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Christopher Sjöwall

Professor

My long-term ambition is to contribute to increased understanding of underlying mechanisms for disease-onset, progress and quality of life in systemic inflammatory diseases, especially systemic lupus erythematosus.

Clinical and experimental rheumatology

The rheumatic diseases, such as rheumatoid arthritis (RA), spondylarthritis and systemic lupus erythematosus (SLE) belong to the endemic diseases, affecting more than 1 percent of the population of Sweden.

The immune system which protects us from bacterial and viral infections may in certain individuals with genetic susceptibility which are exposed to certain environmental factors loose its tolerance and attack endogenous tissues and organs. Knowledge on the etiology of rheumatic disease is increasing, and the number of treatment options for patients who suffer has risen dramatically in recent years.

My group is studying underlying mechanisms for rheumatic diseases, especially SLE, as well as biomarkers and autoantibodies in relation to diagnosis, treatment response and prognosis.


News

Christopher Sjöwall presents the book Rheumatology.

Christopher Sjöwall in the editorial committee for the new edition of textbook in rheumatology

Christopher Sjöwall, professor at Linköping University, has participated in the editorial committee for the latest edition of the textbook Rheumatology. The book is an important resource for students and professionals in medicine and healthcare.
Blood sampling in clinical setting from finger.

C-reactive protein reduces immune response in inflammatory disease

The biological function of the C-reactive protein, CRP, has long been unknown. Researchers now show that this protein has a beneficial function in SLE, an inflammatory disease. But this is true only for one of CRP’s two forms, according to the study.

Publications

Selected publications

Extracellular vesicles opsonized by monomeric C-reactive protein (CRP) are accessible as autoantigens in patients with systemic lupus erythematosus and associate with autoantibodies against CRP

Karlsson J, Wetterö J, Potempa LA, Fernandez-Botran R, O'Neill Y, Wirestam L, Mobarrez F and Sjöwall C.

Journal of Autoimmunity, 2023-09-01, Volume 139, Article 103073, https://doi.org/10.1016/j.jaut.2023.103073

Graphical Abstract from the publication: Extracellular vesicles opsonized by monomeric C-reactive protein (CRP) are accessible as autoantigens in patients with systemic lupus erythematosus and associate with autoantibodies against CRP

Conformational state of C-reactive protein is critical for reducing immune complex-triggered type I interferon response: Implications for pathogenic mechanisms in autoimmune diseases imprinted by type I interferon gene dysregulation

Svanberg C, Enocsson H, Govender M, Martinsson K, Potempa LA, Rajab IM, Fernandez-Botran R, Wetterö J, Larsson M och Sjöwall C.

Journal of Autoimmunity, 2023-02-01, Volume 135, Article 102998, Copyright © 2023 The Authors

Graphical Abstract.

 

C-Reactive Protein Levels in Systemic Lupus Erythematosus Are Modulated by the Interferon Gene Signature and CRP Gene Polymorphism rs1205

Enocsson H, Gullstrand B, Eloranta M-L, Wetterö J, Leonard D, Rönnblom L, Bengtsson A och Sjöwall C.

Front. Immunol., 28 January 2021 | https://doi.org/10.3389/fimmu.2020.622326

Figure 2 CRP levels among patients with and without detectable IL-6 levels (Z-axis) along with different CRP genotype (rs1205) and type I IFN gene signature (IGS) status (X-axis). Bars show median values.

Latest publications in DiVA

2025

Alvaro Gomez, Tomas Walhelm, Floris C. Loeff, Andreas Jonsen, Dionysis Nikolopoulos, Bryan van den Broek, Anders A. Bengtsson, Annick de Vries, Theo Rispens, Christopher Sjöwall, Ioannis Parodis (2025) Belimumab concentrations and immunogenicity in relation to drug effectiveness and safety in SLE within a Swedish real-world setting Rheumatology (Article in journal) Continue to DOI
Ioannis Parodis, Chris Wincup, Zahi Touma, Jeanette Andersen, Vibeke Strand, Christopher Sjöwall (2025) Holistic approaches in systemic lupus erythematosus: do physicians avoid addressing difficult-to-treat but highly relevant symptoms? RMD Open, Vol. 11, Article e005400 (Article in journal) Continue to DOI
Alvaro Gomez, Ioannis Parodis, Muna Atallah Saleh, Julia F. Simard, Christopher Sjöwall, Elizabeth V Arkema (2025) Development and evaluation of a Register-Based Organ Damage Index in systemic lupus erythematosus: a nationwide, population-based study from Sweden Lupus Science and Medicine, Vol. 12, Article e001403 (Article in journal) Continue to DOI
Cecilia Fugmann, Sarah Reid, Pascal Pucholt, Marika Kvarnstrom, Albin Bjork, Johannes Mofors, Christopher Sjöwall, Per Eriksson, Peter Olsson, Thomas Mandl, Helena Forsblad-d'Elia, Sara Magnusson Bucher, Svein Joar Johnsen, Katrine Braekke Norheim, Silke Appel, Daniel Hammenfors, Janicke Liaaen Jensen, Oyvind Palm, Roald Omdal, Roland Jonsson, Eva Baecklund, Marie Wahren-Herlenius, Dag Leonard, Juliana Imgenberg-Kreuz, Gunnel Nordmark (2025) A high polygenic risk score is associated with SSA/SSB antibody positivity and early onset in primary Sjögren's disease Rheumatology (Article in journal) Continue to DOI
Matteo Bianchi, Sergey V. Kozyrev, Antonella Notarnicola, Johanna K. Sandling, Mats Pettersson, Dag Leonard, Christopher Sjöwall, Iva Gunnarsson, Solbritt Rantapaa-Dahlqvist, Anders A. Bengtsson, Andreas Jonsen, Elisabet Svenungsson, Helena Enocsson, Marika Kvarnstrom, Helena Forsblad-d'Elia, Sara Magnusson Bucher, Katrine B. Norheim, Eva Baecklund, Roland Jonsson, Daniel Hammenfors, Per Eriksson, Thomas Mandl, Roald Omdal, Leonid Padyukov, Helena Andersson, Oyvind Molberg, Louise Pyndt Diederichsen, Ann-Christine Syvanen, Marie Wahren-Herlenius, Gunnel Nordmark, Ingrid E. Lundberg, Lars Ronnblom, Kerstin Lindblad-Toh (2025) Unraveling the Genetics of Shared Clinical and Serological Manifestations in Patients With Systemic Inflammatory Autoimmune Diseases Arthritis & Rheumatology, Vol. 77, p. 212-225 (Article in journal) Continue to DOI

Publications in PubMed and ORCiD

About me

CV

Christopher Sjöwall, associate Professor.Christopher Sjöwall, Senior Associate Professor. Photo credit Ulrik Svedin

Program teaching

  • Medical programme
  • Biomedical Laboratory Science Programme
  • Doctoral studies

Network

  • Member of the Swedish SLE network (since 2010)
  • Chairman of Working group that compose Guidelines for the medical treatment of SLE with an annual update on behalf of the Swedish Society for Rheumatology (since 2018)
  • Member of Employment board, Medical Faculty LiU (since 2021)

Organisation

Department of Biomedical and Clinical Sciences (BKV)

What characterizes the Department of Biomedical and Clinical Sciences (BKV) is the wide breadth of research and education. BKV is one of the largest departments at LiU with affiliation mainly to the Faculty of Medicine and Health Sciences.
Teaser image for the division II at BKV.

Division of Inflammation and Infection (II)

The Division of Inflammation and Infection (II) includes clinical subject areas such as Immunology, Rheumatology, Pathology and Microbiology.

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