Saliva flow rate, amylase activity, and protein and electrolyte concentrations in saliva after acute alcohol consumption.

OBJECTIVE The aim of our study was to evaluate the effects of acute alcohol consumption on saliva secretion rate and selected salivary parameters in healthy nonalcoholic volunteers. STUDY DESIGN Twenty-four volunteers (37.7 +/- 9.6 years, mean +/- SD) consumed 0.6 g or 0.7 g alcohol/kg of body weight (for women and men, respectively) in a soft drink. Saliva samples were collected, first (S0) before any alcohol was consumed, 45 minutes after consumption (S1) and, finally, 60 minutes after S1 (S2). Flow rates of both resting whole saliva and paraffin-stimulated (SWS) whole saliva were assessed. SWS was assessed for amylase, total protein, inorganic phosphate (PO4(3-)), sodium (Na+), potassium (K+), and calcium (Ca2+) content. RESULTS SWS, but not resting whole saliva (in milliliters/minute), decreased significantly after consumption of alcohol. Amylase activity (P =.010) and the concentrations of Na+ (P =.000) and Ca2+ (P =.002) decreased significantly between S0 and S1. When SWS was analyzed for output, the total protein concentration (S0 to S1, P =.000; S0 to S2, P =.033) and amylase activity (S0 to S1, P =.000) decreased significantly. Further, the output of all the studied electrolytes decreased significantly as blood alcohol concentration increased. CONCLUSIONS We conclude that acute alcohol consumption causes a decrease in SWS flow rate. The decrease in flow rate also results in impaired output of total protein and amylase, as well as in a decrease in the output of electrolytes.

[1]  I. Mandel,et al.  Salivary studies in alcoholic cirrhosis. , 1976, Oral surgery, oral medicine, and oral pathology.

[2]  P. Kwo,et al.  Ethanol and human saliva: effect of chronic alcoholism on flow rate, composition, and epidermal growth factor. , 1992, The American journal of gastroenterology.

[3]  T. Puhakka,et al.  Effects of the common cold and intranasal fluticasone propionate treatment on mucosal host defense assessed by human saliva , 1999, Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology.

[4]  S. Theander,et al.  The clinical relevance of salivary amylase monitoring in bulimia nervosa , 1992, Biological Psychiatry.

[5]  M. Dodds,et al.  The Effect of Increased Mastication by Daily Gum-chewing on Salivary Gland Output and Dental Plaque Acidogenicity , 1991, Journal of dental research.

[6]  O. Aasland,et al.  Development of the Alcohol Use Disorders Identification Test (AUDIT): WHO Collaborative Project on Early Detection of Persons with Harmful Alcohol Consumption--II. , 1993, Addiction.

[7]  G. Ogden,et al.  Possible mechanisms by which alcohol may influence the development of oral cancer--a review. , 1998, Oral oncology.

[8]  L. Sreebny Saliva in health and disease: an appraisal and update. , 2000, International dental journal.

[9]  O. H. Lowry,et al.  Protein measurement with the Folin phenol reagent. , 1951, The Journal of biological chemistry.

[10]  L. Iversen,et al.  Substance P Receptors , 1980 .

[11]  F. Villamil,et al.  Early changes of urinary amylase isoenzymes in diabetes mellitus. , 1992, European journal of clinical chemistry and clinical biochemistry : journal of the Forum of European Clinical Chemistry Societies.

[12]  P. Scheutzel,et al.  [Alpha-amylase isoenzymes in serum and saliva of patients with anorexia and bulimia nervosa]. , 1991, Zeitschrift fur Gastroenterologie.

[13]  P. Brandtzaeg,et al.  Human secretory immunoglobulins. I. Salivary secretions from individuals with normal or low levels of serum immunoglobulins. , 2009, Scandinavian journal of haematology. Supplementum.

[14]  S. Shizukuishi,et al.  Lifestyle and periodontal health status of Japanese factory workers. , 1998, Annals of periodontology.

[15]  J. Rudney Does variability in salivary protein concentrations influence oral microbial ecology and oral health? , 1995, Critical reviews in oral biology and medicine : an official publication of the American Association of Oral Biologists.

[16]  E. Tsianos,et al.  The value of α-amylase and isoamylase determination in chronic renal failure patients , 1994 .

[17]  C. Christensen,et al.  Clinical Criteria for the Diagnosis of Salivary Gland Hypofunction , 1992, Journal of dental research.

[18]  A. N. Nieuw Amerongen,et al.  Analysis of the concentration and output of whole salivary constituents in patients with Sjögren's syndrome. , 1996, European journal of oral sciences.

[19]  A. Hugoson,et al.  The effect of oral contraceptives on the concentration of some salivary substances in women. , 1975, Archives of oral biology.

[20]  S. Dutta,et al.  Functional and structural changes in parotid glands of alcoholic cirrhotic patients. , 1989, Gastroenterology.

[21]  Determination of inorganic phosphate in human parotid saliva by the malachite green method. , 1982, Caries research.

[22]  R. Pangborn,et al.  Human Parotid Secretion in Response to Ethyl Alcohol , 1971, Journal of dental research.

[23]  J. Scott,et al.  Effects of acute ethanol administration on stimulated parotid secretion in the rat. , 1989, Alcoholism, clinical and experimental research.

[24]  C. Barr,et al.  Longitudinal study of parotid saliva in HIV-1 infection. , 1992, Journal of oral pathology & medicine : official publication of the International Association of Oral Pathologists and the American Academy of Oral Pathology.

[25]  M. Hector Reflexes of Salivary Secretion , 1999 .

[26]  J. Tenovuo,et al.  Human Saliva: Clinical Chemistry and Microbiology , 2021 .

[27]  H. Maier,et al.  Effect of chronic ethanol and nicotine consumption on the function and morphology of the salivary glands. , 1988, Klinische Wochenschrift.

[28]  V. Preedy,et al.  Protein synthesis in the major salivary glands of the rat and the effects of re-feeding and acute ethanol injection. , 1993, Archives of oral biology.

[29]  S. Gelbier,et al.  Oral and dental health in the alcohol misuser , 1996, Addiction biology.

[30]  S. Macdonald,et al.  Substance P Receptor Biochemical Characterization and Interactions with G Proteins a , 1991, Annals of the New York Academy of Sciences.

[31]  R. Greenberg,et al.  P amylase is always greater than S in spot urine of normal subjects , 1992, International journal of pancreatology : official journal of the International Association of Pancreatology.

[32]  J. Meurman,et al.  Correlations between total protein, lysozyme, immunoglobulins, amylase, and albumin in stimulated whole saliva during daytime , 2000, Acta odontologica Scandinavica.

[33]  P. Bendtsen,et al.  Monitoring ethanol exposure in a clinical setting by analysis of blood, breath, saliva, and urine. , 1999, Alcoholism, clinical and experimental research.

[34]  A. Winsor,et al.  The effect of alcohol on the rate of parotid secretion. , 1933 .

[35]  H. Lähteenoja,et al.  Changes in whole saliva in patients with coeliac disease. , 2000, Archives of Oral Biology.

[36]  T. Peters,et al.  Oral health in alcohol misusers. , 1996, Community dental health.

[37]  T. Peters,et al.  Oral and dental health in alcohol misusing patients. , 1997, Alcoholism, clinical and experimental research.

[38]  A. Thylstrup,et al.  Textbook of Clinical Cariology , 1994 .