2011
DOI: 10.1155/2011/407031
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Dysfunction of Lacrimal and Salivary Glands in Sjögren′s Syndrome: Nonimmunologic Injury in Preinflammatory Phase and Mouse Model

Abstract: Sjögren's syndrome (SjS) is a chronic autoimmune disorder characterized by dry eyes and dry mouth due to dacryoadenitis and sialoadenitis with SS-A/Ro and/or SS-B/La autoantibodies in genetically predisposed individuals. Destruction of lacrimal and salivary glands by autoimmune reactions may lead to clinical manifestation. However, the mechanisms behind the decreased volume of secretions in tears and saliva are complex and are not fully understood. Exocrine gland dysfunction may precede autoimmunity (acquired … Show more

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Cited by 59 publications
(49 citation statements)
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References 120 publications
(156 reference statements)
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“…[29][30][31][32] Some of the proinflammatory mediators increased during dry eye disease include matrix metalloproteinases (MMPs), cytokines, elastases, and other proteolytic enzymes that destroy components of the ECM and damage the growth factors and their receptors, which are essential for tissue repair and cell differentiation. 22,23,33 Matrix metalloproteinases belong to a family of zinc-requiring neutral endopeptidases that are involved in remodeling of ECM and basement membrane during various physiological and pathological processes. 34 Matrix metalloproteinases are tightly regulated by tissue inhibitors of metalloproteinases (TIMPs), and disturbances in the delicate balance between MMPs and TIMPs lead to tissue destruction in various inflammatory and malignant diseases.…”
mentioning
confidence: 99%
“…[29][30][31][32] Some of the proinflammatory mediators increased during dry eye disease include matrix metalloproteinases (MMPs), cytokines, elastases, and other proteolytic enzymes that destroy components of the ECM and damage the growth factors and their receptors, which are essential for tissue repair and cell differentiation. 22,23,33 Matrix metalloproteinases belong to a family of zinc-requiring neutral endopeptidases that are involved in remodeling of ECM and basement membrane during various physiological and pathological processes. 34 Matrix metalloproteinases are tightly regulated by tissue inhibitors of metalloproteinases (TIMPs), and disturbances in the delicate balance between MMPs and TIMPs lead to tissue destruction in various inflammatory and malignant diseases.…”
mentioning
confidence: 99%
“…24 Changes in the components of TJ proteins ZO-1 and occludins could be involved in LG pathogenesis in SjS or aging. 13,26,27 In addition, E-cadherin (a component of adherens junction) is very important for LG epithelial integrity and epithelial differentiation. 28 Even slight downregulation of E-cadherin expression may mediate EMT in the LG.…”
mentioning
confidence: 99%
“…Thus, it has been reported that cytokine homeostasis is disrupted in the plasma of SS patients with significantly increased concentration of pro-inflammatory cytokines, such as interleukin-1β (IL-1β) and tumor necrosis factor-α (TNF-α) (Szodoray et al, 2004). Moreover, increased expression of IL-1β, TNF-α, IFN-γ, and the anti-inflammatory cytokine IL-10 was also reported in lacrimal and submandibular glands of NOD mice (Hayashi, 2011). Furthermore, IL-10 produced by activated T cells, B cells and monocytes/macrophages has been identified as a critical cytokine, whose overproduction has been implicated in promoting the development of autoimmune lacrimal gland disease either directly or by suppression of Th1 responses (Jabs et al, 2001; Fiorentino et al, 1989; Moore et al, 1993).…”
Section: Introductionmentioning
confidence: 94%