Objectives: A correlation between vitamin D deficiency and primary Sjögren's Syndrome (pSS) has already been described. The limited data have been reported regarding the pathological relevance of vitamin D in primary Sjögren's syndrome. In this study, the peripheral blood mononuclear cells were cocultured with 1,25-dihydroxyvitaminD3 to determine the modulatory effect of vitamin D3 on T and B lymphocyte phenotypes in pSS.Method: Venous blood samples were collected from 11 in treatment phase and 9 drug-naive pSS patients. Peripheral blood mononuclear cells (PBMC) were isolated and separately cultured in the presence and absence of 1,25-dihydroxyvitaminD3 (10mM) for 5 days of culture period. Lymphocyte proliferation was analyzed for CFSE signaling via flow cytometry. CD3+CD4+ cells were analyzed for intracellular IFN- and IL-17 expressions. CD19+IgD cells were analyzed for CD38 and CD27 expressions to evaluate naïve and memory B cell subsets. Culture supernatants were analyzed for the IFN-, IL-17 and IL-10 cytokine secretions via flow cytometry.Results: 1,25-dihydroxyvitaminD3 significantly decreased Th lymphocyte proliferative responses in drug-naïve (p<0.005) and treated pSS patients (p<0.05), and B lymphocyte proliferation in drug-naïve pSS PBMC cultures (p<0.01) compared to mononuclear cell cultures alone. 1,25-dihydroxyvitamin D3 significantly decreased IFN- and IL-17 secreting Th cells in both drug naïve (p<0.005 and p<0.01, respectively) and treated subjects (p<0.05 and p<0.05, respectively) by increasing FoxP3 expressing CD4+CD25+ Treg cell frequency. Plasma B lymphocytes significantly reduced in the presence of 1,25-dihydroxyvitaminD3 in drug naïve pSS (p<0.001) and treated patients (p<0.05) mononuclear cell cultures compared to PBMC cultures alone. Total memory B cell subsets significantly increased with 1,25-dihydroxyvitaminD3 in drug naïve pSS when compared with PBMC cultures alone (p<0.005). IFN- and IL-17 cytokine levels in culture supernatants significantly reduced (p<0.05 and p<0.01, respectively) in drug naïve pSS patients' PBMC cultures with 1,25-dihydroxyvitaminD3, and IL-10 levels significantly enhanced in both drug-naïve (p<0.01) and treated pSS patients' PBMC cultures (p<0.01) in the presence of 1,25-dihydroxyvitaminD3.
Conclusion:In conclusion, 1,25-dihydroxyvitaminD3 regulated immune responses in both treated and drug-naïve pSS patients, but have a more pronounced modulatory effect on mononuclear cell responses in drug-naive pSS patients.