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ACCESSORY GLANDS OF
THE DIGESTIVE SYSTEM
The SALIVARY GLANDS
 SALIVA
The fluid mixture produced by the serous and
mucous salivary glands.
Mixed glandular secretion which constantly
bathes the teeth & oral mucosa.
The SALIVARY GLANDS
 Major salivary glands
Paired and drain into the oral cavity
Parotid, mandibular, sublingual, zygomatic
 Minor salivary glands*
Contained within the submucosa of the oral mucosa
Palatine, buccal, pharyngeal, labial, lingual
Salivary glands. (The right half of the mandible was removed.)
Mandibular gland
Parotid gland
Parotid gland and accessory gland. (With permission from Elsevier)
Submandibular and sublingual glands. Note the many small ducts from the
sublingual gland. (With permission from Elsevier)
The SALIVARY GLANDS
 Type of secretion
 Serous – parotid glands*
 Mucous – sublingual glands**
 Seromucous – submaxillary (mandibular) glands
Structure of salivary glands
 Salivary gland tissue
1. Secretory end piece (acini*)
2. Duct system (intercalated, striated, excretory
ducts)
REGULATION OF
SALIVARY SECRETION
Autonomic nervous system
 Secretion of saliva is a nerve-mediated reflex.
 The volume and type of saliva secreted is controlled by the
autonomic nervous system.
 The glands receive both parasympatheic and sympathetic
nerve supplies.
Salivary Reflex Regulation
Unconditioned reflex
 This reflex is present at birth.
 This is due to the stimulation of receptors in the mouth
by chemical substances and even mechanical
stimulation brought about by food in mouth*
 The most important stimulus is the presence of food in
the mouth.
Conditioned reflex
 This reflex is acquired during the life.
 The stimulation originates not from the mouth but from
special senses (sight, smell, hearing).
 In man, previous experiences associated with the supply of
food like the sight, smell can give rise to secretion of saliva.
In animals, this can be experimentally produced for sight,
sound or smell of food.
Salivary Flow Rate
Salivary flow rate
 Saliva secretion is continuous process.
 Spontanenous secretion – saliva secreted without stimulation*
 Unstimulated secretion – saliva secreted at rest, with involvement
of nervous activity; range of 0.3–0.5 mL/min.
 Stimulated secretion – saliva secreted during intensive
mechanical-chemical stimulation (during the eating); amount of saliva
increases and its amount is up to 2.0 mL/min**
 During 8-hours, sleep secretion is the smallest, up to 0,05 mL/min
 Adult (human) generates about 1-2 L per 24 h.
Different rates of salivary flow
TABLE 12. SALIVA PRODUCTION AND RATE OF DIETARY INTAKE
Saliva production Intake rate
Feed g/g food ml/min g food/min
Dairy cubes .68 243 357
Fresh grass .94 266 283
Silage 1.13 280 248
Dried grass 3.25 270 83
Hay 3.63 254 70
Bailey, C.B. 1959. Proc. Nutr. Soc. 18:1
TABLE 13. SALIVA PRODUCTION IN CATTLE AS INFLUENCED
BY TYPE OF FEED AND PHYSICAL FORMa
Feed Kg saliva/kg ingested feed
Hay
Concentrates
5.02
Meal 1.30
Cubed 1.01
Flaked corn 1.37
Beet Fodder 5.00
Grass .93
Balch, C.C. 1958. Brit. J. Nutr. 12:330.
TABLE 14. FEED INTAKE AND SALIVARY PRODUCTION IN STEERSa
Feed intake, % of body weight
.8 1.4 2.0 2.6
Feed intake, kg 2.5 4.5 6.3 8.3
Saliva, l/d 33.5 45.2 52.0 54.1
Saliva, l/kg of feed 13.4 10.0 8.3 6.5
Buffering capacity 47.1 46.6 51.1 52.2
aPutnam, P.A., R. Lehmann, and R.E. Davis. 1966. J. Anim. Sci.
25:817. bMilliliters of .1N HCl required to decrease the pH of 50 ml
of saliva from 7 to 5.
COMPOSITION OF SALIVA
Saliva Composition
 99% of saliva is water
 Rest of the volume are inorganic and organic components
 pH of fresh saliva is about 6.6 (humans); ruminants (8.0)
Unstimulated Stimulated
Water 99.55 % 99.53%1
Solids 0.45% 0.47%1
Organic components
 Proteins – immunoglobulins, albumins, glycoprotein,
enzymes
 Non-proteins nitrate compounds – urea, urea acid,
amino acids, creatinine
 Lipids– unsaturated fatty acids, cholesterol, lecithin,
phospholipids
 Hormones – steroids
Organic components
 Glycoproteins (mucins)*
 In non-stimulated saliva glycoproteins are about 20–30%
of total amount of proteins
 With increased amount of mucins in saliva volume,
density and viscosity increases as well
 Glycoproteins in saliva allow forming and swallowing of
food and protection of soft tissues against mechanical
irritation.
Organic components
 Agglutinin – glycoproteins with high molecular weight to
be able to agglutinate a certain Streptococcus spp.
 Phosphoproteins (acidic glycoprotein)
 Have large amount of negative charge and asymmetric
structure.
 Prevents increase of calcium phosphates crystals in
saturated saliva*
Organic components
 Histatin
 Molecule contains positive charge in amino acid side
chain and is bonding with negatively charged
phospholipids from cell membrane of bacteria or fungus.
 Statherins
 Acidic proteins which participate in remineralization of
enamel and protect it from physical factors.
Organic components
 Cystatins*
 Inhibit precipitation of calcium phosphates from saliva.
 Play important role in prevention of periodontal diseases.
 Lactoferrin
 Glycoprotein able to combine Fe3+ ions. Some bacteria of
oral cavity need those ions to grow, so their attachment to
lactoferrin limits their development.
Organic components
 α-amylase
 Participates in preliminary food digestion
 Responsible for creating glycoprotein complex of layer on the
surface of the tooth just after teethes brushing.
Organic components
 Urea
 Has significant role in buffer system of saliva – from its
decomposition ammonia is generated which combines
with excess of H+ ions.
 Uric acid
 Exhibit antioxidative effect (has about 70-80% of
oxidative properties of saliva).
Non-nitrate organic compounds
 Carbohydrates
 Lipids
 Hormones
Inorganic components
 Content in saliva is not constant.
 Origin mainly from blood (except HCO3-)
 Occur in ionic form.
Inorganic components
 Na+
 Low concentration in resting saliva (5.76 mmol/L)
 Increased concentration in stimulated saliva (20.67
mmol/L)
 Participate in transport of active compounds through cell
membrane
 K+
 Transports active compounds through cell membrane.
