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Abstract
The oral microbiome is one of the most stable ecosystems in the body and yet the reasons for this are still unclear. As well as being stable, it is also highly diverse which can be ascribed to the variety of niches available in the mouth. Previous studies have focused on the microflora in disease-either caries or periodontitis-and only recently have they considered factors that maintain the normal microflora. This has led to the perception that the microflora proliferate in nutrient-rich periods during oral processing of foods and drinks and starves in between times. In this review, evidence is presented which shows that the normal flora are maintained on a diet of salivary factors including urea, lactate, and salivary protein degradation. These factors are actively secreted by salivary glands which suggests these factors are important in maintaining normal commensals in the mouth. In addition, the immobilization of SIgA in the mucosal pellicle indicates a mechanism to retain certain bacteria that does not rely on the bacterial-centric mechanisms such as adhesins. By examining the salivary metabolome, it is clear that protein degradation is a key nutrient and the availability of free amino acids increases resistance to environmental stresses.
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Affiliation(s)
- G H Carpenter
- Salivary Research, Centre for Host-microbiome Interactions, Faculty of Dental, Oral & Craniofacial Sciences, King's College London, London, UK
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2
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Padiglia A, Orrù R, Boroumand M, Olianas A, Manconi B, Sanna MT, Desiderio C, Iavarone F, Liori B, Messana I, Castagnola M, Cabras T. Extensive Characterization of the Human Salivary Basic Proline-Rich Protein Family by Top-Down Mass Spectrometry. J Proteome Res 2018; 17:3292-3307. [PMID: 30064219 DOI: 10.1021/acs.jproteome.8b00444] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/18/2022]
Abstract
Human basic proline-rich proteins and basic glycosylated proline-rich proteins, encoded by the polymorphic PRB1-4 genes and expressed only in parotid glands, are the most complex family of adult salivary proteins. The family includes 11 parent peptides/proteins and more than 6 parent glycosylated proteins, but a high number of proteoforms with rather similar structures derive from polymorphisms and post-translational modifications. 55 new components of the family were characterized by top-down liquid chromatography-mass spectrometry and tandem-mass platforms, bringing the total number of proteoforms to 109. The new components comprise the three variants P-H S1 → A, P-Ko P36 → S, and P-Ko A41 → S and several of their naturally occurring proteolytic fragments. The paper represents an updated reference for the peptides included in the heterogeneous family of proteins encoded by PRB1/PRB4. MS data are available via ProteomeXchange with the identifier PXD009813.
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Affiliation(s)
- Alessandra Padiglia
- Department of Life and Environmental Sciences , University of Cagliari, Cittadella Univ. Monserrato , Monserrato 09042 , Cagliari , Italy
| | - Roberto Orrù
- Department of Life and Environmental Sciences , University of Cagliari, Cittadella Univ. Monserrato , Monserrato 09042 , Cagliari , Italy
| | - Mozhgan Boroumand
- Department of Life and Environmental Sciences , University of Cagliari, Cittadella Univ. Monserrato , Monserrato 09042 , Cagliari , Italy
| | - Alessandra Olianas
- Department of Life and Environmental Sciences , University of Cagliari, Cittadella Univ. Monserrato , Monserrato 09042 , Cagliari , Italy
| | - Barbara Manconi
- Department of Life and Environmental Sciences , University of Cagliari, Cittadella Univ. Monserrato , Monserrato 09042 , Cagliari , Italy
| | - Maria Teresa Sanna
- Department of Life and Environmental Sciences , University of Cagliari, Cittadella Univ. Monserrato , Monserrato 09042 , Cagliari , Italy
| | - Claudia Desiderio
- Institute of Chemistry of Molecular Recognition , CNR , Rome 00168 , Italy
| | - Federica Iavarone
- Institute of Biochemistry and Clinical Biochemistry , Università Cattolica del Sacro Cuore , Rome 00168 , Italy.,Department of Laboratory Diagnostic and Infectious Diseases , Fondazione Policlinico Universitario Agostino Gemelli-IRCCS , Rome 00168 , Italy
| | - Barbara Liori
- Department of Life and Environmental Sciences , University of Cagliari, Cittadella Univ. Monserrato , Monserrato 09042 , Cagliari , Italy
| | - Irene Messana
- Institute of Chemistry of Molecular Recognition , CNR , Rome 00168 , Italy
| | - Massimo Castagnola
- Institute of Chemistry of Molecular Recognition , CNR , Rome 00168 , Italy.,Institute of Biochemistry and Clinical Biochemistry , Università Cattolica del Sacro Cuore , Rome 00168 , Italy.,Department of Laboratory Diagnostic and Infectious Diseases , Fondazione Policlinico Universitario Agostino Gemelli-IRCCS , Rome 00168 , Italy
