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1.
J Oral Pathol Med ; 47(2): 211-219, 2018 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-29160910

RESUMEN

BACKGROUND: Salivary gland (SG) injurious agents are all translated into loss of salivation (xerostomia). An association has been established between activation of innate immunity and SG injury and dysfunction. However, it remains unclear how the secretory epithelia respond by halting saliva production. METHODS: C57BL/6 submandibular glands (SMGs) were acutely challenged using a single dose of the innate immune stimulant: polyinosinic-polycytidylic acid (poly (I:C)). Secretory capacity of the infected SMGs was substantiated by assessing the flow rate in response to pilocarpine stimulation. Depletion of the acute inflammatory cells was achieved by pre-treating mice with RB6-8C5 depletion antibody. Flow cytometry, histology and immunohistochemistry were conducted to verify the immune cell depletion. Epithelial expression of saliva-driving molecules: muscarinic 3 receptor (M3R), aquaporin 5 water channel (AQP5), Na-K-CL-Cotransporter 1 (NKCC1) and transmembrane member 16A (TMEM16A), was characterized using RT-qPCR and immunohistochemistry. Tight junction (TJ) protein; zonula occludens (ZO-1) and basement membrane (BM) protein; and laminin were assessed by immunohistochemistry. RESULTS: Innate immune challenge prompted dysfunction in the exocrine SGs. Dysregulated gene and protein expression of molecules that drive saliva secretion was substantiated. Aberrant expression of TJ and BM proteins followed innate immune activation. Hyposalivation in the current model was independent of myeloperoxidase (MPO)-positive, acute inflammatory cells. CONCLUSIONS: In this study, we developed a novel injury model of the SGs, featuring acute secretory dysfunction and immediate structural disruptions. Our results ruled out the injurious role of aggressively infiltrating inflammatory cells.


Asunto(s)
Inmunidad Innata , Glándulas Salivales/efectos de los fármacos , Glándulas Salivales/inmunología , Glándulas Salivales/lesiones , Salivación , Glándula Submandibular/efectos de los fármacos , Glándula Submandibular/inmunología , Glándula Submandibular/lesiones , Animales , Anoctamina-1/metabolismo , Antígenos Ly/metabolismo , Acuaporina 5/metabolismo , Membrana Basal/metabolismo , Regulación hacia Abajo , Femenino , Regulación de la Expresión Génica , Inmunidad Innata/efectos de los fármacos , Inmunohistoquímica , Laminina/metabolismo , Ratones , Ratones Endogámicos C57BL , Peroxidasa/metabolismo , Pilocarpina/farmacología , Poli I-C/farmacología , Receptores Muscarínicos/metabolismo , Saliva/efectos de los fármacos , Saliva/metabolismo , Conductos Salivales/efectos de los fármacos , Glándulas Salivales/patología , Salivación/efectos de los fármacos , Tasa de Secreción/efectos de los fármacos , Miembro 2 de la Familia de Transportadores de Soluto 12/metabolismo , Glándula Submandibular/patología , Xerostomía , Proteína de la Zonula Occludens-1/metabolismo
2.
J Oral Pathol Med ; 43(5): 378-87, 2014 May.
Artículo en Inglés | MEDLINE | ID: mdl-24354788

RESUMEN

Acinar cell regeneration from tubular structures has been reported to occur in duct-deligated salivary glands. However, the detailed process of acinar cell regeneration has not been clarified. We have developed a mouse duct ligation model to clarify the mechanisms underlying acinar cell regeneration, and we analyzed the epidermal growth factor receptor (EGFR) and epidermal growth factor (EGF) ligands using the model. We studied these ligands expressions in the course of acinar cell regeneration using immunohistochemistry and RT-PCR methods. In the duct-ligated portion of the submandibular gland (SMG) that underwent atrophy, newly formed acinar cells were observed arising from the tubular structures after the release of the duct obstruction. The constitutive expression of EGFR was observed by immunohistochemistry in both the duct-ligated and duct-deligated animals as well as in normal controls. The EGFR phosphorylation detected on the tubular structures after duct ligation paralleled the acinar cell regeneration. RT-PCR showed an increase in the epiregulin and heparin-binding EGF levels from day 0 to day 3 after the release of the duct obstruction. The EGF level was increased only after day 7. In vitro, cultured cells isolated from ligated SMGs proliferated and produced EGF ligands following the addition of epiregulin to the culture medium. These findings suggest that the tubular structures localized in an atrophic gland are the source of acinar cell regeneration of the salivary gland. The induction of EGF ligands, in particular epiregulin, may play an important role in acinar cell regeneration in this model.


Asunto(s)
Células Acinares/fisiología , Epirregulina/análisis , Regeneración/fisiología , Conductos Salivales/metabolismo , Enfermedades de la Glándula Submandibular/metabolismo , Glándula Submandibular/metabolismo , Anfirregulina , Animales , Atrofia , Betacelulina/análisis , Técnicas de Cultivo de Célula , Proliferación Celular/efectos de los fármacos , Células Cultivadas , Modelos Animales de Enfermedad , Familia de Proteínas EGF/análisis , Factor de Crecimiento Epidérmico/análisis , Factor de Crecimiento Epidérmico/efectos de los fármacos , Epigen/análisis , Epirregulina/farmacología , Receptores ErbB/análisis , Receptores ErbB/efectos de los fármacos , Femenino , Factor de Crecimiento Similar a EGF de Unión a Heparina/análisis , Calicreínas/análisis , Calicreínas/efectos de los fármacos , Ligadura , Ratones , Ratones Endogámicos C57BL , Isomerasa de Peptidilprolil/análisis , Antígeno Nuclear de Célula en Proliferación/análisis , Conductos Salivales/efectos de los fármacos , Conductos Salivales/patología , Glándula Submandibular/patología , Enfermedades de la Glándula Submandibular/patología , Factor de Crecimiento Transformador alfa/análisis , Factor de Crecimiento Transformador alfa/efectos de los fármacos
3.
Bull Tokyo Dent Coll ; 55(3): 139-47, 2014.
Artículo en Inglés | MEDLINE | ID: mdl-25212559

