Review Article

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

Table 2

Aberrant TLR expression and activation in salivary tissue in SS.

Tissue/cell typeTLRResultsRefs

pSS SGECs1(i) Increased gene expression compared to controls[51]
Healthy and pSS SGECs2(i) TLR2 is expressed in SGECs
(ii) Increased protein expression following treatment with PGN
(iii) Upregulation of immune-activating molecules following TLR2 ligation
(iv) TLR2 activation induced IL-15 secretion
[50]
[51]
[66]
[52]
pSS MSG biopsies2(i) Increased protein expression compared to controls that correlates with the degree of salivary inflammation[49]
Healthy and pSS SGECs3(i) TLR3 is expressed
(ii) Elevated gene expression compared to controls
(iii) Increased protein expression following treatment with poly(I:C)
(iv) Upregulation of immune-activating molecules following TLR3 ligation
[50]
[51]
[66]
[74]
Healthy SGECs3(i) Induction of BAFF mRNA and protein secretion by the TLR3 agonists poly(I:C) and a dsRNA virus[50]
Healthy and pSS SGECs3(i) Poly(I:C) treatment induced expression and activation of apoptosis-related signaling intermediates and anoikis[74]
[66]
[73]
Healthy and pSS MSGs3(i) Increased protein expression of TLR3 signaling intermediate RIPK3 kinase in pSS tissue[74]
SGECs3(i) Poly(I:C) treatment upregulated Ro52/TRIM21 mRNA, resulting in redistribution in nucleus[76]
pSS MSG biopsies4(i) Increased protein expression compared to controls that correlates with the degree of salivary inflammation[49]
Healthy and pSS SGECs4(i) Elevated gene expression compared to controls
(ii) Increased protein expression following LPS stimulation
(iii) Upregulation of immune-activating molecules following TLR4 ligation
[51]
A253 cells4(i) Increased protein expression following LPS stimulation
(ii) LPS-induced secretion of proinflammatory mediators
[62]
pSS MSG biopsies6(i) Increased protein expression compared to controls that correlates with the degree of salivary inflammation[49]
Healthy SGECs7(i) TLR7 is expressed[50]
pSS MSG biopsies7(i) TLR7 is expressed[77]
Control and pSS parotid biopsies7, 9(i) Elevated protein expression[78]
Healthy and pSS MSG biopsies8, 9(i) Elevated gene expression[79]