Sjögren's disease & overlap diseases

TOX promotes follicular helper T cell differentiation in patients with primary Sjögren’s syndrome

Rheumatology (Oxford)Published Mechanistic study

Authors' conclusion

Our data suggest that TOX in pSS naive CD4+ T cells is upregulated, which facilitates Tfh cell differentiation. Mechanistically, IFN-α induces TOX overexpression in naive CD4+ T cells through JAK-STAT1 signalling and TOX regulates BCL6 expression.

Study context

Population
Patients with pSS and healthy controls
Comparison
Naive CD4+ T cells from pSS patients vs healthy controls
Methodological detailsRNA sequencing, ATAC-seq, ChIP-seq
  • RNA sequencing
  • ATAC-seq
  • ChIP-seq

Main finding

As reported in the abstract

  • pSS naive CD4+ T cells had higher potentials of activation, proliferation and differentiation towards Tfh cells
  • TOX upregulated in pSS naive CD4+ T cells; promoted T cell activation and Tfh cell polarization
  • TOX silencing in pSS naive CD4+ T cells downregulated BCL6 expression and altered multiple Tfh-associated genes
  • ChIP-seq implied TOX bound to the BCL6 locus, at accessible regions found by ATAC-seq
  • IFN-α induced TOX overexpression, attenuated by Janus kinase (JAK) and STAT1 inhibitors

Original publication

TOX promotes follicular helper T cell differentiation in patients with primary Sjögren’s syndrome. Rheumatology (Oxford). Published 17 June 2022. doi:10.1093/rheumatology/keac304

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