| | - Tiziana Cabras
- Department of Life and Environmental Sciences , University of Cagliari, Cittadella Univ. Monserrato , Monserrato 09042 , Cagliari , Italy
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Zhang Y, Wang X, Cui D, Zhu J. Proteomic and N-glycoproteomic quantification reveal aberrant changes in the human saliva of oral ulcer patients. Proteomics 2017; 16:3173-3182. [PMID: 27763718 DOI: 10.1002/pmic.201600127] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/07/2016] [Revised: 08/28/2016] [Accepted: 10/19/2016] [Indexed: 12/16/2022]
Abstract
Human whole saliva is a vital body fluid for studying the physiology and pathology of the oral cavity. As a powerful technique for biomarker discovery, MS-based proteomic strategies have been introduced for saliva analysis and identified hundreds of proteins and N-glycosylation sites. However, there is still a lack of quantitative analysis, which is necessary for biomarker screening and biological research. In this study, we establish an integrated workflow by the combination of stable isotope dimethyl labeling, HILIC enrichment, and high resolution MS for both quantification of the global proteome and N-glycoproteome of human saliva from oral ulcer patients. With the help of advanced bioinformatics, we comprehensively studied oral ulcers at both protein and glycoprotein scales. Bioinformatics analyses revealed that starch digestion and protein degradation activities are inhibited while the immune response is promoted in oral ulcer saliva.
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Affiliation(s)
- Ying Zhang
- Department of Emergency, School of Stomatology, China Medical University, Shenyang, P. R. China
| | - Xi Wang
- Department of Emergency, School of Stomatology, China Medical University, Shenyang, P. R. China
| | - Dan Cui
- Department of Emergency, School of Stomatology, China Medical University, Shenyang, P. R. China
| | - Jun Zhu
- Jingjie PTM Biolab (Hangzhou) Co. Ltd, Hangzhou, P. R. China
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Cell Surface Glycoside Hydrolases of Streptococcus gordonii Promote Growth in Saliva. Appl Environ Microbiol 2016; 82:5278-86. [PMID: 27316967 DOI: 10.1128/aem.01291-16] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/29/2016] [Accepted: 06/14/2016] [Indexed: 02/05/2023] Open
Abstract
UNLABELLED The growth of the oral commensal Streptococcus gordonii in saliva may depend on a number of glycoside hydrolases (GHs), including three cell wall-anchored proteins that are homologs of pneumococcal β-galactosidase (BgaA), β-N-acetylglucosaminidase (StrH), and endo-β-N-acetylglucosaminidase D (EndoD). In the present study, we introduced unmarked in-frame deletions into the corresponding genes of S. gordonii DL1, verified the presence (or absence) of the encoded proteins on the resulting mutant strains, and compared these strains with wild-type strain DL1 for growth and glycan foraging in saliva. The overnight growth of wild-type DL1 was reduced 3- to 10-fold by the deletion of any one or two genes and approximately 20-fold by the deletion of all three genes. The only notable change in the salivary proteome associated with this reduction of growth was a downward shift in the apparent molecular masses of basic proline-rich glycoproteins (PRG), which was accompanied by the loss of lectin binding sites for galactose-specific Erythrina cristagalli agglutinin (ECA) and mannose-specific Galanthus nivalis agglutinin (GNA). The binding of ECA to PRG was also abolished in saliva cultures of mutants that expressed cell surface BgaA alone or together with either StrH or EndoD. However, the subsequent loss of GNA binding was seen only in saliva cocultures of different mutants that together expressed all three cell surface GHs. The findings indicate that the growth of S. gordonii DL1 in saliva depends to a significant extent on the sequential actions of first BgaA and then StrH and EndoD on N-linked glycans of PRG. IMPORTANCE The ability of oral bacteria to grow on salivary glycoproteins is critical for dental plaque biofilm development. Little is known, however, about how specific salivary components are attacked and utilized by different members of the biofilm community, such as Streptococcus gordonii. Streptococcus gordonii DL1 has three cell wall-anchored glycoside hydrolases that are predicted to act on host glycans. In the present study, we introduced unmarked in-frame deletions in the corresponding genes, verified the presence (or absence) of encoded proteins on the resulting mutant strains, and compared these strains with wild-type DL1 for growth and glycan foraging in saliva. The results indicate that the growth of S. gordonii DL1 depends to a significant extent on sequential action of these cell surface GHs on N-linked glycans of basic proline-rich salivary glycoproteins, which appears to be an essential first step in salivary glycan foraging.