RESUMEN

ß-defensins are small, cationic peptides with broad-spectrum antimicrobial activity that are produced by mucosal epithelia. However, little is known about the expression of ß-defensins in the major salivary glands. The purpose of this study was to characterize expression of rat ß-defensin-1 (RBD-1) and -2 (RBD-2) mRNA within the major salivary glands together with the effect of injection of intraductal lipopolysaccharide (LPS) on that expression. ß-defensin mRNA expression was quantitated by RT-PCR in salivary gland tissues and salivary acinar and striated duct cells collected by laser captured microdissection. RBD-1 and -2 were expressed in the parotid gland, the submandibular gland, and the sublingual gland. ß-defensins were expressed in both the acinar and striated duct cells of the major salivary glands. Intraductal injection of LPS increased expression of RBD-1 and -2 mRNA, which peaked at 12 hrs. These results suggest that salivary cells (acinar and striated duct cells) have the potential to produce ß-defensins.


Asunto(s)
Lipopolisacáridos/farmacología , ARN Mensajero/análisis , Glándulas Salivales/química , beta-Defensinas/análisis , Animales , Defensinas/análisis , Defensinas/efectos de los fármacos , Escherichia coli , Hibridación in Situ , Terapia por Láser/métodos , Masculino , Microdisección/métodos , Glándula Parótida/química , Glándula Parótida/efectos de los fármacos , Isoformas de Proteínas/análisis , Isoformas de Proteínas/efectos de los fármacos , ARN Mensajero/efectos de los fármacos , Ratas , Ratas Wistar , Reacción en Cadena de la Polimerasa de Transcriptasa Inversa , Conductos Salivales/química , Conductos Salivales/efectos de los fármacos , Glándulas Salivales/efectos de los fármacos , Glándula Sublingual/química , Glándula Sublingual/efectos de los fármacos , Glándula Submandibular/química , Glándula Submandibular/efectos de los fármacos , Factores de Tiempo , beta-Defensinas/efectos de los fármacos
4.
Laryngorhinootologie ; 91(4): 229-32, 2012 Apr.
Artículo en Alemán | MEDLINE | ID: mdl-21728145

RESUMEN

BACKGROUND: Several methods are well established for the imaging of salivary glands. Excluding the invasive method sialendoscopy all other methods show the salivary duct system inadequately. The aim of this study is to demonstrate a method to visualize the salivary duct system by B-mode ultrasound. MATERIAL AND METHODS: In 10 parotid glands of common pig cadavers the ultrasound contrast agent Levovist (®), which is galactose stabilized by palmitic acid was applied into the main salivary ducts while simultaneously performing a transcutaneous B-mode ultrasound. RESULTS: In all cadavers a visualization of the salivary duct system could be achieved by the application of Levovist (®) because of contrast enhancement. This effect arises as a result of an increased reflection of ultrasound waves on the surface of the microbubbles contained in the contrast agent. CONCLUSION: A reproducible visualization of the salivary duct system with B-mode ultrasound is possible by an intraductal application of an ultrasound contrast agent. In future this could be established as a reliable and fast method for imaging of the salivary ducts without ionizing radiation for the patient.


Asunto(s)
Medios de Contraste , Aumento de la Imagen , Glándula Parótida/efectos de los fármacos , Polisacáridos , Conductos Salivales/efectos de los fármacos , Ultrasonografía Intervencional , Animales , Inyecciones , Glándula Parótida/diagnóstico por imagen , Sistemas de Atención de Punto , Reproducibilidad de los Resultados , Conductos Salivales/diagnóstico por imagen , Sensibilidad y Especificidad , Porcinos , Ultrasonografía Intervencional/instrumentación
5.
Inflammation ; 44(1): 206-216, 2021 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-32772240

RESUMEN

Sjögren's syndrome (SS) is a chronic autoimmune disease targeting salivary and lacrimal glands. C-X-C motif chemokine ligand 10 (CXCL10) expression is upregulated in lip salivary glands (LSGs) of primary SS (pSS) patients, and CXCL10 involved in SS pathogenesis via immune-cell accumulation. Moreover, interferon (IFN)-γ enhances CXCL10 production via the Janus kinase (JAK)/signal transducer and activator of transcription (STAT) pathway. We investigated the effects of baricitinib, a selective JAK1/2 inhibitor, on both IFN-γ-induced CXCL10 production and immune-cell chemotaxis. We used immunohistochemical staining to determine the expression levels and localization of JAK1 and JAK2 in LSGs of SS patients (n = 12) and healthy controls (n = 3). We then evaluated the effect of baricitinib in an immortalized normal human salivary gland ductal (NS-SV-DC) cell line. Immunohistochemical analysis of LSGs from pSS patients revealed strong JAK1 and JAK2 expression in ductal and acinar cells, respectively. Baricitinib significantly inhibited IFN-γ-induced CXCL10 expression as well as the protein levels in an immortalized human salivary gland ductal-cell clone in a dose-dependent manner. Additionally, western blot analysis showed that baricitinib suppressed the IFN-γ-induced phosphorylation of STAT1 and STAT3, with a stronger effect observed in the case of STAT1. It also inhibited IFN-γ-mediated chemotaxis of Jurkat T cells. These results suggested that baricitinib suppressed IFN-γ-induced CXCL10 expression and attenuated immune-cell chemotaxis by inhibiting JAK/STAT signaling, suggesting its potential as a therapeutic strategy for pSS.


