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Significant salivary changes in relation to oral mucositis following autologous hematopoietic stem cell transplantation

van Leeuwen, S. J. M. (author)
Proctor, G. B. (author)
Laheij, Amga (author)
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Potting, C. M. J. (author)
Smits, O. (author)
Bronkhorst, E. M. (author)
Hazenberg, M. D. (author)
Haverman, T. M. (author)
Brennan, M. T. (author)
von Bültzingslöwen, Inger, 1947 (author)
Gothenburg University,Göteborgs universitet,Institutionen för odontologi, sektion 3,Institute of Odontology, Section 3
Raber-Durlacher, J. E. (author)
Huysmans, Mcdnjm (author)
Rozema, F. R. (author)
Blijlevens, N. M. A. (author)
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 (creator_code:org_t)
2021-01-08
2021
English.
In: Bone Marrow Transplantation. - : Springer Science and Business Media LLC. - 0268-3369 .- 1476-5365.
  • Journal article (peer-reviewed)
Abstract Subject headings
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  • The aim of this multicentre, longitudinal study was to determine salivary changes in relation to oral mucositis (OM) in multiple myeloma patients following high-dose melphalan and autologous hematopoietic stem cell transplantation (ASCT). Unstimulated and stimulated whole-mouth saliva samples (UWS and SWS) were collected before ASCT, 1x/wk during the hospitalisation phase, and 3 and 12 months post-ASCT. During the hospitalisation period OM was scored 3x/wk (WHO system). Flow rate, pH, total protein concentration (Nanodrop), albumin, lactoferrin, neutrophil defensin-1 (HNP1), total IgA and S100A8/A9 (ELISA) were determined. Mixed models were used to evaluate differences between ulcerative (u)OM (>= 2 WHO, n = 20) and non-uOM (n = 31) groups. Until 18 days after ASCT, flow rate, pH, total IgA and HNP1 levels decreased in UWS and/or SWS, while log lactoferrin levels were significantly increased (UWS: p = 0.016 95% CI [0.36, 3.58], SWS: p < 0.001 95% CI [1.14, 3.29]). Twelve months post-ASCT, salivary protein levels were similar to baseline except for log total IgA, which was higher (UWS: p < 0.001 95% CI [0.49, 1.29], SWS: p < 0.001 95% CI [0.72, 1.45]). No differences between uOM and non-uOM groups were observed. Changes in salivary proteins indicated an inflammatory reaction in salivary glands coinciding with mucosal and systemic reactions in response to high-dose melphalan.

Subject headings

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Odontologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Dentistry (hsv//eng)

Keyword

high-dose melphalan
myeloma patients
lactoferrin
mucosal
complications
calprotectin
chemotherapy
expression
proteins
therapy
Biophysics
Oncology
Hematology
Immunology
Transplantation

Publication and Content Type

ref (subject category)
art (subject category)

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