Abstract

This study analyzed SPLUNC2A expression in patients who underwent head and neck radiotherapy and its associated side-effects. Study Design: Unstimulated whole-mouth saliva of head and neck cancer patients was collected before, during, and after radiotherapy. SPLUNC2A expression was analyzed by Western blotting. Results: Thirty-two patients were included (mean age 58.3 years). Nineteen patients were irradiated in the oral cavity and 13 patients in the neck. Analysis included total SPLUNC2A, glycosylated, and non-glycosylated bands expression. Increasing non-glycosylated SPLUNC2A expression after radiotherapy was associated with severe mucositis; reducing expression was associated with candidiasis. Women, older patients, adjuvant chemotherapy, higher irradiation dose, and radiation field were associated with decreasing expression of PLUNC during and after therapy. Conclusion: The present study reports the association of SPLUNC2A expression in saliva with side effects of radiotherapy, suggesting that PLUNC proteins may play an important role in the oral microenvironment.

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