo assess the diagnostic utility of LGB in patients with suspected Neuro-Sjögren.

methodsWe conducted a retrospective cross-sectional study at Xuanwu Hospital, Capital Medical University (2019-2023). Of 456 patients with suspected SjD, 135 were classified as suspected Neuro-Sjögren and 277 as suspected non-Neuro-Sjögren. According to our center's diagnostic pathway, with reference to the 2016 ACR/EULAR criteria, patients were categorized into LGB-required (n = 91) and non-LGB-required (n = 44) groups. Logistic regression identified factors associated with LGB requirement. LGB-required patients were further stratified into LGB-positive (n = 74) and LGB-negative (n = 17) for clinical and laboratory comparison.

resultsSuspected Neuro-Sjögren patients demonstrated higher LGB requirement (67.4% vs. 56.3%, p = 0.031) and positivity (81.3% vs. 51.3%, p < 0.001) compared with suspected non-Neuro-Sjögren patients. Independent factors associated with biopsy requirement included younger age at onset and early-onset neurological symptoms, whereas anti-SSB positivity and ANA titers ≥ 1:320 were associated with a lower likelihood of requiring biopsy. LGB-positive patients more frequently showed non-specific inflammatory or immunologic abnormalities, including higher erythrocyte sedimentation rate, elevated serum IgG, and higher antinuclear antibody titers (≥ 1:320).

conclusionLGB may provide supportive information as part of the diagnostic work-up in selected patients with suspected Neuro-Sjögren, particularly when serological findings are negative or inconclusive. Associations with LGB requirement should be interpreted in the context of the center-specific diagnostic pathway and should not be regarded as universal indications for biopsy.

Indexed as

Salivary Glands, MinorSjogren's SyndromeAdultAgedAntibodies, AntinuclearBiopsyCross-Sectional StudiesFemaleHumansMaleMiddle AgedRetrospective StudiesAntibodies, Antinucleardiagnostic utilitylabial gland biopsyneurological involvementneuro‐SjögrenSjögren's disease

Identifiers

PMID42773973
PMCPMC13598543

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