慢性肾脏病患儿的唾液腺功能障碍、蛋白质糖氧化和亚硝化应激
Salivary Gland Dysfunction, Protein Glycooxidation and Nitrosative Stress in Children with Chronic Kidney Disease.
作者信息
Maciejczyk Mateusz, Szulimowska Julita, Taranta-Janusz Katarzyna, Wasilewska Anna, Zalewska Anna
机构信息
Department of Hygiene, Epidemiology and Ergonomics, Medical University of Bialystok, 2c Mickiewicza Street, 15-233 Bialystok, Poland.
Department of Pedodontics, Medical University of Bialystok, 24a M. Sklodowskiej-Curie Street, 15-274 Bialystok, Poland.
出版信息
J Clin Med. 2020 Apr 29;9(5):1285. doi: 10.3390/jcm9051285.
This study is the first to evaluate protein glycooxidation products, lipid oxidative damage and nitrosative stress in non-stimulated (NWS) and stimulated whole saliva (SWS) of children with chronic kidney disease (CKD) divided into two subgroups: normal salivary secretion ( = 18) and hyposalivation (NWS flow < 0.2 mL min; = 12). Hyposalivation was observed in all patients with severe renal failure (4-5 stage CKD), while saliva secretion > 0.2 mL/min in children with mild-moderate CKD (1-3 stage) and controls. Salivary amylase activity and total protein content were significantly lower in CKD children with hyposalivation compared to CKD patients with normal saliva secretion and control group. The fluorescence of protein glycooxidation products (kynurenine, N-formylkynurenine, advanced glycation end products), the content of oxidative damage to lipids (4-hydroxynonneal, 8-isoprostanes) and nitrosative stress (peroxynitrite, nitrotyrosine) were significantly higher in NWS, SWS, and plasma of CKD children with hyposalivation compared to patients with normal salivary secretion and healthy controls. In CKD group, salivary oxidation products correlated negatively with salivary flow rate, -amylase activity and total protein content; however, salivary oxidation products do not reflect their plasma level. In conclusion, children with CKD suffer from salivary gland dysfunction. Oxidation of salivary proteins and lipids increases with CKD progression and deterioration of salivary gland function.
本研究首次评估了慢性肾脏病(CKD)患儿非刺激性全唾液(NWS)和刺激性全唾液(SWS)中的蛋白质糖氧化产物、脂质氧化损伤和亚硝化应激。这些患儿被分为两个亚组:唾液分泌正常(n = 18)和唾液分泌减少(NWS流速<0.2 mL/min;n = 12)。所有重度肾衰竭(CKD 4 - 5期)患者均出现唾液分泌减少,而轻度至中度CKD(1 - 3期)患儿及对照组的唾液分泌>0.2 mL/min。与唾液分泌正常的CKD患儿及对照组相比,唾液分泌减少的CKD患儿唾液淀粉酶活性和总蛋白含量显著降低。与唾液分泌正常的患者及健康对照组相比,唾液分泌减少的CKD患儿的NWS、SWS及血浆中蛋白质糖氧化产物(犬尿氨酸、N - 甲酰犬尿氨酸、晚期糖基化终产物)的荧光、脂质氧化损伤产物(4 - 羟基壬烯醛、8 - 异前列腺素)及亚硝化应激产物(过氧亚硝酸盐、硝基酪氨酸)的含量均显著升高。在CKD组中,唾液氧化产物与唾液流速、α - 淀粉酶活性和总蛋白含量呈负相关;然而,唾液氧化产物并不能反映其血浆水平。总之,CKD患儿存在唾液腺功能障碍。随着CKD进展及唾液腺功能恶化,唾液蛋白质和脂质的氧化增加。
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