Inorganic components
 Ca2+
 Constant amount in stimulated saliva
 Has the same form as in apatite
 Participate in enamel growth and remineralization of primary
damages
 Activator of some saliva’senzymes
 Mg2+
 Participate in tooth structure creation
 Activator of some enzymes
Inorganic components
 Chloride
 Osmoregulator; α-amylase activator
 Fluoride
 Influences structure and remineralization processes of enamel
 Iodide
 Bicarbonate
 The strongest buffer system (carbonic acid/bicarbonate system)
 Quantity increases in stimulated saliva
Inorganic components
PO4
3-, HPO4
2-, H2PO4
 Mineral parts of saliva
 Present in the same for enamel
 Participate in enamel growth and remineralization of
primary damages
FUNCTIONS OF SALIVA
Fluid/lubrication & binding
 Coats hard and soft tissue which helps to protect against
mechanical, thermal and chemical irritation and tooth wear*
 Assists smooth air flow, speech and swallowing.
 Mucus is extremely effective in binding masticated food into
a slippery bolus that slides easily through the esophagus
without inflicting damage to the mucosa.
Ion reservoir
 Solution supersaturated with respect to tooth mineral
facilitates remineralization of the enamel (calcium).
 Statherin and acidic proline-rich proteins in saliva
inhibit spontaneous precipitation of calcium phosphate
salts.
Buffer
 Helps to neutralize plaque pH after eating, thus reducing
time for demineralization
 Buffer system maintains acid-base equilibrium through
neutralization of organic acids*
 Buffers maintain resting saliva pH in the range of 5.7
and 6.2.
Carbonic acid/bicarbonate system
 Major buffer in stimulated saliva.
CO2+ H2O H2CO3 HCO3-+ H+
Hydrogen and bicarbonate ions form carbonic acid, which forms
carbon dioxide and water. Carbon dioxide is exhaled and thus the
acid is removed.
Stephan Curve illustrating the changes in plaque pH over time following a sucrose rinse
Buffer
 Bicarbonate secretion is of tremendous importance to
ruminants because it provides a critical buffer that
neutralizes the massive quantities of acid produced in
the forestomachs.
Oral hygiene
 The oral cavity is almost constantly flushed with saliva,
which floats away food debris and keeps the mouth
relatively clean.
 Saliva also contains lysozyme, an enzyme that lyses
many bacteria and prevents overgrowth of oral microbial
populations.
Antimicrobial actions
 Specific (e.g. sIgA) and non-specific (e.g. Lysozyme,
Lactoferrin and Myeloperoxidase) anti-microbial
mechanisms help to control the oral microflora.
 α-defensins, β-defensins
Agglutination
 Agglutinins in saliva aggregate bacteria, resulting in
accelerated clearance of bacterial cells.
 Examples are mucins and parotid saliva
glycoproteins.
Protective functions
 Pellicle formation
 Thin (0.5 μm) protective diffusion barrier formed on
enamel from salivary and other proteins.
 Wound healing
 Growth-stimulating factors (epidermal growth hormone,
statherines, histatines).
 Trophic effects*
Endocrine functions
 Circulating non-protein-bound fractions of hormones,
such as of melatonin, cortisol, and sex steroids,passively
move into the saliva.
 Salivary substances may appear in the blood as indicated
by amylase and epidermal growth factor.
Excretory functions
 Excretion of:
 Harmful products of bacteria metabolism,
 Bacteria
 Food residue from oral cavity and teeth surface
 This is a very inefficient excretory pathway as reabsorption
may occur further down the intestinal tract.
Water balance
 Under conditions of dehydration, salivary flow is
reduced, dryness of the mouth and information from
osmoreceptors are translated into decreased urine
production and increased drinking (integrated by the
hypothalamus.
Saliva: functions (ruminants)
 Source of nutrients for ruminal microorganisms
 Mucoprotein and urea serve as N source – electrolytes,
particularly sodium are growth factors for ruminal
bacteria .
 Influence nutrient removal rate from the rumen*
 Antifoaming agent**
Bartley, E.E. 1976. p. 61-81. In: Buffers in Ruminant Physiology and Metabolism. M.S.
Weinburg and A.L. Sheffner (Ed.), Church and Dwight, Inc., N.Y.
Other functions
 Thermoregulation
 Grooming
 Mark territory or attract mates
MECHANISMS OF
SALIVARY SECRETION
Salivary secretion
 A unidirectional movement of fluid, electrolytes
and macromolecules into saliva in response to
appropriate stimulation.
 Stimulation – mechanisms that integrate the response
to salivary stimuli and communication between the
nervous system & the secretory machinery.
 Fluid, electrolytes, macromolecules*
 Unidirectional
Salivary secretion
 Fluid & electrolyte secretion
 Regulated through the parasympathetic efferent pathway
by releasing ACh.
 Macromolecule secretion
 Regulated by noradrenalin (NorAd or norepinephrine,
US) release from sympathetic nerves*
The first step in stimulus-secretion coupling is release of
neurotransmitter (1st messenger).
Second step
 The binding of neurotransmitter to receptor and activation
of a G-protein coupled intracellular enzyme*
 G-protein coupled receptor (GPCR)
 ACh – muscarinic M3 ACh receptors
 NorAdrenaline – β adrenergic receptors
Target enzymes
 Phospholipase C
 Target enzyme in fluid secretion.
 Adenylate cyclase
 Target enzyme in protein secretion.
 Activation of the target enzyme (activated G-protein)
will generate molecules of second messengers.
Third step (macromolecule)
 Macromolecule (protein) secretion is activated by binding of
NorAdrenaline to β adrenergic receptors.
 The G-protein is called Gs and the target enzyme is
adenylate cyclase which converts ATP into cAMP.
 The next and all subsequent steps in macromolecule
secretion are regulated by cAMP.
The third step in macromolecule stimulus-secretion coupling is production of cAMP.
Protein kinase A (pKA)
 Referred to be the sole mediator of the actions of cAMP.
 At rest, it is a tetramer composed of 2 catalytic subunits &
2 regulatory subunits.
 When cAMP binds to pKA, the catalytic subunits separate
from the regulatory SU and become active.
 pKA phosphorylates
cAMP and pKA
Third step (fluid & electrolyte)
 Fluid and electrolyte secretion is activated by binding of ACh
to muscarinic M3 receptors.
 The G-protein is called Gq and the target enzyme is
phospholipase C (PLC).
 PLC splits phosphatidyl 4,5, bisphosphate (PIP2) into
diacylglycerol (DAG) and Inositol 1,4,5 trisphosphate
(IP3).
Salivary secretion
 Fluid and electrolyte secretion is activated by binding
of ACh to muscarinic M3 receptors. The target enzyme
is phospholipase C (PLC) which splits phosphatidyl 4,5,
bisphosphate (PIP2) into diacylglycerol (DAG) and Inositol
1,4,5 trisphosphate (IP3)
 Macromolecule (protein) secretion is activated by binding
of NorAdrenaline to β adrenergic receptors. The G-protein is
called Gs and the target enzyme is adenylate cyclase which
converts ATP into cAMP.
Macromolecules
 Macromolecules cannot cross the plasma membrane.
 Proteins are secreted when the containing vesicle
fuses with the plasma membrane in the process of
exocytosis.
 The secretory process may be divided into four
stages: synthesis, segregation & packaging,
storage and release*
Exocytosis
 SNAREs*
 Present in salivary gland acinar cells.
 Secretory vesicles have SNAREs (v-SNARES) which
recognise plasma membrane SNARES (t-SNARES).
 The two form tight complexes that link the two
membranes and mediate the three steps in regulated
exocytosis.
