PMID- 11326474 OWN - NLM STAT- MEDLINE DCOM- 20010906 LR - 20170112 IS - 0392-856X (Print) IS - 0392-856X (Linking) VI - 19 IP - 2 DP - 2001 Mar-Apr TI - Tumor necrosis factor-alpha and receptors for it in labial salivary glands in Sjogren's syndrome. PG - 131-7 AB - OBJECTIVE: Modulation of TNF-alpha by neutralizing antibodies, soluble receptors and TNFR: Fc fusion proteins are being developed for the therapeutic modulation of immune inflammation. It is becoming increasingly important to understand the state and involvement of the TNF-alpha/TNFR system in various rheumatic diseases. Tumor necrosis factor-alpha (TNF-alpha) affects its target cells through binding to two different receptors, TNFR-p55 and TNFR-p75. Mitogenic, cytostatic and cytotoxic effects of TNF-alpha on various cells have been reported. In Sjogren's syndrome (SS) focal sialadenitis leads to salivary gland destruction and loss of function. Although TNF-alpha is one possible mediator in these processes, nothing is known about the spatial distribution of TNF-alpha in relation to its receptors/target cells in salivary gland tissue. METHODS: Labial salivary glands (LSG) were obtained from 16 SS patients and 13 healthy controls and stained using the immunohistochemical peroxidase-anti-peroxidase (PAP) method for TNF-alpha, TNFR-p55 and TNFR-p75. RESULTS: TNF-alpha, TNFR-p55 and TNFR-p75 staining was absent, weak or relatively inextensive in controls compared to SS patients. Infiltrating mononuclear inflammatory cells in SS patients displayed moderate to strong TNF-alpha and TNFR expression. In addition, resident vascular endothelial cells, ductal epithelial cells and fibroblasts co-expressed TNF-alpha and TNFR. In contrast, acinar end piece cells did not express TNF-alpha or TNFR-p75 although TNFR-p55 was expressed. CONCLUSION: The interrelated localization of TNF receptors and their ligand TNF-alpha in inflammatory and in endothelial cells suggests a proinflammatory role of TNF-alpha in SS. The expression of TNF-alpha and its receptors in fibroblasts and ductal cells may contribute to ductal hyperplasia and glandular fibrosis. However, in contrast to expectations, the cellular localization of the TNF-alpha/TNRF system argues against its role in acinar cell atrophy. FAU - Koski, H AU - Koski H AD - Institute of Biomedicine, Department of Anatomy, University of Helsinki, Finland. hannele.koski@helsinki.fi FAU - Janin, A AU - Janin A FAU - Humphreys-Beher, M G AU - Humphreys-Beher MG FAU - Sorsa, T AU - Sorsa T FAU - Malmstrom, M AU - Malmstrom M FAU - Konttinen, Y T AU - Konttinen YT LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - Italy TA - Clin Exp Rheumatol JT - Clinical and experimental rheumatology JID - 8308521 RN - 0 (Antigens, CD) RN - 0 (Receptors, Tumor Necrosis Factor) RN - 0 (Receptors, Tumor Necrosis Factor, Type II) RN - 0 (Tumor Necrosis Factor-alpha) SB - IM MH - Antigens, CD/*analysis/immunology MH - Apoptosis/immunology MH - Atrophy MH - Biopsy MH - Humans MH - Immunoenzyme Techniques MH - Receptors, Tumor Necrosis Factor/*analysis/immunology MH - Receptors, Tumor Necrosis Factor, Type II MH - Salivary Glands/*chemistry/immunology/pathology MH - Sjogren's Syndrome/*immunology/pathology MH - Tumor Necrosis Factor-alpha/*analysis/immunology EDAT- 2001/05/01 10:00 MHDA- 2001/09/08 10:01 CRDT- 2001/05/01 10:00 PHST- 2001/05/01 10:00 [pubmed] PHST- 2001/09/08 10:01 [medline] PHST- 2001/05/01 10:00 [entrez] PST - ppublish SO - Clin Exp Rheumatol. 2001 Mar-Apr;19(2):131-7.