An Overview of the Dry Eye Disease in Sjögren's Syndrome Using Our Current Molecular Understanding
Sjögren's syndrome is a chronic and insidious auto-immune disease characterized by lymphocyte infiltration of exocrine glands. The patients typically present with ocular surface diseases related to dry eye and other systemic manifestations. However, due to the high prevalence of dry eye disease...
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Published in | International journal of molecular sciences Vol. 24; no. 2; p. 1580 |
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Format | Journal Article |
Language | English |
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Abstract | Sjögren's syndrome is a chronic and insidious auto-immune disease characterized by lymphocyte infiltration of exocrine glands. The patients typically present with ocular surface diseases related to dry eye and other systemic manifestations. However, due to the high prevalence of dry eye disease and the lack of objective and clinically reliable diagnostic tools, discriminating Sjögren's syndrome dry eye (SSDE) from non-Sjögren's syndrome dry eye (NSSDE) remains a challenge for clinicians. Diagnosing SS is important to improve the quality of life of patients through timely referral for systemic workups, as SS is associated with serious systemic complications such as lymphoma and other autoimmune diseases. The purpose of this article is to describe the current molecular understanding of Sjögren's syndrome and its implications for novel diagnostic modalities on the horizon. A literature review of the pre-clinical and clinical studies published between 2016 and 2022 was conducted. The SSDE pathophysiology and immunology pathways have become better understood in recent years. Novel diagnostic modalities, such as tear and saliva proteomics as well as exosomal biomarkers, provide hope on the horizon. |
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AbstractList | Sjögren’s syndrome is a chronic and insidious auto-immune disease characterized by lymphocyte infiltration of exocrine glands. The patients typically present with ocular surface diseases related to dry eye and other systemic manifestations. However, due to the high prevalence of dry eye disease and the lack of objective and clinically reliable diagnostic tools, discriminating Sjögren’s syndrome dry eye (SSDE) from non-Sjögren’s syndrome dry eye (NSSDE) remains a challenge for clinicians. Diagnosing SS is important to improve the quality of life of patients through timely referral for systemic workups, as SS is associated with serious systemic complications such as lymphoma and other autoimmune diseases. The purpose of this article is to describe the current molecular understanding of Sjögren’s syndrome and its implications for novel diagnostic modalities on the horizon. A literature review of the pre-clinical and clinical studies published between 2016 and 2022 was conducted. The SSDE pathophysiology and immunology pathways have become better understood in recent years. Novel diagnostic modalities, such as tear and saliva proteomics as well as exosomal biomarkers, provide hope on the horizon. Sjögren's syndrome is a chronic and insidious auto-immune disease characterized by lymphocyte infiltration of exocrine glands. The patients typically present with ocular surface diseases related to dry eye and other systemic manifestations. However, due to the high prevalence of dry eye disease and the lack of objective and clinically reliable diagnostic tools, discriminating Sjögren's syndrome dry eye (SSDE) from non-Sjögren's syndrome dry eye (NSSDE) remains a challenge for clinicians. Diagnosing SS is important to improve the quality of life of patients through timely referral for systemic workups, as SS is associated with serious systemic complications such as lymphoma and other autoimmune diseases. The purpose of this article is to describe the current molecular understanding of Sjögren's syndrome and its implications for novel diagnostic modalities on the horizon. A literature review of the pre-clinical and clinical studies published between 2016 and 2022 was conducted. The SSDE pathophysiology and immunology pathways have become better understood in recent years. Novel diagnostic modalities, such as tear and saliva proteomics as well as exosomal biomarkers, provide hope on the horizon.Sjögren's syndrome is a chronic and insidious auto-immune disease characterized by lymphocyte infiltration of exocrine glands. The patients typically present with ocular surface diseases related to dry eye and other systemic