Biochemical Composition Of Saliva Research Articles

Oxidative status, carbohydrate, and lipid metabolism indicators in saliva and blood serum of type 1 diabetes mellitus patients

Introduction: Diabetes mellitus (DM) is an acute biomedical problem whose prevalence in the Russian Federation and elsewhere continues to rise. Regular blood glucose monitoring in patients with DM requires the identification of new approaches for the non-invasive assessment of glycemic parameters. Previous studies assessing the relationship between the biochemical composition of saliva and blood plasma found saliva suitable for DM monitoring. In this study, we assessed correlations between oxidative status and carbohydrate and lipid metabolism indicators in saliva and blood serum of patients with type 1 DM (T1DM). Methods: We included 80 adults, 40 T1DM patients divided equally into two sex-defined subgroups, 20 men (mean age 43.7 +/- 3.21) and 20 women (42.05 +/- 2.66), and 40 ostensibly healthy individuals, 20 men (41.05 +/- 3.54) and 20 women (43.35 +/- 3.18). Mixed saliva was collected on an empty stomach in the morning, and its glucose, triglyceride, cholesterol, and total protein concentrations were determined. Oxidative status was determined based on biochemiluminescence (BCL) parameters. The chaperone-like activity of saliva was assessed using a model test system based on insulin aggregation suppression. Results: We found a positive correlation between biochemical parameters in saliva and blood serum and between BCL parameters, chaperone-like activity, and blood glucose level. Conclusion: Our findings indicate that saliva can be used as a biomaterial for diagnosing and monitoring the T1DM treatment efficiency.

«Salivaomics» of Different Molecular Biological Subtypes of Breast Cancer

The aim of the study was to determine the metabolic characteristics of saliva depending on the molecular biological subtype of breast cancer, as well as depending on the expression levels of HER2, estrogen receptors (ER), and progesterone receptors (PR). The study included 487 patients with morphologically verified breast cancer and 298 volunteers without breast pathologies. Saliva samples were obtained from all patients strictly before the start of treatment and the values of 42 biochemical indicators were determined. It has been established that the saliva of healthy volunteers and patients with various molecular biological subtypes of breast cancer differs in 12 biochemical indicators: concentrations of protein, urea, nitric oxide, malondialdehyde, total amino acid content, and activity of lactate dehydrogenase, alkaline phosphatase, gamma-glutamyltransferase, catalase, amylase, superoxide dismutase, and peroxidases. The saliva composition of patients with basal-like breast cancer differs from other subtypes in terms of the maximum number of indicators. Changes in biochemical indicators indicated an increase in the processes of lipid peroxidation and endogenous intoxication and a weakening of antioxidant protection, which correlates with the severity of the disease and the least favorable prognosis for this subtype of breast cancer. An analysis was made of the individual contribution of the expression level of HER2, estrogen, and progesterone receptors to changes in the biochemical composition of saliva. The HER2 (−)/HER2 (+) group, which should be considered as a single group, as well as ER-positive breast cancer, differ statistically significantly from the control group. For ER/PR-positive breast cancer, a more favorable ratio of saliva biochemical indicators was also noted compared to ER/PR-negative breast cancer.

PSVII-22 Changes in biochemical composition of saliva and blood of cattle after sunflower husk included in the diet

