Ablation of the Chaperone Protein ERdj5 Results in a Sjögren's Syndrome-Like Phenotype in Mice, Consistent With an Upregulated Unfolded Protein Response in Human Patients

Objective: Sjögren's syndrome (SS) is a chronic autoimmune disorder that affects mainly the exocrine glands. Endoplasmic reticulum (ER) stress proteins have been suggested to participate in autoimmune and inflammatory responses, either acting as autoantigens, or by modulating factors of inflamm...

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Main Authors: Eirini Apostolou, Petros Moustardas, Takao Iwawaki, Athanasios G. Tzioufas, Giannis Spyrou
Format: Article
Language:English
Published: Frontiers Media S.A. 2019-03-01
Series:Frontiers in Immunology
Subjects:
Online Access:https://www.frontiersin.org/article/10.3389/fimmu.2019.00506/full
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author Eirini Apostolou
Eirini Apostolou
Petros Moustardas
Petros Moustardas
Takao Iwawaki
Athanasios G. Tzioufas
Athanasios G. Tzioufas
Giannis Spyrou
author_facet Eirini Apostolou
Eirini Apostolou
Petros Moustardas
Petros Moustardas
Takao Iwawaki
Athanasios G. Tzioufas
Athanasios G. Tzioufas
Giannis Spyrou
author_sort Eirini Apostolou
collection DOAJ
description Objective: Sjögren's syndrome (SS) is a chronic autoimmune disorder that affects mainly the exocrine glands. Endoplasmic reticulum (ER) stress proteins have been suggested to participate in autoimmune and inflammatory responses, either acting as autoantigens, or by modulating factors of inflammation. The chaperone protein ERdj5 is an ER-resident disulfide reductase, required for the translocation of misfolded proteins during ER-associated protein degradation. In this study we investigated the role of ERdj5 in the salivary glands (SGs), in association with inflammation and autoimmunity.Methods:In situ expression of ERdj5 and XBP1 activation were studied immunohistochemically in minor SG tissues from primary SS patients and non-SS sicca-complaining controls. We used the mouse model of ERdj5 ablation and characterized its features: Histopathological, serological (antinuclear antibodies and cytokine levels), and functional (saliva flow rate).Results: ERdj5 was highly expressed in the minor SGs of SS patients, with stain intensity correlated to inflammatory lesion severity and anti-SSA/Ro positivity. Moreover, SS patients demonstrated higher XBP1 activation within the SGs. Remarkably, ablation of ERdj5 in mice conveyed many of the cardinal features of SS, like spontaneous inflammation in SGs with infiltrating T and B lymphocytes, distinct cytokine signature, excessive cell death, reduced saliva flow, and production of anti-SSA/Ro and anti-SSB/La autoantibodies. Notably, these features were more pronounced in female mice.Conclusions: Our findings suggest a critical connection between the function of the ER chaperone protein ERdj5 and autoimmune inflammatory responses in the SGs and provide evidence for a new, potent animal model of SS.
