Abstract
Salivary glands are required for oral health and general well-being. In patients suffering from irreversible salivary hypofunction secondary to therapeutic radiation exposure or Sjögren’s syndrome, available therapies are limited to salivary gland substitutes or parasympathetic stimulants, both of which show limited efficacy. The pathophysiologic basis of radiation-induced damage involves a reduction in viable acinar cells required for physiologic function, as well as a deterioration in acinar cell morphology. Together, these alterations lead to irreversible salivary gland dysfunction. Therefore, it is imperative to prevent damage to these acinar cells and to recover lost function of those cells after exposure to radiation. This chapter provides a brief overview of the current strategies being implemented for the prevention of radiation-induced damage, current strategies for the regeneration of acinar cells, and concludes with a basic review of salivary gland anatomy and development.
This is a preview of subscription content, log in via an institution.
Buying options
Tax calculation will be finalised at checkout
Purchases are for personal use only
Learn about institutional subscriptionsReferences
Tucker AS. Salivary gland development. Semin Cell Dev Biol. 2007;18:237–44.
Patel VN, Hoffman MP. Salivary gland development: a template for regeneration. Semin Cell Dev Biol. 2014;0:52–60.
Pedersen AM, Bardow A, Jensen SB, Nauntofte B. Saliva and gastrointestinal functions of taste, mastication, swallowing and digestion. Oral Dis. 2002;8:117–29.
Baum BJ. Prospects for re-engineering salivary glands. Adv Dent Res. 2000;14:84–8.
Lombaert IMA, Knox SM, Hoffman MP. Salivary gland progenitor cell biology provides a rationale for therapeutic salivary gland regeneration. Oral Dis. 2011;17:445–9.
Eisbruch A, Ten Haken RK, Kim HM, Marsh LH, Ship JA. Dose, volume, and function relationships in parotid salivary glands following conformal and intensity-modulated irradiation of head and neck cancer. Int J Radiat Oncol Biol Phys. 1999;45:577–87.
Saarilahti K, Kouri M, Collan J, Kangasmäki A, Atula T, Joensuu H, et al. Sparing of the submandibular glands by intensity modulated radiotherapy in the treatment of head and neck cancer. Radiother Oncol. 2006;78:270–5.
Vergeer MR, Doornaert PA, Rietveld DH, Leemans CR, Slotman BJ, Langendijk JA. Intensity-modulated radiotherapy reduces radiation-induced morbidity and improves health-related quality of life: results of a nonrandomized prospective study using a standardized follow-up program. Int J Radiat Oncol Biol Phys. 2009;74:1–8. Elsevier Ltd.
Feng J, van der Zwaag M, Stokman MA, van Os R, Coppes RP. Isolation and characterization of human salivary gland cells for stem cell transplantation to reduce radiation-induced hyposalivation. Radiother Oncol. 2009;92:466–71. Elsevier Ireland Ltd.
Zhang Y, Guo C-B, Zhang L, Wang Y, Peng X, Mao C, et al. Prevention of radiation-induced xerostomia by submandibular gland transfer. Head Neck. 2011;34:937–42.
Seikaly H, Jha N, McGaw T, Coulter L, Liu R, Oldring D. Submandibular gland transfer: a new method of preventing radiation-induced xerostomia. Laryngoscope. 2001;111:347–52.
Sood AJ, Fox NF, O’Connell BP, Lovelace TL, Nguyen SA, Sharma AK, et al. Salivary gland transfer to prevent radiation-induced xerostomia: a systematic review and meta-analysis. Oral Oncol. 2014;50:77–83. Elsevier Ltd.
Davies AN, Shorthose K. Parasympathomimetic drugs for the treatment of salivary gland dysfunction due to radiotherapy. Cochrane Database Syst Rev. 2007;18(3).
Coppes RP, Zeilstra LJ, Kampinga HH, Konings AW. Early to late sparing of radiation damage to the parotid gland by adrenergic and muscarinic receptor agonists. Br J Cancer. 2001;85:1055–63.
Johnson LR, Ghishan FK, Kaunitz JD, Merchant JL, Said HM, Wood JD. Physiology of the gastrointestinal tract. 5th ed. London: Academic Press; 2012.
Bui DT. Anatomy, function, and evaluation of the salivary glands. New York: Springer; 2007. p. 1–16.
Jaskoll T, Melnick M. Embryonic Salivary Gland Branching Morphogenesis. In: Madame Curie Bioscience Database [Internet]. Austin (TX): Landes Bioscience; 2000. Available from: http://www.ncbi.nlm.nih.gov/books/NBK6103/.