Asunto(s)
Azetidinas/farmacología , Quimiocina CXCL10/antagonistas & inhibidores , Interferón gamma/farmacología , Janus Quinasa 1/antagonistas & inhibidores , Janus Quinasa 2/antagonistas & inhibidores , Purinas/farmacología , Pirazoles/farmacología , Factor de Transcripción STAT1/antagonistas & inhibidores , Conductos Salivales/metabolismo , Sulfonamidas/farmacología , Azetidinas/uso terapéutico , Línea Celular Transformada , Quimiocina CXCL10/biosíntesis , Femenino , Humanos , Janus Quinasa 1/biosíntesis , Janus Quinasa 2/biosíntesis , Células Jurkat , Purinas/uso terapéutico , Pirazoles/uso terapéutico , Factor de Transcripción STAT1/biosíntesis , Conductos Salivales/efectos de los fármacos , Transducción de Señal/efectos de los fármacos , Transducción de Señal/fisiología , Síndrome de Sjögren/tratamiento farmacológico , Síndrome de Sjögren/metabolismo , Sulfonamidas/uso terapéutico
6.
Rev Stomatol Chir Maxillofac ; 111(3): 135-9, 2010 Jun.
Artículo en Francés | MEDLINE | ID: mdl-20553892

RESUMEN

INTRODUCTION: Alpha-blockers are used in urology to treat stenosis and lithiasis. The pathophysiology is similar in salivary glands. We had for aim to assess the safety and effectiveness of an alpha-blocker (Alfuzosin) in patients with ductal stenosis, allergic pseudo-parotitis or sialolithiasis after lithotripsy. PATIENTS AND METHODS: Three hundred and fifty-two patients were included, 194 of whom presented with sialolithiasis fragmented by extracorporeal lithotripsy (112 parotidic and 82 submandibular). Sixty-nine presented with ductal stenosis, and 89 with allergic pseudo-parotitis. This retrospective study lasted 3 years (January 2005 to January 2008) with a mean follow-up of 33 months (18 months to 4 years). Male patients were given 2.5mg tid of the alpha-blocker Alfuzosin and female patients 2.5mg bid for 3 to 24 months. After 6 months and up to 2 years of treatment, patients were assessed every 3 months by US and with a questionnaire on symptoms. RESULTS: Results were similar in male and female patients. Eighty percent of patients with colic-like pain due to stenosis reported a significant improvement after treatment. 78.6% of patients with allergic pseudo-parotitis felt they had improved and noted a sharp decrease of pruritus. Sixty-seven of the patients with residual parotid lithiasis after extracorporeal lithotripsy presented with less ductal lithiasis and fragments were evacuated more rapidly in the two months following lithotripsy. Forty-two percent of the patients treated for residual submandibular lithiasis reported a significant functional improvement and faster evacuation of fragments. Twelve patients out of 352 (3.4%) reported adverse effects. The incidence of orthostatic hypotension was 2.2%. DISCUSSION: A significant improvement of symptoms was observed in patients treated with Alfuzosin for obstructive salivary gland diseases. The drug was well tolerated. These preliminary results are good in terms of effectiveness and inocuity. They should be confirmed with a prospective controlled study.


Asunto(s)
Antagonistas Adrenérgicos alfa/uso terapéutico , Quinazolinas/uso terapéutico , Enfermedades de las Glándulas Salivales/tratamiento farmacológico , Antagonistas Adrenérgicos alfa/efectos adversos , Adulto , Anciano , Cólico/tratamiento farmacológico , Constricción Patológica/tratamiento farmacológico , Femenino , Estudios de Seguimiento , Humanos , Hipersensibilidad/tratamiento farmacológico , Hipotensión Ortostática/inducido químicamente , Litotricia , Masculino , Persona de Mediana Edad , Enfermedades de las Parótidas/tratamiento farmacológico , Enfermedades de las Parótidas/terapia , Parotiditis/tratamiento farmacológico , Quinazolinas/efectos adversos , Estudios Retrospectivos , Conductos Salivales/efectos de los fármacos , Cálculos de las Glándulas Salivales/tratamiento farmacológico , Cálculos de las Glándulas Salivales/terapia , Enfermedades de la Glándula Submandibular/tratamiento farmacológico , Enfermedades de la Glándula Submandibular/terapia , Resultado del Tratamiento
7.
Am J Physiol Gastrointest Liver Physiol ; 297(6): G1198-205, 2009 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-19779019

RESUMEN

Using multiphoton microscopy, we established that rat parotid ductal cells exhibit spontaneous oscillations in intracellular Ca(2+) concentration ([Ca(2+)](i)). These oscillatory Ca(2+) responses were observed during continuous perfusion with a physiological salt solution at 37 degrees C in the absence of calcium mobilizing agonist stimulation. The timing and patterns of these spontaneous Ca(2+) oscillations varied among individual ductal cells, and the average number of Ca(2+) responses in a single responding ductal cell was 2.1 in a 10-min recording period. High-speed scanning (0.6 s/image) revealed that most spontaneous elevations in [Ca(2+)](i) were initiated at the luminal side of ductal cells and spread toward the basal side within 2 s. Electron microscopic analysis after Ca(2+) imaging indicated that spontaneously oscillating ducts contained numerous granules at the luminal side, which is characteristic of granular ducts. These Ca(2+) oscillations were completely blocked by the purinergic receptor inhibitors 4-[[4-formyl-5-hydroxy-6-methyl-3-[(phosphonooxy)methyl]-2-pyridinyl]azo]-1,3-benzenedisulfonic acid (PPADS) and suramin but were not blocked by the muscarinic antagonist atropine or the alpha-adrenergic antagonist phentolamine. Simultaneous observation of fura-2 fluorescence and differential interference contrast (DIC) images showed that spontaneous elevations of [Ca(2+)](i) were well correlated with changes in shape of ductal cells. Using a plasma membrane fluorescence probe, SynaptoGreen C4, we found that the changes in DIC images reflected spontaneous cell swelling of ductal cells. Our findings present the possibility that purinergic receptors mediate spontaneous Ca(2+) oscillations in parotid ductal cells and regulate electrolyte reabsorption from the primary saliva in the resting state.


