AUTHOR=Qi Wenxia , Tian Jiexiang , Wang Gang , Yan Yanfeng , Wang Tao , Wei Yong , Wang Zhandong , Zhang Guohua , Zhang Yuanyuan , Wang Jia TITLE=Advances in cellular and molecular pathways of salivary gland damage in Sjögren’s syndrome JOURNAL=Frontiers in Immunology VOLUME=15 YEAR=2024 URL=https://www.frontiersin.org/journals/immunology/articles/10.3389/fimmu.2024.1405126 DOI=10.3389/fimmu.2024.1405126 ISSN=1664-3224 ABSTRACT=

Sjögren’s Syndrome (SS) is an autoimmune disorder characterized by dysfunction of exocrine glands. Primarily affected are the salivary glands, which exhibit the most frequent pathological changes. The pathogenesis involves susceptibility genes, non-genetic factors such as infections, immune cells-including T and B cells, macrophage, dendritic cells, and salivary gland epithelial cells. Inflammatory mediators such as autoantibodies, cytokines, and chemokines also play a critical role. Key signaling pathways activated include IFN, TLR, BAFF/BAFF-R, PI3K/Akt/mTOR, among others. Comprehensive understanding of these mechanisms is crucial for developing targeted therapeutic interventions. Thus, this study explores the cellular and molecular mechanisms underlying SS-related salivary gland damage, aiming to propose novel targeted therapeutic approaches.