Sjögren's disease & overlap diseases

Deciphering the role of conventional dendritic cells (cDC2s) in Sjögren's syndrome: transcriptomic profile links altered antigen processes with interferon (IFN) signature and autoimmunity

Ann Rheum DisPublished Mechanistic study

Authors' conclusion

pSS cDC2s are transcriptionally altered, and the aberrant antigen uptake and processing, including (auto-)antigens, together with increased proliferation of tissue-homing CD4+ T cells, suggest altered antigen presentation by pSS cDC2s. These functional alterations were strongly linked to anti-SSA positivity and the presence of type I IFNs.

Study context

Population
Patients with pSS, patients with non-Sjögren's sicca and healthy controls (HCs); circulating cDC2s
Comparison
Circulating cDC2s from patients with pSS vs non-Sjögren's sicca vs healthy controls
Methodological detailsRNA sequencing, phenotypical and functional validation in independent cohorts
  • RNA sequencing
  • Phenotypical and functional validation in independent cohorts

Main finding

As reported in the abstract

  • pSS cDC2 transcriptome: alterations in type I IFN, toll-like receptor (TLR), antigen processing and presentation pathways
  • Increased CX3CR1 expression and decreased integrin beta-2 and plexin-B2 on pSS cDC2s
  • Impaired antigen degradation and increased antigen uptake (incl. self-antigens from salivary gland epithelial cells) by pSS cDC2s
  • Changes in antigen uptake and degradation linked to anti-SSA/Ro autoantibodies and presence of type I IFNs
  • In vitro IFN-α priming enhanced antigen uptake by HC cDC2s, reflecting the pSS cDC2 profile
  • pSS vs HC cDC2s increased proliferation and CXCR3 and CXCR5 expression on proliferating CD4+ T cells

Original publication

Deciphering the role of cDC2s in Sjögren's syndrome: transcriptomic profile links altered antigen processes with IFN signature and autoimmunity. Ann Rheum Dis. Published 28 September 2022. doi:10.1136/ard-2022-222728

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