Non-Cochrane · aetiology · PM41972126

Familial and genetic overlap between Sjögren's disease and other autoimmune diseases.

Ono-Minagi Hitomi, Ohnishi Takuma, Atyeo Natalie, et al. · Frontiers in immunology · 2026 · PubMed · doi:10.3389/fimmu.2026.1740360

Findings

12 findings

Population
SjD probands and their first-degree relativesProband SjD (exposure)Probands or controls without the disease of interestFamilial risk of SjD in first-degree relatives
Common-effects model
RR 9.62 [8.47, 10.92]
GRADE not reported
3 studies
SjD probands and their first-degree relativesProband SjD (exposure)Probands or controls without the disease of interestFamilial risk of SjD in first-degree relatives
Random-effects model
RR 10.54 [7.85, 14.16]
GRADE not reported
3 studies
SjD probands and their first-degree relativesProband SjD (exposure)Probands or controls without the disease of interestFamilial risk of any other autoimmune disease in first-degree relatives
Random-effects model
RR 4.25 [1.85, 9.79]
GRADE not reported
4 studies
SjD probands and their first-degree relativesProband SjD (exposure)Probands or controls without the disease of interestFamilial risk of any other autoimmune disease in first-degree relatives
Common-effects model
RR 7.38 [6.38, 8.54]
GRADE not reported
4 studies
RA probands and their first-degree relativesProband RA (exposure)Probands or controls without the disease of interestFamilial risk of SjD in first-degree relatives
Common-effects model
RR 1.92 [1.71, 2.14]
GRADE not reported
2 studies
RA probands and their first-degree relativesProband RA (exposure)Probands or controls without the disease of interestFamilial risk of SjD in first-degree relatives
Random-effects model
RR 2.21 [1.28, 3.82]
GRADE not reported
2 studies
SLE probands and their first-degree relativesProband SLE (exposure)Probands or controls without the disease of interestFamilial risk of SjD in first-degree relatives
Random-effects model
RR 4.49 [2.87, 7.03]
GRADE not reported
3 studies
SLE probands and their first-degree relativesProband SLE (exposure)Probands or controls without the disease of interestFamilial risk of SjD in first-degree relatives
Common-effects model
RR 4.94 [4.26, 5.72]
GRADE not reported
3 studies
SSc probands and their first-degree relativesProband SSc (exposure)Probands or controls without the disease of interestFamilial risk of SjD in first-degree relatives
Random-effects model
RR 2.65 [1.66, 4.21]
GRADE not reported
2 studies
SSc probands and their first-degree relativesProband SSc (exposure)Probands or controls without the disease of interestFamilial risk of SjD in first-degree relatives
Common-effects model
RR 2.65 [1.66, 4.21]
GRADE not reported
2 studies
IIM probands and their first-degree relativesProband IIM (exposure)Probands or controls without the disease of interestFamilial risk of SjD in first-degree relatives
Random-effects model
RR 0.47 [0.17, 1.28]
GRADE not reported
3 studies
IIM probands and their first-degree relativesProband IIM (exposure)Probands or controls without the disease of interestFamilial risk of SjD in first-degree relatives
Common-effects model
RR 0.47 [0.17, 1.28]
GRADE not reported
3 studies

