ObjectivesThe purpose of present paper is to review and critically address the recent
advances on the aetiopathogenesis of the Sjögren’s syndrome, taking into
account the attained clinical features, with particular relevance given to
the oral involvement.Material and MethodsA comprehensive review of the available literature between 1970 and 2012,
regarding to the aetiopathogenesis and clinical findings related to
Sjögren’s syndrome was conducted. Eligible studies were identified by
searching the electronic literature PubMed, Medline, Embase, and
ScienceDirect databases for relevant reports (last search update January
2012), combining the MESH heading term "Sjögren’s syndrome", with
the words "salivary glands, xerostomia, xerophtalmia, aetiology".
The authors checked the references of the selected articles to identify
additional eligible publications and contacted the authors, if
necessary.ResultsThis article addresses a large number of the recent advances in the
aetiopathogenesis of the disease, taking into account the attained clinical
features of both local and systemic nature. Detailed mechanisms of the
hypothesized influence of viral infections, genetic and hormonal factors,
and the relevance of the altered glandular homeostasis are critically
discussed with particular relevance given to the local and systemic
involvement of Sjögren’s syndrome.ConclusionsThe increasing number of data published recently on the aetiophatogenesis of
Sjögren’s syndrome strengthens the hypothesis that this condition, as all
autoimmune diseases, is a multifactor disorder. Genetic predisposition,
hormonal and environmental factors are thought to be implicated.