manifestations. However, due to the high prevalence of dry eye disease and the lack of objective and clinically reliable diagnostic tools, discriminating Sjögren's syndrome dry eye (SSDE) from non-Sjögren's syndrome dry eye (NSSDE) remains a challenge for clinicians. Diagnosing SS is important to improve the quality of life of patients through timely referral for systemic workups, as SS is associated with serious systemic complications such as lymphoma and other autoimmune diseases. The purpose of this article is to describe the current molecular understanding of Sjögren's syndrome and its implications for novel diagnostic modalities on the horizon. A literature review of the pre-clinical and clinical studies published between 2016 and 2022 was conducted. The SSDE pathophysiology and immunology pathways have become better understood in recent years. Novel diagnostic modalities, such as tear and saliva proteomics as well as exosomal biomarkers, provide hope on the horizon. |
Author | Nguyen, Bich H Tanasescu, Cristina Tran, Simon D Wu, Kevin Y Jiao, Belinda Kulbay, Merve |
AuthorAffiliation | 5 CHU Sainte Justine Hospital, Montreal, QC H3T 1C5, Canada 6 Faculty of Dental Medicine and Oral Health Sciences, McGill University, Montreal, QC H3A 1G1, Canada 2 Faculty of Medicine, University of Montreal, Montreal, QC H3T 1J4, Canada 1 Department of Surgery, Division of Ophthalmology, University of Sherbrooke, Sherbrooke, QC J1G 2E8, Canada 3 School of Optometry, University of Montreal, Montreal, QC H3T 1P1, Canada 4 Department of Medicine, Division of Internal Medicine, University of Sherbrooke, Sherbrooke, QC J1G 2E8, Canada |
AuthorAffiliation_xml | – name: 3 School of Optometry, University of Montreal, Montreal, QC H3T 1P1, Canada – name: 6 Faculty of Dental Medicine and Oral Health Sciences, McGill University, Montreal, QC H3A 1G1, Canada – name: 1 Department of Surgery, Division of Ophthalmology, University of Sherbrooke, Sherbrooke, QC J1G 2E8, Canada – name: 4 Department of Medicine, Division of Internal Medicine, University of Sherbrooke, Sherbrooke, QC J1G 2E8, Canada – name: 2 Faculty of Medicine, University of Montreal, Montreal, QC H3T 1J4, Canada – name: 5 CHU Sainte Justine Hospital, Montreal, QC H3T 1C5, Canada |
Author_xml | – sequence: 1 givenname: Kevin Y orcidid: 0000-0002-1662-6900 surname: Wu fullname: Wu, Kevin Y organization: Department of Surgery, Division of Ophthalmology, University of Sherbrooke, Sherbrooke, QC J1G 2E8, Canada – sequence: 2 givenname: Merve orcidid: 0000-0003-2756-3973 surname: Kulbay fullname: Kulbay, Merve organization: Faculty of Medicine, University of Montreal, Montreal, QC H3T 1J4, Canada – sequence: 3 givenname: Cristina surname: Tanasescu fullname: Tanasescu, Cristina organization: School of Optometry, University of Montreal, Montreal, QC H3T 1P1, Canada – sequence: 4 givenname: Belinda orcidid: 0000-0001-9305-0370 surname: Jiao fullname: Jiao, Belinda organization: Department of Medicine, Division of Internal Medicine, University of Sherbrooke, Sherbrooke, QC J1G 2E8, Canada – sequence: 5 givenname: Bich H surname: Nguyen fullname: Nguyen, Bich H organization: CHU Sainte Justine Hospital, Montreal, QC H3T 1C5, Canada – sequence: 6 givenname: Simon D orcidid: 0000-0001-5594-359X surname: Tran fullname: Tran, Simon D organization: Faculty of Dental Medicine and Oral Health Sciences, McGill University, Montreal, QC H3A 1G1, Canada |
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Snippet | Sjögren's syndrome is a chronic and insidious auto-immune disease characterized by lymphocyte infiltration of exocrine glands. The patients typically present... Sjögren’s syndrome is a chronic and insidious auto-immune disease characterized by lymphocyte infiltration of exocrine glands. The patients typically present... |
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SubjectTerms | Asymptomatic Autoimmune diseases basic research Disease DNA methylation dry eye Dry Eye Syndromes - complications Dry Eye Syndromes - etiology Exocrine glands Eye diseases Gene expression Hepatitis Horizon Humans immune pathway Immunological diseases Immunology Literature reviews Lymphocytes Lymphoma ocular surface Pathogenesis pathophysiology Proteomics Quality of Life Review Saliva Sjogren's syndrome Sjogren's Syndrome - complications Sjogren's Syndrome - diagnosis Sjögren syndrome Tears Viral infections Viruses |
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Title | An Overview of the Dry Eye Disease in Sjögren's Syndrome Using Our Current Molecular Understanding |
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