Sjögren's disease & overlap diseases

Possible role for IL-40 and IL-40-producing cells in the lymphocytic infiltrated salivary glands of patients with primary Sjögren’s syndrome

RMD OpenPublished Mechanistic study

Authors' conclusion

Our results suggest that IL-40 may play a role in pSS pathogenesis and pSS-associated lymphomas.

Study context

Population
Patients with primary Sjögren syndrome (pSS) and controls; Minor salivary gland (MSG) biopsies, and parotid gland biopsies from pSS-associated lymphoma
Participants
29 vs 24
Comparison
pSS vs controls
  • pSSn = 29
  • Controlsn = 24reference
Outcome
IL-40 expression in pSS and pSS-associated lymphomas
Methodological detailscase-control
  • Case-control

Main finding

As reported in the abstract

  • IL-40 significantly increased in lymphocytic infiltrated MSG of pSS; correlated with focus score and with IL-4 and TGF-β expression
  • Serum IL-40 increased in pSS; levels correlated with ESSDAI score
  • B cells the major source of IL-40 at tissue and peripheral level
  • Peripheral blood mononuclear cells (PBMCs) from pSS exposed to rIL-40 in vitro released IFN-γ (B cells, T-CD8+) and TNF-α and IL-17 (T-CD4+ and T-CD8+)
  • IL-40 expression increased in parotid glands of pSS-associated lymphomas
  • IL-40-driven NETosis evidenced in neutrophils from pSS

Original publication

Possible role for IL-40 and IL-40-producing cells in the lymphocytic infiltrated salivary glands of patients with primary Sjögren’s syndrome. RMD Open. Published 3 May 2023. doi:10.1136/rmdopen-2022-002738

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