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Manconi B, Cabras T, Sanna M, Piras V, Liori B, Pisano E, Iavarone F, Vincenzoni F, Cordaro M, Faa G, Castagnola M, Messana I. N- and O-linked glycosylation site profiling of the human basic salivary proline-rich protein 3M. J Sep Sci 2016; 39:1987-97. [DOI: 10.1002/jssc.201501306] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2015] [Revised: 03/03/2016] [Accepted: 03/04/2016] [Indexed: 11/07/2022]
Affiliation(s)
- Barbara Manconi
- Dipartimento di Scienze della Vita e dell'Ambiente; Università di Cagliari; Cagliari Italy
| | - Tiziana Cabras
- Dipartimento di Scienze della Vita e dell'Ambiente; Università di Cagliari; Cagliari Italy
| | - Monica Sanna
- Dipartimento di Scienze della Vita e dell'Ambiente; Università di Cagliari; Cagliari Italy
| | - Valentina Piras
- Dipartimento di Scienze della Vita e dell'Ambiente; Università di Cagliari; Cagliari Italy
| | - Barbara Liori
- Dipartimento di Scienze della Vita e dell'Ambiente; Università di Cagliari; Cagliari Italy
| | - Elisabetta Pisano
- Dipartimento di Scienze Chirurgiche; Università di Cagliari; Cagliari Italy
| | - Federica Iavarone
- Istituto di Biochimica e Biochimica Clinica; Università Cattolica; Roma Italy
| | - Federica Vincenzoni
- Istituto di Biochimica e Biochimica Clinica; Università Cattolica; Roma Italy
| | - Massimo Cordaro
- Istituto di Clinica Odontostomatologica, Facoltà di Medicina; Università Cattolica; Roma Italy
| | - Gavino Faa
- Dipartimento di Scienze Chirurgiche; Università di Cagliari; Cagliari Italy
| | - Massimo Castagnola
- Istituto di Biochimica e Biochimica Clinica; Università Cattolica; Roma Italy
- Istituto di Chimica del Riconoscimento Molecolare - CNR; Roma Italy
| | - Irene Messana
- Istituto di Chimica del Riconoscimento Molecolare - CNR; Roma Italy
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Manconi B, Castagnola M, Cabras T, Olianas A, Vitali A, Desiderio C, Sanna MT, Messana I. The intriguing heterogeneity of human salivary proline-rich proteins. J Proteomics 2016; 134:47-56. [DOI: 10.1016/j.jprot.2015.09.009] [Citation(s) in RCA: 40] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/29/2015] [Revised: 09/01/2015] [Accepted: 09/07/2015] [Indexed: 01/10/2023]
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Peterson RA, Gueniche A, Adam de Beaumais S, Breton L, Dalko-Csiba M, Packer NH. Sweating the small stuff: Glycoproteins in human sweat and their unexplored potential for microbial adhesion. Glycobiology 2015; 26:218-29. [DOI: 10.1093/glycob/cwv102] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2015] [Accepted: 11/02/2015] [Indexed: 12/19/2022] Open
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Top-down analytical platforms for the characterization of the human salivary proteome. Bioanalysis 2014; 6:563-81. [PMID: 24568357 DOI: 10.4155/bio.13.349] [Citation(s) in RCA: 35] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2022] Open
Abstract
Comprehensive analysis and characterization of the human salivary proteome is an important step towards the possible use of saliva for diagnostic and prognostic purposes. The contribution of the different sources to whole saliva, and the evaluation of individual variability and physiological modifications have been investigated by top-down proteomic approaches, disclosing the faceted and complex profile of the human salivary proteome. All this information is essential to develop saliva protein biomarkers. In this Review the major results obtained in the field by top-down platforms, and the improvements required to allow a more complete picture, will be discussed.
