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Sjögren's Syndrome Minor Salivary Gland CD4 + Memory T Cells Associate with Glandular Disease Features and have a Germinal Center T Follicular Helper Transcriptional Profile
Ist Teil von
Journal of clinical medicine, 2020-07, Vol.9 (7), p.2164
Ort / Verlag
Switzerland: MDPI AG
Erscheinungsjahr
2020
Link zum Volltext
Quelle
EZB Electronic Journals Library
Beschreibungen/Notizen
To assess the types of salivary gland (SG) T cells contributing to Sjögren's syndrome (SS), we evaluated SG T cell subtypes for association with disease features and compared the SG CD4
memory T cell transcriptomes of subjects with either primary SS (pSS) or non-SS sicca (nSS). SG biopsies were evaluated for proportions and absolute numbers of CD4
and CD8
T cells. SG memory CD4
T cells were evaluated for gene expression by microarray. Differentially-expressed genes were identified, and gene set enrichment and pathways analyses were performed. CD4
CD45RA
T cells were increased in pSS compared to nSS subjects (33.2% vs. 22.2%,
< 0.0001), while CD8
CD45RA
T cells were decreased (38.5% vs. 46.0%,
= 0.0014). SG fibrosis positively correlated with numbers of memory T cells. Proportions of SG CD4
CD45RA
T cells correlated with focus score (r = 0.43,
< 0.0001), corneal damage (r = 0.43,
< 0.0001), and serum Ro antibodies (r = 0.40,
< 0.0001). Differentially-expressed genes in CD4
CD45RA
cells indicated a T follicular helper (Tfh) profile, increased homing and increased cellular interactions. Predicted upstream drivers of the Tfh signature included TCR, TNF, TGF-β1, IL-4, and IL-21. In conclusion, the proportions and numbers of SG memory CD4
T cells associate with key SS features, consistent with a central role in disease pathogenesis.