Abstract The aim of this study was to assess the effect of the introduction of food waste sunflower husk (SH) into the diet on the change in the chemical composition of biological media (blood and saliva) against the background of control (C). The studies were carried out on young 8-month cattle; ration of C - 70% roughage, 25% - concentrated feed, 5% - premix; SH - ration C + 10% sunflower husk (shredded, 0.5–2 mm), instead of the coarse part of the ration. The selection of biosubstrates (saliva, blood) was carried out in the morning before feeding: saliva was obtained by the method of local pharmacological stimulation of salivation (2% sodium citrate solution), blood from the jugular vein into vacuum tubes with a coagulation activator. The chemical composition of biological media was carried out on an automatic biochemical analyzer CS-T240 (Dirui Industrial Co., Ltd., China) using commercial biochemical kits for veterinary medicine (DIAKON-DS, Russia; Randox Laboratories Ltd, Great Britain). The inclusion of SH in the diet contributed to an increase in serum urea by 82.4% (P ≤ 0.05), lipase enzyme by 81.5% (P ≤ 0.05), uric acid by 62.7% (P ≤ 0.05), Ca and P by 73% and 21.8% (P ≤ 0.05), while a decrease in p-Amylase by 63.6% (P ≤ 0.05) and Fe by 86.8% (P ≤ 0.05) relative to C. After SH administration an increase in urea by 73% (P ≤ 0.05), digestive enzymes - lipase by 76.4% (P ≤ 0.05), p-amylase by 61 % (P ≤ 0.05), calcium by 69.3% and iron by 45% (P ≤ 0.05) and superoxide dismutase enzyme in comparison with C was registered in saliva. The obtained data show an increase in the level of digestive enzymes and elements in blood and saliva of ruminants, which favorably contributes to the use of sunflower husk in feeding cattle. This research was performed with financial support from the RSF (# 20-16-00088).

Evaluation of salivary flow rate, pH, and buffer capacities in end-stage renal disease patients versus control - A prospective comparative study.

Background:Saliva plays a major role in preserving the integrity of oral tissues. Chronic renal failure patient undergoes many oral and salivary changes for which they require special oral health care. The patient undergoing hemodialysis session has altered salivary composition. Many changes occur during hemodialysis that severely affect the flow rate and the biochemical composition of saliva.Methods:A total of 50 patients of end-stage renal disease undergoing hemodialysis for renal insufficiency were selected based on inclusion and exclusion criteria set prior to the study. These patients were compared with the control group who had already undergone hemodialysis. A total of 30 patients were selected as a control group. In this study, unstimulated whole saliva was collected by the spitting method before and after the dialysis session. Salivary flow rate, pH, and buffering capacities were measured.Results:Hemodialysis had a significant effect on the salivary flow rate. The mean pH of unstimulated whole saliva showed no significant changes before and after dialysis. The concentrations of urea, creatinine, chloride, and potassium in the whole saliva changed markedly before and after a hemodialysis session, whereas no significant difference was seen in the concentration of sodium and calcium.Conclusion:Through this study, we came into a conclusion that hemodialysis had a significant effect on salivary secretion and the biochemical composition of saliva. We conclude that the observed changes in salivary concentrations and the flow rate are mainly due to an increased watery secretion from the salivary glands and also saliva can be used as a tool for monitoring hemodialysis.

Anorexia, Oral Health and Antioxidant Salivary System: A Clinical Study on Adult Female Subjects.

The aim of this study was to compare the oral health status and salivary antioxidant system between patients diagnosed with anorexia nervosa (AN) and healthy controls. A total of 25 female AN patients and 25 matched healthy controls were enrolled. Clinical parameters and saliva samples were collected for each patient. Two questionnaires to investigate oral health and hygiene were administered. Superoxide Dismutase (SOD) activity and High Reactive Oxygen Species (hROS) were evaluated. Salivary concentration of SOD was significantly higher in subjects with AN compared with control group (1.010 ± 0.462 vs. 0.579 ± 0.296 U/mL; p = 0.0003). No significant differences between groups were identified for hROS (233.72 ± 88.27 vs. 199.49 ± 74.72; p = 0.15). Data from questionnaires indicated that, although most of the patients recognized the oral hygiene importance in maintaining a good oral health, more than half of them had poor oral hygiene. Altered biochemical composition of saliva in patients with AN could be interpreted as an effective defence mechanism against oxidative stress. Moreover, despite the discrepancy between clinical findings and perception of the oral health in AN population arose, the quality of life of these patients appears not to be significantly affected by their dental condition.

