人工唾液的研究进展

甄亚斐, 彭显, 应斌武, 张平, 周学东, 廖玍

PDF(1222 KB)
PDF(1222 KB)
国际口腔医学杂志 ›› 2024, Vol. 51 ›› Issue (3) : 353-361. DOI: 10.7518/gjkq.2024048
综述

人工唾液的研究进展

  • 甄亚斐1(),彭显1,应斌武2,张平1,周学东1,廖玍1()
作者信息 +

Research progress on artificial saliva

  • Yafei Zhen1(),Xian Peng1,Binwu Ying2,Ping Zhang1,Xuedong Zhou1,Ga Liao1()
Author information +
History +

摘要

唾液是一种微酸性口腔液,主要由水构成,含有少量无机离子和丰富的蛋白质,这些成分使其具有特殊的流变学和生物学性质,赋予其丰富的生物学功能,对维持口腔及全身健康起重要作用。唾液减少或成分改变会导致口干症,易引发一系列口腔健康失衡,如口腔灼热,味觉改变,言语、咀嚼和吞咽困难,还会增加患龋病和牙周病等风险,严重影响患者生活质量。口干症的患病率约为20%,且患病率随年龄增长而增加,75岁以上老年人群的患病率约为50%。随着老龄化人口的增加,口干及其并发症已引发不可忽视的健康负担。人工唾液是开发用于模仿天然唾液生物学性质和功能的口腔护理产品,是对症治疗口干症的重要方法之一。安全、有效的人工唾液,对维护老年人口腔健康具有积极作用和市场前景。开发人工唾液首先要全面认识天然唾液的特性。本文系统介绍了天然唾液的成分及生物学功能,并详细描述了人工唾液的流变学行为、摩擦学性质、生物学特性以及临床应用性能等内容,以期为新型人工唾液的开发提供帮助。

Abstract

Saliva is a slightly acidic oral fluid, which is primarily composed of water. It also contains a small amount of inorganic ions and rich proteins, which results in its special rheological and biological properties, good biological functions, and important role in maintaining oral and systemic health. Xerostomia caused by decreased saliva flow or altered saliva composition can lead to clinically serious oral health imbalances, manifested by burning in the mouth; changes in taste; difficulty in speaking, chewing, and swallowing; and an increased risk of dental caries and periodontal disease, which seriously affect the quality of life of patients. The prevalence of xerostomia is approximately 20%, which increases to about 50% in the elderly population aged >75 years. With the increase in the aging population, xerostomia has caused a health burden that cannot be ignored. Artificial saliva is an oral care product developed to mimic the properties and functions of natural saliva, which is an important method of symptomatic treatment of xerostomia. Safe and effective artificial saliva has a positive effect and application potential in maintaining the oral health of the elderly. The development of artificial saliva begins with a comprehensive understanding of the properties of natural saliva. This review systematically depicted the composition and biological functions of natural saliva and described in detail the rheological behavior, tribological properties, biological characteristics, and clinical application performance of artificial saliva to promote the development of novel artificial saliva.

关键词

唾液 / 人工唾液 / 流变学行为 / 摩擦学性质 / 生物学特性 / 临床应用

Key words

saliva / artificial saliva / rheological behavior / tribological properties / biological characteristics / clinical application

中图分类号

R333.1

引用本文

导出引用
甄亚斐, 彭显, 应斌武, 张平, 周学东, 廖玍. 人工唾液的研究进展. 国际口腔医学杂志. 2024, 51(3): 353-361 https://doi.org/10.7518/gjkq.2024048
Yafei Zhen, Xian Peng, Binwu Ying, Ping Zhang, Xuedong Zhou, Ga Liao. Research progress on artificial saliva[J]. International Journal of Stomatology. 2024, 51(3): 353-361 https://doi.org/10.7518/gjkq.2024048

