Sjögren syndrome is among the most common autoimmune
diseases in humans.
1 It is characterized by a mononuclear
inflammatory cell infiltrate into the lacrimal and salivary glands,
resulting in glandular damage, secretory dysfunction, and dry eyes and
mouth.
1 MRL/MpJ mice show spontaneous development of
lacrimal and salivary gland inflammation and are a model for the human
disorder Sjögren syndrome.
2 3 4 There are two
congenic substrains of MRL/MpJ mice, and they differ only by a single
autosomal recessive mutation, the
lpr gene.
5 6 The
lpr mutation results in an altered Fas protein,
defective lymphocyte apoptosis, defective clonal deletion of
autoreactive T cells in peripheral lymphoid organs, and defective
elimination of activated T cells after response to
antigen.
7 8 9 Results of this defective apoptosis include
accelerated autoimmune disease in MRL/MpJ-
lpr/
lpr (MRL/lpr) mice when compared with MRL/MpJ-+/+ (MRL/+) mice. Although
inflammatory lacrimal gland lesions develop in both MRL/lpr and MRL/+
mice, there are differences between the two substrains. Lacrimal gland
disease develops earlier in MRL/lpr mice than in MRL/+ mice, and at
comparable ages, MRL/lpr mice have more severe and extensive
disease.
4 As in human Sjögren
syndrome,
10 11 the lacrimal gland lesions in both
substrains of MRL/MpJ mice are composed largely of T cells
(approximately 80%), the majority of which are
CD4
+ T cells. Lesser numbers of
CD8
+ T cells, B cells, and macrophages are
present. MRL/lpr mice typically die at 6 months of age, whereas MRL/+
mice often live to 2 years of age. In aged (18 months) MRL/+ mice there
is an accumulation of B cells in the lacrimal gland
lesions.
3 4 12