Review Article

Current and Emerging Evidence for Toll-Like Receptor Activation in Sjögren’s Syndrome

Table 1

Evidence for TLR activation in murine studies of SS.

StrainResultsRefs

NOD/Lt(i) Increased TLR1, TLR2, TLR4, TLR9, and MyD88 expression at pre-clinical and clinical disease stages
(ii) Chloroquine reduced sialadenitis and TLR1, TLR2, TLR3, TLR4, and TLR9 expression in SMG tissue
[24]
NOD/Lt(i) Lymphocytes expressing TLR9 are present in SMG tissue
(ii) PBMCs coexpressing TLR9 and p-p38 MAPK are elevated in NOD/Lt animals at 5, 8, and 10 weeks of age compared to BALB/c controls
[29]
NOD(i) TLR9 ligation increased salivation[30]
C57BL/6.NOD-Aec1Aec2(i) TLR3, TLR7, and downstream signaling intermediates are elevated at pre-clinical disease time point in SMG tissue[33]
NOD.B10(i) MyD88-deficient females are protected against local and systemic pSS manifestations[36]
NZB/WF1(i) TLR3 agonism with poly(I:C) increased IFNβ, Mx-1, PRKR, IF144, IL-6, TNFα, and CCL5 in salivary tissue and resulted in loss of salivation[39]
NZB/WF1(i) Poly(I:C) upregulated CCL2, CCL3, CCL4, CCL7, CCL11, CCL12, CXCL10, and Cxcl13 in SMG tissue
(ii) Poly(I:C) induced robust and accelerated salivary inflammation and diminished saliva production
[40]
C57BL/6(i) Poly(I:C) treatment caused reduced salivation and increased IL-6, IL-10, and IL-27p28 in SMG tissue[41]
C57BL/6(i) Poly(I:C) induced upregulation of chemokines in lacrimal tissue, dacryoadenitis, and reduced tear production[43]
C57BL/6(i) LPS treatment induced sialadenitis, increased TNFα, IFNβ, IFNγ, and IL-6 in SMG tissue, and caused hyposalivation[42]
C57BL/6(i) Flagellin caused salivary inflammation, increased inflammatory cytokines and chemokines in sera, and autoantibodies[44]