Included primary studies 18

Open in Studies
StudyYearAlso included byOutcomes it informs hereTrial data
Alexandra 2018 (Balbir-Gurman 2019)
Autoimmune Diseases in Systemic Sclerosis Patients and Their Relatives: Data from a Single Center.
PMID:30685902
2019this review onlynot statednot extracted yet
Anaya 2006
Autoimmune disease aggregation in families with primary Sjögren's syndrome.
PMID:17086607
2006this review onlyFamilial risk of any other autoimmune disease in first-degree relativesnot extracted yet
Ben-Eli 2019
Shared Medical and Environmental Risk Factors in Dry Eye Syndrome, Sjogren's Syndrome, and B-Cell Non-Hodgkin Lymphoma: A Case-Control…
PMID:30805374
2019this review onlyFamilial risk of any other autoimmune disease in first-degree relativesnot extracted yet
Bengtsson 2002
Risk factors for developing systemic lupus erythematosus: a case-control study in southern Sweden.
PMID:12011382
2002this review onlyFamilial risk of SjD in first-degree relativesnot extracted yet
Eaton 2007
Epidemiology of autoimmune diseases in Denmark.
PMID:17582741
2007this review onlyFamilial risk of SjD in first-degree relativesnot extracted yet
Ginn 1998
Familial autoimmunity in pedigrees of idiopathic inflammatory myopathy patients suggests common genetic risk factors for many autoimmune…
PMID:9506566
1998this review onlyFamilial risk of SjD in first-degree relativesnot extracted yet
Hemminki 2009
Familial associations of rheumatoid arthritis with autoimmune diseases and related conditions.
PMID:19248111
2009this review onlynot statednot extracted yet
Hemminki 2010
The epidemiology of Graves' disease: evidence of a genetic and an environmental contribution.
PMID:20056533
2010this review onlynot statednot extracted yet
Kuo 2015a
Familial Risk of Sjögren's Syndrome and Co-aggregation of Autoimmune Diseases in Affected Families: A Nationwide Population Study.
PMID:25940005
2015this review onlyFamilial risk of SjD in first-degree relativesnot extracted yet
Kuo 2015b
Familial Aggregation of Systemic Lupus Erythematosus and Coaggregation of Autoimmune Diseases in Affected Families.
PMID:26193127
2015this review onlynot statednot extracted yet
Kuo 2016
Familial risk of systemic sclerosis and co-aggregation of autoimmune diseases in affected families.
PMID:27729087
2016this review onlyFamilial risk of SjD in first-degree relativesnot extracted yet
Kuo 2018
Familial aggregation and heritability of type 1 diabetes mellitus and coaggregation of chronic diseases in affected families.
PMID:30349392
2018this review onlynot statednot extracted yet
Mescheriakova 2019
No excess of autoimmune diseases in multiple sclerosis families from the Netherlands.
PMID:29315461
2018this review onlynot statednot extracted yet
Nielsen 2008
Autoimmune diseases in patients with multiple sclerosis and their first-degree relatives: a nationwide cohort study in Denmark.
PMID:18573841
2008this review onlynot statednot extracted yet
Priori 2003
Familial autoimmunity as a risk factor for systemic lupus erythematosus and vice versa: a case-control study.
PMID:14596421
2003this review onlynot statednot extracted yet
Priori 2007
Risk factors for Sjögren's syndrome: a case-control study.
PMID:17631733
2007this review onlyFamilial risk of any other autoimmune disease in first-degree relativesnot extracted yet
Thomsen 2020a
Familial associations for rheumatoid autoimmune diseases.
PMID:33241174
2020this review onlyFamilial risk of SjD in first-degree relatives; Familial risk of any other autoimmune disease in first-degree relativesnot extracted yet
Thomsen 2020b
Familial risks between Graves disease and Hashimoto thyroiditis and other autoimmune diseases in the population of Sweden.
PMID:32743538
2020this review onlynot statednot extracted yet

Review question

ElementPlanned (methods)Found (results)
PopulationProbands or first-degree relatives with Sjogren disease and nine autoimmune diseases (SjD, SLE, SSc, RA, IIM, MS, T1D, GD, HT)SjD probands and probands with RA, SLE, SSc, IIM, MS, T1D, GD, HT (pooled analyses: SjD, RA, SLE, SSc, IIM)
InterventionFamily history of autoimmune disease in first-degree relatives (proband disease status)Concordant and discordant autoimmune disease in first-degree relatives (n=18 studies; 15 distinct SjD associations)
ComparisonProbands or relatives without the autoimmune disease (non-familial/sporadic controls)Non-affected probands/controls
OutcomesRelative risk of SjD or other autoimmune disease in first-degree relativesPooled RR: SjD->SjD 10.54; SjD->other AD 4.25; RA->SjD 2.21; SLE->SjD 4.49; SSc->SjD 2.65; IIM->SjD 0.47
Study designsCohort and case-control studies, 1 January 1980 to 16 February 2025Cohort and case-control studies published 1998-2020 (USA, Sweden, Italy, Colombia, Denmark, Taiwan, Israel, Netherlands)
TimingNot specifiedNot specified