Psychological stress as a determinant of protein levels and salivary-induced aggregation of Streptococcus gordonii in human whole saliva

被引:156
作者
Bosch, JA
Brand, HS
Ligtenberg, TJM
Bermond, B
Hoogstraten, J
Amerongen, AVN
机构
[1] ACAD CTR DENT AMSTERDAM,DEPT GEN PATHOL & INTERNAL MED,ACAD CTR DENT,ACTA,NL-1066 EA AMSTERDAM,NETHERLANDS
[2] ACAD CTR DENT AMSTERDAM,DEPT ORAL BIOCHEM,ACAD CTR DENT,ACTA,NL-1066 EA AMSTERDAM,NETHERLANDS
[3] ACAD CTR DENT AMSTERDAM,DEPT SOCIAL DENT,ACAD CTR DENT,ACTA,NL-1066 EA AMSTERDAM,NETHERLANDS
[4] UNIV AMSTERDAM,FAC PSYCHOL,DEPT PSYCHON,AMSTERDAM,NETHERLANDS
来源
PSYCHOSOMATIC MEDICINE | 1996年 / 58卷 / 04期
关键词
saliva; oral health; bacterial aggregation; s-IgA; amylase;
D O I
10.1097/00006842-199607000-00010
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Several pathologies of the oral cavity have been associated with stress, so we investigated salivary-induced aggregation during psychological stress. In addition, salivary total protein, alpha-amylase, and secretory immunoglobulin A (s-IgA) were assessed. In this longitudinal study, 28 dental students provided unstimulated whole saliva during 10 minutes before an academic examination and subsequently 2 weeks and 6 weeks later in a nonstress situation. The effect of whole saliva on the aggregation of Streptococcus gordonii (HG 222) was determined spectrophotometrically. The results show a significant stress-mediated increase of salivary total protein concentration, alpha-amylase activity, amylase/protein ratio, alpha-amylase output, s-IgA concentration, and s-IgA output. There was also a trend for increased total protein output, whereas salivary flow rate was unchanged. The aggregation of S. gordonii in whole saliva collected before examination was 13.1%, whereas the aggregation in whole saliva collected during nonstress was 23.3%, This reduction was statistically significant (p < .01). Furthermore, the decrease in bacterial aggregation was related to the increase in state-anxiety (p < .05). The reduction in aggregation of S. gordonii under stress was not correlated with changes in salivary flow rate, s-IgA concentration, total protein concentration, or alpha-amylase activity. These results suggest that acute psychological stress exerts its influence on both salivary composition and salivary function. Reduced bacterial aggregation may be a contributing factor in the often reported relationship between stress and impaired oral health.
引用
收藏
页码:374 / 382
页数:9
相关论文
共 60 条
[1]   CHANGES IN SALIVA OF EPILEPTIC PATIENTS [J].
AMERONGEN, AVN ;
STROOKER, H ;
ODERKERK, CH ;
BANK, RA ;
HENSKENS, YMC ;
SCHENKELS, LCPM ;
LIGTENBERG, AJM ;
VEERMAN, ECI .
JOURNAL OF ORAL PATHOLOGY & MEDICINE, 1992, 21 (05) :203-208
[2]  
Arglebe C, 1981, Adv Otorhinolaryngol, V26, P97
[3]   ROLE OF CATIONS AND IGA IN SALIVA-MEDIATED AGGREGATION OF PSEUDOMONAS-AERUGINOSA IN CYSTIC-FIBROSIS PATIENTS [J].
ARMSTRONG, EA ;
ZIOLA, B ;
HABBICK, BF ;
KOMIYAMA, K .
JOURNAL OF ORAL PATHOLOGY & MEDICINE, 1993, 22 (05) :207-213
[4]  
BAUM BJ, 1987, J DENT RES, V66, P626
[5]   THE EFFECTS OF AUTONOMIC DRUGS ON THE CONCENTRATION OF KALLIKREIN-LIKE PROTEASES AND CYSTEINE-PROTEINASE INHIBITOR (CYSTATIN) IN RAT WHOLE SALIVA [J].
BEDI, GS .
JOURNAL OF DENTAL RESEARCH, 1991, 70 (05) :924-930
[6]  
BORGEAT F, 1994, PSYCHOPHYSIOLOGY, V21, P690
[7]  
Brandtzaeg P, 1983, Proc Finn Dent Soc, V79, P71
[8]   STRESS AND INFECTIOUS-DISEASE IN HUMANS [J].
COHEN, S ;
WILLIAMSON, GM .
PSYCHOLOGICAL BULLETIN, 1991, 109 (01) :5-24
[9]   RELATIONSHIP OF PAROTID-SALIVA FLOW-RATE AND COMPOSITION WITH PERSONALITY-TRAITS IN HEALTHY-MEN [J].
COSTA, PT ;
CHAUNCEY, HH ;
ROSE, CL ;
KAPUR, KK .
ORAL SURGERY ORAL MEDICINE ORAL PATHOLOGY ORAL RADIOLOGY AND ENDODONTICS, 1980, 50 (05) :416-422
[10]   AGGREGATION OF GROUP-A STREPTOCOCCI BY HUMAN SALIVA AND EFFECT OF SALIVA ON STREPTOCOCCAL ADHERENCE TO HOST-CELLS [J].
COURTNEY, HS ;
HASTY, DL .
INFECTION AND IMMUNITY, 1991, 59 (05) :1661-1666