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Current Trends in Immunology   Volumes    Volume 8 
Abstract
A case for B cells in the pathogenesis of Sjögren’s syndrome
Pierre Youinou, Capucine Daridon, Serge Steinfeld, Jacques-Olivier Pers
Pages: 19 - 25
Number of pages: 7
Current Trends in Immunology
Volume 8 

Copyright © 2007 Research Trends. All rights reserved

ABSTRACT
 
T cells have long occupied central stage of the debate on the type of lymphocytes involved in the pathogenesis of Sjögren’s syndrome (SS). The relevance of B cells has, however, been emphasized over the past five years, and new insights into their functions revealed. Hence, it has become apparent that B cells accomplish various tastes. For example, beyond the paradigm that T lymphocytes maintain strict control over B cells, the latter cells are now acknowledged to solicit their own help from the former cells, release a flurry of cytokines, and act as antigen-presenting cells. Furthermore, increased levels of the B cell activating factor (BAFF) may be responsible for qualitative anomalies found in SS such as high numbers of circulating Bm2/Bm2’ cells, and accumulation of transitional type 2 and marginal zone-like B cells in salivary glands. BAFF is also associated with functional abnormalities of B cells in SS, such as increased expression of CD19, which decreases the required strength generated by antigen receptor binding for transmitting its signal. SS may thus be conceived as a model for B cell-induced autoimmunity. Since this brings novel prospects for the treatment of the disease, it is no surprise that B cell ablative-treatment has proven to be relatively efficacious in SS.
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