Sialochemistry and cortisol levels in patients with Sjogren's syndrome.

作者: BE Miller , O Deutsch , M Redlich , YT Konttinen , R Benoliel

DOI: 10.1111/J.1601-0825.2011.01866.X

关键词: ApoptosisSodiumBiomarker (medicine)NecrosisEndocrinologyMedicineInternal medicineUreaSalivaOral mucosaLymphocyte

摘要: Oral Diseases (2012) 18, 255–259 Objectives:  (i) To determine whether salivary cortisol and electrolyte levels differ between patients with Sjogren’s syndrome (SjS) healthy individuals. (ii) assess correlations whole-saliva some clinical manifestations in SjS. Methods:  A total of 24 women (mean age 49.3 ± 9.8) served as controls (C) vis-a-vis 17 SjS 55.5 ± 15.7). Salivary concentration was determined, sialochemistry analysis performed. Results:  Significantly lower saliva flow rates higher chloride (Cl−), potassium (K+), Ca2+ were found the group. No significant differences or other parameters, including sodium (Na+), magnesium (Mg2+), phosphate (−), urea (U), levels. Conclusion:  Increased whole-salivary output Cl− K+ may reflect release from apoptotic rests acinar cells after secondary necrosis. Normal Na+, Mg2+, − argue against effect, deranged tubular function (mineralocorticosteroid) effect cause for these findings. probably leakage plasma through injured oral mucosa SjS. In spite disease-associated stress, cortisol, a stress biomarker, not increased, suggesting insufficient hypothalamus–pituitary–adrenal (HPA) axis response and/or local consumption by lymphocyte infiltrates.

参考文章(28)
D C Nordström, E K Tensing, S A Solovieva, Y T Konttinen, S Niissalo, T Tervahartiala, M Laine, Fatigue and health profile in sicca syndrome of Sjögren's and non-Sjögren's syndrome origin. Clinical and Experimental Rheumatology. ,vol. 19, pp. 313- 316 ,(2001)
P G Vlachoyiannopoulos, A G Tzioufas, E O Johnson, F N Skopouli, H M Moutsopoulos, Hypofunction of the stress axis in Sjögren's syndrome. The Journal of Rheumatology. ,vol. 25, pp. 1508- 1514 ,(1998)
YT Konttinen, V Stegaev, Z Mackiewicz, P Porola, A Hänninen, P Szodoray, Salivary glands – `an unisex organ’? Oral Diseases. ,vol. 16, pp. 577- 585 ,(2010) , 10.1111/J.1601-0825.2010.01669.X
P Proff, A Wichelhaus, U Baumert, A Palmon, I Golan, M Redlich, D Muessig, Ch Tzortzi, DJ Aframian, Cortisol daily rhythm in saliva of healthy school children. International Dental Journal. ,vol. 59, pp. 12- 18 ,(2009) , 10.1922/IDJ_1943BAUMERT07
Nikolay P Nikolov, Gabor G Illei, Pathogenesis of Sjögren's syndrome Current Opinion in Rheumatology. ,vol. 21, pp. 465- 470 ,(2009) , 10.1097/BOR.0B013E32832EBA21
Leif Wide, Roger Hällgren, Sigridur T. Valtysdottir, Low serum dehydroepiandrosterone sulfate in women with primary Sjögren's syndrome as an isolated sign of impaired HPA axis function. The Journal of Rheumatology. ,vol. 28, pp. 1259- 1265 ,(2001)
Liisi A. Sewon, Sara M. Karjalainen, Eva Soderling, Helena Lapinleimu, Olli Simell, Associations between salivary calcium and oral health Journal of Clinical Periodontology. ,vol. 25, pp. 915- 919 ,(1998) , 10.1111/J.1600-051X.1998.TB02390.X
Chieko Shigeyama, Toshihiro Ansai, Shuji Awano, Inho Soh, Akihiro Yoshida, Tomoko Hamasaki, Yasuaki Kakinoki, Kazuhiro Tominaga, Tetsu Takahashi, Tadamichi Takehara, Salivary levels of cortisol and chromogranin A in patients with dry mouth compared with age-matched controls. Oral Surgery Oral Medicine Oral Pathology Oral Radiology and Endodontology. ,vol. 106, pp. 833- 839 ,(2008) , 10.1016/J.TRIPLEO.2008.07.005
M Segerberg-Konttinen, V Bergroth, P Jungell, M Malmstrom, D Nordstrom, J Sane, I Immonen, Y T Konttinen, T lymphocyte activation state in the minor salivary glands of patients with Sjögren's syndrome. Annals of the Rheumatic Diseases. ,vol. 46, pp. 649- 653 ,(1987) , 10.1136/ARD.46.9.649
Mitchell D. Kaplan, Bruce J. Baum, The functions of saliva Dysphagia. ,vol. 8, pp. 225- 229 ,(1993) , 10.1007/BF01354542