Revista de Odontologia da UNESP
https://revodontolunesp.com.br/article/doi/10.1590/1807-2577.04122
Revista de Odontologia da UNESP
Original Article

Salivary flow and salivary proteins in male and female children with autism spectrum disorder: pilot study

Fluxo salivar e proteínas salivares em crianças dos gênero masculino e feminino com transtorno do espectro do autismo: estudo piloto

Matheus Morcela de SOUZA; João Victor Soares RODRIGUES; Maria Eduarda Cabrerizo GONÇALVES; Letícia Helena THEODORO; Ana Claudia de Melo Stevanato NAKAMUNE

Downloads: 1
Views: 389

Abstract

Abstract: Introduction: autism spectrum disorder is a neurodevelopmental condition that affects the establishment of bonds and communication. Dental care is more difficult for people with this disorder, because in addition to communication difficulties, non-cooperation with respect to oral hygiene and continuous use of medication are common. Greater predisposition to caries, as well as alterations in the flow and concentration of salivary proteins were reported in these individuals.

Objective: considering that sex can affect salivary flow and protein concentration, our objective was to analyze these parameters in the saliva of children with autism.

Material and method: total unstimulated saliva was obtained from 12 boys and 12 girls aged between 5 and 15 years, with the aid of a catheter, after 2 hours of fasting and oral hygiene. Salivary flow was determined by estimating the mass of saliva. Total protein was determined in the supernatant obtained after centrifugation at 10,000 x g, for 10 minutes, by the Lowry method, with bovine albumin as standard. The results are expressed as mean and standard deviation. The data were submitted to the Shapiro-Wilk and Mann Whitney tests, with a significance level of 5%.

Result: salivary flow values for boys (0.3555 ± 0.24 ml/min) and girls (0.2522 ± 0.1727 ml/min), and protein values for boys (1.430 ± 0.7480 mg/mL) and girls (1.075 ± 0.3702 mg/mL) were not significantly different between sexes.

Conclusion: in children with autism spectrum disorder, sex does not influence unstimulated flow and salivary protein values.

Keywords

Autism spectrum disorder, gender, saliva, salivary proteins

Resumo

Resumo: Introdução: o transtorno do espectro autista é uma condição do neurodesenvolvimento que afeta o estabelecimento de vínculos e a comunicação. Cuidados odontológicos são mais difíceis em portadores desse transtorno, pois além da dificuldade de comunicação são comuns a não cooperação na higiene bucal e uso contínuo de medicamentos. Maior predisposição à cárie, alterações no fluxo e na concentração de proteínas salivares foram relatadas nesses indivíduos.

Objetivo: considerando que o gênero pode afetar fluxo salivar e concentração proteica, nosso objetivo foi analisar esses parâmetros na saliva de crianças com autismo.

Material e método: saliva total não estimulada foi obtida de 12 meninos e 12 meninas com idades entre 5 e 15 anos, com auxílio de um cateter, após 2 horas de jejum e higienização da cavidade bucal. O fluxo salivar foi determinado estimando-se a massa de saliva e o total de proteínas foi determinado no sobrenadante obtido após centrifugação a 10.000 x g, por 10 minutos, pelo método de Lowry, com albumina bovina como padrão. Os resultados foram expressos como média e desvio padrão, sendo submetidos aos testes de Shapiro-Wilk e Mann Whitney, com nível de significância em 5%.

Resultado: os valores de fluxo salivar não foram significativamente diferentes quando comparados meninos (0.3555 ± 0.24 ml/min) e meninas (0.2522 ± 0.1727 mL/min), bem como os valores de proteínas (meninos: 1.430 ± 0.7480 mg/mL; meninas 1,075 ± 0,3702 mg/mL).

Conclusão: em crianças com transtorno do espectro autista o gênero não influencia os valores de fluxo não estimulado e proteínas salivares.
 

Palavras-chave

Transtorno do espectro autista, gênero, saliva, proteínas salivares

References

1 Sharma SR, Gonda X, Tarazi FI. Autism spectrum disorder: classification, diagnosis and therapy. Pharmacol Ther. 2018 Oct;190:91-104. http://dx.doi.org/10.1016/j.pharmthera.2018.05.007. PMid:29763648.

2 Jaber MA. Dental caries experience, oral health status and treatment needs of dental patients with autism. J Appl Oral Sci. 2011 Jun;19(3):212-7. http://dx.doi.org/10.1590/S1678-77572011000300006. PMid:21625735.

3 van Houtem CM, Jongh A, Broers DL, van der Schoof M, Resida GH. Post-academic specialties 9. Dental care of disabled children living at home. Ned Tijdschr Tandheelkd. 2007 Mar;114(3):129-33. PMid:17405476.

4 Faulks D, Hennequin M. Evaluation of a long-term oral health program by carers of children and adults with intellectual disabilities. Spec Care Dentist. 2000 Sep-Oct;20(5):199-208. http://dx.doi.org/10.1111/j.1754-4505.2000.tb00020.x. PMid:11203899.

5 Valstar MH, Bakker BS, Steenbakkers RJHM, Jong KH, Smit LA, Nulent TJWK, et al. The tubarial salivary glands: a potential new organ at risk for radiotherapy. Radiother Oncol. 2021 Jan;154:292-8. http://dx.doi.org/10.1016/j.radonc.2020.09.034. PMid:32976871.

6 Proctor GB, Carpenter GH. Regulation of salivary gland function by autonomic nerves. Auton Neurosci. 2007 Apr;133(1):3-18. http://dx.doi.org/10.1016/j.autneu.2006.10.006. PMid:17157080.