A cAMP-dependent ‘brake’ point
Transcellular transport protein
 Not all secreted proteins originate in salivary gland
cells. Saliva also contains plasma proteins, for
example the immunoglobulin, IgA.
Transcellular protein transport
Fluid & electrolyte secretion
 Binding of ACh to muscarinic ACh receptors
increases intracellular IP3 levels.
 IP3 causes Ca2+ release from intracellular stores and
the increase in intracellular [Ca2+] triggers fluid
secretion.
 The remaining question is how? How does an
increase in [Ca2+] trigger fluid secretion?
Fluid & electrolyte secretion
 Fluid secretion is driven by electrolyte secretion, so
the trick is to secrete the electrolytes.
 Acinar cells concentrate Cl- within themselves which
they release across the apical membrane in response
to an increase in [Ca2+].
 The secretion of Cl- leads to Na+ secretion and
together NaCl secretion drags water across the cells
by osmosis.
Bicarbonate secretion
 One of the most important functions of saliva is to buffer
plaque acid.
 Bicarbonate (HCO3-) is the acid buffer secreted in saliva.
 In short, HCO3- can pass through Cl- channels and so
will be secreted when ACh triggers the signal
transduction cascade that results in increased [Ca2+]i.
 The question here is, "How does HCO3
- get concentrated
inside the cells?"
Bicarbonate secretion
 At low salivary flow rates, HCO3- is reabsorbed by the striated
duct cells and so very little reaches the mouth. At high flow
rates, the striated ducts can't keep up and so HCO3- reaches
the mouth at high concentration (<25mM)).
 HCO3- is valuable to the body and not something to throw
into the gut for no reason.
Unstimulated Stimulated
Bicarbonate (mmol/L) 5.47 16.03
Calcium and phosphate transport
Water channels
 There are two possible routes for water to take across
the cell, either through the tight junctions between the
cells (paracellular) or across both the apical and
basolateral membranes (transcellular).
 The intrinsic water permeability of the plasma membrane
is very low*
 Water channels in salivary acinar cells are members of
the aquaporin (AQP) family.
Water channels
 Aquaporins come in two types, one of which transports
only water and another which is also permeable to
glycerol.
 Neither type conducts ions.
 AQP5 has been localised to the apical membrane of
salivary gland acinar cells.
Unidirectional
 One Way Only
 Saliva is always secreted into the lumen of the gland
(and then onwards down the ducts).
 Crudely speaking, material is taken up at one side of the
cell and dumped out the other which means that one end
of a salivary gland acinar cells is specialized for influx
and the other for efflux.
Histological polarity

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The Mammalian Salivary Gland

  • 1. ACCESSORY GLANDS OF THE DIGESTIVE SYSTEM
  • 2. The SALIVARY GLANDS  SALIVA The fluid mixture produced by the serous and mucous salivary glands. Mixed glandular secretion which constantly bathes the teeth & oral mucosa.
  • 3. The SALIVARY GLANDS  Major salivary glands Paired and drain into the oral cavity Parotid, mandibular, sublingual, zygomatic  Minor salivary glands* Contained within the submucosa of the oral mucosa Palatine, buccal, pharyngeal, labial, lingual
  • 4. Salivary glands. (The right half of the mandible was removed.) Mandibular gland Parotid gland
  • 5. Parotid gland and accessory gland. (With permission from Elsevier) Submandibular and sublingual glands. Note the many small ducts from the sublingual gland. (With permission from Elsevier)
  • 6.
  • 7. The SALIVARY GLANDS  Type of secretion  Serous – parotid glands*  Mucous – sublingual glands**  Seromucous – submaxillary (mandibular) glands
  • 8. Structure of salivary glands  Salivary gland tissue 1. Secretory end piece (acini*) 2. Duct system (intercalated, striated, excretory ducts)
  • 9.
  • 10.
  • 12.
  • 13. Autonomic nervous system  Secretion of saliva is a nerve-mediated reflex.  The volume and type of saliva secreted is controlled by the autonomic nervous system.  The glands receive both parasympatheic and sympathetic nerve supplies.
  • 14.
  • 15.
  • 17. Unconditioned reflex  This reflex is present at birth.  This is due to the stimulation of receptors in the mouth by chemical substances and even mechanical stimulation brought about by food in mouth*  The most important stimulus is the presence of food in the mouth.
  • 18.
  • 19. Conditioned reflex  This reflex is acquired during the life.  The stimulation originates not from the mouth but from special senses (sight, smell, hearing).  In man, previous experiences associated with the supply of food like the sight, smell can give rise to secretion of saliva. In animals, this can be experimentally produced for sight, sound or smell of food.
  • 21. Salivary flow rate  Saliva secretion is continuous process.  Spontanenous secretion – saliva secreted without stimulation*  Unstimulated secretion – saliva secreted at rest, with involvement of nervous activity; range of 0.3–0.5 mL/min.  Stimulated secretion – saliva secreted during intensive mechanical-chemical stimulation (during the eating); amount of saliva increases and its amount is up to 2.0 mL/min**  During 8-hours, sleep secretion is the smallest, up to 0,05 mL/min  Adult (human) generates about 1-2 L per 24 h.
  • 22. Different rates of salivary flow
  • 23. TABLE 12. SALIVA PRODUCTION AND RATE OF DIETARY INTAKE Saliva production Intake rate Feed g/g food ml/min g food/min Dairy cubes .68 243 357 Fresh grass .94 266 283 Silage 1.13 280 248 Dried grass 3.25 270 83 Hay 3.63 254 70 Bailey, C.B. 1959. Proc. Nutr. Soc. 18:1
  • 24. TABLE 13. SALIVA PRODUCTION IN CATTLE AS INFLUENCED BY TYPE OF FEED AND PHYSICAL FORMa Feed Kg saliva/kg ingested feed Hay Concentrates 5.02 Meal 1.30 Cubed 1.01 Flaked corn 1.37 Beet Fodder 5.00 Grass .93 Balch, C.C. 1958. Brit. J. Nutr. 12:330.
  • 25. TABLE 14. FEED INTAKE AND SALIVARY PRODUCTION IN STEERSa Feed intake, % of body weight .8 1.4 2.0 2.6 Feed intake, kg 2.5 4.5 6.3 8.3 Saliva, l/d 33.5 45.2 52.0 54.1 Saliva, l/kg of feed 13.4 10.0 8.3 6.5 Buffering capacity 47.1 46.6 51.1 52.2 aPutnam, P.A., R. Lehmann, and R.E. Davis. 1966. J. Anim. Sci. 25:817. bMilliliters of .1N HCl required to decrease the pH of 50 ml of saliva from 7 to 5.
  • 26.
  • 27.
  • 29. Saliva Composition  99% of saliva is water  Rest of the volume are inorganic and organic components  pH of fresh saliva is about 6.6 (humans); ruminants (8.0) Unstimulated Stimulated Water 99.55 % 99.53%1 Solids 0.45% 0.47%1
  • 30.
