scholarly journals The Diagnostic Role of Anti-Human Salivary Gland Protein-1 (anti-SP1) in the Early Detection of Primary Sjogren’s Syndrome in Some Iraqi Patients

2021 ◽  
Author(s):  
Ping Li ◽  
Yi Jin ◽  
Rui Zhao ◽  
Zhonghui Xue ◽  
Juan Ji

Abstract Primary Sjögren's syndrome (pSS) is a chronic inflammatory autoimmune disease of exocrine gland. In pSS, permanent activation of the adaptive immune system is obvious. Lymphocyte co-stimulation plays an important part in inflammation and immunotherapy. Co-stimulator ligands (B7-H2) are significant costimulatory molecules. The interaction of B7-H2, with its sole receptor ICOS, promotes T cell differentiation, effector responses and activation. Our study found that B7-H2 is up-regulated in salivary gland, saliva and serum of pSS patients. B7-H2 expression in saliva have negatively correlated with saliva weight. Overexpression of B7-H2 into human salivary gland epithelial (HSGE) cells, increased the activity of p65 (phosphorylated at S536) and decreased the expression of AQP5. Furthermore, up-regulated B7-H2 induced apoptosis and inhibited proliferation in HSGE cell lines. These results suggest the expression of B7-H2 can decrease the secretion of saliva, increase the quantity of dental caries and reduce lifespan of patients of pSS.


2021 ◽  
Vol 10 (6) ◽  
pp. 1171
Author(s):  
Valeria Manfrè ◽  
Ivan Giovannini ◽  
Sara Zandonella Callegher ◽  
Michele Lorenzon ◽  
Enrico Pegolo ◽  
...  

Primary Sjögren’s syndrome (pSS) is a chronic and heterogeneous disorder characterized by a wide spectrum of glandular and extra-glandular features. The hallmark of pSS is considered to be the immune-mediated involvement of the exocrine glands and B-cell hyperactivation. This leads pSS patients to an increased risk of developing lymphoproliferative diseases, and persistent (>2 months) major salivary gland enlargement is a well-known clinical sign of possible involvement by B cell lymphoma. Better stratification of the patients may improve understanding of the mechanism underlying the risk of lymphoproliferative disorder. Here, we summarize the role of different imaging techniques and a bioptic approach in pSS patients, focusing mainly on the role of salivary gland ultrasonography (SGUS) and a US-guided core needle biopsy (Us-guided CNB) as diagnostic and prognostic tools in pSS patients with persistent parotid swelling.


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