Surgical removal of Waldeyer’s ring and long-term risk of Sjögren’s syndrome: a population-based cohort study investigating the mucosal immune link
Tonsillectomy is independently associated with an increased risk of SS. These findings suggest that early-life removal of nasopharyngeal lymphoid tissue may disrupt the MALT axis, impairing oral tolerance and predisposing to salivary autoimmunity.
Authors
- Jeng-Wen Peter Chen
- Chia-Hung Su
- Y H Wang
- Chun-Hou Liao
- Hua-Wei Chi
- Mingchih Chen
- James Cheng-Chung Wei
Institutions
- Fu Jen Catholic University (TW)
- Chung Shan Medical University Hospital (TW)
- National Taiwan University Hospital (TW)
- Cardinal Tien Hospital (TW)
- Chung Shan Medical University (TW)
- China Medical University (CN)
Publication Details
- Journal
- Frontiers in Immunology
- Published
- 2026-02-05
- DOI
- https://doi.org/10.3389/fimmu.2026.1760386
- Primary Topic
- Salivary Gland Disorders and Functions
- Type
- article
- Field-Weighted Citation Impact
- 0.00
Funders
- Cardinal Tien Hospital
- National Science and Technology Council