Oral mucosa and salivary findings in non-diabetic patients with chronic kidney disease

IntroductionChronic kidney disease (CKD) and dialysis treatment could affect oral mucosa and cause qualitative or quantitative changes of saliva. ObjectiveThe aim of the study was to investigate oral manifestations, unstimulated salivary flow rate (USFR), salivary pH value and biochemical composition of saliva in non-diabetic patients with CKD. DesignThe study group (PD) consisted of 50 pre-dialysis patients diagnosed with CKD, positive control group (HD) of 25 haemodialysis patients and negative control (H) of 25 age and gender-matched healthy persons. Creatinine clearance rate (CrCl) was calculated from the blood creatinine using the Cockcroft-Gault formula. After a detailed intraoral examination, whole unstimulated saliva samples were collected to determine salivary pH value, and biochemical composition using a spectrophotometric method. ResultsStatistical analysis revealed that PD subjects had more oral lesions (p < 0.05) and symptoms (p < 0.001) than controls. The mean CrCl was significantly lower (p < 0.05) in CKD subjects with pale mucosa, xerostomia, dysgeusia, and uremic odour, comparing to those without listed symptoms. PD subjects had significantly decreased USFR and increased pH, urea and creatinine than H controls (p < 0.05). A moderately strong positive correlation between serum and salivary creatinine in both PD (p < 0.05) and HD (p < 0.05) groups was found. ConclusionThis study confirmed that xerostomia and dysgeusia are major symptoms among pre-dialysis patients. Their presence along with uremic odour and pale mucosa is directly related to decreased kidney function. On the diagnostic point, decreased USFR, especially hyposalivation and increased salivary creatinine, should be considered a significant indicator of CKD in stages before dialysis therapy.

THE STUDY OF BIOCHEMICAL INDIXES OF ORAL FLUID IN ORTHODONTIC TREATMENT

The work is devoted to the study of the reactivity of the biochemical composition of saliva in children with SCI, which was used for the treatment of non-removable and removable OA. There was a decrease in the activity of the α-amylase enzyme during orthodontic treatment in both experimental groups: in patients in the experimental group, which used non-removable equipment 3 months after starting treatment at 16.5% and 6 months after starting treatment it was 16%. There was a decrease in the activity of saliva α-amylase after 3 months at 11% and in samples of saliva taken after 6 months at 10% during treatment of patients of the experimental group with removable orthodontic equipment. The total calcium level after 3 months of observation was 15% lower compared to the start of treatment. The phosphorus level was 9% lower at this moment of observation. After 6 months of observation, the trace elements were different from the original ones: calcium was 27% lower, and the level of phosphorus was lower comparing to the baseline by 15%. Treatment of SCI with removable orthodontic equipment impaired the mineral balance: the calcium level after 3 months of observation was lower by 12%, and the level of phosphorus was lower by 6% compared to the beginning of the study. After 6 months of observation, the traced elements differed from the original ones: the level of calcium was 21% lower than the previous values, and the level of phosphorus was lower by 13% compared to the start of treatment. The evaluation of alkaline phosphatase activity in mixed unstimulated saliva using non-removable orthodontic equipment showed that the level of alkaline phosphatase after 3 months of treatment was 3% lower compared to the beginning of treatment, and after 6 months of observation activity of the investigated enzyme was less than the initial by 10%. Treatment of dental anomalies with removable equipment inhibited the enzyme activity: after 3 months of treatment, the activity of alkaline phosphatase was less than 7% compared to the beginning of the study, and after 6 months of observation activity of the investigated enzyme differed from the initial by 20%. The use of non-removable orthodontic equipment led to a significant increase in the activity of IL-1β. Three months after starting the study, IL-1β was 4-fold higher compared to the start of treatment, and after 6 months of treatment, it became 9-fold higher. Treatment of dental abnormalities with removable equipment showed that the activity of IL-1β after 3 months of treatment increased 4-fold, and after 6 months of observation the researched index was different from the initial 9-fold.&#x0D; At the 3rd month of observation in children using non-removable OA, the activity of lysozyme decreased by 21%; reduction of lysozyme activity during the 6th month of treatment constituted 23%. Patients in the experimental group treated with detachable OA observed an increase in lysozyme activity at the 3rd month of observation by 27%, and 6 months after the start of treatment, the activity of lysozyme was less than 29% compared to the data of the 3rd month of the use of non-removable orthodontic equipment it led to a significant increase in the level of anti-inflammatory cytokine: after 3 months of observation was 2.5 times more than at the beginning of treatment, and after 6 months of observation, they differed from the initial in 4 times. Treatment of dental anomalies with removable orthodontic equipment also contributed to an increase in anti-inflammatory cytokine: IL-4 levels were higher after 3 months of treatment compared to baseline data by 1,8, and after 6 months of follow-up, the study figure was in 4 times higher than the previous values.&#x0D; The obtained results of the study of the reactivity of biochemical changes in oral fluid using removable and non-removable OA in children can be used in planning of orthodontic treatment as diagnostic markers for the further selection of tactics and assessment of the oral cavity in children on the background of treatment of JFA by removable and non-removable OA.

