Saliva Flashcards
What are the functions of saliva?
Maintenance of oral hygiene
Maintain mineralisation of teeth
Lubrication - speaking and swallowing - mucin
Digestive function - amylase and lipase
Solvation - enables one to taste foodstuffs
What does the submandibular gland contain?
70% seromucin
What does the sublingual gland contain?
5% mucin
What does the parotid gland contain?
25% serous
What is the pathway of saliva from the acinus?
Acinus - intercalated ducts - striated ducts - excretory ducts
What ions concentrations are higher in saliva than in plasma?
K+ and HCO3-
What concentrations are higher in plasma than saliva?
Na+ and Cl-
What is the 2 stage process of saliva?
Primary secretion - acini, similar composition to plasma contains amylase, mucous or electrolytes - isotonic
Secondary secretion - striated ducts, change in composition - hypotonic
In secondary secretion what happens?
Na+ and Cl- resorbed from duct
K+ and HCO3- secreted
Saliva becomes hypotonic
Ductal epithelium has low permeability to water - hypotonic
How does sodium enter and leave the cell?
Sodium enters across the apical membrane via the ENaC Na+ channel and Na-H exchanger.
Na+ exits across the basolateral membrane via the Na-K pump.
How does chloride ions enter and leave the cell?
Via the apical Cl-HCO3 exchanger
More Cl- exits via the basolateral than apical Cl- channels
What is the evidence for the two stage hypothesis?
Flow rate curves
Acinar/intercalated duct micro puncture
Transport properties of isolated, perfused ducts
Poly-lysine injection poisons ducts and inhibits secondary reabsorption process, saliva becomes like primary fluid
How does ionic composition change with flow rates?
At low flow rates, more time available for reabsorption/secretion (hypotonic)
At high flow rates less time available do composition approaches isotonic primary secretion
What is unusual about saliva?
Both parasympathetic and sympathetic NS stimulates secretion
Parasympathetic is copious amounts of watery saliva
Sympathetic small amount of saliva, rich in enzymes
What are some inputs into the salivary centre?
Taste, smell, chewing and tactile