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Published Online First: 14 July 2008. doi:10.1136/ard.2008.089607
Annals of the Rheumatic Diseases 2009;68:991-996
Copyright © 2009 BMJ Publishing Group Ltd & European League Against Rheumatism.

BASIC AND TRANSLATIONAL RESEARCH

Severe alterations in expression and localisation of {alpha}6β4 integrin in salivary gland acini from patients with Sjögren syndrome

J Velozo1, S Aguilera2, C Alliende1, P Ewert1, C Molina3, P Pérez1, L Leyton1,4, A Quest1,4, M Brito1, S González1, C Leyton1, M Hermoso1, R Romo5, M-J González1

1 University of Chile, Santiago, Chile
2 INDISA Clinic, Santiago, Chile
3 Mayor University, Santiago, Chile
4 FONDAP Center for Molecular Studies of the Cell, Faculty of Medicine, University of Chile, Santiago, Chile
5 Santa María Clinic, Santiago, Chile

M-J González, Institute of Biomedical Sciences, Faculty of Medicine, University of Chile, Casilla 70061, Santiago 7, Chile; jgonzale{at}med.uchile.cl

Objectives: In salivary glands from patients with Sjögren syndrome, overexpression of laminins 1 and 5 and disorganisation of the acinar basal lamina have been reported. Laminin 5 mediates association of the basal lamina with epithelial cells by forming adhesion complexes upon interaction with {alpha}6β4 integrin. In the present work, mRNA and protein levels of {alpha}6β4 integrin were determined and its localisation in salivary glands evaluated in patients with Sjögren syndrome.

Methods: Salivary glands of 12 patients with Sjögren syndrome and 8 controls were studied. The mRNA and protein levels of {alpha}6β4 were determined by semiquantitative reverse transcriptase (RT)-PCR and western blot analysis, respectively. The subcellular localisation of {alpha}6β4 and laminin were evaluated by confocal microscopy.

Results: In patients, no significant differences in {alpha}6 and β4 mRNA levels were detected. However, β4 integrin protein levels were significantly lower, whereas, changes in {alpha}6, were highly variable. In controls, {alpha}6β4 was detected in the basolateral and basal surface of serous and mucous acini, respectively. In patients, alterations in {alpha}6β4 distribution were particularly dramatic for acini with strong basal lamina disorganisation. {alpha}6β4 was also detected in the cytoplasm and lateral plasma membrane in serous and mucous acini.

Conclusion: Mild alterations in the basal lamina correlated with lateral redistribution of {alpha}6β4 integrin and the formation of new cell–cell adhesions that help maintain acinar organisation and promote cell survival. Conversely, in cases with severe basal lamina alterations, lateral {alpha}6β4 redistribution was no longer sufficient to maintain acinar cell survival. Thus, maintenance of equilibrium between cell–cell and cell–basal lamina attachment is required to sustain gland cell survival.


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