Pringle S, van Os R, Coppes RP. Concise review: adult salivary gland stem cells and a potential therapy for xerostomia. Stem Cells. 2013;31:613–9.
Coppes RP, Meter A, Latumalea SP, Roffel AF, Kampinga HH. Defects in muscarinic receptor-coupled signal transduction in isolated parotid gland cells after in vivo irradiation: evidence for a non-DNA target of radiation. Br J Cancer. 2005;92(3):539–46.
Konings AWT, Coppes RP, Vissink A. On the mechanism of salivary gland radiosensitivity. Int J Radiat Oncol Biol Phys. 2005;62:1187–94.
Urek MM, Bralic M, Tomac J, Borcic J, Uhac I, Glazar I, et al. Early and late effects of X-Irradiation on submandibular gland: a morphological study in mice. Arch Med Res. 2005;36:339–43.
Kojima T, Kanemaru S-I, Hirano S, Tateya I, Suehiro A, Kitani Y, et al. The protective efficacy of basic fibroblast growth factor in radiation-induced salivary gland dysfunction in mice. Laryngoscope. 2011;121(9):1870–5.
Okazaki Y, Kagami H, Hattori T, Hishida S, Shigetomi T, Ueda M. Acceleration of rat salivary gland tissue repair by basic fibroblast growth factor. Arch Oral Biol. 2000;45:911–9.
Thula TT, Schultz G, Tran-Son-Tay R, Batich C. Effects of EGF and bFGF on irradiated parotid glands. Ann Biomed Eng. 2005;33:685–95.
Cotrim AP, Sowers A, Mitchell JB, Baum BJ. Prevention of irradiation-induced salivary hypofunction by microvessel protection in mouse salivary glands. Mol Ther. 2007;15:2101–6.
Onimaru M. Fibroblast growth factor-2 gene transfer can stimulate hepatocyte growth factor expression irrespective of hypoxia-mediated downregulation in ischemic limbs. Circ Res. 2002;91:923–30.
Medina VA, Prestifilippo JP, Croci M, Carabajal E, Bergoc RM, Elverdin JC, et al. Histamine prevents functional and morphological alterations of submandibular glands induced by ionising radiation. Int J Radiat Biol. 2011;87:284–92.
Lee H-J, Lee Y-J, Kwon H-C, Bae S, Kim S-H, Min J-J, et al. Radioprotective effect of heat shock protein 25 on submandibular glands of rats. Am J Pathol. 2006;169:1601–11.
Zheng C, Cotrim AP, Rowzee A, Swaim W, Sowers A, Mitchell JB, et al. Prevention of radiation-induced salivary hypofunction following hKGF gene delivery to murine submandibular glands. Clin Cancer Res. 2011;17:2842–51.
Lombaert IMA, Brunsting JF, Wierenga PK, Kampinga HH, de Haan G, Coppes RP. Keratinocyte growth factor prevents radiation damage to salivary glands by expansion of the stem/progenitor pool. Stem Cells. 2008;26:2595–601.
Spiegelberg L, Braks J, Djasim UM, Farrell E, van der Wal K, Wolvius EB. Effects of hyperbaric oxygen therapy on the viability of irradiated soft head and neck tissues in mice. Oral Dis. 2014;20(3):e111–9.
Lombaert IMA, Brunsting JF, Wierenga PK, Kampinga HH, de Haan G, Coppes RP. Cytokine treatment improves parenchymal and vascular damage of salivary glands after irradiation. Clin Cancer Res. 2008;14:7741–50.
Spiegelberg L, Djasim UM, van Neck JW, Wolvius EB, van der Wal KGH. The effects of heparan sulphate mimetic RGTA-OTR4120 on irradiated murine salivary glands. J Oral Pathol Med. 2012;41:477–83.
Brizel DM, Wasserman TH, Henke M, Strnad V, Rudat V, Monnier A, et al. Phase III randomized trial of amifostine as a radioprotector in head and neck cancer. J Clin Oncol. 2000;18:3339–45.
Baum BJ, Zheng C, Alevizos I, Cotrim AP, Liu S, McCullagh L, et al. Development of a gene transfer-based treatment for radiation-induced salivary hypofunction. Oral Oncol. 2010;46:4–8. Elsevier Ltd.
Baum BJ, Alevizos I, Zheng C, Cotrim AP, Liu S, McCullagh L, et al. Early responses to adenoviral-mediated transfer of the aquaporin-1 cDNA for radiation-induced salivary hypofunction. Proc Natl Acad Sci U S A. 2012;109:19403–7.