THE USE OF SYNTHETIC IMAGES FOR SOLVING THE CLASSIFICATION PROBLEM BY THE EXAMPLE OF LUNG CANCER DIAGNOSIS

Background: From a mathematical point of view, the problems of medical diagnostics are the tasks of data classification. It is important to understand how significant distortions can contribute to the result of classification errors in the collection of primary diagnostic information, in particular, the results of biochemical tests.Aims: Determination of the dependence of the prediction result on the variability of the primary diagnostic information on the example of the model classifier.Materials and methods: The case-control study enrolled patients who were divided into 2 groups: the main (diagnosed with lung cancer, n=200) and the control group (conditionally healthy, n=500). Questioning and biochemical saliva study was performed in all participants. Patients of the main group and the comparison group were hospitalized for surgical treatment, after which carried out the histological verification of the diagnosis. The biochemical composition of saliva is determined spectrophotometrically. Based on the data obtained, a model classifier for the diagnosis of lung cancer (a random forest) has been constructed. In each parameter underlying the classifier, deviations were made in the specified range (±1–5%, ±5–10%, ±10–15%), creating synthetic images. Then, the results of the classification were evaluated by the cross-validation method.Results: The basic diagnostic characteristics of the model classifier are determined (sensitivity ― 72.5%, specificity ― 86.0%). As the deviations of synthetic images from the baseline increase, diagnostic characteristics deteriorate with the general classification. However, the result of a confident classification, on the contrary, gives higher values (sensitivity ― 81.8%, specificity ― 93.1%). In case of a confident classification, similar images that fall into different classes according to the classification results are deleted, whereas in the case of a general classification, they are taken into account. The difference between methods of classification is associated with the presence of images on which the classifier gives the result of belonging to the class in the range of 0.45–0.55. Therefore, it is necessary to introduce a third class into the classifier, the so-called gray zone (0.4–0.6), since the probability of making an erroneous diagnosis in this area is significantly increased.Conclusions: The obtained results allow to conclude that the measurement error in the range (±1–15%) does not significantly affect the quality of the classification.

Correlation interrelations between the composition of saliva and blood plasmain norm.

Recently, the attention of researchers to the study of the properties of human saliva as a material with unique properties and diagnostic capabilities has increased. The purpose of the study: the study of the relationship between the biochemical composition of saliva and blood plasma is normal. 107 volunteers participated in the study, including 46 women (age 37.2 ± 3.9 years) and 61 men (age 36.1 ± 2.8 years). In all samples of saliva and blood plasma, 23 biochemical parameters were determined, including mineral and protein composition, enzyme activity, as well as indices of endogenous intoxication and lipid peroxidation. Nonparametric statistical methods are used to process the data obtained. It is shown that it is difficult to establish a unique relationship between the biochemical parameters of saliva and blood plasma. The calculation of the Spearman correlation coefficients has shown that only 7 of the 23 parameters demonstrate a weak correlation between the content in saliva and plasma. In general, the definition of saliva can have an independent diagnostic value, in this case, the parallel with the composition of serum and plasma is not appropriate. Nevertheless, the use of saliva in clinical laboratory diagnostics is associated with the need to establish criteria for the norm and pathology for each biochemical parameter.