  • 31. Organic components  Proteins – immunoglobulins, albumins, glycoprotein, enzymes  Non-proteins nitrate compounds – urea, urea acid, amino acids, creatinine  Lipids– unsaturated fatty acids, cholesterol, lecithin, phospholipids  Hormones – steroids
  • 32. Organic components  Glycoproteins (mucins)*  In non-stimulated saliva glycoproteins are about 20–30% of total amount of proteins  With increased amount of mucins in saliva volume, density and viscosity increases as well  Glycoproteins in saliva allow forming and swallowing of food and protection of soft tissues against mechanical irritation.
  • 33. Organic components  Agglutinin – glycoproteins with high molecular weight to be able to agglutinate a certain Streptococcus spp.  Phosphoproteins (acidic glycoprotein)  Have large amount of negative charge and asymmetric structure.  Prevents increase of calcium phosphates crystals in saturated saliva*
  • 34. Organic components  Histatin  Molecule contains positive charge in amino acid side chain and is bonding with negatively charged phospholipids from cell membrane of bacteria or fungus.  Statherins  Acidic proteins which participate in remineralization of enamel and protect it from physical factors.
  • 35. Organic components  Cystatins*  Inhibit precipitation of calcium phosphates from saliva.  Play important role in prevention of periodontal diseases.  Lactoferrin  Glycoprotein able to combine Fe3+ ions. Some bacteria of oral cavity need those ions to grow, so their attachment to lactoferrin limits their development.
  • 36. Organic components  α-amylase  Participates in preliminary food digestion  Responsible for creating glycoprotein complex of layer on the surface of the tooth just after teethes brushing.
  • 37. Organic components  Urea  Has significant role in buffer system of saliva – from its decomposition ammonia is generated which combines with excess of H+ ions.  Uric acid  Exhibit antioxidative effect (has about 70-80% of oxidative properties of saliva).
  • 38. Non-nitrate organic compounds  Carbohydrates  Lipids  Hormones
  • 39. Inorganic components  Content in saliva is not constant.  Origin mainly from blood (except HCO3-)  Occur in ionic form.
  • 40. Inorganic components  Na+  Low concentration in resting saliva (5.76 mmol/L)  Increased concentration in stimulated saliva (20.67 mmol/L)  Participate in transport of active compounds through cell membrane  K+  Transports active compounds through cell membrane.
  • 41. Inorganic components  Ca2+  Constant amount in stimulated saliva  Has the same form as in apatite  Participate in enamel growth and remineralization of primary damages  Activator of some saliva’senzymes  Mg2+  Participate in tooth structure creation  Activator of some enzymes
  • 42. Inorganic components  Chloride  Osmoregulator; α-amylase activator  Fluoride  Influences structure and remineralization processes of enamel  Iodide  Bicarbonate  The strongest buffer system (carbonic acid/bicarbonate system)  Quantity increases in stimulated saliva
  • 43. Inorganic components PO4 3-, HPO4 2-, H2PO4  Mineral parts of saliva  Present in the same for enamel  Participate in enamel growth and remineralization of primary damages
  • 45.
  • 46. Fluid/lubrication & binding  Coats hard and soft tissue which helps to protect against mechanical, thermal and chemical irritation and tooth wear*  Assists smooth air flow, speech and swallowing.  Mucus is extremely effective in binding masticated food into a slippery bolus that slides easily through the esophagus without inflicting damage to the mucosa.
  • 47. Ion reservoir  Solution supersaturated with respect to tooth mineral facilitates remineralization of the enamel (calcium).  Statherin and acidic proline-rich proteins in saliva inhibit spontaneous precipitation of calcium phosphate salts.
  • 48. Buffer  Helps to neutralize plaque pH after eating, thus reducing time for demineralization  Buffer system maintains acid-base equilibrium through neutralization of organic acids*  Buffers maintain resting saliva pH in the range of 5.7 and 6.2.
  • 49. Carbonic acid/bicarbonate system  Major buffer in stimulated saliva. CO2+ H2O H2CO3 HCO3-+ H+ Hydrogen and bicarbonate ions form carbonic acid, which forms carbon dioxide and water. Carbon dioxide is exhaled and thus the acid is removed.
  • 50. Stephan Curve illustrating the changes in plaque pH over time following a sucrose rinse
  • 51. Buffer  Bicarbonate secretion is of tremendous importance to ruminants because it provides a critical buffer that neutralizes the massive quantities of acid produced in the forestomachs.
  • 52. Oral hygiene  The oral cavity is almost constantly flushed with saliva, which floats away food debris and keeps the mouth relatively clean.  Saliva also contains lysozyme, an enzyme that lyses many bacteria and prevents overgrowth of oral microbial populations.
  • 53. Antimicrobial actions  Specific (e.g. sIgA) and non-specific (e.g. Lysozyme, Lactoferrin and Myeloperoxidase) anti-microbial mechanisms help to control the oral microflora.  α-defensins, β-defensins
  • 54. Agglutination  Agglutinins in saliva aggregate bacteria, resulting in accelerated clearance of bacterial cells.  Examples are mucins and parotid saliva glycoproteins.
  • 55. Protective functions  Pellicle formation  Thin (0.5 μm) protective diffusion barrier formed on enamel from salivary and other proteins.  Wound healing  Growth-stimulating factors (epidermal growth hormone, statherines, histatines).  Trophic effects*
  • 56. Endocrine functions  Circulating non-protein-bound fractions of hormones, such as of melatonin, cortisol, and sex steroids,passively move into the saliva.  Salivary substances may appear in the blood as indicated by amylase and epidermal growth factor.
  • 57. Excretory functions  Excretion of:  Harmful products of bacteria metabolism,  Bacteria  Food residue from oral cavity and teeth surface  This is a very inefficient excretory pathway as reabsorption may occur further down the intestinal tract.
  • 58. Water balance  Under conditions of dehydration, salivary flow is reduced, dryness of the mouth and information from osmoreceptors are translated into decreased urine production and increased drinking (integrated by the hypothalamus.
  • 59. Saliva: functions (ruminants)  Source of nutrients for ruminal microorganisms  Mucoprotein and urea serve as N source – electrolytes, particularly sodium are growth factors for ruminal bacteria .  Influence nutrient removal rate from the rumen*  Antifoaming agent** Bartley, E.E. 1976. p. 61-81. In: Buffers in Ruminant Physiology and Metabolism. M.S. Weinburg and A.L. Sheffner (Ed.), Church and Dwight, Inc., N.Y.
  • 60. Other functions  Thermoregulation  Grooming  Mark territory or attract mates
  • 62. Salivary secretion  A unidirectional movement of fluid, electrolytes and macromolecules into saliva in response to appropriate stimulation.  Stimulation – mechanisms that integrate the response to salivary stimuli and communication between the nervous system & the secretory machinery.  Fluid, electrolytes, macromolecules*  Unidirectional
  • 63.
  • 64. Salivary secretion  Fluid & electrolyte secretion  Regulated through the parasympathetic efferent pathway by releasing ACh.  Macromolecule secretion  Regulated by noradrenalin (NorAd or norepinephrine, US) release from sympathetic nerves* The first step in stimulus-secretion coupling is release of neurotransmitter (1st messenger).
