@article{10.1172/jci.insight.135982, author = {Saori Abe AND Hiroto Tsuboi AND Hanae Kudo AND Hiromitsu Asashima AND Yuko Ono AND Fumika Honda AND Hiroyuki Takahashi AND Mizuki Yagishita AND Shinya Hagiwara AND Yuya Kondo AND Isao Matsumoto AND Takayuki Sumida}, journal = {JCI Insight}, publisher = {The American Society for Clinical Investigation}, title = {M3 muscarinic acetylcholine receptor–reactive Th17 cells in primary Sjögren’s syndrome}, year = {2020}, month = {8}, volume = {5}, url = {https://insight.jci.org/articles/view/135982}, abstract = {M3 muscarinic acetylcholine receptor (M3R) is one of the autoantigens associated with Sjögren’s syndrome (SS) and is localized in exocrine glands where disease-specific inflammation occurs. The inflammatory lesion is characterized by infiltration of CD4+ T cells, including clonally expanded Th17 cells. We undertook this study to identify circulating M3R-specific Th17 cells and to determine functional properties of those cells. Using the enzyme-linked immunospot assay (ELISpot) method, we identified M3R-reactive Th17 cells in the peripheral blood of patients with primary SS (pSS). Among 10 examined pSS patients, 10 healthy subjects (HS), and 5 IgG4-related disease (IgG4-RD) patients, M3R-reactive IL-17 secreting cells were significantly increased in 5 pSS patients specifically. The most common T cell epitope, which was analyzed and confirmed by coculture of isolated CD4+ T cells with antigen presenting cells plus M3R peptides in vitro, was peptide 83-95 of M3R. Peptide recognition was partly in an HLA-DR–restricted manner, confirmed by blocking assay. M3R-reactive Th17 cells positivity correlated with higher titers of anti-M3R antibodies, whose systemic disease activity score tended to be higher. Our studies highlight the role of tissue-specific autoantigen–derived circulating Th17 cells in pSS, for which further work might lead to antigen-specific targeted therapy.}, number = {15}, doi = {10.1172/jci.insight.135982}, url = {https://doi.org/10.1172/jci.insight.135982}, }