Xerostomia and halitosis : A review and current concepts

Xerostomia is usually caused by a reduced salivary flow or by changes in the biochemical composition of saliva. Halitosis or oral malodor is an offensive odor usually originating from the oral cavity. Halitosis can lead to anxiety and psychosocial embarrassment. The occurrence of halitosis closely related with intraoral conditions including the presence of xerostomia. Especially, the relationship between xerostomia and halitosis is prominent in elderly patients receiving polypharmacy with at least two systemic diseases. This study is a review of the update literature of xerostomia and halitosis. A large number of papers have been searched and identified using the words &lt;dry mouth&gt;, &lt;xerostomia&gt;, &lt;halitosis&gt;, &lt;elderly&gt;, &lt;causes&gt;, &lt;symptoms&gt;, &lt;treatment&gt; and &lt;dentistry&gt;. Papers not relevant to the issue were removed reducing the entries to 79 only. Most of identified papers were systematic reviews, non-systematic reviews, and observational studies. With a proper diagnosis, identification of the etiology and timely referrals certain steps are taken to create a successful individualized therapeutic approach. It is significant to highlight the necessity of an interdisciplinary method for the treatment of xerostomia and halitosis to prevent misdiagnosis or unnecessary treatment. This article concisely focuses on the development of a systemic flow of events to come to the proper treatment of the xerostomia and halitosis.

Evaluation of changes in salivary composition in renal failure patients before and after hemodialysis.

BackgroundSaliva plays a major role in preserving the integrity of oral tissues. The oral health of renal failure patients could be negatively affected by the underlying pathology, the dialysis treatment, or an altered salivary composition. Major systemic changes occur during hemodialysis (HD), which could affect the flow rate and biochemical composition of saliva. Therefore, the aim of this study was to evaluate the effects of HD on the salivary flow rate, pH and biochemical composition before and after completion of a dialysis session.Material and MethodsThirty Renal failure patients undergoing hemodialysis were selected based on the inclusion and exclusion criteria set forth for the study. Unstimulated whole saliva (UWS) was collected by the spitting method, immediately before and after a dialysis session. Salivary flow rate, pH, concentration of urea, creatinine, sodium, chloride, potassium and calcium were measured.ResultsHemodialysis had an acute stimulating effect on the salivary flow rate. The mean pH of UWS showed no significant changes before and after dialysis. The concentrations of urea, creatinine, chloride and potassium in whole saliva changed markedly before and after a hemodialysis session; whereas no significant difference was seen in the concentration of sodium and calcium. ConclusionsThis study shows that HD has significant acute effects on both salivary secretion and biochemical composition in saliva. We conclude that the observed changes in salivary concentrations and flow rate are mainly due to an increased watery secretion from the salivary glands and also saliva can be used as a tool for monitoring hemodialysis. Key words:Saliva, Hemodialysis, Flow rate, pH, biochemical constituents.

Effect of L-arginine dietary supplementation on salivary urea concentration and pH in physically active individuals

The aim of this study was to assess if the consumption of 3g of a commercially available L-arginine dietary supplement causes a postabsorptive rise in urea concentration or pH of unstimulated saliva in a group of physically active individuals. Salivary urea and pH were determined for 117 participants in a randomized double-blinded placebo-controlled study. Samples were collected by 'spitting' method in fasting conditions. One hour prior to their second visit, participants consumed three tablets of L-arginine or placebo. Urea concentration was significantly lower at second measurement for both the study and control group. The magnitude of the change was not significant between the groups. pH was higher for both groups at second measurement, but only significant for the study group. The magnitude of the change was significant between the groups. Participants who intermittently ingested protein dietary supplements and those with a Body Mass Index (BMI) higher than 25 had significantly higher basal urea concentration. The results of this study did not confirm the hypothesis. Further studies are needed to determine the effects of different doses of L-arginine supplements on the biochemical composition of saliva and the influence of their long-term consumption on the risk of developing dental diseases.