Asunto(s)
Señalización del Calcio , Tamaño de la Célula , Glándula Parótida/metabolismo , Receptores Purinérgicos/metabolismo , Conductos Salivales/metabolismo , Adenosina Trifosfato/metabolismo , Antagonistas Adrenérgicos alfa/farmacología , Animales , Atropina/farmacología , Señalización del Calcio/efectos de los fármacos , Tamaño de la Célula/efectos de los fármacos , Colorantes Fluorescentes , Técnicas In Vitro , Masculino , Microscopía Electrónica de Transmisión , Microscopía de Fluorescencia por Excitación Multifotónica , Antagonistas Muscarínicos/farmacología , Glándula Parótida/efectos de los fármacos , Glándula Parótida/ultraestructura , Fentolamina/farmacología , Ratas , Ratas Wistar , Receptores Purinérgicos/efectos de los fármacos , Conductos Salivales/efectos de los fármacos , Conductos Salivales/ultraestructura , Procesamiento de Señales Asistido por Computador , Suramina/farmacología , Factores de Tiempo , Uridina Trifosfato/metabolismo
8.
J Oral Pathol Med ; 38(1): 42-7, 2009 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-19192049

RESUMEN

BACKGROUND: Recent studies have demonstrated the expression of Toll-like receptor 3 (TLR3) in salivary glands and epithelial cell lines derived from Sjögren's syndrome (SS) patients. As viral infections are considered to be a trigger for SS, in this study we investigated whether in vivo engagement of TLR3 affects salivary gland function. METHODS: Female New Zealand Black/WF1 mice were repeatedly injected with polyinosinic:polycytidylic acid [poly(I:C)]. TLR3 expression within submandibular glands was studied using immunohistochemistry. RNA levels of inflammatory cytokines in the submandibular glands were determined by real time polymerase chain reaction. Pilocarpine induced saliva volume was used as an index of glandular function. RESULTS: Immunohistochemical analysis of submandibular glands showed TLR3 expression in epithelium of serous and mucous acini, granular convoluted tubules, and ducts. Poly(I:C) treatment rapidly up-regulated the mRNA levels of type I interferon (IFN) and inflammatory cytokines in the submandibular glands. One week after treatment, the saliva volumes in poly(I:C) treated mice were significantly reduced in comparison with the phosphate-buffered saline (PBS) treated mice. Hematoxylin and eosin staining showed that salivary gland histology was normal and lymphocytic foci were not detected. Glandular function recovered after poly(I:C) treatment was stopped. CONCLUSIONS: Our results demonstrate that engagement of TLR3 within the salivary glands results in a rapid loss of glandular function. This phenomenon is associated with the production of type I IFN and inflammatory cytokines in the salivary glands. Restoration of glandular function suggests that for viral etiology of SS, a chronic infection of salivary glands might be necessary.


Asunto(s)
Inmunidad Innata/inmunología , Glándula Submandibular/fisiopatología , Receptor Toll-Like 3/inmunología , Animales , Quimiocina CCL5/efectos de los fármacos , Quimiocina CCL5/inmunología , Femenino , Inmunidad Innata/efectos de los fármacos , Inmunohistoquímica , Inductores de Interferón/farmacología , Interferón Tipo I/efectos de los fármacos , Interferón Tipo I/inmunología , Interleucina-1beta/efectos de los fármacos , Interleucina-1beta/inmunología , Interleucina-6/análisis , Interleucina-6/inmunología , Ratones , Ratones Endogámicos NZB , Agonistas Muscarínicos/farmacología , Pilocarpina/farmacología , Poli I-C/farmacología , Reacción en Cadena de la Polimerasa/métodos , Saliva/efectos de los fármacos , Saliva/metabolismo , Conductos Salivales/efectos de los fármacos , Conductos Salivales/inmunología , Tasa de Secreción/efectos de los fármacos , Glándula Submandibular/efectos de los fármacos , Glándula Submandibular/inmunología , Receptor Toll-Like 3/efectos de los fármacos , Factor de Necrosis Tumoral alfa/efectos de los fármacos , Factor de Necrosis Tumoral alfa/inmunología , Regulación hacia Arriba
9.
Micron ; 40(3): 343-9, 2009 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-19167231

RESUMEN

OBJECTIVES: Nitric oxide (NO) is a diffusible intracellular messenger that is present in saliva. Chronic treatment with isoproterenol, a beta receptor agonist, stimulates the release of NO from acinar cells and induces salivary gland hypertrophy. The aim of this study was to investigate the effect of NO synthesis inhibitors and isoproterenol on rat salivary glands. We analyzed salivary gland weight and the number of ducts per unit area (0.5mm(2)) by NADPH-diaphorase histochemistry (to identify the presence of the enzyme NO synthase-NOS) and haematoxylin-and-eosin (HE). METHODS: For 8 days male Wistar rats received daily single intraperitoneal injections of saline or a NOS inhibitor (40mg/kg N(omega)-nitro-L-arginine L-NOARG or N(omega)-nitro-l-arginine methyl ester L-NAME). This was followed, 30min later, by subcutaneous injection of isoproterenol (2 or 5mg/kg) or saline. RESULTS: Isoproterenol increased parotid and submandibular gland weights. Isoproterenol (2mg/kg) induced a decrease of ducts per unit area inversely correlated to the weight of the parotid gland. This effect was augmented by L-NAME. In the submandibular gland L-NAME attenuated isoproterenol (2mg/kg) weight increase. In the submandibular gland isoproterenol and NOS inhibitors induced an increase in ducts per unit area (HE and NADPH-diaphorase). No effect was observed in the sublingual gland. CONCLUSION: To our knowledge this is the first description of isoproterenol and NOS inhibitors increasing duct density in the submandibular gland. Our results corroborate the hypothesis that NO plays different roles in parotid and submandibular glands.