参考文献

1 Pedersen AML, S?rensen CE, Proctor GB, et al. Sa-livary secretion in health and disease[J]. J Oral Rehabil, 2018, 45(9): 730-746.
2 Alhejoury HA, Mogharbel LF, Al-Qadhi MA, et al. Artificial saliva for therapeutic management of xerostomia: a narrative review[J]. J Pharm Bioallied Sci, 2021, 13(): S903-S907.
3 Agostini BA, Cericato GO, Silveira ERD, et al. How common is dry mouth? Systematic review and meta-regression analysis of prevalence estimates[J]. Braz Dent J, 2018, 29(6): 606-618.
4 Sardellitti L, Bortone A, Filigheddu E, et al. Xerostomia: from pharmacological treatments to traditional medicine-an overview on the possible clinical management and prevention using systemic approaches[J]. Curr Oncol, 2023, 30(5): 4412-4426.
5 Chen XX, Giles J, Yao Y, et al. The path to healthy ageing in China: a Peking University-Lancet Commission[J]. Lancet, 2022, 400(10367): 1967-2006.
6 Hu J, Andablo-Reyes E, Mighell A, et al. Dry mouth diagnosis and saliva substitutes-a review from a textural perspective[J]. J Texture Stud, 2021, 52(2): 141-156.
7 ?ysik D, Niemirowicz-Laskowska K, Bucki R, et al. Artificial saliva: challenges and future perspectives for the treatment of xerostomia[J]. Int J Mol Sci, 2019, 20(13): 3199.
8 吴海庭, 朱国威. 人工唾液在口腔医学研究中的应用[J]. 遵义医学院学报, 2007, 30(1): 91-93.
8 Wu HT, Zhu GW. Application of artificial saliva in stomatology research[J]. J Zunyi Med Univ, 2007, 30(1): 91-93.
9 Song EC, Chung SH, Kim JH. Molecular mechanisms of saliva secretion and hyposecretion[J]. Eur J Oral Sci, 2024: e12969.
10 Dawes C, Pedersen AM, Villa A, et al. The functions of human saliva: a review sponsored by the World Workshop on Oral Medicine VI[J]. Arch Oral Biol, 2015, 60(6): 863-874.
11 Coles JM, Chang DP, Zauscher S. Molecular mechanisms of aqueous boundary lubrication by mucinous glycoproteins[J]. Curr Opin Colloid Interface Sci, 2010, 15(6): 406-416.
12 Hannig M, Joiner A. The structure, function and properties of the acquired pellicle[J]. Monogr Oral Sci, 2006, 19: 29-64.
13 Ochiai A, Harada K, Hashimoto K, et al. α-Amylase is a potential growth inhibitor of Porphyromonas gingivalis, a periodontal pathogenic bacterium[J]. J Periodontal Res, 2014, 49(1): 62-68.
14 Lai WF, Reddy OS, Zhang DH, et al. Cross-linked chitosan/lysozyme hydrogels with inherent antibacterial activity and tuneable drug release properties for cutaneous drug administration[J]. Sci Technol Adv Mater, 2023, 24(1): 2167466.
15 Zhao SW, Wang DY, Zhou Q, et al. Nanozyme-based inulin@nanogold for adhesive and antibacte-rial agent with enhanced biosafety[J]. Int J Biol Macromol, 2024: 129207.
16 周学东, 岳松龄, 郑光静, 等. 人工唾液对致龋菌黏附的影响[J]. 牙体牙髓牙周病学杂志, 1992, 2(2): 65-67.
16 Zhou XD, Yue SL, Zheng GJ, et al. Effect of artificial saliva on adhesion of cariogenic bacteria[J]. Chin J Conserv Dent, 1992, 2(2): 65-67.
17 Vissink A, de Jong HP, Busscher HJ, et al. Wetting properties of human saliva and saliva substitutes[J]. J Dent Res, 1986, 65(9): 1121-1124.
18 Mellema J, Holterman HJ, Waterman HA, et al. Rheological aspects of mucin-containing solutions and saliva substitutes[J]. Biorheology, 1992, 29(2/3): 231-249.
19 Park MS, Chung JW, Kim YK, et al. Viscosity and wettability of animal mucin solutions and human saliva[J]. Oral Dis, 2007, 13(2): 181-186.
20 Davis SS. The rheological properties of saliva[J]. Rheol Acta, 1971, 10(1): 28-35.
21 Hahnel S, Behr M, Handel G, et al. Saliva substitutes for the treatment of radiation-induced xerostomia: a review[J]. Support Care Cancer, 2009, 17(11): 1331-1343.
22 Van der Reijden WA, Veerman EC, Nieuw Amerongen AV. Rheological properties of commercially available polysaccharides with potential use in saliva substitutes[J]. Biorheology, 1994, 31(6): 631-642.
23 Lu YJ, Li ZH, Li ZW, et al. Fabrication of a tough, long-lasting adhesive hydrogel patch via the synergy of interfacial entanglement and adhesion group densification[J]. Nanoscale, 2024, 16(2): 645-656.
24 Han GY, Kwack HW, Kim YH, et al. Progress of polysaccharide-based tissue adhesives[J]. Carbohydr Polym, 2024, 327: 121634.
25 Huo DL, Wang FQ, Yang FJ, et al. Medical titanium surface-modified coatings with antibacterial and anti-adhesive properties for the prevention of implant-associated infections[J]. J Mater Sci Technol, 2024, 179: 208-223.
