- Increased acinar damage of salivary glands of patients with Sjögren's syndrome is paralleled by simultaneous imbalance of matrix metalloproteinase 3/tissue inhibitor of metalloproteinases 1 and matrix metalloproteinase 9/tissue inhibitor of metalloproteinases 1 ratios. Pérez, P., Kwon, Y.J., Alliende, C., Leyton, L., Aguilera, S., Molina, C., Labra, C., Julio, M., Leyton, C., González, M.J. Arthritis Rheum. (2005)