Asunto(s)
Agonistas Adrenérgicos beta/administración & dosificación , Isoproterenol/administración & dosificación , Nitroarginina/administración & dosificación , Conductos Salivales/efectos de los fármacos , Animales , Inhibidores Enzimáticos/administración & dosificación , Inyecciones Intraperitoneales , Inyecciones Subcutáneas , Masculino , NG-Nitroarginina Metil Éster/administración & dosificación , Óxido Nítrico/metabolismo , Óxido Nítrico Sintasa/antagonistas & inhibidores , Glándula Parótida/citología , Glándula Parótida/efectos de los fármacos , Glándula Parótida/metabolismo , Ratas , Ratas Endogámicas BB , Conductos Salivales/metabolismo , Glándula Sublingual/citología , Glándula Sublingual/efectos de los fármacos , Glándula Sublingual/metabolismo , Glándula Submandibular/citología , Glándula Submandibular/efectos de los fármacos , Glándula Submandibular/metabolismo
10.
Ear Nose Throat J ; 98(5): 291-294, 2019 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-31012349

RESUMEN

Sialendoscopy has emerged as a safe, effective and minimally invasive technique for management of obstructive and inflammatory salivary gland disease. The aim of our study was to analyze outcomes of sialendoscopy and steroid irrigation in patients with sialadenitis without sialoliths. We performed a retrospective analysis of patients who underwent interventional sialendoscopy with steroid irrigation from 2013 to 2016, for the treatment of sialadenitis without sialolithiasis. Twenty-two patients underwent interventional sialendoscopy with ductal dilation and steroid irrigation for the treatment of sialadenitis without any evidence of sialolithiasis. Conservative measures had failed in all. Eleven patients had symptoms arising from the parotid gland, 4 patients had symptoms arising from the submandibular gland, while 6 patients had symptoms in both parotid and submandibular glands. One patient complained of only xerostomia without glandular symptoms. The mean age of the study group which included 1 male and 21 females was 44.6 years (range: 3-86 years). Four patients had autoimmune disease, while 7 patients had a history of radioactive iodine therapy. No identifiable cause for sialadenitis was found in the remaining 11 patients. The mean follow-up period was 378.9 days (range: 16-1143 days). All patients underwent sialendoscopy with ductal dilation and steroid irrigation. Twelve patients showed a complete response and 9 patients had a partial response, while 1 patient reported no response. Only 3 patients required repeat sialendoscopy. The combination of sialendoscopy with ductal dilation and steroid irrigation is a safe and effective treatment option for patients with sialadenitis without sialoliths refractory to conservative measures. Prospective studies with a larger case series are needed to establish its role as a definitive treatment option.


Asunto(s)
Endoscopía/métodos , Glucocorticoides/uso terapéutico , Conductos Salivales , Sialadenitis , Adulto , Dilatación/instrumentación , Dilatación/métodos , Femenino , Humanos , Masculino , Persona de Mediana Edad , Conductos Salivales/efectos de los fármacos , Conductos Salivales/patología , Conductos Salivales/cirugía , Sialadenitis/diagnóstico , Sialadenitis/tratamiento farmacológico , Sialadenitis/etiología , Sialadenitis/cirugía , Irrigación Terapéutica/métodos , Resultado del Tratamiento , Estados Unidos
11.
J Oral Pathol Med ; 37(8): 499-503, 2008 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-18298472

RESUMEN

BACKGROUND: In alcoholic parotid sialosis, the gland is frequently enlarged due to ductal and/or acinar hypertrophy, ductal hyperplasy and stromal fat infiltration. The aim of this study was to determine acinar and ductal dimensions, the number of striated ducts and the proportion of fat tissue in patients with and without alcoholic parotid sialosis. METHODS: Twelve parotid biopsy samples from patients with hepatic alcoholic cirrhosis and those from seven controls were used. A morphometrical study with a digital image analyser attached to an optical microscope was carried out. Direct and indirect indicators from acinar and ductal dimensions were recorded. The number of striated ducts and the proportion of fat tissue in stroma were determined. Fifteen records for each variable were taken. Mean values were compared using the Mann-Whitney U-test (P

Asunto(s)
Alcoholismo/complicaciones , Glándula Parótida/patología , Parotiditis/patología , Tejido Adiposo/patología , Adulto , Anciano , Anciano de 80 o más Años , Biopsia , Colorantes , Femenino , Colorantes Fluorescentes , Humanos , Hiperplasia , Hipertrofia , Procesamiento de Imagen Asistido por Computador , Cirrosis Hepática Alcohólica/complicaciones , Masculino , Persona de Mediana Edad , Adhesión en Parafina , Conductos Salivales/efectos de los fármacos , Conductos Salivales/patología
12.
Oral Dis ; 14(6): 520-8, 2008 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-18221457

RESUMEN

OBJECTIVE: The commonly associated aetiology of salivary gland inflammation and salivary hypofunction has led to the widely held belief that inflammation causes salivary gland hypofunction. Indeed, our own recent study seemed to support this contention. Here, we tested the hypothesis that, in an acute duct ligation model, eliminating inflammation the submandibular gland would recover normal function. MATERIALS AND METHODS: Ligation of the rat submandibular gland excretory duct for 24 h was used to induce inflammation and salivary gland hypofunction. A group of duct ligated rats was compared with a second group given dexamethasone, on the day of duct ligation. Twenty-four hours later salivary gland function was assessed and salivary glands were collected. RESULTS: Histology and myeloperoxidase activity assay revealed a profound decrease in inflammatory cell infiltration of ligated glands from rats given dexamethasone, compared with ligated glands in the absence of dexamethasone. Salivary flow rate evoked by methacholine was decreased (P < 0.01) by approximately 56% (ligated vs control, 79 +/- 9 microl min(-1) g(-1)vs 177 +/- 11 microl min(-1) g(-1)) and salivary flow from ligated dexamethasone-treated and ligated glands was similar. CONCLUSION: Despite eliminating the inflammatory reaction in the ligated gland, salivary hypofunction was not reversed, suggesting that other mechanisms must be at work in the ligation-induced salivary hypofunction.