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Cabras T, Boi R, Pisano E, Iavarone F, Fanali C, Nemolato S, Faa G, Castagnola M, Messana I. HPLC-ESI-MS and MS/MS structural characterization of multifucosylated N-glycoforms of the basic proline-rich protein IB-8a CON1+ in human saliva. J Sep Sci 2012; 35:1079-86. [DOI: 10.1002/jssc.201101066] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
Affiliation(s)
- Tiziana Cabras
- Dipartimento di Scienze della Vita e dell'Ambiente; Università di Cagliari; Italy
| | - Roberto Boi
- Istituto di Biochimica e Biochimica Clinica and/or Istituto per la Chimica del Riconoscimento Molecolare; Consiglio Nazionale delle Ricerche; Università Cattolica; Roma; Italy
| | - Elisabetta Pisano
- Dipartimento di Chirurgia e Scienze Odontostomatologiche; Università di Cagliari; Italy
| | - Federica Iavarone
- Istituto di Biochimica e Biochimica Clinica and/or Istituto per la Chimica del Riconoscimento Molecolare; Consiglio Nazionale delle Ricerche; Università Cattolica; Roma; Italy
| | - Chiara Fanali
- Istituto di Biochimica e Biochimica Clinica and/or Istituto per la Chimica del Riconoscimento Molecolare; Consiglio Nazionale delle Ricerche; Università Cattolica; Roma; Italy
| | - Sonia Nemolato
- Dipartimento di Citomorfologia; Università di Cagliari; Italy
| | - Gavino Faa
- Dipartimento di Citomorfologia; Università di Cagliari; Italy
| | - Massimo Castagnola
- Istituto di Biochimica e Biochimica Clinica and/or Istituto per la Chimica del Riconoscimento Molecolare; Consiglio Nazionale delle Ricerche; Università Cattolica; Roma; Italy
| | - Irene Messana
- Dipartimento di Scienze della Vita e dell'Ambiente; Università di Cagliari; Italy
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Sondej M, Denny PA, Xie Y, Ramachandran P, Si Y, Takashima J, Shi W, Wong DT, Loo JA, Denny PC. Glycoprofiling of the Human Salivary Proteome. Clin Proteomics 2008; 5:52-68. [PMID: 20161393 DOI: 10.1007/s12014-008-9021-0] [Citation(s) in RCA: 37] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/21/2023] Open
Abstract
Glycosylation is important for a number of biological processes and is perhaps the most abundant and complicated of the known post-translational modifications found on proteins. This work combines two-dimensional polyacrylamide gel electrophoresis (2-DE) and lectin blotting to map the salivary glycome, and mass spectrometry to identity the proteins that are associated with the glycome map. A panel of 15 lectins that recognize six sugar-specific categories was used to visualize the type and extent of glycosylation in saliva from two healthy male individuals. Lectin blots were compared to 2-D gels stained either with Sypro Ruby (protein stain) or Pro-Q Emerald 488 (glycoprotein stain). Each lectin shows a distinct pattern, even those belonging to the same sugar-specific category. In addition, the glycosylation profiles generated from the lectin blots show that most of the salivary proteins are glycosylated and that the pattern is more widespread than is demonstrated by the glycoprotein stained gel. Finally, the co-reactivity between two lectins was measured to determine the glycan structures that are most and least often associated with one another along with the population variation of the lectin reactivity for 66 individuals.
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Affiliation(s)
- Melissa Sondej
- Department of Chemistry and Biochemistry, University of California, Los Angeles, CA
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11
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Ramachandran P, Boontheung P, Xie Y, Sondej M, Wong DT, Loo JA. Identification of N-linked glycoproteins in human saliva by glycoprotein capture and mass spectrometry. J Proteome Res 2006; 5:1493-503. [PMID: 16740002 DOI: 10.1021/pr050492k] [Citation(s) in RCA: 179] [Impact Index Per Article: 9.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
Glycoproteins make up a major and important part of the salivary proteome and play a vital role in maintaining the health of the oral cavity. Because changes in the physiological state of a person are reflected as changes in the glycoproteome composition, mapping the salivary glycoproteome will provide insights into various processes in the body. Salivary glycoproteins were identified by the hydrazide coupling and release method. In this approach, glycoproteins were coupled onto a hydrazide resin, the proteins were then digested and formerly N-glycosylated peptides were selectively released with the enzyme PNGase F and analyzed by LC-MS/MS. Employing this method, coupled with in-solution isoelectric focusing separation as an additional means for pre-fractionation, we identified 84 formerly N-glycosylated peptides from 45 unique N-glycoproteins. Of these, 16 glycoproteins have not been reported previously in saliva. In addition, we identified 44 new sites of N-linked glycosylation on the proteins.
