CXCL13 as biomarker for histological involvement in Sjogren's syndrome

被引:35
作者
Colafrancesco, Serena [1 ]
Priori, Roberta [1 ]
Smith, Charlotte G. [2 ]
Minniti, Antonina [1 ]
Iannizzotto, Valentina [2 ]
Pipi, Elena [2 ]
Lucchesi, Davide [3 ]
Pontarini, Elena [3 ]
Nayar, Saba [2 ]
Campos, Joana [2 ]
Arienzo, Francesca [1 ]
Fusconi, Massimo [4 ]
Cerbelli, Bruna [5 ]
Giordano, Carla [5 ]
Valesini, Guido [1 ]
Bombardieri, Michele [3 ]
Fisher, Benjamin A. [2 ,6 ]
Barone, Francesca [2 ,6 ]
机构
[1] Sapienza Univ, Dipartimento Med Interna & Special Med, Rheumatol Unit, Rome, Italy
[2] Univ Birmingham, Inst Inflammat & Ageing, Rheumatol Res Grp, Birmingham, W Midlands, England
[3] Queen Mary Univ London, Ctr Expt Med & Rheumatol, Barts & London Sch Med & Dent, William Harvey Res Inst, London, England
[4] Sapienza Univ Rome, Dept Sense Organs, Rome, Italy
[5] Sapienza Univ Rome, Dept Radiol Oncol & Pathol Sci, Rome, Italy
[6] Univ Hosp Birmingham NHS Fdn Trust, Birmingham Biomed Res Ctr, NIHR, Birmingham, W Midlands, England
基金
欧盟地平线“2020”; 英国医学研究理事会;
关键词
Sjogren's syndrome; biomarkers; histopathology; cytokines and inflammatory mediators; lymphocytes; ABATACEPT TREATMENT; LYMPHOMA; HISTOPATHOLOGY; INFLAMMATION; FEATURES;
D O I
10.1093/rheumatology/kez255
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Objectives. SS is an autoimmune condition characterized by systemic B-cell activation, autoantibody production and ectopic germinal centres' formation within the salivary gland (SG). The extent of SG infiltrate has been proposed as a biomarker of disease severity. Plasma levels of CXCL13 correlate with germinal centres' activity in animal models and disease severity in SS, suggesting its potential use as a surrogate serum marker to monitor local B-cell activation. The aim of this study was to evaluate the potential role of CXCL13 as a biomarker of SG pathology in two independent SS cohorts. Methods. 109 patients with SS were recruited at Sapienza University of Rome (Italy) (n = 60), or at Queen Elizabeth Hospital in Birmingham and Barts Health NHS Trust in London (n = 49). Both sera and matched minor SG biopsy were available. Sicca (n = 57) and healthy subjects' (n = 19) sera were used as control. Results. CXCL13 serum level was higher in SS patients compared with controls. Correlations between its serum levels and a series of histomorphological parameters, including size of the aggregates and the presence germinal centres', were observed. Conclusion. Our data foster the use of CXCL13 to monitor the extent of local pathology in SS and its validation in longitudinal clinical studies.
引用
收藏
页码:165 / 170
页数:6
相关论文
共 20 条
[1]   CXCL13, CCL21, and CXCL12 expression in salivary glands of patients with Sjogren's syndrome and MALT lymphoma: Association with reactive and malignant areas of lymphoid organization [J].
Barone, Francesca ;
Bombardieri, Michele ;
Rosado, Manuela Maria ;
Morgan, Peter Roger ;
Challacombe, Stephen J. ;
De Vita, Salvatore ;
Carsetti, Rita ;
Spencer, Jo ;
Valesini, Guido ;
Pitzalis, Costantino .
JOURNAL OF IMMUNOLOGY, 2008, 180 (07) :5130-5140
[2]   IgA-Producing Plasma Cells Originate From Germinal Centers That Are Induced by B-Cell Receptor Engagement in Humans [J].
Barone, Francesca ;
Vossenkamper, Anna ;
Boursier, Laurent ;
Su, Wen ;
Watson, Alan ;
John, Susan ;
Dunn-Walters, Deborah K. ;
Fields, Paul ;
Wijetilleka, Sonali ;
Edgeworth, Jonathan D. ;
Spencer, Jo .
