saliva protein defences Flashcards

1
Q

which glands produce which saliva secretions??

A
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2
Q

role of serous amylase

A

Starch digestion to glucose

Main function to clear starchy food debris from mouth

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3
Q

roles of mucins

A

Enamel surface protection and bacterial defence

Mucins allow growth of less harmful bacterial on the tooth surface.

  • s.mutants does not grow well
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4
Q

what are 3 mucin sub-families and what is their role in the oral cavity?

A

Muc5B or MG1

  • binds Calcium ions
  • Contributes to calcium balance in oral cavity

Muc7 or MG2

  • Promotes bacterial agglutination
  • Binds bacteria and allows agglutination
  • Precipitates bacteria
  • We can then swallow bacteria to remove them from oral cavity
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5
Q

what proteins are found in saliva?

A
  • serous amylase
  • mucins
  • sIGA
  • lysozyme
  • lactoferrin
  • salivary peroxidase
  • histatins
  • gp340
  • defensins
  • acidic proline rich phosphoprotein (aPRP)
  • statherin
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6
Q

role of sIGA in saliva

A
  • plasma cells
  • bacterial/viral defence
  • binds oral bacteria
    • agglutination
    • allows clearing from ooral cavity
      *
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7
Q

role of lysozymes in saliva

A

bacterial defence

  • aggregates bacterial cells in suspension
  • enzymatically cleaves glycosidic linkage in peptidoglycan components of bacterial cell wall
    • lysis of bacteria
  • Protects oral cavity from pathogens
    • In times of increased inflammation more lysozyme is present
  • fungicidal properties
  • inhibits viral replication
  • antioxidant properties
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8
Q

roles of lactoferrin in saliva

A
  • bacterial defence
  • iron binding protein
    • binds Fe3+ - essential microbial nutrient
    • antibacterial activity
      • some bacteria require ferric ions for growth
  • prevents binding of pathogens to host cells
  • antioxidant
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9
Q

roles of salivary peroxidase

A

bacterial defence

  • catalyses the bacterial metabolic products to hypothiocyanate
    • Hypothiocyanate blocks bacterial glycolysis & kills bacteria.
    • Protects host cell/proteins from H2O2 cytotoxicity.
      • Converts H2O2 into water
      • Protected from cytotoxicity
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10
Q

roles of innate immunity scavenger receptor glycoprotein-340 in saliva

A

bacterial defence

  • in saliva and tears
  • secreted by epithelial cells at mucosal surfaces
  • aggregation of bacterial
  • bacterial clearance through swallowing
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11
Q

roles of histatins in saliva

A

Serous contributions

Produced by all 3 major glands

  • phosphorylated HIS1 binds to hydroxyapatite
    • protects against proteolytic cleavage
    • inhibits spontaneous growth of HAP crystals
  • other histatins
    • antimicrobial activity
    • blocks proteases
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12
Q

where are histatins used in dentistry?

A
  • histatin-1 is used to modify titanium implants to prevent bacterial infection at interface
    • Protein can regulate enamel mineral homeostasis
  • used in oral wound healing
    • activates signalling pathways which make cells migrate to wound areas
    • populates wound area to close the wound
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13
Q

why are histatins of pharmacological interest

A

Peptides can be synthesised using chemistry

Potentially possible to add to mouth rinses, gels & implants

They represent the bodies own defence antibiotic/antifungal

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14
Q

roles of defensins in saliva?

A

antibacterial peptides

  • neutrophil defensins
    • stored in granules
    • released from neutrophils to fight bacterial infection
  • epithelial defensins
    • in response to high bacterial contents
      • periodontal disease
    • antibacterial properties
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15
Q

roles of acidic proline rich phosphoprotein (aPRP)

A

‘calcium balancing act’

  • inhibitor of calcium phosphate crystal growth
    • prevents sialolith formation
    • balance of calcium required to allow remineralisation of enamel
  • interaction with oral bacteria and pellicle proteins
    • Proteolytic fragmentation releases bacterial binding domain (C-terminus), thus this fragment blocks bacterial adhesion to tooth surfaces
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16
Q

roles of stetherin in saliva

A

Maintains Ca2+ balance & strongly inhibits precipitation!

17
Q

what is saliva used to diagnose

what are the advantages of using saliva?

A
  • erbB2 breast cancer
    • can measure tumour markers
  • Sars-CoV-2
    • saliva PCR test
  • non-invasive
  • easy access
  • but markers can be diluted below detection limit