Asunto(s)
Conductos Salivales/fisiopatología , Sialadenitis/fisiopatología , Enfermedades de la Glándula Submandibular/fisiopatología , Glándula Submandibular/fisiopatología , Xerostomía/fisiopatología , Enfermedad Aguda , Animales , Antiinflamatorios/uso terapéutico , Dexametasona/uso terapéutico , Modelos Animales de Enfermedad , Glucocorticoides/uso terapéutico , Ligadura , Macrófagos/patología , Cloruro de Metacolina/farmacología , Neutrófilos/patología , Parasimpaticomiméticos/farmacología , Peroxidasa/análisis , Potenciometría , Ratas , Ratas Wistar , Saliva/efectos de los fármacos , Saliva/metabolismo , Conductos Salivales/efectos de los fármacos , Conductos Salivales/patología , Conductos Salivales/cirugía , Proteínas y Péptidos Salivales/análisis , Tasa de Secreción/efectos de los fármacos , Tasa de Secreción/fisiología , Sialadenitis/tratamiento farmacológico , Sialadenitis/patología , Glándula Submandibular/efectos de los fármacos , Glándula Submandibular/patología , Glándula Submandibular/cirugía , Enfermedades de la Glándula Submandibular/patología , Factores de Tiempo , Xerostomía/patología
13.
Inflammation ; 41(1): 50-58, 2018 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-28879548

RESUMEN

Cepharanthine, a biscolaurine alkaloid isolated from the plant Stephania cephalantha Hayata, has been reported to have potent anti-inflammatory properties. Here, we investigated the effects of cepharanthine on the expression of CXCL10 (a CXC chemokine induced by interferon-gamma [IFN-γ] that has been observed in a wide variety of chronic inflammatory disorders and autoimmune conditions) in IFN-γ-treated human salivary gland cell lines. We observed that IFN-γ-induced CXCL10 production in NS-SV-DC cells (a human salivary gland ductal cell line), but not in NS-SV-AC cells (a human salivary gland acinar cell line). Cepharanthine inhibited the IFN-γ-induced CXCL10 production in NS-SV-DC cells. A Western blot analysis showed that cepharanthine prevented the phosphorylation of JAK2 and STAT1, but did not interfere with the NF-κB pathway. Moreover, cepharanthine inhibited the IFN-γ-mediated chemotaxis of Jurkat T cells. These results suggest that cepharanthine suppresses IFN-γ-induced CXCL10 production via the inhibition of the JAK2/STAT1 signaling pathway in human salivary gland ductal cells. Our findings also indicate that cepharanthine could inhibit the chemotaxis of Jurkat T cells by reducing CXCL10 production.


Asunto(s)
Antiinflamatorios/farmacología , Bencilisoquinolinas/farmacología , Quimiocina CXCL10/metabolismo , Interferón gamma/farmacología , Janus Quinasa 2/metabolismo , Factor de Transcripción STAT1/metabolismo , Conductos Salivales/efectos de los fármacos , Quimiotaxis de Leucocito/efectos de los fármacos , Relación Dosis-Respuesta a Droga , Humanos , Células Jurkat , FN-kappa B/metabolismo , Fosforilación , Conductos Salivales/metabolismo , Transducción de Señal/efectos de los fármacos , Factores de Tiempo
14.
Arch Oral Biol ; 52(11): 1072-8, 2007 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-17586459

RESUMEN

The heterogeneity of salivary ductal cells, with regard to their sensitivity to Ca(2+)-mobilizing agonists, was visualized by multi-photon microscopy. Stimulation of isolated parotid ducts with 0.1 and 1 microM epinephrine (Epi) elevated the intracellular Ca(2+) levels ([Ca(2+)](i)) in approximately 30% and >90% of the ductal cells, respectively. Of the 0.1 microM Epi-responsive cells, 80% responded rapidly to subsequent stimulation with 1 microM Epi. Similarly, threshold concentrations (0.5 or 1 microM) of phenylephrine (PhL), carbachol (CCh) or ATP, induced responses in approximately 20% of the ductal cells, and subsequent stimulations with 10 microM of the same agonist activated approximately 80% of ductal cells. These observations indicate that parotid ducts contain a certain subpopulation of cells, which exhibits particularly high sensitivity to these Ca(2+)-mobilizing agonists, compared to the remaining ductal cells. Sequential stimulation with threshold concentrations of PhL, CCh, and ATP induced Ca(2+) responses in approximately 33% of ductal cells. Of these responsive cells, the majority (69%) could only respond to one of the three agonists; while a small minority (9%) were capable of responding to all three agonists. These results indicate that low concentrations of PhL, CCh, and ATP activate different subpopulations of parotid ductal cells.


Asunto(s)
Calcio/metabolismo , Ionóforos/farmacología , Glándula Parótida , Conductos Salivales/citología , Conductos Salivales/metabolismo , Adenosina Trifosfato/farmacología , Animales , Carbacol/farmacología , Relación Dosis-Respuesta a Droga , Epinefrina/farmacología , Fura-2 , Ionomicina/farmacología , Masculino , Microscopía de Fluorescencia por Excitación Multifotónica , Fenilefrina/farmacología , Ratas , Ratas Wistar , Conductos Salivales/efectos de los fármacos , Estimulación Química
15.
Arch Oral Biol ; 52(5): 411-6, 2007 May.
Artículo en Inglés | MEDLINE | ID: mdl-17118334

RESUMEN

OBJECTIVE: Immunoglobulin A (IgA) is transported across glandular epithelial cells by polymeric immunoglobulin receptor (plgR), with each receptor molecule participating in only one round of transcytosis. Nerve-related stimuli rapidly increase salivary secretion of IgA, while concentrations are increased in the autoimmune disease Sjögren's syndrome. Our aim here was to determine whether autonomic agonists and cytokines present in Sjögren's-affected glands can up-regulate salivary cell plgR expression. METHODS: Cultures of rat parotid acinar cells (PAR C5) and human submandibular gland ductal cells (HSG) were exposed to carbachol or adrenaline for 24 h and to interleukin-4 and/or interferon-gamma for 48 h. The human colonic cell line HT-29 served as a positive control for cytokine response. plgR mRNA was quantified by reverse transcription and real-time PCR and protein expression was examined by immunoblotting. RESULTS: Carbachol increased plgR mRNA levels significantly in all cells but adrenaline did so only with PAR cells (P<0.05). HSG and HT-29 cells both up-regulated plgR gene transcription on exposure to interleukin-4 and interferon-gamma either alone or in combination (P<0.05). By contrast, production of plgR mRNA in PAR cells tended to decrease in response to all cytokine treatments. plgR protein levels rose in line with mRNA expression in cytokine-treated HT-29 cultures (P<0.05). CONCLUSIONS: Autonomimetics can up-regulate plgR transcription in transformed and neoplastic salivary and colonic cells, although intracellular coupling mechanisms require further investigation. Immunomodulatory cytokines increased plgR expression in one of the salivary cell lines, but additional work is needed to establish whether this occurs in Sjögren's patients.