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spelling doaj.art-1f14600411c1414a884ca3e7ceff19ca2022-12-22T00:54:43ZengFrontiers Media S.A.Frontiers in Immunology1664-32242019-03-011010.3389/fimmu.2019.00506437611Ablation of the Chaperone Protein ERdj5 Results in a Sjögren's Syndrome-Like Phenotype in Mice, Consistent With an Upregulated Unfolded Protein Response in Human PatientsEirini Apostolou0Eirini Apostolou1Petros Moustardas2Petros Moustardas3Takao Iwawaki4Athanasios G. Tzioufas5Athanasios G. Tzioufas6Giannis Spyrou7Department of Pathophysiology, School of Medicine, National and Kapodistrian University of Athens, Athens, GreeceAcademic Joint Rheumatology Program, School of Medicine, National and Kapodistrian University of Athens, Athens, GreeceDivision of Microbiology and Molecular Medicine, Department of Clinical and Experimental Medicine, Linköping University, Linköping, SwedenDepartment of Clinical, Experimental Surgery & Translational Research, Biomedical Research Foundation of the Academy of Athens, Athens, GreeceDivision of Cell Medicine, Department of Life Science, Medical Research Institute, Kanazawa Medical University, Uchinada, JapanDepartment of Pathophysiology, School of Medicine, National and Kapodistrian University of Athens, Athens, GreeceAcademic Joint Rheumatology Program, School of Medicine, National and Kapodistrian University of Athens, Athens, GreeceDivision of Microbiology and Molecular Medicine, Department of Clinical and Experimental Medicine, Linköping University, Linköping, SwedenObjective: Sjögren's syndrome (SS) is a chronic autoimmune disorder that affects mainly the exocrine glands. Endoplasmic reticulum (ER) stress proteins have been suggested to participate in autoimmune and inflammatory responses, either acting as autoantigens, or by modulating factors of inflammation. The chaperone protein ERdj5 is an ER-resident disulfide reductase, required for the translocation of misfolded proteins during ER-associated protein degradation. In this study we investigated the role of ERdj5 in the salivary glands (SGs), in association with inflammation and autoimmunity.Methods:In situ expression of ERdj5 and XBP1 activation were studied immunohistochemically in minor SG tissues from primary SS patients and non-SS sicca-complaining controls. We used the mouse model of ERdj5 ablation and characterized its features: Histopathological, serological (antinuclear antibodies and cytokine levels), and functional (saliva flow rate).Results: ERdj5 was highly expressed in the minor SGs of SS patients, with stain intensity correlated to inflammatory lesion severity and anti-SSA/Ro positivity. Moreover, SS patients demonstrated higher XBP1 activation within the SGs. Remarkably, ablation of ERdj5 in mice conveyed many of the cardinal features of SS, like spontaneous inflammation in SGs with infiltrating T and B lymphocytes, distinct cytokine signature, excessive cell death, reduced saliva flow, and production of anti-SSA/Ro and anti-SSB/La autoantibodies. Notably, these features were more pronounced in female mice.Conclusions: Our findings suggest a critical connection between the function of the ER chaperone protein ERdj5 and autoimmune inflammatory responses in the SGs and provide evidence for a new, potent animal model of SS.https://www.frontiersin.org/article/10.3389/fimmu.2019.00506/fullERdj5ER-stressautoimmunitysalivary glandSjögren's syndromeXBP1
spellingShingle Eirini Apostolou
Eirini Apostolou
Petros Moustardas
Petros Moustardas
Takao Iwawaki
Athanasios G. Tzioufas
Athanasios G. Tzioufas
Giannis Spyrou
Ablation of the Chaperone Protein ERdj5 Results in a Sjögren's Syndrome-Like Phenotype in Mice, Consistent With an Upregulated Unfolded Protein Response in Human Patients
Frontiers in Immunology
ERdj5
ER-stress
autoimmunity
salivary gland
Sjögren's syndrome
XBP1
title Ablation of the Chaperone Protein ERdj5 Results in a Sjögren's Syndrome-Like Phenotype in Mice, Consistent With an Upregulated Unfolded Protein Response in Human Patients
title_full Ablation of the Chaperone Protein ERdj5 Results in a Sjögren's Syndrome-Like Phenotype in Mice, Consistent With an Upregulated Unfolded Protein Response in Human Patients
title_fullStr Ablation of the Chaperone Protein ERdj5 Results in a Sjögren's Syndrome-Like Phenotype in Mice, Consistent With an Upregulated Unfolded Protein Response in Human Patients
title_full_unstemmed Ablation of the Chaperone Protein ERdj5 Results in a Sjögren's Syndrome-Like Phenotype in Mice, Consistent With an Upregulated Unfolded Protein Response in Human Patients
title_short Ablation of the Chaperone Protein ERdj5 Results in a Sjögren's Syndrome-Like Phenotype in Mice, Consistent With an Upregulated Unfolded Protein Response in Human Patients
title_sort ablation of the chaperone protein erdj5 results in a sjogren s syndrome like phenotype in mice consistent with an upregulated unfolded protein response in human patients
topic ERdj5
ER-stress
autoimmunity
salivary gland
Sjögren's syndrome
XBP1
url https://www.frontiersin.org/article/10.3389/fimmu.2019.00506/full
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