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干燥综合征患者唾液腺上皮中的基因表达改变与临床和组织病理学表现相关。

Gene expression alterations in salivary gland epithelia of Sjögren's syndrome patients are associated with clinical and histopathological manifestations.

机构信息

Department of Translational Dental Medicine, Boston University School of Dental Medicine, Boston, USA.

Department of Medicine, Boston University School of Medicine, Boston, USA.

出版信息

Sci Rep. 2021 May 27;11(1):11154. doi: 10.1038/s41598-021-90569-w.

Abstract

Sjögren's syndrome (SS) is a complex autoimmune disease associated with lymphocytic infiltration and secretory dysfunction of salivary and lacrimal glands. Although the etiology of SS remains unclear, evidence suggests that epithelial damage of the glands elicits immune and fibrotic responses in SS. To define molecular changes underlying epithelial tissue damage in SS, we laser capture microdissected (LCM) labial salivary gland epithelia from 8 SS and 8 non-SS controls for analysis by RNA sequencing (RNAseq). Computational interrogation of gene expression signatures revealed that, in addition to a division of SS and non-SS samples, there was a potential intermediate state overlapping clustering of SS and non-SS samples. Differential expression analysis uncovered signaling events likely associated with distinct SS pathogenesis. Notable signals included the enrichment of IFN-γ and JAK/STAT-regulated genes, and the induction of genes encoding secreted factors, such as LTF, BMP3, and MMP7, implicated in immune responses, matrix remodeling and tissue destruction. Identification of gene expression signatures of salivary epithelia associated with mixed clinical and histopathological characteristics suggests that SS pathology may be defined by distinct molecular subtypes. We conclude that gene expression changes arising in the damaged salivary epithelia may offer novel insights into the signals contributing to SS development and progression.

摘要

干燥综合征(SS)是一种复杂的自身免疫性疾病,与淋巴细胞浸润和唾液腺及泪腺的分泌功能障碍有关。尽管 SS 的病因仍不清楚,但有证据表明腺体的上皮损伤会引发 SS 的免疫和纤维化反应。为了确定 SS 中上皮组织损伤的分子变化,我们通过 RNA 测序(RNAseq)对 8 例 SS 和 8 例非 SS 对照的唇腺上皮进行了激光捕获显微解剖(LCM)。对基因表达特征的计算分析表明,除了 SS 和非 SS 样本的划分外,还有一个潜在的中间状态,SS 和非 SS 样本的聚类重叠。差异表达分析揭示了可能与不同 SS 发病机制相关的信号事件。值得注意的信号包括 IFN-γ 和 JAK/STAT 调节基因的富集,以及编码分泌因子的基因的诱导,如 LTF、BMP3 和 MMP7,这些因子参与免疫反应、基质重塑和组织破坏。与混合临床和组织病理学特征相关的唾液腺上皮基因表达特征的鉴定表明,SS 病理学可能由不同的分子亚型定义。我们得出结论,受损唾液腺上皮中出现的基因表达变化可能为 SS 发展和进展的信号提供新的见解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/508b/8159963/ae3bce937873/41598_2021_90569_Fig1_HTML.jpg

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