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Tissue-Specific Expansion of Age-Associated B Cells via IFN-γ and IL-21 Within Salivary Glands in Sjögren Disease - PubMed

3 hours ago
  • #Autoimmunity
  • #Age-associated B cells
  • #Sjögren disease
  • Sjögren disease (SjD) is an autoimmune disorder affecting exocrine glands, with age as a significant risk factor.
  • Age-associated B cells (ABCs) increase with age and are implicated in autoimmune responses, particularly in SjD.
  • Study examined labial salivary glands (LSGs) from 44 SjD patients and 11 non-SjD controls, finding T-bet+ CD20+ ABCs infiltrating SjD patients' glands, especially in those aged 40s-60s.
  • In a SjD mouse model, ABCs (CD11b+ CD95+ CD19+) accumulated locally in salivary glands (SGs) earlier than in controls, remaining low in cervical lymph nodes (cLNs).
  • IL-21 and IFN-γ were identified as key factors in ABC differentiation, with IL-21 from CD4+ T cells and autocrine IFN-γ from ABCs promoting their expansion.
  • CD4+ T cells, particularly follicular helper T (Tfh)-like cells, were a major source of IL-21 in SGs of mature-adult SjD mice.
  • ABCs showed elevated IFN-γ expression compared to other immune cells, suggesting an autocrine mechanism driving their expansion.
  • Findings suggest localized ABC expansion in SGs contributes to autoimmune tissue damage in SjD, offering potential therapeutic targets.
  • Study provides insights into how aging-associated immune changes may drive SjD development and progression.