GZMK+CD8+ T cells Target A Specific Acinar Cell Type in Sjögren's Disease.

Thomas J F Pranzatelli, Paola Perez, Anson Ku, Bruno Matuck, Khoa Huynh, Shunsuke Sakai, Mehdi Abed, Shyh-Ing Jang, Eiko Yamada, Kalie Dominick, Zara Ahmed, Amanda Oliver, Rachael Wasikowski, Quinn T Easter, Alan N Baer, Eileen Pelayo, Zohreh Khavandgar, David E Kleiner, M Teresa Magone, Sarthak Gupta, Christopher Lessard, A Darise Farris, Peter D Burbelo, Daniel Martin, Robert J Morell, Changyu Zheng, Nicholas Rachmaninoff, Jose Maldonado-Ortiz, Xufeng Qu, Marit Aure, Mohammad H Dezfulian, Ross Lake, Sarah Teichmann, Daniel L Barber, Lam C Tsoi, Adam G Sowalsky, Katarzyna M Tyc, Jinze Liu, Johann Gudjonsson, Kevin M Byrd, Philip L F Johnson, John A Chiorini, Blake M Warner
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Abstract

Sjögren's Disease (SjD) is a systemic autoimmune disease without a clear etiology or effective therapy. Utilizing unbiased single-cell and spatial transcriptomics to analyze human minor salivary glands in health and disease we developed a comprehensive understanding of the cellular landscape of healthy salivary glands and how that landscape changes in SjD patients. We identified novel seromucous acinar cell types and identified a population of PRR4+CST3+WFDC2- seromucous acinar cells that are particularly targeted in SjD. Notably, GZMK+CD8 T cells, enriched in SjD, exhibited a cytotoxic phenotype and were physically associated with immune-engaged epithelial cells in disease. These findings shed light on the immune response's impact on transitioning acinar cells with high levels of secretion and explain the loss of this specific cell population in SjD. This study explores the complex interplay of varied cell types in the salivary glands and their role in the pathology of Sjögren's Disease.

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GZMK+CD8+ T 细胞靶向斯约戈伦病中的一种特定腺样体细胞类型。
斯约格伦病(SjD)是一种全身性自身免疫性疾病,没有明确的病因,也没有有效的治疗方法。利用无偏见的单细胞和空间转录组学分析健康和疾病状态下的人类小唾液腺,我们全面了解了健康唾液腺的细胞景观以及这种景观在 SjD 患者中是如何变化的。我们发现了新的血清粘液性尖锐湿疣细胞类型,并确定了在 SjD 中特别具有靶向性的 PRR4+CST3+WFDC2- 血清粘液性尖锐湿疣细胞群。值得注意的是,SjD 中富集的 GZMK+CD8 T 细胞表现出细胞毒性表型,并与疾病中免疫激活的上皮细胞有物理关联。这些发现揭示了免疫反应对具有高水平分泌的过渡性尖顶细胞的影响,并解释了这一特定细胞群在 SjD 中丢失的原因。这项研究探讨了唾液腺中各种细胞类型的复杂相互作用及其在斯约格伦病病理学中的作用。
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