It is unclear whether organ-specific autoantigens are critical for the
development of primary Sjogren's syndrome (SS). A 120-kilodalton orga
n-specific autoantigen was purified from salivary gland tissues of an
NFS/sld mouse model of human SS. The amino-terminal residues were iden
tical to those of the human cytoskeletal protein alpha-fodrin. The pur
ified antigen induced proliferative T cell responses and production of
interleukin-2 and interferon-gamma in vitro. Neonatal immunization wi
th the 120-kilodalton antigen prevented the disease in mice. Sera from
patients with SS reacted positively with purified antigen and recombi
nant human alpha-fodrin protein, whereas those from patients with syst
emic lupus erythematosus and rheumatoid arthritis did not. Thus, the i
mmune response to 120-kilodalton alpha-fodrin could be important in th
e initial development of primary SS.