Abstract

Epidermal growth factor (EGF) and vascular endothelial growth factor (VEGF) are present in saliva and may impact wound healing within the oral cavity. Previous studies in our lab have demonstrated that psychosocial factors such as elevated depression scores are associated with delayed oral wound healing. The aim of this study was to determine the relationship between salivary levels of EGF and VEGF and depression and loneliness scores. Whole saliva was collected from 43 individuals in groups aged 18–35 years and 50+ years. On the same day, volunteers were asked to complete the Beck’s Depression Inventory (BDI) and the UCLA loneliness scale. Salivary concentrations of EGF and VEGF were determined by standard ELISA. Mean concentrations of EGF and VEGF were 2860 pg/ml and 421 pg/ml, respectively. In the younger age group, significant negative correlations were found between scores on the BDI and UCLA indices and salivary levels of EGF. A median split, based upon BDI scores, similarly revealed that more depressed or lonely individuals exhibited significantly lower EGF levels. A similar trend was observed for VEGF. These preliminary results indicate that psychosocial factors such as depression and loneliness may be related to growth factor expression in saliva. This, in turn, may play a part in the delayed mucosal wound healing observed in depressed individuals. (Supported by NIH P50 DE-13749)

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