Faculty of Dental Medicine, Institute of Dental Sciences, The Hebrew University of Jerusalem, Jerusalem, Israel.
PLoS One. 2012;7(7):e40636. doi: 10.1371/journal.pone.0040636. Epub 2012 Jul 6.
Salivary glands (SGs) are irreversibly damaged by irradiation (IR) treatment in head and neck cancer patients. Here, we used an animal irradiation model to investigate and define the molecular mechanisms affecting SGs following IR, focusing on saliva proteome and global transcription profile of submandibular salivary gland (SSG) tissue.We show that saliva secretion was gradually reduced to 50% of its initial level 12 weeks post-IR. Saliva protein composition was further examined by proteomic analysis following mass spectrometry (MS) analysis that revealed proteins with reduced expression originating from SSGs and proteins with increased expression derived from the serum, both indicating salivary tissue damage. To examine alterations in mRNA expression levels microarray analysis was performed. We found significant alterations in 95 genes, including cell-cycle arrest genes, SG functional genes and a DNA repair gene.Tissue damage was seen by confocal immunofluorescence of α-amylase and c-Kit that showed an increase and decrease, respectively, in protein expression. This was coherent with real-time PCR results.This data indicates that IR damages the SSG cells' ability to produce and secrete saliva and proteins, and maintain the physiological barrier between serum and saliva. The damage does not heal due to cell-cycle arrest, which prevents tissue regeneration. Taken together, our results reveal a new insight into IR pathobiology.
唾液腺(SGs)在头颈部癌症患者的放疗(IR)治疗中会受到不可逆的损伤。在这里,我们使用动物照射模型来研究和定义影响 IR 后 SGs 的分子机制,重点关注下颌下唾液腺(SSG)组织的唾液蛋白质组和全局转录谱。我们发现唾液分泌在 IR 后 12 周逐渐减少到初始水平的 50%。通过质谱(MS)分析后的蛋白质组分析进一步检查了唾液蛋白组成,结果显示源自 SSG 的表达降低的蛋白质和源自血清的表达增加的蛋白质,这两者都表明唾液组织损伤。为了检查 mRNA 表达水平的变化,进行了微阵列分析。我们发现 95 个基因的表达水平发生了显著变化,包括细胞周期停滞基因、SG 功能基因和一个 DNA 修复基因。通过α-淀粉酶和 c-Kit 的共聚焦免疫荧光显示,蛋白表达分别增加和减少,观察到组织损伤。这与实时 PCR 结果一致。这些数据表明,IR 会损害 SSG 细胞产生和分泌唾液和蛋白质的能力,并维持血清和唾液之间的生理屏障。由于细胞周期停滞,损伤不会愈合,从而阻止组织再生。总之,我们的结果揭示了 IR 病理生物学的新见解。