Autoinflammatory & rare systemic diseases

Association of Th2-like inflammation with Tfh/Tph–germinal center immune programmes in submandibular gland lesions of IgG4-related disease

Rheumatology (Oxford)Published Mechanistic study

Authors' conclusion

Lesional Th2-like inflammation in IgG4-RD was closely associated with chronic Tfh/Tph-germinal center immune programmes linked to plasmablast and M2/FAM macrophage responses. No clear association with available systemic allergy-related parameters was observed in this cohort.

Study context

Population
Submandibular gland lesions of igG4-related disease (IgG4-RD)
Participants
49 submandibular gland lesions
Comparison
Th2-high vs Th2-low lesions
Outcome
Correlations of Th2 module scores with immune/stromal programmes
Methodological detailsbulk RNA-seq, module score analysis, Spearman correlation analysis
  • Bulk RNA-seq
  • Module score analysis
  • Spearman correlation analysis

Main finding

As reported in the abstract

  • Th2 module scores strongly associated with Tfh, Tfh/Tph and Tph helper T cell programmes
  • Th2 module scores strongly associated with B cell, GC_B and plasma cell signatures
  • Th2 module scores positively correlated with M2 macrophage and fibrosis-associated macrophage (FAM) programmes
  • Th2-high lesions: increased expression of chronic helper T cell-related genes (PDCD1, TOX, MAF) and plasmablast-associated genes (JCHAIN, MZB1, PRDM1)

Further findings

Serum IgG4 and IgE levels

Did not significantly differ between Th2-high and Th2-low groups

Original publication

Association of Th2-like inflammation with Tfh/Tph–germinal center immune programmes in submandibular gland lesions of IgG4-related disease. Rheumatology (Oxford). Published 31 July 2026. doi:10.1093/rheumatology/keag394

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