Pradhan-Bhatt S, Harrington DA, Duncan RL, Jia X, Witt RL, Farach-Carson MC. Implantable three-dimensional salivary spheroid assemblies demonstrate fluid and protein secretory responses to neurotransmitters. Tissue Eng Part A. 2013;19:1610–20.
Pradhan S, Liu C, Zhang C, Jia X, Farach-Carson MC, Witt RL. Lumen formation in three-dimensional cultures of salivary acinar cells. Otolaryngol Head Neck Surg. 2010;142:191–5.
Jean-Gilles R, Soscia D, Sequeira S, Melfi M, Gadre A, Castracane J, et al. Novel modeling approach to generate a polymeric nanofiber scaffold for salivary gland cells. J Nanotechnol Eng Med. 2010;1:031008.
Soscia DA, Sequeira SJ, Schramm RA, Jayarathanam K, Cantara SI, Larsen M, et al. Salivary gland cell differentiation and organization on micropatterned PLGA nanofiber craters. Biomaterials. 2013;34:6773–84. Elsevier Ltd.
Sequeira SJ, Soscia DA, Oztan B, Mosier AP, Jean-Gilles R, Gadre A, et al. The regulation of focal adhesion complex formation and salivary gland epithelial cell organization by nanofibrous PLGA scaffolds. Biomaterials. 2012;33:3175–86. Elsevier Ltd.
Ogawa M, Oshima M, Imamura A, Sekine Y, Ishida K, Yamashita K, et al. Functional salivary gland regeneration by transplantation of a bioengineered organ germ. Nat Commun. 2013;4:2498.
Lombaert IMA. Mobilization of bone marrow stem cells by granulocyte colony-stimulating factor ameliorates radiation-induced damage to salivary glands. Clin Cancer Res. 2006;12:1804–12.
Sumita Y, Liu Y, Khalili S, Maria OM, Xia D, Key S, et al. Bone marrow-derived cells rescue salivary gland function in mice with head and neck irradiation. Int J Biochem Cell Biol. 2011;43:80–7.
Tran SD, Sumita Y, Khalili S. Bone marrow-derived cells: a potential approach for the treatment of xerostomia. Int J Biochem Cell Biol. 2011;43:5–9.
Kojima T, Kanemaru S-I, Hirano S, Tateya I, Ohno S, Nakamura T, et al. Regeneration of radiation damaged salivary glands with adipose-derived stromal cells. Laryngoscope. 2011;121(9):1864–9.
Lim J-Y, Ra JC, Shin IS, Jang YH, An H-Y, Choi J-S, et al. Systemic transplantation of human adipose tissue-derived mesenchymal stem cells for the regeneration of irradiation-induced salivary gland damage. Deutsch E, editor. PLoS One. 2013;8:e71167.
Lombaert IMA, Brunsting JF, Wierenga PK, Faber H, Stokman MA, Kok T, et al. Rescue of salivary gland function after stem cell transplantation in irradiated glands. Connon CJ, editor. PLoS One. 2008;3:e2063.
Nanduri LSY, Maimets M, Pringle SA, van der Zwaag M, van Os RP, Coppes RP. Regeneration of irradiated salivary glands with stem cell marker expressing cells. Radiother Oncol. 2011;99:367–72.
Jeong J, Baek H, Kim Y-J, Choi Y, Lee H, Lee E, et al. Human salivary gland stem cells ameliorate hyposalivation of radiation-damaged rat salivary glands. Exp Mol Med. 2013;45:e58–7. Nature Publishing Group.
Hirota M. Human salivary gland stem/progenitor cells remain dormant even after irradiation. Int J Mol Med. 2009;24:361–6.
Schwarz S, Rotter N. Human salivary gland stem cells: isolation, propagation, and characterization. In: Methods in molecular biology. Totowa: Humana Press; 2012. p. 403–42.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2015 Springer Japan
About this chapter
Cite this chapter
Kojima, T. (2015). Salivary Gland Development and Regeneration. In: Ito, J. (eds) Regenerative Medicine in Otolaryngology. Springer, Tokyo. https://doi.org/10.1007/978-4-431-54856-0_14
Download citation
DOI: https://doi.org/10.1007/978-4-431-54856-0_14
Publisher Name: Springer, Tokyo
Print ISBN: 978-4-431-54855-3
Online ISBN: 978-4-431-54856-0
eBook Packages: MedicineMedicine (R0)