  • 65. Second step  The binding of neurotransmitter to receptor and activation of a G-protein coupled intracellular enzyme*  G-protein coupled receptor (GPCR)  ACh – muscarinic M3 ACh receptors  NorAdrenaline – β adrenergic receptors
  • 66.
  • 67. Target enzymes  Phospholipase C  Target enzyme in fluid secretion.  Adenylate cyclase  Target enzyme in protein secretion.  Activation of the target enzyme (activated G-protein) will generate molecules of second messengers.
  • 68. Third step (macromolecule)  Macromolecule (protein) secretion is activated by binding of NorAdrenaline to β adrenergic receptors.  The G-protein is called Gs and the target enzyme is adenylate cyclase which converts ATP into cAMP.  The next and all subsequent steps in macromolecule secretion are regulated by cAMP.
  • 69. The third step in macromolecule stimulus-secretion coupling is production of cAMP.
  • 70. Protein kinase A (pKA)  Referred to be the sole mediator of the actions of cAMP.  At rest, it is a tetramer composed of 2 catalytic subunits & 2 regulatory subunits.  When cAMP binds to pKA, the catalytic subunits separate from the regulatory SU and become active.  pKA phosphorylates
  • 72. Third step (fluid & electrolyte)  Fluid and electrolyte secretion is activated by binding of ACh to muscarinic M3 receptors.  The G-protein is called Gq and the target enzyme is phospholipase C (PLC).  PLC splits phosphatidyl 4,5, bisphosphate (PIP2) into diacylglycerol (DAG) and Inositol 1,4,5 trisphosphate (IP3).
  • 73.
  • 74.
  • 75. Salivary secretion  Fluid and electrolyte secretion is activated by binding of ACh to muscarinic M3 receptors. The target enzyme is phospholipase C (PLC) which splits phosphatidyl 4,5, bisphosphate (PIP2) into diacylglycerol (DAG) and Inositol 1,4,5 trisphosphate (IP3)  Macromolecule (protein) secretion is activated by binding of NorAdrenaline to β adrenergic receptors. The G-protein is called Gs and the target enzyme is adenylate cyclase which converts ATP into cAMP.
  • 76. Macromolecules  Macromolecules cannot cross the plasma membrane.  Proteins are secreted when the containing vesicle fuses with the plasma membrane in the process of exocytosis.  The secretory process may be divided into four stages: synthesis, segregation & packaging, storage and release*
  • 77.
  • 78.
  • 79. Exocytosis  SNAREs*  Present in salivary gland acinar cells.  Secretory vesicles have SNAREs (v-SNARES) which recognise plasma membrane SNARES (t-SNARES).  The two form tight complexes that link the two membranes and mediate the three steps in regulated exocytosis.
  • 81. Transcellular transport protein  Not all secreted proteins originate in salivary gland cells. Saliva also contains plasma proteins, for example the immunoglobulin, IgA.
  • 83. Fluid & electrolyte secretion  Binding of ACh to muscarinic ACh receptors increases intracellular IP3 levels.  IP3 causes Ca2+ release from intracellular stores and the increase in intracellular [Ca2+] triggers fluid secretion.  The remaining question is how? How does an increase in [Ca2+] trigger fluid secretion?
  • 84. Fluid & electrolyte secretion  Fluid secretion is driven by electrolyte secretion, so the trick is to secrete the electrolytes.  Acinar cells concentrate Cl- within themselves which they release across the apical membrane in response to an increase in [Ca2+].  The secretion of Cl- leads to Na+ secretion and together NaCl secretion drags water across the cells by osmosis.
  • 85.
  • 86.
  • 87.
  • 88.
  • 89. Bicarbonate secretion  One of the most important functions of saliva is to buffer plaque acid.  Bicarbonate (HCO3-) is the acid buffer secreted in saliva.  In short, HCO3- can pass through Cl- channels and so will be secreted when ACh triggers the signal transduction cascade that results in increased [Ca2+]i.  The question here is, "How does HCO3 - get concentrated inside the cells?"
  • 90.
  • 91. Bicarbonate secretion  At low salivary flow rates, HCO3- is reabsorbed by the striated duct cells and so very little reaches the mouth. At high flow rates, the striated ducts can't keep up and so HCO3- reaches the mouth at high concentration (<25mM)).  HCO3- is valuable to the body and not something to throw into the gut for no reason. Unstimulated Stimulated Bicarbonate (mmol/L) 5.47 16.03
  • 93. Water channels  There are two possible routes for water to take across the cell, either through the tight junctions between the cells (paracellular) or across both the apical and basolateral membranes (transcellular).  The intrinsic water permeability of the plasma membrane is very low*  Water channels in salivary acinar cells are members of the aquaporin (AQP) family.
  • 94. Water channels  Aquaporins come in two types, one of which transports only water and another which is also permeable to glycerol.  Neither type conducts ions.  AQP5 has been localised to the apical membrane of salivary gland acinar cells.
  • 95.
  • 96. Unidirectional  One Way Only  Saliva is always secreted into the lumen of the gland (and then onwards down the ducts).  Crudely speaking, material is taken up at one side of the cell and dumped out the other which means that one end of a salivary gland acinar cells is specialized for influx and the other for efflux.

Hinweis der Redaktion

  1. HUNDREDS
  2. PAROTID GLAND Largest; Lies at the junction of the head and neck overlying the basal portion of the auricular cartilage; Parotid duct; innervated by the GLOSSOPHARYNGEAL NERVE. MANDIBULAR GLAND (mandibular duct SUBLINGUAL GLAND (polystomatic [rostral] & monostomatic) smallest; sublingual duct (MMANDIBULAR & SUBLINGUAL – FACIAL NERVE) ZYGOMATIC GLAND (located ventral to the zygomatic arch; ORBITAL GLAND)
  3. *Serous secretion is watery, light and transparent **Mucous secretion is thick, mucinoid and viscous Most of the minor glands are characterized as mucous glands. The secretion of the minor glands are also important because, also their contribution is relatively small, they are responsible for 80% of the total mucin secretion per 24 h together with the sublingual gland. MUCIN creates a protective layer in the saliva that prevents the feeling of mouth dryness from occurring.
  4. The working parts of the salivary gland tissue consist of 2 major parts: (1) secretory end pieces (ACINI) and (2) branched DUCTAL SYSTEM. *The basic secretory units of salivary glands; secrete a fluid that contains water, electrolytes, mucus and enzymes, all of which flow out of the acinus into collecting ducts.
  5. The ACINI differ in structure according to the type of gland. In SEROUS GLANDS (parotid) the acini are arranged in roughly spherical form. In mucous glands, they are in a TUBULAR configuration with larger central lumen. For mixed glands, both acini are present. In mixed glands: SEROUS DEMILUNE; MYOEPITHELIAL CELLS – function to assist in propelling secretion into the duct system. The LUMEN is the start of the ductal system. 1. The fluid first passes through the INTERCALATED DUCTS – low cuboidal epithelium and & narrow lumen. 2. The secretions enter the STRIATED DUCTS –lined by more columnar cells with many mitochondria. 3. Finally, the saliva passes through the EXCRETORY DUCTS – cuboidal until terminal part which is stratified squamous.
