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Chemical composition and functions of saliva Page no. 1 Dennis E. Lopatin, Ph.D. Chronology of defining salivary components and functions Beginning in 1950’s whole saliva evaluated (antimicrobial properties, role in microbial attachment, mineralization, taste, lubrication)  Secretions of major glands (parotid and submandibular/sublingual)  In 1970’s individual components isolated and biochemically characterized  In mid-1980’s beginning to map functional domains (peptide synthesis and recombinant approaches)  Page no. 2 Dennis E. Lopatin, Ph.D. Major salivary components Histatins Statherins Lysozyme Proline-rich proteins Carbonic anhydrases Amylases Peroxidases Lactoferrin Mucin 2 (MG2) sIgA Mucin 1 (MG1) 1 Page no. 3 10 100 Size (kDa) 1000 10000 Dennis E. Lopatin, Ph.D. Current concepts regarding the functional features of salivary macromolecules Recent structure/function studies have identified general principles regarding function  Based on in vitro studies of purified molecules  Additional studies required to evaluate concepts in situ  Page no. 4 Dennis E. Lopatin, Ph.D. Conformational requirements Conformation or shape of a molecule is critical for its biological function  Examples  – Proline-rich proteins interact with A. viscosus and St. gordonii only when adsorbed onto mineralized surface – Statherins and histatins require -helical conformation – Human salivary amylase require 5 inter-chain disulfide bonds Page no. 5 Dennis E. Lopatin, Ph.D. Multifunctionality Amylases, Cystatins, Carbonic anhydrases, Histatins, Mucins, Histatins AntiPeroxidases Buffering Bacterial Amylases, Cystatins, Mucins, Lipase AntiMucins Digestion Viral Salivary Families MineralAntiization Fungal Cystatins, Histatins Histatins, ProlineLubricatrich proteins, Tissue ion &ViscoStatherins Coating elasticity Amylases, Cystatins, Mucins, Mucins, Statherins Proline-rich proteins, Statherins Page no. 6 adapted from M.J. Levine, 1993 Dennis E. Lopatin, Ph.D. Redundancy Saliva has built-in redundancy in regard to its protective functions.  Example - Many salivary molecules can inhibit the precipitation of calcium phosphate salts.  – strong inhibitors such as statherin and acidic prolinerich proteins – moderate inhibitors such as histatins and cystatins – weak inhibitors such as mucins and amylase Page no. 7 Dennis E. Lopatin, Ph.D. Amphifunctionality A molecule may have both protective and detrimental properties - “double-edged sword”.  May depend on molecule’s location or site of action  – Amylases » In solution, they facilitate clearance of viridans streptococci » Adsorbed to tooth surface, they can promote adherence of these bacteria and digest starch to dietary maltose and production of acid – Statherin and acidic proline-rich proteins Page no. 8 » At enamel surface, they play an important role in mineralization by inhibiting the formation of primary and secondary calcium phosphate salts. When adsorbed to the enamel surface, they promote attachment of cariogenic microorganisms. Dennis E. Lopatin, Ph.D. Complexing Functional relationships exist between different molecules in saliva  Two types of complexing (covalent and non-covalent)  – homotypic (between similar molecules) – heterotypic (between different molecules)  Example: Mucins – homotypic complexes necessary for lubrication and viscoelastic properties – heterotypic complexes with sIgA, lysozyme and cystatins concentrate these anti-microbials at tissue interfaces Page no. 9 Dennis E. Lopatin, Ph.D. Salivary Protein Functions Oral function Problem • Acts as an airway • Air-born organisms • Dehydration • Speech • Taste Protein function • Anti-bacterial systems • Water-retaining glycopr oteins • Need for lubrication • Lubrication system -- • Entry-point for food • Food-born mastication, organisms swallowing • Soft and hard tissue abrasion • Food toxins Page no. 10 • Gustin • Anti-bacterial systems • Lubrication; mucins, statherin • Toxin-neutralization Dennis E. Lopatin, Ph.D. Salivary Protein Functions (cont’d) Oral function Problem Protein function • Control of indigenous & i nvading bacteria, fungi and v iruses • Colonization & infection • Controlling pathogens and commensals • Adhesion of ba cteria versus their detection • Anti-bacterial systems • Immunoglob ulins, histatins, glycoproteins, lysozyme, sialoperoxidase, lactoferrin • Adhesionmodulating pr oteins Page no. 11 Dennis E. Lopatin, Ph.D. Salivary Protein Functions (cont’d) Page no. 12 Oral function • Digestion Problem __ • Protection & repair of soft tissues • Toxins, carcinogens, degradative proteases Protein function • Starch & fat hydrolysis: amylase and lingual lipase • Mucin-rich protective barrier film • Protease inhibitors, cystatins, tissue growth factors Dennis E. Lopatin, Ph.D. Salivary Protein Functions (cont’d) Oral function Problem Protein function • Protection & re- • Enamel mineral • Biologically pair of hard tisis potentially controlled prosues soluble; acidtective & redamaged pairative inorenamel requires ganic environremineralization ment, stabilized by statherin, acidic prolinerich and pellicle proteins • Pellicle form a__ __ tion • Plaque acid • Plaque pH con- • Basic amino formation trol acids & peptides Page no. 13 Dennis E. Lopatin, Ph.D. Mucins        Lack precise folded structure of globular proteins Asymmetrical molecules with open, randomly organized structure