Sjögren's syndrome is a chronic autoimmune disorder characterized by inflammation of salivary glands resulting in impaired secretory function. Our present studies indicate that chronic exposure of salivary epithelium to TNF-α and/or IFN-γ alters tight junction integrity, leading to secretory dysfunction. Resolvins of the D-series (RvDs) are endogenous lipid mediators derived from DHA that regulate excessive inflammatory responses leading to resolution and tissue homeostasis. In this study, we addressed the hypothesis that activation of the RvD1 receptor ALX/FPR2 in salivary epithelium prevents and/or resolves the TNF-α-mediated disruption of acinar organization and enhances monolayer formation. Our results indicate that 1) the RvD1 receptor ALX/FPR2 is present in fresh, isolated cells from mouse salivary glands and in cell lines of salivary origin; and 2) the agonist RvD1 (100 ng/ml) abolished tight junction and cytoskeletal disruption caused by TNF-α and enhanced cell migration and polarity in salivary epithelium. These effects were blocked by the ALX/FPR2 antagonist butyloxycarbonyl-Phe-Leu-Phe-Leu-Phe. The ALX/FPR2 receptor signals via modulation of the phosphatidylinositol 3-kinase (PI3K)/Akt signaling pathways since, in our study, blocking PI3K activation with LY294002, a potent and selective PI3K inhibitor, prevented RvD1-induced cell migration. Furthermore, Akt gene silencing with the corresponding siRNA almost completely blocked the ability of Par-C10 cells to migrate. Our findings suggest that RvD1 receptor activation promotes resolution of inflammation and tissue repair in salivary epithelium, which may have relevance in the restoration of salivary gland dysfunction associated with Sjögren's syndrome.
The neuropeptide galanin has been ascribed different roles in modulating physiological functions in the skin. The present study examined the function of galanin in eccrine sweat gland physiology. We demonstrated secretion of galanin by sweat glands in vivo by radioimmunoassay of human sweat (20-192 fmol galanin/ml). Furthermore, human sweat glands expressed galanin receptors GalR2 and GalR3. Using chamber short-circuit current (Isc) measurements showed that application of galanin to human NCL-SG3 cells led to a significant increase in Isc, which was inhibited by the presence of chloride channel blockers and in chloride-free Krebs solution. Additionally, application of SNAP 37889, a non-peptidergic selective antagonist of GalR3, abolished the effect of galanin on Isc. In summary, our results show that galanin can regulate transepithelial chloride ion transport and fluid secretion by stimulating GalR3 in NCL-SG3 cells and demonstrate a possible important extraneural function of galanin in sweat gland physiology.
Background: Child and maternal sucrose-stimulated salivary pH (SSS pH) levels have the potential to be associated with childhood caries. Aim: This study investigated the relationships among child and maternal SSS pH and child caries diagnosis, severity, and risk. Design: SSS pH levels were measured from 202 pediatric subjects and 175 mothers. Early childhood caries (ECC) and severe ECC (SECC) diagnoses, caries risk assessment (CRA) results, and caries severity scores were recorded. The associations between child and maternal SSS pH and the child-caries risk, diagnosis, and severity were respectively assessed using regression models. Results: Children with SSS pH <5.6 had higher odds to be diagnosed with ECC or SECC (aOR=7.27), and higher odds to present with moderate to extensive caries severity (aOR=5.63). Child SSS pH was associated with multiple risk factors on a CRA. When child SSS pH was adjusted for age, gender, and race/ethnicity as a predictor for SECC and ECC, the sensitivity and specificity estimates increased. Maternal and child SSS pH were positively associated. Conclusions: Dentists should consider the use of child-SSS pH as an inexpensive adjunct to the CRA and know that maternal and child SSS pH are significantly associated.
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