Attenuation of the BTLA/HVEM Regulatory Network in the Circulation in Primary Sjögren’s Syndrome

Primary Sjögren’s syndrome (SjS) is an inflammatory autoimmune disorder which targets the lacrimal and salivary glands, resulting in glandular dysfunction. Currently, the immune drivers of SjS remain poorly understood and peripheral biomarkers of disease are lacking. The present study therefore soug...

Full description

Bibliographic Details
Main Authors: Annabelle Small, Suzanne Cole, Jing J. Wang, Sunil Nagpal, Ling-Yang Hao, Mihir D. Wechalekar
Format: Article
Language:English
Published: MDPI AG 2022-01-01
Series:Journal of Clinical Medicine
Subjects:
Online Access:https://www.mdpi.com/2077-0383/11/3/535
_version_ 1797487014894895104
author Annabelle Small
Suzanne Cole
Jing J. Wang
Sunil Nagpal
Ling-Yang Hao
Mihir D. Wechalekar
author_facet Annabelle Small
Suzanne Cole
Jing J. Wang
Sunil Nagpal
Ling-Yang Hao
Mihir D. Wechalekar
author_sort Annabelle Small
collection DOAJ
description Primary Sjögren’s syndrome (SjS) is an inflammatory autoimmune disorder which targets the lacrimal and salivary glands, resulting in glandular dysfunction. Currently, the immune drivers of SjS remain poorly understood and peripheral biomarkers of disease are lacking. The present study therefore sought to investigate the immune cell constituents of the SjS peripheral blood, and to assess the role of the BTLA/HVEM/CD160 co-stimulatory network by characterizing expression within the periphery. Peripheral blood mononuclear cells (PBMCs) were isolated from whole blood of <i>n</i> = 10 patients with SjS and <i>n</i> = 10 age- and sex-matched healthy control donors. Cells were divided and stained with three panels of antibodies, allowing assessment of T, B, and myeloid cell subsets, and measurement of BTLA, HVEM, and CD160 surface expression by flow cytometry. We identified distinct alterations in proportions of peripheral T, B, and myeloid cell types in SjS compared with healthy controls. Expression of BTLA/CD160/HVEM and frequency of BTLA/CD160/HVEM-expressing cells were significantly altered in peripheral SjS lymphocytes. The proportion of T cells co-expressing BTLA/HVEM and CD160/HVEM were significantly reduced in SjS. We found decreased BTLA and HVEM levels on peripheral B and T cells of SjS patients, and decreased BTLA/HVEM and CD160/HVEM co-expression, demonstrating dysregulation of the BTLA/HVEM axis in the peripheral blood of SjS patients. These results indicate the potential of targeting the BTLA-HVEM axis for the treatment of SjS.
first_indexed 2024-03-09T23:41:36Z
format Article
id doaj.art-27def70639894b7e969f5a412e2f8886
institution Directory Open Access Journal
issn 2077-0383
language English
last_indexed 2024-03-09T23:41:36Z
publishDate 2022-01-01
publisher MDPI AG
record_format Article
series Journal of Clinical Medicine
spelling doaj.art-27def70639894b7e969f5a412e2f88862023-11-23T16:49:59ZengMDPI AGJournal of Clinical Medicine2077-03832022-01-0111353510.3390/jcm11030535Attenuation of the BTLA/HVEM Regulatory Network in the Circulation in Primary Sjögren’s SyndromeAnnabelle Small0Suzanne Cole1Jing J. Wang2Sunil Nagpal3Ling-Yang Hao4Mihir D. Wechalekar5College of Medicine and Public Health, Flinders University, Adelaide, SA 5042, AustraliaDiscovery Immunology, Janssen R&D, 1400 McKean Road, Spring House, PA 19477, USACollege of Medicine and Public Health, Flinders University, Adelaide, SA 5042, AustraliaImmunology Research Unit, GSK, 1250 