2019
DOI: 10.1267/ahc.19006
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Long-term Pilocarpine Treatment Improves Salivary Flow in Irradiated Mice

Abstract: Radiation therapy for head and neck cancer frequently causes salivary gland dysfunction. Pilocarpine is a clinically approved and effective drug that induces saliva secretion, thereby keeping the oral mucosa moist and reducing discomfort in patients, but the effect is transient. We expected that this drug also has beneficial long-term effects that maintain the integrity of salivary glands by reducing, for instance, apoptosis. Here, we examined the effects of long-term pilocarpine administration in irradiated m… Show more

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Cited by 14 publications
(14 citation statements)
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“…Decrease in AQP1 expression within the endothelium as well as AQP5 in acinar and ductal cells has been observed along with decreased saliva secretion [ 29 , 98 , 101 ]. Long-term administration of pilocarpine to irradiated mice has a beneficial effect in terms of saliva secretion [ 102 ]. Alpha-lipoic acid also rescued radiation-induced SG hypofunction in rats [ 97 ].…”
Section: Involvement Of Aqps In Sg Pathologiesmentioning
confidence: 99%
“…Decrease in AQP1 expression within the endothelium as well as AQP5 in acinar and ductal cells has been observed along with decreased saliva secretion [ 29 , 98 , 101 ]. Long-term administration of pilocarpine to irradiated mice has a beneficial effect in terms of saliva secretion [ 102 ]. Alpha-lipoic acid also rescued radiation-induced SG hypofunction in rats [ 97 ].…”
Section: Involvement Of Aqps In Sg Pathologiesmentioning
confidence: 99%
“…Activation of the muscarinic acetylcholine M3 receptor can induce aquaporin-5 transport through the transcellular pathway in parotid acinar cells and increase intracellular calcium levels and water secretion through aquaporin-5 [41]. The aquaporin-5 water channel plays a critical role in saliva secretion, as it is expressed in the apical membrane and partially in the basolateral membrane of acinar epithelial cells in the parotid and submandibular glands [42,43]. Radiation was shown to significantly decrease aquaporin-5 fluorescence intensity at the apical membrane of the submandibular acinar cells from 1 to 28 days post-irradiation [44].…”
Section: Discussionmentioning
confidence: 99%
“…As M3 receptor agonists, carbachol and pilocarpine can increase paracellular transport and cause morphological changes in the structure of the tight junctions in the rat submandibular epithelium [48,49]. Daily treatment with pilocarpine from 5 days before to 63 days after irradiation can also inhibit hyposecretion in irradiated mice | 11 of 13 IPC AND RADIATION DAMAGE TO RAT SMGS and improve secretory function [43]. This suggests that the change or disturbance in salivary tight junctions may influence both the permeability of the paracellular pathway and the production of saliva.…”
Section: Discussionmentioning
confidence: 99%
“…The sections were deparaffinized and used for staining with hematoxylin-eosin (H&E) or immunohistochemistry. IHC was performed as described previously [27] with some modifications. The primary antibodies used in immunohistochemistry are shown in Table 1.…”
Section: Histopathology and Immunohistochemistrymentioning
confidence: 99%