Deshmukh Umesh S, Nandula Seshagiri Rao, Thimmalapura Pushpa-Rekha, Scindia Yogesh M, Bagavant Harini
Division of Rheumatology, Center for Immunity, Inflammation and Regenerative Medicine, University of Virginia, Charlottesville, VA 22908, USA.
J Oral Pathol Med. 2009 Jan;38(1):42-7. doi: 10.1111/j.1600-0714.2008.00700.x.
Recent studies have demonstrated the expression of Toll-like receptor 3 (TLR3) in salivary glands and epithelial cell lines derived from Sjögren's syndrome (SS) patients. As viral infections are considered to be a trigger for SS, in this study we investigated whether in vivo engagement of TLR3 affects salivary gland function.
Female New Zealand Black/WF1 mice were repeatedly injected with polyinosinic:polycytidylic acid [poly(I:C)]. TLR3 expression within submandibular glands was studied using immunohistochemistry. RNA levels of inflammatory cytokines in the submandibular glands were determined by real time polymerase chain reaction. Pilocarpine induced saliva volume was used as an index of glandular function.
Immunohistochemical analysis of submandibular glands showed TLR3 expression in epithelium of serous and mucous acini, granular convoluted tubules, and ducts. Poly(I:C) treatment rapidly up-regulated the mRNA levels of type I interferon (IFN) and inflammatory cytokines in the submandibular glands. One week after treatment, the saliva volumes in poly(I:C) treated mice were significantly reduced in comparison with the phosphate-buffered saline (PBS) treated mice. Hematoxylin and eosin staining showed that salivary gland histology was normal and lymphocytic foci were not detected. Glandular function recovered after poly(I:C) treatment was stopped.
Our results demonstrate that engagement of TLR3 within the salivary glands results in a rapid loss of glandular function. This phenomenon is associated with the production of type I IFN and inflammatory cytokines in the salivary glands. Restoration of glandular function suggests that for viral etiology of SS, a chronic infection of salivary glands might be necessary.
最近的研究表明,Toll样受体3(TLR3)在干燥综合征(SS)患者的唾液腺和上皮细胞系中表达。由于病毒感染被认为是SS的触发因素,在本研究中,我们调查了TLR3的体内激活是否会影响唾液腺功能。
对雌性新西兰黑/ WF1小鼠反复注射聚肌苷酸:聚胞苷酸[poly(I:C)]。使用免疫组织化学研究下颌下腺内的TLR3表达。通过实时聚合酶链反应测定下颌下腺中炎性细胞因子的RNA水平。毛果芸香碱诱导的唾液分泌量用作腺体功能的指标。
下颌下腺的免疫组织化学分析显示,浆液性腺泡、黏液性腺泡、颗粒曲管和导管的上皮中存在TLR3表达。聚(I:C)处理迅速上调了下颌下腺中I型干扰素(IFN)和炎性细胞因子的mRNA水平。处理一周后,与磷酸盐缓冲盐水(PBS)处理的小鼠相比,聚(I:C)处理的小鼠的唾液分泌量显著降低。苏木精和伊红染色显示唾液腺组织学正常,未检测到淋巴细胞灶。停止聚(I:C)处理后,腺体功能恢复。
我们的结果表明,唾液腺内TLR3的激活导致腺体功能迅速丧失。这种现象与唾液腺中I型IFN和炎性细胞因子的产生有关。腺体功能的恢复表明,对于SS的病毒病因,唾液腺的慢性感染可能是必要的。