Mouna Alsunni, Matthew D Finkelman, Mabi Singh, Athena Papas, Vidya Sankar
{"title":"Assessment of Salivary Flow Patterns in Sjögren's Disease.","authors":"Mouna Alsunni, Matthew D Finkelman, Mabi Singh, Athena Papas, Vidya Sankar","doi":"10.1111/odi.70502","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>Salivary flow may follow a circadian rhythm regulated by clock genes and aquaporins. Because aquaporin 5 dysregulation may contribute to Sjögren's disease, we investigated whether daily unstimulated and stimulated salivary flow patterns differed between participants with Sjögren's disease and healthy controls.</p><p><strong>Methods: </strong>Thirteen participants were recruited (80% power). Participants with Sjögren's disease met the 2016 American College of Rheumatology/European Alliance of Associations for Rheumatology classification criteria; healthy controls were not taking xerogenic medications. Saliva was collected at home (5:00 AM, 10:00 AM) and in the clinic (3:00 PM) for 5 min (unstimulated) and 2 min (stimulated). Differences were analysed using Friedman's test, the Mann-Whitney U test, and mixed-effects models (α = 0.05).</p><p><strong>Results: </strong>We analysed 13 healthy controls (mean age 48.9 ± 10.7 years) and 13 participants with Sjögren's disease (mean age 65.3 ± 8.4 years). In the Sjögren's disease group, unstimulated flow did not vary over time (p = 0.463), but stimulated flow varied significantly across time points (p = 0.037). Neither measure varied significantly over time in controls (both p = 0.527).</p><p><strong>Conclusion: </strong>Neither group showed clear evidence of a circadian salivary flow pattern, and temporal patterns did not differ significantly between groups.</p>","PeriodicalId":19615,"journal":{"name":"Oral diseases","volume":" ","pages":""},"PeriodicalIF":3.1000,"publicationDate":"2026-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Oral diseases","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1111/odi.70502","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"DENTISTRY, ORAL SURGERY & MEDICINE","Score":null,"Total":0}
引用次数: 0
Abstract
Objective: Salivary flow may follow a circadian rhythm regulated by clock genes and aquaporins. Because aquaporin 5 dysregulation may contribute to Sjögren's disease, we investigated whether daily unstimulated and stimulated salivary flow patterns differed between participants with Sjögren's disease and healthy controls.
Methods: Thirteen participants were recruited (80% power). Participants with Sjögren's disease met the 2016 American College of Rheumatology/European Alliance of Associations for Rheumatology classification criteria; healthy controls were not taking xerogenic medications. Saliva was collected at home (5:00 AM, 10:00 AM) and in the clinic (3:00 PM) for 5 min (unstimulated) and 2 min (stimulated). Differences were analysed using Friedman's test, the Mann-Whitney U test, and mixed-effects models (α = 0.05).
Results: We analysed 13 healthy controls (mean age 48.9 ± 10.7 years) and 13 participants with Sjögren's disease (mean age 65.3 ± 8.4 years). In the Sjögren's disease group, unstimulated flow did not vary over time (p = 0.463), but stimulated flow varied significantly across time points (p = 0.037). Neither measure varied significantly over time in controls (both p = 0.527).
Conclusion: Neither group showed clear evidence of a circadian salivary flow pattern, and temporal patterns did not differ significantly between groups.
期刊介绍:
Oral Diseases is a multidisciplinary and international journal with a focus on head and neck disorders, edited by leaders in the field, Professor Giovanni Lodi (Editor-in-Chief, Milan, Italy), Professor Stefano Petti (Deputy Editor, Rome, Italy) and Associate Professor Gulshan Sunavala-Dossabhoy (Deputy Editor, Shreveport, LA, USA). The journal is pre-eminent in oral medicine. Oral Diseases specifically strives to link often-isolated areas of dentistry and medicine through broad-based scholarship that includes well-designed and controlled clinical research, analytical epidemiology, and the translation of basic science in pre-clinical studies. The journal typically publishes articles relevant to many related medical specialties including especially dermatology, gastroenterology, hematology, immunology, infectious diseases, neuropsychiatry, oncology and otolaryngology. The essential requirement is that all submitted research is hypothesis-driven, with significant positive and negative results both welcomed. Equal publication emphasis is placed on etiology, pathogenesis, diagnosis, prevention and treatment.