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Affiliation(s)
- Prasanna Ramachandran
- Department of Chemistry and Biochemistry, University of California-Los Angeles, Los Angeles, California, USA
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Li N, Wang N, Zheng J, Liu XM, Lever OW, Erickson PM, Li L. Characterization of human tear proteome using multiple proteomic analysis techniques. J Proteome Res 2006; 4:2052-61. [PMID: 16335950 DOI: 10.1021/pr0501970] [Citation(s) in RCA: 109] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
Tear proteome profiling may generate useful information for the understanding of the interaction between an eye and its contacting objects, such as a contact lens or a lens implant. This is important for designing improved eye-care devices and maintaining the health of an eye. Proteome profiles of tear fluids may also be used for disease diagnosis and prognosis. However, only a small volume of tear fluid (<5 microL) can be collected in a clinical laboratory under normal operational conditions, which makes proteome profiling a challenge. In this work we apply several proteomic analysis techniques, including gel-based and solution-based approaches with LC-ESI and LC-MALDI MS and MS/MS to gauge the relative merits of producing proteome profiles and to generate as broad a coverage of the tear proteome as possible from this small amount of sample. It is shown that a total of 54 proteins can be confidently identified using less than 5 microL of tear fluid. Of these, 44 proteins can be detected by LC-MALDI MS alone with a consumption of 2 microL of tear fluid. Furthermore, LC-MALDI can be used to determine post-translational modifications (PTMs), such as glycosylation and phosphorylation, without any sample enrichment or treatment. This work represents one of the most extensive proteome profiles (i.e., proteins identified and PTMs characterized) generated from tear fluids using clinically relevant amounts of sample.
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Affiliation(s)
- Nan Li
- Department of Chemistry, University of Alberta, Edmonton, Alberta, Canada
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Gully NJ, Rogers AH. The characterization of a (nutritionally important) proline iminopeptidase from Eikenella corrodens. ORAL MICROBIOLOGY AND IMMUNOLOGY 2001; 16:370-5. [PMID: 11737661 DOI: 10.1034/j.1399-302x.2001.160609.x] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
Eikenella corrodens generates energy primarily through the oxidative deamination of specific amino acids, a process that is coupled to dissimilatory nitrate reduction to nitrite. Cell yields resulting from chemostat-growth of the organism in simple, chemically defined media containing varying amounts of proline confirm that this amino acid is a likely source of energy for E. corrodens in the oral environment. The importance of proline in ATP generation by the organism is reflected in molar growth yields, which showed that biomass production per mole of this amino acid was significantly higher than that for other amino acids. The organism was found to express, constitutively, the enzyme proline iminopeptidase, which releases proline from the N-terminus of small peptides. The enzyme was partially purified and characterized and found to exist in the cytoplasm as a 35 kDa monomer. Inhibition studies showed that the enzyme, although classified as a serine protease, also appears to require thiol groups for activity, a finding which is consistent with previous reports. The enzyme obeyed Michaelis-Menten kinetics and was found to have a Km value of 0.223 mM for the substrate proline-p-nitroanilide.
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Affiliation(s)
- N J Gully
- Microbiology Laboratory, Dental School, Adelaide University, North Terrace, Adelaide, South Australia 5005
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14
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Beeley JA. Basic proline-rich proteins: multifunctional defence molecules? Oral Dis 2001. [DOI: 10.1034/j.1601-0825.2001.70201.x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
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Carpenter GH, Proctor GB. Double electrophoretic separation and lectin analyses of the component chains of secretory immunoglobulin A from human saliva. Electrophoresis 2000; 21:1446-53. [PMID: 10832871 DOI: 10.1002/(sici)1522-2683(20000501)21:8<1446::aid-elps1446>3.0.co;2-6] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
Abstract
A new method is presented for the separation of secretory immunoglobulin A (SIgA) from salivary samples. Salivary proteins (from parotid or stimulated whole mouth saliva) were precipitated with methanol to concentrate SIgA from salivary samples whilst removing other salivary proteins. SIgA purified from breast milk and salivary proteins was separated by 10% sodium dodecyl sulfate-polyacrylamide gel electrophoresis (SDS-PAGE) under nonreducing conditions. Following completion of electrophoresis the top strip of gel was removed and the proteins present reduced with dithiothreitol. The gel strip was then applied to the top of a second 10% SDS gel, and the proteins were electrophoresed and then stained by Coomassie Brilliant Blue R-250. Three major protein bands were stained in all samples corresponding in molecular mass to secretory component, alpha-heavy chain and light chains of SIgA. Separated proteins were also electroblotted onto nitrocellulose and stained by fluorescein isothiocyanate (FITC). Lectin analysis was then used to detect the O-glycans present on IgA1. Lectins from Helix aspersa and Arachis hypogaea were used to determine the amount of terminal N-acetyl galactosamine and nonsialylated O-glycans, respectively. Maclura pomifera lectin was used to determine the total amount of IgA1 present on the blots. The results indicate that SlgA in stimulated whole mouth saliva, stimulated parotid saliva and purified from breast milk contain similar O-glycans.
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Affiliation(s)
- G H Carpenter
- Secretory and Soft Tissue Research Unit, Guy's, King's and St Thomas' School of Dentistry, The Rayne Institute, London, UK.
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