Glyconjugate expression in formalin-fixed, paraffin-embbeded Sjogren's
syndrome labial glands (nine cases) was compared with that in normal
glands (12 samples) using a wide panel of lectins. Mucous cells expres
sed mainly mucous-type glycoproteins including sialyl, fucosyl, galact
osyl and galactosaminosyl residues, and some N-linked glycoconjugates.
Demilunar cells expressed mainly alpha D-mannose, GlcNAc and Gal beta
1,3-GalNAc. Duct cells and cellular glycocalyx expressed O-linked and
N-linked residues. Sjogren's syndrome samples showed a statistically
significant increase in the expression of GlcNAc. A significantly decr
eased expression of Gal beta 1,3-GalNAc and alpha D-mannose, residues
not usually present in mucous cells, was found (p < 0.05). This sugges
ts that anatomic rather than functional alterations determine mucous c
ell impairment and the symptoms in Sjogren's syndrome.