2021
DOI: 10.1038/s41522-021-00192-w
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Salivary dysbiosis in Sjögren’s syndrome and a commensal-mediated immunomodulatory effect of salivary gland epithelial cells

Abstract: Salivary gland epithelial cells (SGECs) have been implicated in the pathogenesis of Sjögren’s syndrome due to aberrant antigen-presentation function. This study examined the hypothesis that oral dysbiosis modulates the antigen-presentation function of SGECs, which regulates CD4 T cell proliferation in primary Sjögren’s syndrome (pSS). Saliva samples from 8 pSS patients and 16 healthy subjects were analyzed for bacterial 16S ribosomal DNA. As a result, 39 differentially abundant taxa were identified. Among them… Show more

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Cited by 26 publications
(26 citation statements)
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“…In a healthy mouth, a balance between cariogenic bacteria and non-cariogenic commensal bacteria exists. Haemophilus is another common inhabitant of the oral cavity, including H. parainfluenzae , which appears to carry some beneficial immunomodulatory effects ( 49 ). Then again, H. influenzae is a well-known pathogen ( 50 ).…”
Section: Discussionmentioning
confidence: 99%
“…In a healthy mouth, a balance between cariogenic bacteria and non-cariogenic commensal bacteria exists. Haemophilus is another common inhabitant of the oral cavity, including H. parainfluenzae , which appears to carry some beneficial immunomodulatory effects ( 49 ). Then again, H. influenzae is a well-known pathogen ( 50 ).…”
Section: Discussionmentioning
confidence: 99%
“…H. parainfluenzae and P. batumici were the species displaying significant decrease (logarithmic LDA > 4) in the RA patients of groups AM and PD, respectively. H. parainfluenzae has been reported to act as an immunomodulatory commensal, which upregulates the expression of PD-L1 and is reduced in saliva microbiota of the patients with Sjögren’s syndrome, an autoimmune epithelitis [ 39 ]. P. batumici has been proven to secrete an antibiotic called batumin, which will inhibit aminoacyl tRNA synthetase and can blockade the fatty acid biosynthesis pathway on S. aureus [ 40 , 41 ].…”
Section: Discussionmentioning
confidence: 99%
“…Some studies observed that salivary gland epithelial cells (SGECs) were expressed with immune checkpoint molecules that may have a potential role in the immune response ( 47 ) and bacteria involvement may be an important reason for this phenomenon. H. parainfluenzae was considered to act as an immunomodulatory commensal bacterium in SS, as its reduction may result in decrease of the PD-L1 on SGECs, whose inhibitory control on the proliferation of CD4+T may be loosened according to the observation found in the pretreatment of A253 cells (from human submandibular gland squamous cell carcinoma) with H. parainfluenzae ( 29 ).…”
Section: From Correlation To Potential Causalitymentioning
confidence: 99%