  6. AFFERENT & EFFERENT STIMULI FOR SECRETION Taste & mastication – principal stimuli for secretion; *Of the 4 modes of taste (sour, salt, sweet, bitter), the sour, followed by salt is the most effective stimulus. TASTE: a number of sensory receptors activated in response to food (gustatory, mechanoreceptors, nociceptors, olfactory). CHEWING: stimulates mechanoreceptors. THERMAL STIMULI: ice-cold drinks – causes greater volume of saliva to be PAIN: stimulus for salivary secretion through pain receptors ESOPHAGEAL DISTENSION ESOPHAGITIS – esophageal salivary reflex The EFFERENT STIMULI comes from the PARASYMPATHETIC & SYMPATHETIC INNERVATION of the ANS. AFFERENT STIMULI travel towards the SALIVARY CENTERS: the parasympathetic salivary center is located in the medulla oblongata; sympathetic salivary center resides in the upper thoracic segments of the spinal cord. Parasympathetic innervation will be responsible for secretion of large volume of saliva, mucoid. Sympathetic innervation for a scant and viscous secretion.
  7. The reflex involves afferent receptors and nerves carrying impulses induced by stimulation, a central hub (the salivary nuclei), and an efferent part consisting of parasympathetic and sympathetic autonomic nerve bundles that separately innervate the glands.
  8. AUTONOMIC TRANSMITTERS & RECEPTORS involved in salivary secretion ACETYLCHOLINE of the parasympathetic nerves and NORADRENALINE of the sympathetic nerve will act on the secretory elements of the salivary glands by binding to muscarinic M1 & M3 receptors and beta-1 and beta-2 adrenoceptors, respectively. Aside from cholinergic mechanism (ACh), the parasympathetic nerve also utilizes the peptidergic (VIP (vasoactive intestinal) and nitrergic (NO). VIP causes the secretion of proteins with no (or little) fluid). In concert with ACh, both protein & fluid secretion are enhanced by VIP. Although the parasympathetic innervation of the gland contains the NO enzyme NO synthase, NO of parasympathetic origin does not seem to take part in the secretory activity.
  9. Afferent pathways: taste; facial (VII) and glossopharyngeal (IX) nerves to solitary nucleus in the medulla. Also input from higher centres in response to smell etc. Efferent pathways: Parasympathetic; sublingual and submandibular from facial nerve via submandibular ganglion. Parotid from glossopharyngeal via otic ganglion. Sympathetic post-ganglionic from cervical ganglion of sympathetic chain.
  10. Salivary secretion is brought about by reflex action:
  11. *Presence of food in the mouth brings about immediate secretion. Exclusive mechanical stimulation of oral cavity by any means also stimulates salivary secretion. For example, maneuver of oral cavity by dentists, movement of tongue thereby coming in contact with cheeks.
  12. Pavlov demonstrated conditioned salivary secretion in dogs. Every time a dog was served with food, after ringing of bell. After few days, just the ringing of the bell alone without food being served causes secretion of saliva. During the training period, the dog learns to associate ringing (sound) of bell with supply of food.
  13. *In humans, only the minor glands secrete saliva spontaneously. They secrete saliva at a low rate. **The parotid contribution become dominant in the stimulated secretion. A
  14. Resting – 0.32 ml/min (mean) in humans Stimulated – 2 ml/min (mean) in humans The flow rate (humans) correlates with the gland size.
  15. RUMINANTS
  16. The figure shows the BLOOD SIDE, THE GLAND CELL (ACINI & DUCT) and the LUMEN (ORAL CAVITY). In the blood side, the Na concentration is higher than potassium (Na, 145 mEq/L; K, 3.5-5 mEq/L). When the saliva is secreted in the acini, we call that the PRIMARY SALIVA. THE PRIMARY SALIVA is said to be ISOTONIC in relation to plasma. So that its ionic composition is similar to the ECF (Na, K, Cl). Acinar cells secrete a large volume of isotonic-like fluid rich in NaCl. The generation of a trans-epithelial osmotic gradient drives water flow through apical AQP5 and possibly paracellular pathways. In these stage, there is no change in the concentration of Na and K relative to the ECF. In the second stage, the saliva passes through the STRIATED DUCT. In this duct, the composition of the primary saliva will be modified through the action of the hormone aldosterone. Aldosterone will act on the striated duct to Ductal cells, relatively impermeable to water, re-absorb most of the NaCl and secrete K[+] and HCO3[−].  Na+ ions are actively absorbed,  Cl ions are transported passively,  K+ ions are actively secreted with help of Na+/K+ ATP  HCO3-is actively secreted Increased concentration of HCO3- determines increase of saliva pH present in ducts During very fast flow, composition of final saliva is similar to composition of primary saliva.
  17. Two stage salivary gland model
  18. *They contain big amount of carbohydrate chains, connected by polypeptide skeleton with covalent bonds MUCIN-RICH SALIVA serves as a protective layer that prevents the feeling of mouth dryness from occurring.
  19. *Due to negative charge, Ca2+ ions are absorbed by hydroxyapatite which leads to decrease in its growth.
  20. HISTATIN Small basic proteins with small molecular weight containing significant amount of amino acids : histidine, lysine, arginine Histatin molecule contains positive charge in amino acid side chain and is bonding with negatively charged phospholipids from cell membrane of bacteria or fungus Leads to integrity lost of cell membrane From microorganism cell, different ions and organic compounds are “escaping” (e.g.: ATP) which leads to damages and finally to the death of the microorganism’s cell. Natural inhibitors of metalloproteinases : have ability of combining Zn2+ and Cu2+ ions - metalloproteinases activators STATHERINS Acidic proteins containing big amount of proline, tyrosine, and phosphoserine Show growth inhibition properties of hydroxyapatite and inhibition in creating of tartar. Participate in remineralization of enamel and protect itfrom physical factors.
  21. *CYSTATIN: soften process of inflammation in oral cavity
  22. α-AMYLASE Hydrolizateα–1,4–glycosidicbondinstarch Helpful in removing carbohydrates fibers located between teethes Responsible for creating glycoprotein complex of layer on the surface of the tooth just after teethes brushing. Tartar is created on these layer which leads to the most of the oral cavity diseases(caries). Has high affinity to the bacteria and combines with them
  23. NON-PROTEIN NITRATE COMPOUNDS (UREA & URIC ACID) UREA Product of salivary glands metabolism URIC ACID Present in concentration of 40-240 mMoles Creatinine, aminoacids They can be originated from blood but are transported to saliva through salivary glands.
