Abstract:
:Chronic graft-versus-host disease (cGVHD) is a complex clinical entity with various target organs, including the salivary glands. Oral pilocarpine (Salagen(R)), 30 mg/day, can ameliorate cGVHD-induced xerostomia and improve the flow rate from the major salivary glands. The purpose here was to evaluate the effect of this drug at 30 mg/day on salivary biochemical and immunological composition in cGVHD patients. Significantly higher concentrations of salivary sodium (Na), magnesium (Mg), total protein, albumin, epidermal growth factor (EGF) and total IgG, accompanied by a concomitant increase in total IgA which did not reach significance, were observed in cGVHD patients in comparison with controls, in both resting and stimulated conditions (p < 0.05), while salivary potassium, calcium and phosphate were not altered. Two weeks of oral pilocarpine, at 30 mg/day, resulted in normalization of the altered salivary biochemical and immunological composition in the cGVHD patients. Oral pilocarpine was able to reduce and normalise the elevated Na, Mg, total protein, albumin, EGF, IgG and IgA concentrations in both resting and stimulated conditions. The ability of oral pilocarpine to normalise and reverse the salivary biochemical and immunological alterations induced by cGVHD parallels its known stimulatory effect on salivary flow rates. As the biochemical and immunological composition of saliva provides its protective antimicrobial characteristics, the ability of pilocarpine to abrogate cGVHD salivary gland abnormalities may be of clinical significance.
journal_name
Arch Oral Bioljournal_title
Archives of oral biologyauthors
Nagler RM,Nagler Adoi
10.1016/s0003-9969(01)00035-8subject
Has Abstractpub_date
2001-08-01 00:00:00pages
689-95issue
8eissn
0003-9969issn
1879-1506pii
S0003-9969(01)00035-8journal_volume
46pub_type
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更新日期:2017-08-01 00:00:00
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pub_type: 杂志文章
doi:10.1016/0003-9969(83)90066-3
更新日期:1983-01-01 00:00:00
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journal_title:Archives of oral biology
pub_type: 杂志文章
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更新日期:2001-07-01 00:00:00
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journal_title:Archives of oral biology
pub_type: 杂志文章,评审
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pub_type: 杂志文章
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更新日期:2005-01-01 00:00:00
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pub_type: 杂志文章
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更新日期:1986-01-01 00:00:00
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更新日期:2018-07-01 00:00:00
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更新日期:2003-09-01 00:00:00
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pub_type: 杂志文章
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更新日期:2006-03-01 00:00:00
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pub_type: 杂志文章
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更新日期:1983-01-01 00:00:00
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pub_type: 杂志文章
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更新日期:2017-09-01 00:00:00
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pub_type: 杂志文章
doi:10.1016/j.archoralbio.2017.02.004
更新日期:2017-06-01 00:00:00