7 Bassoukou IH, Nicolau J, Santos MT. Saliva flow rate, buffer capacity, and pH of autistic individuals. Clin Oral Investig. 2009 Mar;13(1):23-7. http://dx.doi.org/10.1007/s00784-008-0209-5. PMid:18594879.

8 Humphrey SP, Williamson RT. A review of saliva: normal composition, flow, and function. J Prosthet Dent. 2001 Feb;85(2):162-9. http://dx.doi.org/10.1067/mpr.2001.113778. PMid:11208206.

9 Pandey P, Reddy NV, Rao VAP, Saxena A, Chaudhary CP. Estimation of salivary flow rate, pH, buffer capacity, calcium, total protein content and total antioxidant capacity in relation to dental caries severity, age and gender. Contemp Clin Dent. 2015 Mar;6(Suppl 1):S65-71. http://dx.doi.org/10.4103/0976-237X.152943. PMid:25821379.

10 Pedersen AML, Sørensen CE, Proctor GB, Carpenter GH, Ekström J. Salivary secretion in health and disease. J Oral Rehabil. 2018 Sep;45(9):730-46. http://dx.doi.org/10.1111/joor.12664. PMid:29878444.

11 Babu NV, Roy A. Comparative analysis of the status of dental caries and selected salivary electrolytes in children with autism. Int J Clin Pediatr Dent. 2022;15(Suppl 2):S242-6. http://dx.doi.org/10.5005/jp-journals-10005-2153. PMid:35645511.

12 Janšáková K, Kyselicová K, Ostatníková D, Repiská G. Potential of salivary biomarkers in autism research: a systematic review. Int J Mol Sci. 2021 Oct;22(19):10873. http://dx.doi.org/10.3390/ijms221910873. PMid:34639213.

13 Bhandary S, Hari N. Salivary biomarker levels and oral health status of children with autistic spectrum disorders: a comparative study. Eur Arch Paediatr Dent. 2017 Apr;18(2):91-6. http://dx.doi.org/10.1007/s40368-017-0275-y. PMid:28236284.

14 Lam PP, Du R, Peng S, McGrath CP, Yiu CK. Oral health status of children and adolescents with autism spectrum disorder: a systematic review of case-control studies and meta-analysis. Autism. 2020 Jul;24(5):1047-66. http://dx.doi.org/10.1177/1362361319877337. PMid:31931609.

15 Fleissig Y, Reichenberg E, Redlich M, Zaks B, Deutsch O, Aframian DJ, et al. Comparative proteomic analysis of human oral fluids according to gender and age. Oral Dis. 2010 Nov;16(8):831-8. http://dx.doi.org/10.1111/j.1601-0825.2010.01696.x. PMid:20561216.

16 Souza MM, Rodrigues JV, Gonçalves ME, Rossato AC, Stein MCV, Poli MC, et al. Gender influence on antioxidant capacity and oxidative damage in saliva of children with autism spectrum disorder: a preliminary study. Rev Odontol UNESP. 2021;50:e20210057. http://dx.doi.org/10.1590/1807-2577.05721.

17 Cunha-Correia AS, Hernandes A No, Pereira AF, Aguiar SM, Nakamune AC. Enteral nutrition feeding alters antioxidant activity in unstimulated whole saliva composition of patients with neurological disorders. Res Dev Disabil. 2014 Jun;35(6):1209-15. http://dx.doi.org/10.1016/j.ridd.2014.03.003. PMid:24685936.

18 Kim YS, Leventhal BL, Koh YJ, Fombonne E, Laska E, Lim EC, et al. Prevalence of autism spectrum disorders in a total population sample. Am J Psychiatry. 2011 Sep;168(9):904-12. http://dx.doi.org/10.1176/appi.ajp.2011.10101532. PMid:21558103.

19 Andersson R, Arvidsson E, Crossner CG, Holm AK, Mansson B. The flow rate, pH and buffer effect of mixed saliva in children. J Int Assoc Dent Child. 1974 Jul;5(1):5-12. PMid:4534845.

20 Crossner CG. Salivary flow rate in children and adolescents. Swed Dent J. 1984;8(6):271-6. PMid:6597630.

21 Kedjarune U, Migasena P, Changbumrung S, Pongpaew P, Tungtrongchitr R. Flow rate and composition of whole saliva in children from rural and urban Thailand with different caries prevalence and dietary intake. Caries Res. 1997;31(2):148-54. http://dx.doi.org/10.1159/000262390. PMid:9118187.

22 Forcella L, Filippi C, Waltimo T, Filippi A. Measurement of unstimulated salivary flow rate in healthy children aged 6 to 15 years. Swiss Dent J. 2018 Dec;128(12):962-7. PMid:30525320.

23 Rudney JD. Does variability in salivary protein concentrations influence oral microbial ecology and oral health? Crit Rev Oral Biol Med. 1995;6(4):343-67. http://dx.doi.org/10.1177/10454411950060040501. PMid:8664423.

24 Inoue H, Ono K, Masuda W, Morimoto Y, Tanaka T, Yokota M, et al. Gender difference in unstimulated whole saliva flow rate and salivary gland sizes. Arch Oral Biol. 2006 Dec;51(12):1055-60. http://dx.doi.org/10.1016/j.archoralbio.2006.06.010. PMid:16919593.

25 Morales-Chávez MC, Villarroel-Dorrego M, Salas V. Salivary factors related to caries in children with autism. J Clin Pediatr Dent. 2019;43(1):22-6. http://dx.doi.org/10.17796/1053-4625-43.1.5. PMid:30289366.
 


Submitted date:
11/09/2022

Accepted date:
11/16/2022

6388bea1a9539504bc792ee3 rou Articles
Links & Downloads

Rev. odontol. UNESP

Share this page
Page Sections