Asunto(s)
Fármacos del Sistema Nervioso Autónomo/agonistas , Citocinas/farmacología , Glándula Parótida/efectos de los fármacos , Receptores de Inmunoglobulina Polimérica/efectos de los fármacos , Síndrome de Sjögren/inmunología , Glándula Submandibular/efectos de los fármacos , Agonistas Adrenérgicos/farmacología , Animales , Carbacol/farmacología , Línea Celular , Agonistas Colinérgicos/farmacología , Epinefrina/farmacología , Células HT29 , Humanos , Interferón gamma/farmacología , Interleucina-4/farmacología , Glándula Parótida/citología , Glándula Parótida/inmunología , ARN Mensajero/análisis , Ratas , Receptores de Inmunoglobulina Polimérica/análisis , Conductos Salivales/citología , Conductos Salivales/efectos de los fármacos , Conductos Salivales/inmunología , Glándula Submandibular/citología , Glándula Submandibular/inmunología , Factores de Tiempo , Transcripción Genética/efectos de los fármacos , Regulación hacia Arriba/efectos de los fármacos
16.
J Dent Res ; 85(12): 1101-5, 2006 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-17122162

RESUMEN

A molecular basis for Cl- re-absorption has not been well-characterized in salivary ductal cells. Previously, we found strong expression of a rat homologue proposed to be Ca2+-dependent Cl- channels (rCLCA) in the intralobular ducts of the rat submandibular gland. To address the question as to whether rCLCA and cystic fibrosis transmembrane conductance regulator (CFTR) are involved in Cl- re-absorption, we evaluated the electrolyte content of saliva from glands pre-treated with a small interfering RNA (siRNA). Retrograde injection into a given submandibular duct of an siRNA designed to knock down either rCLCA or CFTR reduced the expression of each of the proteins. rCLCA and CFTR siRNAs significantly increased Cl- concentration in the final saliva during pilocarpine stimulation. These results represent the first in vivo evidence for a physiological significance of rCLCA, along with CFTR, in transepithelial Cl- transport in the ductal system of the rat submandibular gland.


Asunto(s)
Canales de Cloruro/fisiología , Cloruros/metabolismo , Regulador de Conductancia de Transmembrana de Fibrosis Quística/fisiología , Saliva/metabolismo , Absorción , Animales , Canales de Cloruro/genética , Cloruros/análisis , Regulador de Conductancia de Transmembrana de Fibrosis Quística/genética , Immunoblotting , Inmunohistoquímica , Agonistas Muscarínicos/farmacología , Pilocarpina/farmacología , Potasio/análisis , ARN Mensajero/genética , ARN Interferente Pequeño/genética , Ratas , Saliva/química , Saliva/efectos de los fármacos , Conductos Salivales/efectos de los fármacos , Conductos Salivales/metabolismo , Sodio/análisis , Glándula Submandibular/efectos de los fármacos , Glándula Submandibular/metabolismo
17.
J Dent Res ; 95(3): 277-83, 2016 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-26628486

RESUMEN

Salivary glands are essential for the maintenance of oral health by providing lubrication and antimicrobial protection to the mucosal and tooth surfaces. Saliva is modified and delivered to the oral cavity by a complex multifunctional ductal system. During development, these ducts form as solid tubes, which undergo cavitation to create lumens. Apoptosis has been suggested to play a role in this cavitation process along with changes in cell polarity. Here, we show that apoptosis occurs from the very earliest stages of mouse salivary gland development, much earlier than previously reported. Apoptotic cells were observed in the center of the first epithelial stalk at early-stage embryonic day 12.5 (E12.5) according to both TUNEL staining and cleaved caspase 3 immunofluorescence. The presumptive lumen space was highlighted by the colocalization of a predictive lumen marker, cytokeratin 7. At E14.5, as lumens start to form throughout the glands, apoptotic expression decreased while cytokeratin 7 remained positive. In vitro inhibition of all caspases in E12.5 and E13.5 salivary glands resulted in wider ducts, as compared with the controls, and a defect in lumen formation. In contrast, no such defect in lumen formation was observed at E14.5. Our data indicate that apoptosis is involved during early stages of gland formation (E12.5 onward) and appears important for shaping the forming ducts.


Asunto(s)
Apoptosis/fisiología , Morfogénesis/fisiología , Conductos Salivales/embriología , Clorometilcetonas de Aminoácidos/farmacología , Animales , Caspasa 3/análisis , Caspasa 3/efectos de los fármacos , Inhibidores de Caspasas/farmacología , Polaridad Celular/fisiología , Desarrollo Embrionario/fisiología , Epitelio/embriología , Etiquetado Corte-Fin in Situ , Queratina-7/análisis , Ratones , Técnicas de Cultivo de Órganos , Conductos Salivales/efectos de los fármacos , Glándula Submandibular/embriología
18.
Biochim Biophys Acta ; 1539(1-2): 114-21, 2001 May 28.
Artículo en Inglés | MEDLINE | ID: mdl-11389973

RESUMEN

The ATP-induced oscillatory changes in cytosolic Ca(2+) concentration ([Ca(2+)](i)) were analysed in HSY cells, a salivary ductal cell line from human parotid, using a fluorescence ratio imaging system. At concentrations higher than 1 microM, ATP caused sinusoidal [Ca(2+)](i) oscillations due to the periodic release and reuptake of Ca(2+) by intracellular Ca(2+) stores. The phorbol ester 4beta-phorbol 12,13-dibutyrate (PDBu) changed the [Ca(2+)](i) oscillations to a single spike. The inhibitory effect of PDBu on the [Ca(2+)](i) signals was reversed by protein kinase C (PKC) inhibitors such as staurosporine and chelerythrine chloride. However, preincubation of the cells with the PKC inhibitors did not affect the pattern of the ATP-induced [Ca(2+)](i) oscillations. The desensitization of the [Ca(2+)](i) response observed during prolonged stimulation with ATP was also not prevented by the PKC inhibitors. Incubation of HSY cells with the sulphydryl reagent thimerosal, which enhances the sensitivity of inositol 1,4,5-trisphosphate (IP(3)) receptors, caused repetitive Ca(2+) release from intracellular Ca(2+) stores resulting in baseline spikes of [Ca(2+)](i). The thimerosal-induced [Ca(2+)](i) oscillations did not change in the presence of PDBu and the phospholipase C inhibitor U73122. Thus, we could not provide evidence that negative feedback by PKC plays a central role in the regulation of ATP-induced [Ca(2+)](i) oscillations. These results suggest that the [Ca(2+)](i) oscillations, at least the baseline spikes, in HSY cells can be generated without stimulating the formation of IP(3).


