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From the Departments of Pathology*
and Pediatric
Dentistry,
Tokushima University School of Dentistry,
Tokushima, Japan
Estrogenic action has been suggested to be responsible for the
strong female preponderance of autoimmune diseases, but the
role of estrogens in the female has not been well characterized. We
evaluated the effects of estrogen deficiency in a murine model for
autoimmune exocrinopathy of Sjögren's syndrome (SS). Severe
destructive autoimmune lesions developed in the salivary and lacrimal
glands in estrogen-deficient mice, and these lesions were
recovered by estrogen administration. We detected an intense estrogen
receptor in splenic CD8+ T cells compared with that in
CD4+ T cells, and concanavalin-A-stimulated
blastogenesis of splenic CD8+ T cells with estrogens was
much higher than that of CD4+ T cells. We found a
significant increase in serum autoantibody production against the
organ-specific autoantigen
-fodrin. Moreover, an increased
proportion of TUNEL+ apoptotic epithelial duct cells was
observed in estrogen-deficient mice. It was demonstrated that
Fas-mediated apoptosis in cultured salivary gland cells was clearly
inhibited by estrogens in vitro. These results indicate
that dysfunction of regulatory T cells by estrogen deficiency may play
a crucial role on acceleration of organ-specific autoimmune
lesions, and estrogenic action further influences target
epithelial cells through Fas-mediated apoptosis in a murine model for
SS.
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