PMID- 19332626 OWN - NLM STAT- MEDLINE DCOM- 20090619 LR - 20221207 IS - 0315-162X (Print) IS - 0315-162X (Linking) VI - 36 IP - 5 DP - 2009 May TI - Autoantibody and biopsy grading are associated with expression of ICAM-1, MMP-3, and TRAIL in salivary gland mononuclear cells of Chinese patients with Sjogren's syndrome. PG - 989-96 LID - 10.3899/jrheum.080733 [doi] AB - OBJECTIVE: Sjogren's syndrome (SS) is an inflammatory autoimmune disease. We investigated important factors associated with the expression of inflammation-related molecules in minor salivary gland (MSG) mononuclear cells in patients with SS. METHODS: Thirty-four patients with SS with a MSG biopsy grading of either grade III (10 patients) or grade IV (24 patients) were enrolled. The age, sex, autoantibodies, cell infiltration, and intercellular adhesion molecule-1 (ICAM-1), matrix metalloproteinase-3 (MMP-3), tumor necrosis factor-related apoptosis-inducing ligand (TRAIL), or CXCR3 expression were also analyzed. RESULTS: Ten of the 34 patients with SS were diagnosed with secondary SS; in these patients, the diagnosis of rheumatoid arthritis was confirmed in 8 and systemic lupus erythematosus in 2. TRAIL and ICAM-1 were overexpressed in patients with antinuclear antibodies (ANA) > 1:160, compared to those with titer < 1:160 (45.1 +/- 4.4 vs 41.2 +/- 3.9, p = 0.021, and 15.2 +/- 5.7 vs 10.8 +/- 3.3, p = 0.018, respectively). Higher erythrocyte sedimentation rate (ESR; >OR= 20) was associated with higher TRAIL expression and CD20 cell infiltration in contrast to lower ESR (< 20; p < 0.05). ICAM-1, TRAIL, and MMP-3 were expressed more predominantly in anti-SSA-positive than in anti-SSA-negative patients with SS. There was a significant difference in CD20 cell infiltration and MMP-3 expression between primary SS and secondary SS. Biopsy of a grade IV showed a significantly increased expression of TRAIL (44.9 +/- 4.5 vs 40.8 +/- 3.6, p = 0.013) and MMP-3 (62.7 +/- 6.3 vs 54.4 +/- 7.3, p = 0.003) in mononuclear cells as compared to those of grade III. CONCLUSION: In our study, pathologic grading with a higher grade (grade IV) and the presence of SSA or a higher titer of ANA were significantly associated with the overexpression of TRAIL, MMP-3, or ICAM-1 in the salivary gland mononuclear cells in patients with SS. FAU - Chen, Wei-Sheng AU - Chen WS AD - Department of Medicine, Division of Allergy, Immunology and Rheumatology, Taipei Veterans General Hospital and National Yang-Ming University School of Medicine, Beitou District, Taipei, Taiwan. FAU - Lin, Kuan-Chia AU - Lin KC FAU - Chen, Chun-Hsiung AU - Chen CH FAU - Liao, Hsien-Tzung AU - Liao HT FAU - Wang, Hon-Pin AU - Wang HP FAU - Li, Wing-Yin AU - Li WY FAU - Lee, Hui-Ting AU - Lee HT FAU - Tsai, Chang-Youh AU - Tsai CY FAU - Chou, Chung-Tei AU - Chou CT LA - eng PT - Journal Article DEP - 20090330 PL - Canada TA - J Rheumatol JT - The Journal of rheumatology JID - 7501984 RN - 0 (Antibodies, Antinuclear) RN - 0 (Biomarkers) RN - 0 (TNF-Related Apoptosis-Inducing Ligand) RN - 0 (TNFSF10 protein, human) RN - 126547-89-5 (Intercellular Adhesion Molecule-1) RN - EC 3.4.24.17 (Matrix Metalloproteinase 3) SB - IM EIN - J Rheumatol. 2009 Jun;36(6):1351 MH - Adult MH - Aged MH - Aged, 80 and over MH - Antibodies, Antinuclear/*blood MH - Asian People MH - Biomarkers/metabolism MH - Epithelial Cells/*metabolism/pathology MH - Female MH - Fluorescent Antibody Technique, Indirect MH - Humans MH - Immunoenzyme Techniques MH - Intercellular Adhesion Molecule-1/*metabolism MH - Male MH - Matrix Metalloproteinase 3/*metabolism MH - Middle Aged MH - Salivary Glands, Minor/immunology/*metabolism/pathology MH - Sjogren's Syndrome/immunology/*metabolism/pathology MH - TNF-Related Apoptosis-Inducing Ligand/*metabolism MH - Taiwan MH - Young Adult EDAT- 2009/04/01 09:00 MHDA- 2009/06/20 09:00 CRDT- 2009/04/01 09:00 PHST- 2009/04/01 09:00 [entrez] PHST- 2009/04/01 09:00 [pubmed] PHST- 2009/06/20 09:00 [medline] AID - jrheum.080733 [pii] AID - 10.3899/jrheum.080733 [doi] PST - ppublish SO - J Rheumatol. 2009 May;36(5):989-96. doi: 10.3899/jrheum.080733. Epub 2009 Mar 30.