Sjögren's disease & overlap diseases

GZMK+CD8+ T cells target a specific acinar cell type in Sjögren's disease

Ann Rheum DisPublished Mechanistic study

Authors' conclusion

Using single-cell and spatial transcriptomics and proteomics, this study identifies a selective loss of PRR4⁺CST3⁺WFDC2⁻ seromucous acinar cells and a rise in GZMK⁺CD8⁺ T cells in Sjögren's disease, revealing distinct immune-mediated epithelial remodeling and interferon-driven dysfunction across diverse clinical presentations.

Study context

Population
Human minor salivary glands from sjögren's disease (SjD) patients and non-SjD individuals
Comparison
SjD vs non-SjD minor salivary glands
Methodological detailssingle-cell and spatial transcriptomics, spatial immunophenotyping, autologous T cell–epithelial cell co-cultures
  • Single-cell and spatial transcriptomics
  • Spatial immunophenotyping
  • Autologous T cell–epithelial cell co-cultures

Main finding

As reported in the abstract

  • PRR4⁺CST3⁺WFDC2⁻ seromucous acinar population selectively lost in SjD
  • T cells in glands of SSA⁺, high-focus score patients: increased signatures of activation, antigen presentation and apoptosis resistance vs mild or moderate disease
  • Patients with low immune infiltration exhibited distinct epithelial organization
  • GZMK⁺CD8⁺ T cells accumulate with disease severity, show cytotoxic transcriptional program, degranulate upon ex vivo stimulation, and localize with immune-engaged epithelial cells
  • GZMK activates interferon signaling in vitro, validated in autologous co-cultures of patient-derived T cells and epithelial cells

Original publication

GZMK+CD8+ T cells target a specific acinar cell type in Sjögren's disease. Ann Rheum Dis. Published 28 October 2025. doi:10.1016/j.ard.2025.08.014

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