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The Journal of Immunology, 2001, 166: 5801-5809.
Copyright © 2001 by The American Association of Immunologists

Possible Involvement of EBV-Mediated {alpha}-Fodrin Cleavage for Organ-Specific Autoantigen in Sjogren’s Syndrome1

Hiroko Inoue*,{dagger}, Kazuo Tsubota{dagger}, Masafumi Ono{dagger}, Yasuhiro Kizu{ddagger}, Fumio Mizuno§, Kenzo Takada, Koichi Yamada*, Kumiko Yanagi*, Yoshio Hayashi* and Ichiro Saito2,*

* Department of Pathology, Tokushima University School of Dentistry, Tokushima, Japan; Departments of {dagger} Ophthalmology and {ddagger} Oral Medicine, Tokyo Dental College, Chiba, Japan; § Department of Microbiology, Tokyo Medical University, Tokyo, Japan; and Department of Virology, Cancer Institute, Hokkaido University, School of Medicine, Sapporo, Japan

A cleavage product of {alpha}-fodrin may be an important organ-specific autoantigen in the pathogenesis of Sjogren’s syndrome (SS), but the mechanisms of {alpha}-fodrin cleavage remain unclear. Since EBV has been implicated in the pathogenesis of SS, we determined whether EBV activation could induce the SS-specific 120-kDa autoantigen {alpha}-fodrin. ZEBRA mRNA expression, a marker for activation of the lytic cycle of EBV, was found in the salivary gland tissues from SS patients, but not in those from control individuals. ZEBRA-expressing lymphoid cells were also found in the SS glands in double-stained immunohistochemistry. Furthermore, a significant link between production of Abs against 120-kDa {alpha}-fodrin and reactivated EBV Ag was found in sera from patients with SS, but not in those from control individuals. EBV-activated lymphoid cells showed specific {alpha}-fodrin cleavage to the expected 120-kDa fragments in vitro. Pretreatment with caspase inhibitors inhibited cleavage of {alpha}-fodrin. Thus, an increase in apoptotic protease activities induced by EBV reactivation may be involved in the progression of {alpha}-fodrin proteolysis in the development of SS.




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