Changes in salivary composition in patients with renal failure

Objective To our knowledge, none of the articles has been published in the literature which analyse the alterations of saliva in different stages of chronic renal failure (CRF). The objective of this study has been to analyse the flow, pH and biochemical composition of saliva in patients with moderate–severe CRF (M–S CRF) and with terminal renal failure (TRF). Design The study group was formed of 50 CRF patients: 22 with M–S CRF and 28 with TRF included in a haemodialysis programme. A control group with similar characteristics was established ( n = 64). Saliva samples were taken from both patients and controls to determine the salivary pH and biochemical composition. Results Whole salivary flow was similar in patients and controls. Salivary concentrations of creatinine, urea, sodium, potassium, chloride and alpha-amylase were significantly higher in patients than in controls. Calcium concentration was significantly lower in patients than in controls. Creatinine, urea and potassium concentrations were significantly higher in patients with M–S CRF than in those with TRF. The salivary pH was significantly higher in patients than in controls. Conclusions Salivary composition in patients with CRF is conditioned by the stage of renal failure. The relationship between these biochemical parameters and the oral health status has still not been definitively clarified.

Explaining sex differences in dental caries prevalence: Saliva, hormones, and “life‐history” etiologies

When dental caries rates are reported by sex, females are typically found to exhibit higher prevalence rates than males. This finding is generally true for diverse cultures with different subsistence systems and for a wide range of chronological periods. Exceptions exist, but are not common. In this paper, we present new data for sex differences in dental caries rates among the Guanches (Tenerife, Canary Islands), summarize results of meta-analyses of dental caries prevalence, and emphasize new research that stresses the critical role of female hormones and life-history events in the etiology of dental caries. Among the Guanches, corrected tooth-count caries rates for females (8.8%, 158/1,790) are approximately twice the frequency of caries among males (4.5%, 68/1,498). Higher caries prevalence among females is often explained by one of three factors: 1) earlier eruption of teeth in girls, hence longer exposure of girls' teeth to the cariogenic oral environment, 2) easier access to food supplies by women and frequent snacking during food preparation, and 3) pregnancy. Anthropologists tend to favor explanations involving behavior, including sexual division of labor and women's domestic role in food production. By contrast, the causal pathways through which pregnancy contributes to poorer oral health and higher caries rates are deemphasized or discounted. This paper presents recent research on physiological changes associated with fluctuating hormone levels during individual life histories, and the impact these changes have on the oral health of women. The biochemical composition of saliva and overall saliva flow rate are modified in several important ways by hormonal fluctuations during events such as puberty, menstruation, and pregnancy, making the oral environment significantly more cariogenic for women than for men. These results suggest that hormonal fluctuations can have a dramatic effect on the oral health of women, and constitute an important causal factor in explaining sex differences in caries rates.

Changes in the biochemical composition of saliva in diabetic patients

Introduction: Diabetic patients, beside numerous acute and chronic complications, often have oral manifestations of the disease. Aim: The aim of the study was to establish changes in saliva of diabetic patients in relation to healthy population in order to use saliva in the disease monitoring, as well as the changes depending on the type of diabetes. Materials and methods: The study comprised 52 adult patients of both sexes and at the age between 18 and 79 with Diabetes mellitus type 1 and 2 who were treated at the Institute for endocrinology, diabetes and metabolic disorders of the Clinical center of Serbia. The control group consisted of 67 volunteers from Belgrade, students at the School of Dentistry, aged between 19 and 24. The whole of unstimulated and stimulated saliva was collected and biochemical parameters (glucose, total proteins, albumin, sodium and potassium) were determined by methods commonly used for serum. Results: The results showed that salivary potassium level was increased in saliva of diabetic patients, that of sodium and total proteins was decreased, and glucose and albumin did not show changes compared to the control group. Concentrations of total proteins and potassium were higher in patients with DM type 2, and sodium was higher in DM type 1 (p = 0.05). Conclusion: Diabetic patients often have changes in biochemical composition of saliva.