  24. Carbohydrates Present in saliva in trace amount. Most of saliva carbohydrates combine with proteins creating glycoproteins. Elevated concentration are in diabetics Lipids Neutral and phospholipids, cholesterol –are in small quantities in saliva. Hormones –steroids Presence and concentration in saliva depends on concentration in blood. ©
  25. Carbohydrates Present in saliva in trace amount. Most of saliva carbohydrates combine with proteins creating glycoproteins. Elevated concentration are in diabetics Lipids Neutral and phospholipids, cholesterol –are in small quantities in saliva. Hormones –steroids Presence and concentration in saliva depends on concentration in blood. ©
  26. CATIONS: Na, K, Ca, Mg SODIUM Presence of Na+ in hydroxyapatite influences increased solubility of enamel in acid Na+ is osmoregulator (Osmoregulation is the active regulation of the osmotic pressure of an organisms body fluids) K+ Content in stimulated saliva is constant Transports active compounds through cell membrane
  27. Ca2+ Building material for hard tissues Mg2+ Mg2+ content in hydroxyapatite increases solubility of enamel in acids
  28. FLUORIDE: antibacterial action IODIDE: plays a role in defensive mechanism
  29. PO43-, HPO42-, H2PO4 Part of phosphate/phosphoric acid buffer Phosphate is one of the main component responsible for plaque creation
  30. DIGESTIVE FUNCTIONS Mechanical handling of food such as CHEWING, BOLUS FORMATION, & SWALLOWING. The chemical degradation of food is by AMYLASE & LIPASE —these enzymes continue to exert their activities in the stomach, amylase exerting its activity until the acid penetrates the bolus. Alpha-AMYLASE: most abundant salivary enzyme; splits starchy foods into maltose, maltotriose & dextrins. in most species, the serous acinar cells secrete an alpha-amylase which can begin to digest dietary starch into maltose. Amylase is not present, or present only in very small quantities, in the saliva of carnivores or cattle. TASTE: saliva acts as a solvent, allowing interaction of foodstuff with taste buds to facilitate taste.
  31. PROTECTIVE FUNCTION *Saliva also coats the oral cavity and esophagus, and food basically never directly touches the epithelial cells of those tissues.
  32. *PROTECTIVE FUNCTION Calcium not only has a pivotal role in the control of secretion, it also has, along with phosphate (Pi), an important role in oral homeostasis, in particular with respect to the teeth. The mineral content of teeth is water soluble and teeth would demineralise in a simple bicarbonate-rich NaCl solution. Saliva contains, in addition, sufficient Ca2+ and Pi to prevent demineralization.
  33. *PROTECTIVE FUNCTION *Present in food  in product from carries bacteria
  34. In the figure, the unstimulated plaque pH is about 6.7. Following a sucrose rinse, the plaque pH is reduced to less than 5.0 within a few minutes. DEMINERALIZATION of the enamel takes place below the CRITICAL pH of about 5.5. Plaque pH stays below the critical pH for about 20 minutes and does not return to normal until about 40 minutes after the ingestion of the sucrose rinse. Once plaque pH recovers to a level above the critical pH, the enamel may be remineralised in the presence of saliva and oral fluids which are supersaturated with respect to hydroxyapatite and fluorapatite. The shape of the Stephan Curve varies among individuals and the rate of recovery of the plaque pH is largely determined by the buffering capacity and urea content of saliva, the degree of access to saliva and the velocity of the salivary film. The buffering capacity of saliva increases with increasing flow rate as the bicarbonate ion concentration increases. The carbonic acid / bicarbonate system is the major buffer in stimulated saliva. The ability to buffer: bicarbonate, phosphates, protein Phosphate buffer acts according to the reaction : H2PO4- HPO42- + H+  Phosphate buffer has low importance in buffering of stimulated saliva because of low concentration of phosphates.  For non-stimulating saliva phosphate concentration reaches 10 mmol/L,which is important because of low concentration ofHCO3- .  At high flow of saliva, concentration of H2PO4- and HPO42- decreases which is not beneficial for teeth because it decreases saliva saturation and increases demineralizations of teeth.
  35. *PROTECTIVE FUNCTION Bicarbonate secretion is of tremendous importance to ruminants because it, along with phosphate, provides a critical buffer that neutralizes the massive quantities of acid produced in the forestomachs. .
  36. *PROTECTIVE FUNCTION
  37. *PROTECTIVE FUNCTION
  38. *PROTECTIVE FUNCTION
  39. *TROPHIC EFFECTS: maintains the number of taste buds. Saliva is also important for the esophagus in cases of regurgitating gastric acid because swallowed saliva protects the esophageal wall from being damaged by the gastric acid.
  40. *
  41. *
  42. *Important contributor to the fluidity of ruminal contents ** Mucin is an effective antifoaming agent - role in bloat
  43. THERMOREGULATION In animals, saliva may be secreted to lower the body temperature by evaporative cooling (panting of dogs and spreading of saliva on the scrotum and the fur by rats),. GROOMING (rats and cats) MARK TERRITORY or ATTRACT MATES (mice & pigs) by salivary pheromones
  44. *Defining components of saliva MACROMOLECULE (PROTEIN): unique viscoelastic & antibacterial properties of saliva. ELECTROLYTES: adds acid buffering and remineralization capabilities. FLUID: vehicle; dilutes and clears the oral environment. UNIDIRECTIONAL: manner of secretion; unidirectional movement of fluids, electrolytes and macromolecules can be attributed to cell polarity – one end of the cell behaves differently from the other – secretory acinar cells.
  45. SALIVARY SECRETION starts with stimulation The primary STIMULUS is TASTE and other afferent input (mastication) are carried to the SOLITARY NUCLEUS in the medulla via the FACIAL (VII) and GLOSSOPHARYNGEAL (IX) nerves. EFFERENT: Parasympathetic efferent pathways for the sublingual and submandibular glands are from the facial nerve via the submandibular ganglion and for the parotid gland from the glossopharangeal nerve via the otic ganglion. These pathways regulate fluid secretion by releasing acetylcholine (ACh) at the surface of the salivary gland acinar cells.
  46. *Sympathethic post ganglionic pathways are from the cervical ganglion of the sympathetic chain.
  47. *The second step in stimulus-secretion coupling is binding of neurotransmitter to receptor and activation of a G-protein coupled intracellular enzyme
  48. The second step in stimulus-secretion coupling is binding of neurotransmitter to receptor and activation of a G-protein coupled intracellular enzyme (THE SAME FOR BOTH FLUID & PROTEIN SECRETION)G\ GPRC - 7-membrane spanning domain are linked to heterotrimeric G-proteins. On activation by neurotransmitter (1), the G-protein binds GTP instead of GDP and the thus activated α subunit dissociates from the βγ subunits (2). The α subunit binds to and activates a target enzyme (3).
  49. DIFFERENT TARGET ENZYMES FOR FLUID/ELECTROLYTE AND PROTEIN SECRETIONS
  50. Cyclic AMP is identified as the '2nd Messenger‘ in macromolecule secretion. All of the activities of cAMP are mediated through protein kinase A (pKA).
  51. cAMP binding to the regulatory subunit of pKA releases and activates the catalytic subunit (1) The catalytic subunit phosphorylates and upregulates many components of the secretory pathway including exocytosis (2).
  52. IP3 is the second messenger of fluid & electrolyte secretion. What will the MOA of IP3?
  53. IP3 acts by binding to IP3 receptors on the endoplasmic reticulum (ER), and releasing the Ca2+ stored within. IP3 receptors are Ca2+ channels, activated by IP3 binding.
