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Saliva Composition (saliva + composition)

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Medical Sciences100%

Selected Abstracts

Salivary gland parameters and clinical data related to the underlying disorder in patients with persisting xerostomia

EUROPEAN JOURNAL OF ORAL SCIENCES, Issue 2 2007
Ianthe Van Den Berg
This study assessed salivary gland parameters and clinical data in patients referred to our clinic because of persisting xerostomia of unknown origin, in order to facilitate early diagnosis and recognition of the underlying disorder. Most patients were referred for diagnostic analysis of a possible Sjögren's syndrome (SS). A complete diagnostic work-up was available in all patients (n = 176), including data on salivary gland function, saliva composition, sialography, salivary gland swelling, pattern of complaints, general health, and medication. Patients were diagnosed with SS (n = 62), sialosis (n = 45), sodium retention syndrome (n = 30), or medication-induced xerostomia (n = 9). In 30 patients no disease related to salivary gland pathology was found. Unstimulated whole salivary flow was decreased in all patients, except in patients with sodium retention syndrome and in patients without salivary gland pathology. Submandibular/sublingual salivary flow was lowest in SS patients. SS and sialosis patients had increased salivary potassium concentrations, whereas only SS patients had increased sodium concentrations. About half of the sialosis patients mainly complained of persistent parotid gland swelling. Xerostomia-inducing medication was used by most patients. It was concluded that gland-specific sialometry and sialochemistry is useful in discriminating between the various disorders causing persisting xerostomia. [source]

The antioxidant capacity of saliva

JOURNAL OF CLINICAL PERIODONTOLOGY, Issue 3 2002
M. Battino
Abstract Background/aims: Saliva, a heterogeneous fluid comprising proteins, glycoproteins, electrolytes, small organic molecules and compounds transported from the blood, constantly bathes the teeth and oral mucosa. It acts as a cleansing solution, an ion reservoir, a lubricant and a buffer. In addition to its other host-protective properties, saliva could constitute a first line of defence against free radical-mediated oxidative stress, since the process of mastication and digestion of ingested foods promotes a variety of reactions, including lipid peroxidation. Moreover, during gingival inflammation, gingival crevicular fluid flow increases the change of saliva composition with products from the inflammatory response; this, in turn, could have some rôle in controlling and/or modulating oxidative damages in the oral cavity. This is the reason why the antioxidant capacity of saliva has led to increasing interest, and the development of techniques suitable for saliva antioxidant evaluation. Materials and Methods: Here, we review the current peer-reviewed literature concerning the nature and characteristics of free radicals, reactive oxygen species, oxidants, pro-oxidants and antioxidants in saliva, especially pro-oxidant and antioxidant features, as well as current methods for assessing the antioxidant capacity of saliva. Results and Conclusions: In the last decade, several methods have been developed for assaying the antioxidant activity of saliva, indicating an increasing interest of researchers and clinicians. Unfortunately, systematic studies of saliva are still lacking, even in healthy populations. Zusammenfassung Hintergrund/Zielsetzung: Der Speichel, eine heterogene Flüssigkeit bestehend aus Proteinen, Glykoproteinen, Elektrolyten, kleinen organischen Molekülen und Bestandteilen aus dem Blut, umspült andauernd Zähne und Mundschleimhäute. Er wirkt als Reinigungslösung, Reservoir für Ionen, als Schmiermittel und als Puffer. Zusätzlich zu seinen anderen Abwehreigenschaften könnte der Speichel eine erste Verteidigungslinie gegen durch freie Radikal verursachten oxidativen Stress sein, da der Prozess der Nahrungszerkleinerung und -verdauung eine Vielzahl von Reaktionen auslöst einschließlich der Lipidperoxidation. Darüber hinaus erhöht sich während gingivaler Entzündung der Sulkusflüssigkeitsfluss und verändert die Zusammensetzung des Speichels durch Produkte der Entzündungsreaktion. Dies könnte eine Rolle bei der Kontrolle und/oder Beeinflussung oxidativer Schäden in der Mundhöhle spielen. Dies sind die Gründe dafür, warum die antioxidative Kapazität des Speichels zu einem wachsenden Interesse und zur Entwicklung von Techniken geführt hat, die die Bestimmung der antioxidativen Kapazität des Speichels erlauben. Material und Methoden: In diesem Übersichtsartikel wird die akutelle Literatur hinsichtlich der Natur und Charakteristika freier Radikale, reaktiver Sauerstoffarten, Oxidantien, Prooxidantien und Antioxidantien im Speichel, insbesondere Eigenschaften der Pro- und Antioxidantien sowie aktuelle Methoden zur Bestimmung der antioxidative Kapazität des Speichels, dargestellt. Ergebnisse/Schlussfolgerungen: Während des vergangenen Jahrzehnts wurden mehrere Methoden für die Bestimmung der antioxidativen Kapazität des Speichels entwickelt, was für ein wachsendes wissenschaftliches und klinisches Interesse spricht. Unglücklicherweise fehlen noch systematische Studien zum Speichel selbst für gesunde Kollektive. Résumé Origine/but: La salive, fluide hétérogène constitué de protéines, de glycoprotéines, d'électrolytes, de petites molécules organiques et de composés transportés du sang, baigne constamment les dents et les muqueuses buccales. Elle agit comme une solution nettoyante, comme réservoir d'ions, comme lubrifiant et comme tampon. En plus de ces propriétés protectrices pour l'hôte, la salive pourrait constituer une première ligne de défense contre le stress oxydatif dû aux radicaux libres puisque le processus de mastication et de digestion des nourritures ingérées induit une variété de réactions, telle la peroxidation des lipides. De plus, pendant l'inflammation gingivale, le flux gingival sulculaire augmente et altère la compositon de la salive par les produits de la réponse inflammatoire. Cela, à son tour, pourrait avoir un rôle dans le contrôle ou la modulation des dommages oxydatifs dans la cavité buccale. C'est la raison pour laquelle la capacité antioxydant de la salive a connu un intérêt croissant et le développement de techniques fiables pour l'évaluation des antioxydants salivaires. Matériaux et méthodes: Ici, nous passons en revue de façon concise la littérature actuelle concernant la nature et les caractéristiques des radicaux libres, des espèces réactives à l'oxygène, des oxydants, des pro-oxydants et des antioxydants dans la salive, particulièrement les caractéristiques pro-oxydante et antioxydante et les méthodes actuelles de mise en évidence des capacités antioxydantes de la salive. Résultats et conclusions: Lors de la dernière décade, plusieurs méthodes ont été développées pour tester l'activité antioxydante de la salive, ce qui prouve un intérêt grandissant des chercheurs et des cliniciens. Malheureusement, des études systématiques sur la salive manquent même pour les populations saines. [source]