S Collegeville Road, Collegeville, PA 19426, USADiscovery Immunology, Janssen R&D, 1400 McKean Road, Spring House, PA 19477, USACollege of Medicine and Public Health, Flinders University, Adelaide, SA 5042, AustraliaPrimary Sjögren’s syndrome (SjS) is an inflammatory autoimmune disorder which targets the lacrimal and salivary glands, resulting in glandular dysfunction. Currently, the immune drivers of SjS remain poorly understood and peripheral biomarkers of disease are lacking. The present study therefore sought to investigate the immune cell constituents of the SjS peripheral blood, and to assess the role of the BTLA/HVEM/CD160 co-stimulatory network by characterizing expression within the periphery. Peripheral blood mononuclear cells (PBMCs) were isolated from whole blood of <i>n</i> = 10 patients with SjS and <i>n</i> = 10 age- and sex-matched healthy control donors. Cells were divided and stained with three panels of antibodies, allowing assessment of T, B, and myeloid cell subsets, and measurement of BTLA, HVEM, and CD160 surface expression by flow cytometry. We identified distinct alterations in proportions of peripheral T, B, and myeloid cell types in SjS compared with healthy controls. Expression of BTLA/CD160/HVEM and frequency of BTLA/CD160/HVEM-expressing cells were significantly altered in peripheral SjS lymphocytes. The proportion of T cells co-expressing BTLA/HVEM and CD160/HVEM were significantly reduced in SjS. We found decreased BTLA and HVEM levels on peripheral B and T cells of SjS patients, and decreased BTLA/HVEM and CD160/HVEM co-expression, demonstrating dysregulation of the BTLA/HVEM axis in the peripheral blood of SjS patients. These results indicate the potential of targeting the BTLA-HVEM axis for the treatment of SjS.https://www.mdpi.com/2077-0383/11/3/535Sjögren’s syndromeBTLAHVEMco-stimulation
spellingShingle Annabelle Small
Suzanne Cole
Jing J. Wang
Sunil Nagpal
Ling-Yang Hao
Mihir D. Wechalekar
Attenuation of the BTLA/HVEM Regulatory Network in the Circulation in Primary Sjögren’s Syndrome
Journal of Clinical Medicine
Sjögren’s syndrome
BTLA
HVEM
co-stimulation
title Attenuation of the BTLA/HVEM Regulatory Network in the Circulation in Primary Sjögren’s Syndrome
title_full Attenuation of the BTLA/HVEM Regulatory Network in the Circulation in Primary Sjögren’s Syndrome
title_fullStr Attenuation of the BTLA/HVEM Regulatory Network in the Circulation in Primary Sjögren’s Syndrome
title_full_unstemmed Attenuation of the BTLA/HVEM Regulatory Network in the Circulation in Primary Sjögren’s Syndrome
title_short Attenuation of the BTLA/HVEM Regulatory Network in the Circulation in Primary Sjögren’s Syndrome
title_sort attenuation of the btla hvem regulatory network in the circulation in primary sjogren s syndrome
topic Sjögren’s syndrome
BTLA
HVEM
co-stimulation
url https://www.mdpi.com/2077-0383/11/3/535
work_keys_str_mv AT annabellesmall attenuationofthebtlahvemregulatorynetworkinthecirculationinprimarysjogrenssyndrome
AT suzannecole attenuationofthebtlahvemregulatorynetworkinthecirculationinprimarysjogrenssyndrome
AT jingjwang attenuationofthebtlahvemregulatorynetworkinthecirculationinprimarysjogrenssyndrome
AT sunilnagpal attenuationofthebtlahvemregulatorynetworkinthecirculationinprimarysjogrenssyndrome
AT lingyanghao attenuationofthebtlahvemregulatorynetworkinthecirculationinprimarysjogrenssyndrome
AT mihirdwechalekar attenuationofthebtlahvemregulatorynetworkinthecirculationinprimarysjogrenssyndrome