  54. Binding of the IP3 to IP3R stimulates the release of Ca from the ER. IP3 receptors are also sensitive to cytosolic Ca2+ activity and stay open for longer when [Ca2+]i is raised. This property of the receptor can dramatically enhance the Ca2+ mobilising properties of IP3 by positive feedback or Ca2+-induced Ca2+ release (CICR). The Ca2+ signal may be further amplified by Ca2+ release through ryanodine receptors, a second Ca2+ channel also present on the ER of acinar cells. Ryanodine receptors are also Ca2+ sensitive and contribute to CICR. PLAY VIDEO OF CICR
  55. *Each of these stages is regulated by phosphorylation of target proteins by cAMP dependent pKA.
  56. SYNTHESIS of secretory proteins begins with gene transcription and manufacture of messenger RNA to carry the sequence information from the nucleus to ribosomes in the cytoplasm. Small membrane vesicles carry proteins from the ER through several layers of the golgi apparatus for additional processing and 'packaging' for export (PACKAGING). Secretory proteins are concentrated within golgi condensing-vacuoles and STORED in secretory vesicles. As these mature they are transported close to the apical membrane. In response to a SECRETORY STIMULUS, secretory vesicles fuse with the plasma membrane and discharge their contents outside the cell. *Each of these stages is regulated by phosphorylation of target proteins by cAMP dependent pKA. Thus, an increase in the level of cAMP within the cell will stimulate every step involved in protein secretion..
  57. cAMP binding to the regulatory subunit of pKA releases and activates the catalytic subunit. The catalytic subunit phosphorylates and upregulates many components of the secretory pathway including exocytosis • transcription of genes for salivary proteins (e.g. PRP's). • posttranslational modification (e.g. glycosylation) • maturation and translocation of secretory vesicles to the apical membrane. • exocytosis.
  58. *Soluble N-ethylmaleimide-sensitive fusion protein attachment protein receptors
  59. Exocytosis occurs in three stages; docking, priming and fusion. The fusion process itself is Ca2+-dependent. However, earlier stages of the process, e.g. ‘docking’ could be cAMP-dependent. In salivary gland cells, this step is the rate- limiting ‘brake’ point in exocytosis.
  60. Polymeric IgA and IgM are transported across salivary gland cells by the polymeric immunoglobulin receptor (pIgR). The pIgR binds its ligand at the basolateral surface and is internalized into endosomes. Here it is sorted into vesicles that transcytose it to the apical surface. At the apical surface the pIgR is proteolytically cleaved, and the large extracellular fragment is released together with the ligand.
  61. To be able to concentrate CHLORIDE IONS within acinar cells and to move other ions – CHANNELS.
  62. MECHANNISM OF ELECTROLYTE & FLUID SECRETION IDENTIFY THE PARTS OF PHOTO The Na+/K+ ATPase makes direct use of ATP to pump Na+ out of the cell and create an inwardly directed Na+gradient. Na/K/2Cl triple cotransporter – actively concentrate Cl inside the cell Cl channel (apical) – activation allow Cl to leave down its electrochemical gradient into the lumen of acinus. Activation of the APICAL Cl channel – the pivotal step that determines whether or not a cell is secreting. This is regulated by INCREASE IN CALCIUM. INCREASE IN CA will activate the BASOLATERAL K CHANNEL – keeps membrane potential at high level and preserves the driving force for Cl EFFELUX. Calcium is important for the activation of K and Cl channels. Na follows Cl across the cell to maintain electroneurality and water follows. SHOW PRESENTATION FOR SALIVARY FLUID SECRETION
  63. Electrolyte led fluid transport movement is always isotonic. The ability of salivary glands to generate an hypotonic saliva lies with the striated ducts. Striated duct cells pump electrolytes from the primary saliva by active transport. the striated ducts are impermeable to water, so there can be no osmotically driven water reabsorption. This is why the composition of saliva changes with flow rate. At low, unstimulated, flow rates, saliva moves slowly through the ducts and the striated ducts are able to substantially modify the composition of the saliva. At high, stimulated, flow rates, the saliva passes rapidly through the ducts with little alteration. The composition of saliva at high flow rates more closely resembles that of the primary saliva produced by the acinar cells.
  64. The figure shows the BLOOD SIDE, THE GLAND CELL (ACINI & DUCT) and the LUMEN (ORAL CAVITY). In the blood side, the Na concentration is higher than potassium (Na, 145 mEq/L; K, 3.5-5 mEq/L). When the saliva is secreted in the acini, we call that the PRIMARY SALIVA. THE PRIMARY SALIVA is said to be ISOTONIC in relation to plasma. So that its ionic composition is similar to the ECF (Na, K, Cl). Acinar cells secrete a large volume of isotonic-like fluid rich in NaCl. The generation of a trans-epithelial osmotic gradient drives water flow through apical AQP5 and possibly paracellular pathways. In these stage, there is no change in the concentration of Na and K relative to the ECF. In the second stage, the saliva passes through the STRIATED DUCT. In this duct, the composition of the primary saliva will be modified through the action of the hormone aldosterone. Aldosterone will act on the striated duct to Ductal cells, relatively impermeable to water, re-absorb most of the NaCl and secrete K[+] and HCO3[−].  Na+ ions are actively absorbed,  Cl ions are transported passively,  K+ ions are actively secreted with help of Na+/K+ ATP  HCO3-is actively secreted Increased concentration of HCO3- determines increase of saliva pH present in ducts During very fast flow, composition of final saliva is similar to composition of primary saliva.
  65. BICARBONATE-OPERMEABLE CHANNEL Na/K ATPase Na/H exchange Carbon dioxide inside cells is converted to HCO3- and H+ by carbonic anhydrase. HCO3- is secreted across the apical membrane of the cell through an anion channel (2). H+ are actively extruded across the basolateral membrane by Na+/H+ exchange energised by the Na+ gradient which is created by the action of the Na+/K+ ATPase (1). If protons were not lost from the cell, carbonic anhydrase would be unable to generate HCO3-. SHOW BICARBONATE SECRETION SLIDE SHOW
  66. The main purpose of unstimulated saliva is to keep the mouth lubricated, help you to talk and so on. There is no great amount of acid to neutralise and therefore no need for a high HCO3- saliva. When you feed yourelf, and also your plaque bacteria, you stimulate salivary flow and produce a high HCO3- saliva, with a high buffering capacity, just when you need
  67. A possible mechanism for Ca2+ translocation. Ca2+ enters across the basolateral membrane through Orai1 Ca2+ channels (1) and tunnels across the cell in the ER (2) to be released at the apical pole and extruded by the PMCA (3). The active step of phosphate translocation is uptake across the basolateral membrane by the Na+-coupled Pi transporter NPT2b which utilizes the inwardly directed Na+ gradient to concentrate Pi inside the cells (4). Pi exits across the apical membrane down its electrochemical gradient through an as yet unidentified mechanism (5).
  68. *Both apical and basolateral membranes must therefore contain water channels to facilitate transcellular water transport.
  69. The secretory process works only one way. In short, these cells are polarised. Striated cells actively transport electrolytes in the opposite direction, these cells are also polarised... but differently.
  70. Acinar and striated ducts are very obviously polarised. Acinar cells have a high density of secretory vesicles at the apical pole and striated duct cells have basal infoldings and a high density of mitochondria.