Salivary anticandidal activity and saliva composition in an HIV-infected cohort

MOLECULAR ORAL MICROBIOLOGY, Issue 5 2001
A. L. Lin
This study investigated salivary anticandidal activity and salivary composition in stimulated whole saliva of 18 advanced HIV-infected patients and compared these values to healthy controls. Stimulated whole saliva from HIV-infected patients showed decreased anticandidal activity. The flow rate was reduced by 40% as compared with controls. The saliva flow rate for HIV-infected patients who had recoverable yeast in their saliva was reduced as compared to HIV-infected patients without recoverable yeast. For HIV-infected patients, the saliva concentrations of lactoferrin, secretory IgA and Cl, were increased while the secretion rate of lysozyme, total protein and K+ were reduced. There was no difference in any parameter as a function of taking the antifungal drug fluconazole. There was no association between salivary anticandidal activity and any salivary component. This study shows reduced anticandidal activity and salivary flow rate in HIV-infected patients. These alterations may contribute to their increased incidence of oral candidal infections. [source]

Clinical and histologic evidence of salivary gland restoration supports the efficacy of rituximab treatment in Sjögren's syndrome,

ARTHRITIS & RHEUMATISM, Issue 11 2009
J. Pijpe
Objective To assess the effect of rituximab (anti-CD20 antibody) therapy on the (immuno)histopathology of parotid tissue in patients with primary Sjögren's syndrome (SS) and the correlation of histologic findings with the flow rate and composition of parotid saliva. Methods In a phase II study, an incisional parotid biopsy specimen was obtained from 5 patients with primary SS before and 12 weeks after rituximab treatment (4 infusions of 375 mg/m2). The relative amount of parotid parenchyma, lymphocytic infiltrate, and fat, and the presence/quantity of germinal centers and lymphoepithelial duct lesions were evaluated. Immunohistochemical characterization was performed to analyze the B:T cell ratio of the lymphocytic infiltrate (CD20, CD79a, CD3) and cellular proliferation in the acinar parenchyma (by double immunohistologic labeling for cytokeratin 14 and Ki-67). Histologic data were assessed for correlations with the parotid flow rate and saliva composition. Results Four patients showed an increased salivary flow rate and normalization of the initially increased salivary sodium concentration. Following rituximab treatment, the lymphocytic infiltrate was reduced, with a decreased B:T cell ratio and (partial) disappearance of germinal centers. The amount and extent of lymphoepithelial lesions decreased in 3 patients and was completely absent in 2 patients. The initially increased proliferation of acinar parenchyma in response to inflammation was reduced in all patients. Conclusion Sequential parotid biopsy specimens obtained from patients with primary SS before and after rituximab treatment demonstrated histopathologic evidence of reduced glandular inflammation and redifferentiation of lymphoepithelial duct lesions to regular striated ducts as a putative morphologic correlate of increased parotid flow and normalization of the salivary sodium content. These histopathologic findings in a few patients underline the efficacy of B cell depletion and indicate the potential for glandular restoration in SS. [source]