Dietary nitrate supplementation prevents radiotherapy-induced xerostomia

  1. Xiaoyu Feng
  2. Zhifang Wu
  3. Junji Xu
  4. Yipu Xu
  5. Bin Zhao
  6. Baoxing Pang
  7. Xingmin Qu
  8. Liang Hu
  9. Lei Hu
  10. Zhipeng Fan
  11. Luyuan Jin
  12. Dengsheng Xia
  13. Shimin Chang
  14. Jingsong Wang
  15. Chunmei Zhang
  16. Songlin Wang  Is a corresponding author
  1. Beijing Laboratory of Oral Health, Capital Medical University, China
  2. Salivary Gland Disease Center and Molecular Laboratory for Gene Therapy & Tooth Regeneration, Beijing Key Laboratory of Tooth Regeneration and Function Reconstruction, School of Stomatology, Capital Medical University, China
  3. Department of Pediatric Dentistry, Capital Medical University School of Stomatology, China
  4. Biochemistry and Molecular Biology, School of Basic Medical Sciences, China
6 figures, 1 table and 2 additional files

Figures

Figure 1 with 1 supplement
Preventive and therapeutic effects of nitrate administration on the parotid gland in miniature pigs subjected to single-dose irradiation (IR).

(a–c) Preventive nitrate administration to miniature pigs. (a) Schematic of experimental design. (b) Nitrate administration maintained salivary flow rate (SFR) (ml/10 min) of the parotid gland in …

Figure 1—figure supplement 1
Parotid gland irradiation (IR) range diagrams, blood vessel distribution, salivary chemistry, and tissue apoptosis at 4 months after IR.

(a) Diagram of unilateral parotid gland IR range. (b) Blood vessel distribution model of the normal miniature pig parotid gland. (c) Clinical chemistry of saliva obtained from the single-dose IR …

Figure 2 with 1 supplement
Effects of different preventive nitrate doses on the parotid gland in miniature pigs subjected to fractionated irradiation (IR).

(a) Schematic of the experimental design for preventive nitrate administration of four different doses of nitrate (0.25, 0.5, 1, or 2 mmol/kg∙day) to miniature pigs. (b) Salivary flow rate (SFR) of …

Figure 2—figure supplement 1
Nitrate concentrations in serum (a) and parotid saliva (b), and changes in salivary constituents at 4 months after fractionated irradiation (IR).

(a) Nitrate concentrations in serum. (b) Nitrate concentrations in parotid saliva. (c–e) Salivary constituents changes. (c) Potassium; (d) Calcium; (e) Amylase. Four months post-IR was used as the …

Changes in the parotid gland following irradiation (IR).

(a–d) Immunohistochemical staining of parotid gland sections from miniature pigs in the sham, nitrate (2 mmol/kg·day), and IR control groups (n=4 animals per group; see Figure 2a for in vivo …

Figure 4 with 1 supplement
Effects of nitrate and sialin on salivary gland cell proliferation and apoptosis.

(a–e) Effects of nitrate on human parotid gland cells (hPGCs). (a) Schematic of experimental design for nitrate administration to hPGCs. (b, c) Cell proliferation rate, determined using CCK-8 assay …

Figure 4—figure supplement 1
Effects of nitrate on human parotid gland cells (hPGCs) under physiological conditions and transfection efficiencies of sialin siRNA and plasmids to hPGCs.

(a–d) Effects of nitrate on hPGCs. (a) Schematic of experimental design. (b) Cell proliferation, determined by number of EdU+/Hoechst + cells, at 24, 48, and 72 h. (c) Cell proliferation rate, …

Figure 5 with 1 supplement
Sialin overexpression promoted cell proliferation and reduced cell apoptosis after irradiation (IR) in vitro.

(a–e) Proliferation, apoptosis, and sialin expression of hPGCs cultured under physiological and IR conditions. (a) Schematic of experimental design. (b, c) Cell proliferation rate, determined using …

Figure 5—figure supplement 1
Reduction of sialin expression impaired cell proliferation and increased apoptosis after irradiation (IR).

(a) Schematic of experimental design for nitrate administration to sialin siRNA±human parotid gland cells (hPGCs) subjected to 5 Gy IR. (b) Sialin expression, determined using RT-PCR (left) and …

Mechanism of nitrate regulation of cell proliferation.

(a) Phosphorylation of EGFR, AKT, and ERK following nitrate administration for 0.5, 1, 2, and 4 h, and phosphorylation of EGFR, AKT, and ERK following sialin knockdown for 24 h, n=5 sample …

Tables

Key resources table
Reagent type (species) or resourceDesignationSource or referenceIdentifiersAdditional information
Gene (Sus scrofa)SialinNCBINC-010443.5
Gene (Homo sapiens)SialinNCBINC_000006.12
Strain, strain background (S. scrofa)Wild-typeChinese Agricultural UniversityRRID:Addgene_669888–12 months, male
Transfected construct (H. sapiens)siRNA to sialinThermo Fisher Scientific5′-TCCTGGAGGATATGTTGCCAGCAAA-3′5′-CATCACAAATACATTTGCCACTATT-3
Antibody(Rabbit polyclonal) anti-ki67Abcamab15580RRID:AB_443209IHC(1:200)
Antibody(Rabbit polyclonal) anti-CD31Abcamab28364RRID:AB_726362IHC (1:50)
Antibody(Rabbit polyclonal) anti-AQP5Thermo Fisher ScientificPA5-36529RRID:AB_2553573IHC (1:50)
Antibody(Rabbit polyclonal) anti-sialinThermo Fisher ScientificPA5-42456RRID:AB_2577049IHC (1:200)WB (1:500)
Antibody(Rabbit monoclonal) anti-pEGFRCell Signaling Technology#3777 SRRID:AB_2096270WB (1:1000)
Antibody(Rabbit monoclonal) anti-EGFRCell Signaling Technology#4267 SRRID:AB_2246311WB (1:1000)
Antibody(Rabbit monoclonal) anti-pAKTCell Signaling Technology#4060 SRRID:AB_2315049WB (1:1000)
Antibody(Rabbit monoclonal) anti-AKTCell Signaling Technology#9272 SRRID:AB_2246311WB (1:1000)
Antibody(Rabbit monoclonal) anti-pERKCell Signaling Technology#4370 SRRID:AB_2315112WB (1:1000)
Antibody(Rabbit monoclonal) anti-ERKCell Signaling Technology#4695 SRRID:AB_390779WB (1:1000)
Recombinant DNA reagentSialin plasmid (pHS-LW066 vector)Obio TechnologyWild-type
Recombinant DNA reagentSialinH183R plasmid (pHS-LW066 vector)Obio TechnologyMutant type does not transport nitrate
Commercial assay or kitTotal Nitric Oxide and Nitrate/Nitrite Parameter Assay KitR&D SystemsPKGE001
Software, algorithmPrism 6GraphPadhttps://www.graphpad.com/; RRID:SCR_002798

Additional files

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