26 Briscoe WH, Titmuss S, Tiberg F, et al. Boundary lubrication under water[J]. Nature, 2006, 444(7116): 191-194.
27 Vinke J, Kaper HJ, Vissink A, et al. Dry mouth: saliva substitutes which adsorb and modify existing sa-livary condition films improve oral lubrication[J]. Clin Oral Investig, 2020, 24(11): 4019-4030.
28 Wan H, Vissink A, Sharma PK. Enhancement in xerostomia patient salivary lubrication using a mucoadhesive[J]. J Dent Res, 2020, 99(8): 914-921.
29 Kardas P, Astasov-Frauenhoffer M, Braissant O, et al. Bacterial extracellular polymeric substances as potential saliva substitute[J]. FEMS Microbiol Lett, 2022, 369(1): fnac028.
30 Tenovuo J. Clinical applications of antimicrobial host proteins lactoperoxidase, lysozyme and lactoferrin in xerostomia: efficacy and safety[J]. Oral Dis, 2002, 8(1): 23-29.
31 Sugiura Y, Soga Y, Tanimoto I, et al. Antimicrobial effects of the saliva substitute, Oralbalance?, against microorganisms from oral mucosa in the hemato-poietic cell transplantation period[J]. Support Care Cancer, 2008, 16(4): 421-424.
32 Wolinsky LE, Seto B, Cerveny R. Effect of saliva substitutes upon binding of selected oral bacteria to hydroxyapatite[J]. Caries Res, 1985, 19(6): 507-511.
33 Niemirowicz-Laskowska K, Mystkowska J, ?ysik D, et al. Antimicrobial and physicochemical properties of artificial saliva formulations supplemented with core-shell magnetic nanoparticles[J]. Int J Mol Sci, 2020, 21(6): 1979.
34 Smith G, Smith AJ, Shaw L, et al. Artificial saliva substitutes and mineral dissolution[J]. J Oral Rehabil, 2001, 28(8): 728-731.
35 Van der Reijden WA, Buijs MJ, Damen JJ, et al. Influence of polymers for use in saliva substitutes on de- and remineralization of enamel in vitro [J]. Ca-ries Res, 1997, 31(3): 216-223.
36 Nunes GP, Danelon M, Pessan JP, et al. Fluoride and trimetaphosphate association as a novel app-roach for remineralization and antiproteolytic activity in dentin tissue[J]. Arch Oral Biol, 2022, 142: 105508.
37 Turssi CP, Lima RQ, Faraoni-Romano JJ, et al. Rehardening of caries-like lesions in root surfaces by saliva substitutes[J]. Gerodontology, 2006, 23(4): 226-230.
38 方溢云. 人工唾液应用于鼻咽癌放疗后放射性龋的预防研究[J]. 黑龙江医学, 2016, 40(2): 114-115.
38 Fang YY. Application of artificial saliva in prevention of radiation caries after radiotherapy for nasopharyngeal carcinoma[J]. Heilongjiang Med J, 2016, 40(2): 114-115.
39 Assery MKA. Efficacy of artificial salivary substitutes in treatment of xerostomia: a systematic review[J]. J Pharm Bioallied Sci, 2019, 11(): S1-S12.
40 Momm F, Volegova-Neher NJ, Schulte-M?nting J, et al. Different saliva substitutes for treatment of xerostomia following radiotherapy: a prospective cro-ssover study[J]. Strahlenther Onkol, 2005, 181(4): 231-236.
41 Morales-Bozo I, Ortega-Pinto A, Rojas Alcayaga G, et al. Evaluation of the effectiveness of a chamomile (Matricaria chamomilla) and linseed (Linum usitatissimum) saliva substitute in the relief of xerostomia in elders[J]. Gerodontology, 2017, 34(1): 42-48.
42 Donath F, Tonner F, Chavda R, et al. Randomized trial of the efficacy and safety of a new oral spray for drug-induced xerostomia[J]. Clin Exp Dent Res, 2016, 2(2): 112-120.
43 Marimuthu D, Han KM, Mohamad MSF, et al. Saliva substitute mouthwash in nasopharyngeal cancer survivors with xerostomia: a randomized controlled trial[J]. Clin Oral Investig, 2021, 25(5): 3105-3115.
44 Sinjari B, Feragalli B, Cornelli U, et al. Artificial saliva in diabetic xerostomia (ASDIX): double blind trial of Aldiamed? versus Placebo[J]. J Clin Med, 2020, 9(7): 2196.
45 Khramova DS, Popov SV. A secret of salivary secretions: multimodal effect of saliva in sensory perception of food[J]. Eur J Oral Sci, 2022, 130(2): e12846.
46 Apperley O, Medlicott N, Rich A, et al. A clinical trial of a novel emulsion for potential use as a saliva substitute in patients with radiation-induced xerostomia[J]. J Oral Rehabil, 2017, 44(11): 889-895.
47 赵行. 口腔黏膜黏附材料的研究进展[J]. 华西口腔医学杂志, 2023, 41(1): 1-10.
47 Zhao H. Progress of research on oral mucosal adhesive agents[J]. West China J Stomatol, 2023, 41(1): 1-10.

基金

国家自然科学基金(32371523)

评论

PDF(1222 KB)

Accesses

Citation

Detail

段落导航
相关文章

/