GASTROENTEROLOGY, 2011, 140 (03) :947-956
[3]   Inducible Tertiary Lymphoid Structures, Autoimmunity, and Exocrine Dysfunction in a Novel Model of Salivary Gland Inflammation in C57BL/6 Mice [J].
Bombardieri, Michele ;
Barone, Francesca ;
Lucchesi, Davide ;
Nayar, Saba ;
van den Berg, Wim B. ;
Proctor, Gordon ;
Buckley, Christopher D. ;
Pitzalis, Costantino .
JOURNAL OF IMMUNOLOGY, 2012, 189 (07) :3767-3776
[4]   Associations Between Salivary Gland Histopathologic Diagnoses and Phenotypic Features of Sjogren's Syndrome Among 1,726 Registry Participants [J].
Daniels, Troy E. ;
Cox, Darren ;
Shiboski, Caroline H. ;
Schiodt, Morten ;
Wu, Ava ;
Lanfranchi, Hector ;
Umehara, Hisanori ;
Zhao, Yan ;
Challacombe, Stephen ;
Lam, Mi Y. ;
De Souza, Yvonne ;
Schiodt, Julie ;
Holm, Helena ;
Bisio, Patricia A. M. ;
Gandolfo, Mariana S. ;
Sawaki, Toshioki ;
Li, Mengtao ;
Zhang, Wen ;
Varghese-Jacob, Beni ;
Ibsen, Per ;
Keszler, Alicia ;
Kurose, Nozomu ;
Nojima, Takayuki ;
Odell, Edward ;
Criswell, Lindsey A. ;
Jordan, Richard ;
Greenspan, John S. .
ARTHRITIS AND RHEUMATISM, 2011, 63 (07) :2021-2030
[5]  
Fisher B, 2017, ARTHRITIS RHEUMATOL, V69
[6]   Standardisation of labial salivary gland histopathology in clinical trials in primary Sjogren's syndrome [J].
Fisher, Benjamin A. ;
Jonsson, Roland ;
Daniels, Troy ;
Bombardieri, Michele ;
Brown, Rachel M. ;
Morgan, Peter ;
Bombardieri, Stefano ;
Ng, Wan-Fai ;
Tzioufas, Athanasios G. ;
Vitali, Claudio ;
Shirlaw, Pepe ;
Haacke, Erlin ;
Costa, Sebastian ;
Bootsma, Hendrika ;
Devauchelle-Pensec, Valerie ;
Radstake, Timothy R. ;
Mariette, Xavier ;
Richards, Andrea ;
Stack, Rebecca ;
Bowman, Simon J. ;
Barone, Francesca .
ANNALS OF THE RHEUMATIC DISEASES, 2017, 76 (07) :1161-1168
[7]   HISTOPATHOLOGY OF SJOGRENS SYNDROME IN LABIAL SALIVARY-GLAND BIOPSIES [J].
GREENSPAN, JS ;
DANIELS, TE ;
TALAL, N ;
SYLVESTER, RA .
ORAL SURGERY ORAL MEDICINE ORAL PATHOLOGY ORAL RADIOLOGY AND ENDODONTOLOGY, 1974, 37 (02) :217-229
[8]  
Haacke EA, 2017, CLIN EXP RHEUMATOL, V35, P317
[9]   Germinal Centers in Diagnostic Biopsies of Patients With Primary Sjogren's Syndrome Are Not a Risk Factor for Non-Hodgkin's Lymphoma but a Reflection of High Disease Activity: Comment on the Article by Sene et al [J].
Haacke, Erlin A. ;
van der Vegt, Bert ;
Vissink, Arjan ;
Spijkervet, Fred K. L. ;
Bootsma, Hendrika ;
Kroese, Frans G. M. .
ARTHRITIS & RHEUMATOLOGY, 2019, 71 (01) :170-171
[10]   Germinal centres in diagnostic labial gland biopsies of patients with primary Sjogren's syndrome are not predictive for parotid MALT lymphoma development [J].
Haacke, Erlin A. ;
van der Vegt, Bert ;
Vissink, Arjan ;
Spijkervet, Fred K. L. ;
Bootsma, Hendrika ;
Kroese, Frans G. M. .
ANNALS OF THE RHEUMATIC DISEASES, 2017, 76 (10) :1783-1786