SARS ‐ CoV ‐2 Entry Factors ACE2 , TMPRSS2 and FURIN in Salivary Glands From Primary Sjögren's Disease

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Main Authors: Fernanda Aragão Felix, Flávia Martins Vasconcelos Filiú, Tarcília Aparecida da Silva, Débora Cerqueira Calderaro, Leandro Augusto Tanure, Maurício Augusto Aquino de Castro, Ricardo Santiago Gomez, Marina Gonçalves Diniz, Sílvia Ferreira de Sousa
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Published: Wiley 2025
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author Fernanda Aragão Felix
Flávia Martins Vasconcelos Filiú
Tarcília Aparecida da Silva
Débora Cerqueira Calderaro
Leandro Augusto Tanure
Maurício Augusto Aquino de Castro
Ricardo Santiago Gomez
Marina Gonçalves Diniz
Sílvia Ferreira de Sousa
author_facet Fernanda Aragão Felix
Flávia Martins Vasconcelos Filiú
Tarcília Aparecida da Silva
Débora Cerqueira Calderaro
Leandro Augusto Tanure
Maurício Augusto Aquino de Castro
Ricardo Santiago Gomez
Marina Gonçalves Diniz
Sílvia Ferreira de Sousa
Fernanda Aragão Felix
Flávia Martins Vasconcelos Filiú
Tarcília Aparecida da Silva
Débora Cerqueira Calderaro
Leandro Augusto Tanure
Maurício Augusto Aquino de Castro
Ricardo Santiago Gomez
Marina Gonçalves Diniz
Sílvia Ferreira de Sousa
collection Wiley Open Access
contents SARS ‐ CoV ‐2 Entry Factors ACE2 , TMPRSS2 and FURIN in Salivary Glands From Primary Sjögren's Disease Fernanda Aragão Felix Flávia Martins Vasconcelos Filiú Tarcília Aparecida da Silva Débora Cerqueira Calderaro Leandro Augusto Tanure Maurício Augusto Aquino de Castro Ricardo Santiago Gomez Marina Gonçalves Diniz Sílvia Ferreira de Sousa Journal of Oral Pathology & Medicine ABSTRACT Background Salivary glands are the reservoir for severe acute respiratory syndrome Coronavirus 2 virus (SARS‐CoV‐2). It is known that SARS‐CoV‐2 uses angiotensin‐converting enzyme 2 (ACE2), transmembrane serine protease 2 (TMPRSS2) and FURIN to infect cells. Salivary glands express these entry factors, and it is unclear if these molecules are expressed in salivary glands from primary Sjögren's disease (pSjD). This study assessed ACE2 , TMPRSS2 , and FURIN gene expression by RT‐qPCR in pSjD compared to normal salivary gland and pleomorphic adenoma. Methods An integrated study of ACE2 , TMPRSS2 , and FURIN gene expression across pSjD, pleomorphic adenoma, and normal salivary gland by RT‐pPCR was performed. The association between gene expression and clinicopathological data was also examined. Results pSjD showed ACE2 upregulation compared with normal salivary gland and pleomorphic adenoma ( p  < 0.05). TMPRSS2 and FURIN mRNA levels are also higher in pSjD compared to pleomorphic adenoma ( p  < 0.05). ACE2 expression levels were associated with anti‐SSA/SSB positivity ( p  < 0.05). A strong correlation was observed between TMPRSS2 and FURIN in pSjD ( r  = 0.768; p  = 0.001). Conclusion Our analysis revealed a high expression of ACE2 in pSjD. ACE2 , TMPRSS2 , and FURIN mRNA levels are increased in pSjD in comparison to pleomorphic adenomas. Neither ACE2 , TMPRSS2 , nor furin was consistently associated with SARS‐CoV‐2 positivity in pSjD. These findings may guide future investigations on the effects of SARS‐CoV‐2 in a subset of salivary gland diseases. 10.1111/jop.13621 http://onlinelibrary.wiley.com/termsAndConditions#vor
doi_str_mv 10.1111/jop.13621
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id wiley_oa_10_1111_jop_13621
institution Wiley Open Access
license_str_mv http://onlinelibrary.wiley.com/termsAndConditions#vor
publishDate 2025
publisher Wiley
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spellingShingle SARS ‐ CoV ‐2 Entry Factors ACE2 , TMPRSS2 and FURIN in Salivary Glands From Primary Sjögren's Disease
Fernanda Aragão Felix
Flávia Martins Vasconcelos Filiú
Tarcília Aparecida da Silva
Débora Cerqueira Calderaro
Leandro Augusto Tanure
Maurício Augusto Aquino de Castro
Ricardo Santiago Gomez
Marina Gonçalves Diniz
Sílvia Ferreira de Sousa
Journal of Oral Pathology & Medicine
SARS ‐ CoV ‐2 Entry Factors ACE2 , TMPRSS2 and FURIN in Salivary Glands From Primary Sjögren's Disease Fernanda Aragão Felix Flávia Martins Vasconcelos Filiú Tarcília Aparecida da Silva Débora Cerqueira Calderaro Leandro Augusto Tanure Maurício Augusto Aquino de Castro Ricardo Santiago Gomez Marina Gonçalves Diniz Sílvia Ferreira de Sousa Journal of Oral Pathology & Medicine ABSTRACT Background Salivary glands are the reservoir for severe acute respiratory syndrome Coronavirus 2 virus (SARS‐CoV‐2). It is known that SARS‐CoV‐2 uses angiotensin‐converting enzyme 2 (ACE2), transmembrane serine protease 2 (TMPRSS2) and FURIN to infect cells. Salivary glands express these entry factors, and it is unclear if these molecules are expressed in salivary glands from primary Sjögren's disease (pSjD). This study assessed ACE2 , TMPRSS2 , and FURIN gene expression by RT‐qPCR in pSjD compared to normal salivary gland and pleomorphic adenoma. Methods An integrated study of ACE2 , TMPRSS2 , and FURIN gene expression across pSjD, pleomorphic adenoma, and normal salivary gland by RT‐pPCR was performed. The association between gene expression and clinicopathological data was also examined. Results pSjD showed ACE2 upregulation compared with normal salivary gland and pleomorphic adenoma ( p  < 0.05). TMPRSS2 and FURIN mRNA levels are also higher in pSjD compared to pleomorphic adenoma ( p  < 0.05). ACE2 expression levels were associated with anti‐SSA/SSB positivity ( p  < 0.05). A strong correlation was observed between TMPRSS2 and FURIN in pSjD ( r  = 0.768; p  = 0.001). Conclusion Our analysis revealed a high expression of ACE2 in pSjD. ACE2 , TMPRSS2 , and FURIN mRNA levels are increased in pSjD in comparison to pleomorphic adenomas. Neither ACE2 , TMPRSS2 , nor furin was consistently associated with SARS‐CoV‐2 positivity in pSjD. These findings may guide future investigations on the effects of SARS‐CoV‐2 in a subset of salivary gland diseases. 10.1111/jop.13621 http://onlinelibrary.wiley.com/termsAndConditions#vor
title SARS ‐ CoV ‐2 Entry Factors ACE2 , TMPRSS2 and FURIN in Salivary Glands From Primary Sjögren's Disease
topic Journal of Oral Pathology & Medicine
url https://onlinelibrary.wiley.com/doi/10.1111/jop.13621