Exorbital lacrimal and submandibular salivary glands were harvested and fixed in buffered formalin, processed, embedded in paraffin, and sectioned. Five micrometer sections of paired glands were stained with hematoxylin and eosin (H&E) and analyzed by standard light microscopy. Inflammation was quantified using standard focus scoring57 (link). Focus scores (number of inflammatory foci per 4 mm2) were calculated by a blinded observer by counting the total number of foci (composed of ≥ 50 mononuclear cells) by standard light microscopy using a 10× objective, scanning slides to obtain digital images using PathScan Enabler IV (Meyer Instruments), and measuring surface area of sections using ImageJ software58 (link). Samples with diffuse inflammation resulting in coalescence of individual foci were assigned focus score values greater than the highest calculable value for that set of comparisons. Representative images were captured on a Leitz DM-RB research microscope with a Leica DCF700T digital camera using Leica Application Suite X software (Leica Microsystems, Wetzlar, Germany).