Asunto(s)
Adenosina Trifosfato/farmacología , Calcio/metabolismo , Conductos Salivales/efectos de los fármacos , Timerosal/farmacología , Calcio/análisis , Cationes Bivalentes , Línea Celular , Colorantes Fluorescentes , Fura-2 , Humanos , Proteína Quinasa C/antagonistas & inhibidores , Proteína Quinasa C/metabolismo , Conductos Salivales/metabolismo , Factores de Tiempo
19.
Neuroscience ; 116(3): 775-90, 2003.
Artículo en Inglés | MEDLINE | ID: mdl-12573719

RESUMEN

The combination of high performance liquid chromatography, bioassay and immunocytochemistry was applied to study the regulation of the salivary duct muscle of the snail, Helix pomatia. The major function of the duct appears to be to propel the saliva toward the buccal cavity during feeding. It has been established that serotonin and dopamine applied exogenously mimic the effect on the duct exerted by the stimulation of the salivary nerve. Immunohistochemistry revealed the presence of serotonin, but not dopaminergic nerve elements in the nerve and along the duct surface. However, both serotonin (14.9-15.5 pmol/mg) and dopamine (0.38-0.58 pmol/mg), as well as the synthesizing enzymes (tyrozine hydroxylase 0.28 pmol/mg tissue/h and DOPA 0.32 nmol synthesized DA/mg tissue/h) could regularly be assayed in the salivary duct by high performance liquid chromatography. When released following the stimulation of the salivary nerve, both monoamines were shown to interact with distinct membrane receptors. Dopamine elicited a sustained increase of the muscle tone in concentration-dependent manner (K(d)=1.5 microM). Mammalian D(1) receptor antagonist flupenthixol and fluphenazine attenuated, whereas the D(1) receptor agonist SKF-38393 mimicked the effect elicited by exogenous dopamine. Serotonin had a double effect on the salivary duct: a relaxing and a contracting one with different K(d) values 76 nM and 2.4 microM, respectively. 5-HT(2) receptor antagonist ritanserin and ketanserin attenuated the serotonin-induced relaxation. In contrast 5-HT(3) antagonist metoclopramide and MDL2222 decreased and 5-HT(3) receptor agonist 1-(m-chlorophenyl)-biguanide mimicked the serotonin-induced contraction, suggesting that serotonin exerted its action on two different receptor subtypes. The release of radiolabeled serotonin and dopamine upon nerve stimulation was found to be Ca-dependent. Furthermore, the increase in serotonin concentration induced a decrease of the potency of dopamine to elicit sustained contraction. These results provide evidence for the transmitter role of serotonin and dopamine in salivary duct. It is concluded that receptors reveal a pharmacological profile related to vertebrate D(1), 5-HT(2) and 5-HT(3) receptor subtypes. Moreover, it was found that the process of conveying the saliva is modulated by an interaction of dopamine and serotonin.


Asunto(s)
Caracoles Helix/fisiología , Receptores Dopaminérgicos/fisiología , Receptores de Serotonina/fisiología , Conductos Salivales/fisiología , Animales , Dopamina/farmacología , Relación Dosis-Respuesta a Droga , Estimulación Eléctrica/métodos , Receptores Dopaminérgicos/análisis , Receptores de Serotonina/análisis , Conductos Salivales/química , Conductos Salivales/efectos de los fármacos , Serotonina/farmacología
20.
J Histochem Cytochem ; 46(1): 91-100, 1998 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-9405498

RESUMEN

Using antibodies against the 31-kD and 70-kD subunits of vacuolar type H+-ATPase (V-ATPase) and light microscopic immunocytochemistry, we have demonstrated the presence of this V-ATPase in rat submandibular gland. We have also investigated the adaptive changes of this transporter during acid-base disturbances such as acute and chronic metabolic acidosis or alkalosis. Our results show intracellularly distributed V-ATPase in striated, granular, and main excretory duct cells in controls, but no V-ATPase immunoreaction in acinar cells. Both acute and chronic metabolic acidosis caused a shift in V-ATPase away from diffuse distribution towards apical localization in striated and granular duct cells, suggesting that a V-ATPase could be involved in the regulation of acid-base homeostasis. In contrast, during acidosis the main excretory duct cells showed no changes in the V-ATPase distribution compared to controls. With acute and chronic metabolic alkalosis, no changes in the V-ATPase distribution occurred. (J Histochem Cytochem 46:91-100, 1998)


Asunto(s)
Desequilibrio Ácido-Base , Adaptación Fisiológica , ATPasas de Translocación de Protón/metabolismo , Glándula Submandibular/enzimología , ATPasas de Translocación de Protón Vacuolares , Desequilibrio Ácido-Base/inducido químicamente , Acidosis/inducido químicamente , Acidosis/enzimología , Adaptación Fisiológica/efectos de los fármacos , Alcalosis/inducido químicamente , Alcalosis/enzimología , Cloruro de Amonio/farmacología , Animales , Western Blotting , Inmunohistoquímica , Masculino , Ratas , Ratas Wistar , Conductos Salivales/citología , Conductos Salivales/efectos de los fármacos , Conductos Salivales/enzimología , Bicarbonato de Sodio/farmacología , Glándula Submandibular/citología , Glándula Submandibular/efectos de los fármacos
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