Polypeptide backbone (apomucin) with CHO side-chains Side-chains may end in negatively charged groups, such as sialic acid and bound sulfate Hydrophillic, entraining water (resists dehydration) Unique rheological properties (e.g., high elasticity, adhesiveness, and low solubility) Two major mucins (MG1 and MG2) Page no. 14 Dennis E. Lopatin, Ph.D. Mucin Functions  Tissue Coating – Protective coating about hard and soft tissues – Primary role in formation of acquired pellicle – Concentrates anti-microbial molecules at mucosal interface  Lubrication – Align themselves with direction of flow (characteristic of asymmetric molecules) – Increases lubricating qualities (film strength) – Film strength determines how effectively opposed moving surfaces are kept apart Page no. 15 Dennis E. Lopatin, Ph.D. Mucin Functions (cont’d)  Aggregation of bacterial cells – Bacterial adhere to mucins may result in surface attachment, or – Mucin-coated bacteria may be unable to attach to surface  Bacterial adhesion – Mucin oligosaccharides mimic those on mucosal cell surface – React with bacterial adhesins, thereby blocking them Page no. 16 Dennis E. Lopatin, Ph.D. Amylases Calcium metalloenzyme  Hydrolyzes (1-4) bonds of starches such as amylose and amylopectin  Several salivary isoenzymes  Maltose is the major end-product (20% is glucose)  “Appears” to have digestive function  Why is it also present in tears, serum, bronchial, and male and female urogenital secretions?  A role in modulating bacterial adherence?  Page no. 17 Dennis E. Lopatin, Ph.D. Lingual Lipase Secreted by von Ebner’s glands of tongue  Involved in first phase of fat digestion  Hydrolyzes medium- to long-chain triglycerides  Important in digestion of milk fat in new-born  Unlike other mammalian lipases, it is highly hydrophobic and readily enters fat globules  Page no. 18 Dennis E. Lopatin, Ph.D. Statherins Calcium phosphate salts of dental enamel are soluble under typical conditions of pH and ionic strength  Supersaturation of calcium phosphates maintain enamel integrity  Statherins prevent precipitation or crystallization of supersaturated calcium phosphate in ductal saliva and oral fluid  Produced by acinar cells in salivary glands  Also an effective lubricant  Page no. 19 Dennis E. Lopatin, Ph.D. Proline-rich Proteins (PRPs) Like statherin, PRPs are also highly asymmetrical  Inhibitors of calcium phosphate crystal growth  Inhibition due to first 30 residues of negativelycharged amino-terminal end  Present in the initially formed enamel pellicle and in “mature” pellicles  Page no. 20 Dennis E. Lopatin, Ph.D. Role of PRPs in enamel pellicle formation Acquired enamel pellicle is 0.1-1.0 µm thick layer of macromolecular material on the dental mineral surface  Pellicle is formed by selective adsorption of hydroxyapatite-reactive salivary proteins, serum proteins and microbial products such as glucans and glucosyltransferase  Pellicle acts as a diffusion barrier, slowing both attacks by bacterial acids and loss of dissolved calcium and phosphate ions  Page no. 21 Dennis E. Lopatin, Ph.D. Remineralization of enamel and calcium phosphate inhibitors Early caries are repaired despite presence of mineralization inhibitors in saliva  Sound surface layer of early carious lesion forms impermeable barrier to diffusion of high mol.wt. inhibitors.  Still permeable to calcium and phosphate ions  Inhibitors may encourage mineralization by preventing crystal growth on the surface of lesion by keeping pores open  Page no. 22 Dennis E. Lopatin, Ph.D. Calculus formation and calcium phosphate inhibitors Calculus forms in plaque despite inhibitory action of statherin and PRPs in saliva  May be due to failure to diffuse into calcifying plaque  Proteolytic enzymes of oral bacteria or lysed leukocytes may destroy inhibitory proteins  Plaque bacteria may produce their own inhibitors  Page no. 23 Dennis E. Lopatin, Ph.D. Calcium phosphate precipitation inhibitors and plaque Statherin and PRPs might be expected to occur in plaque, have not been detected  Plaque bacteria produce calcium phosphate inhibitors  Might be necessary to prevent calcification of bacteria -happens with dead cells  Immobilized crystal growth inhibitors can function as nucleators of crystal growth  Immobilization may occur in plaque, encouraging calculus formation  Page no. 24 Dennis E. Lopatin, Ph.D. Interaction of oral bacteria with PRPs and other pellicle proteins Several salivary proteins appear to be involved in preventing or promoting bacterial adhesion to oral soft and hard tissues  PRPs are strong promoters of bacterial adhesion  – Amino terminal: control calcium phosphate chemistry – Carboxy terminal: interaction with oral bacteria  Interactions are highly specific – Depends on proline-glutamine carboxy-terminal dipeptide – PRPs in solution do not inhibit adhesion of bacteria Page no. 25 Dennis E. Lopatin, Ph.D. These anti-microbial proteins will be discussed in a later lecture Secretory Immunoglobulins  Lactoferrin  Lysozyme  Sialoperoxidase  Cystatins  Histatins  Page no. 26 Dennis E. Lopatin, Ph.D. Summary - Clinical Highlights  Understanding of salivary mechanisms at fundamental level a prerequisite for – effective treatment of salivary gland dysfunctions – modulation of bacterial colonization – development of artificial saliva other “cutting edge” approaches to salivary dysfunctions and diseases Page no. 27 Dennis E. Lopatin, Ph.D.