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Hoffmann, R. A wiki for the life sciences where authorship matters. Nature Genetics (2008)
Conjunctival T-cell subpopulations in Sjögren's and non-Sjögren's patients with dry eye.
PURPOSE: To examine the conjunctiva of patients with Sjögren's syndromekeratoconjunctivitis sicca (SS- KCS) and non-Sjögren's keratoconjunctivitis sicca (NS- KCS) for evidence of immune-based inflammation. METHODS: Conjunctival biopsy specimens were obtained from 15 patients with SS- KCS and 15 with NS- KCS. Immunohistochemistry was performed on frozen sections to characterize and quantify T-cell subtypes (CD3, CD4, and CD8) and markers of immune activation (major histocompatibility complex [MHC] class II: HLA-DR, HLA-DQ) and inflammation (intercellular adhesion molecule [ICAM]-1). The numbers of cells positive for each marker were counted by two masked observers and averaged. RESULTS: Conjunctival biopsy specimens from patients with SS- KCS or NS- KCS revealed lymphocytic infiltration and increased immunoreactivity for the markers of inflammation and immune activation. The extent of cellular immunoreactivity did not differ significantly between SS- KCS and NS- KCS tissue samples. CONCLUSIONS: The authors' findings indicate that patients with SS- KCS or NS- KCS have conjunctival inflammation manifested by inflammatory cell infiltrates and upregulation of expression in markers of immune activation. Clinical symptoms of KCS may be more dependent on T-cell activation and resultant inflammation than previously believed. In addition to tear substitutes, anti-inflammatory therapeutics should be investigated for the treatment of KCS.[1]