Methods: Using Lashley cups, saliva of the left and right parotid gland was obtained from ten patients that received curative irradiation in the head and neck area and ten healthy controls. Salivary flow was stimulated using a 4% solution of citric acid during four minutes. After addition of a proteinase inhibitor cocktail, the samples were frozen in liquid nitrogen and stored at -80°C. The samples were analyzed with SELDI-TOF-MS using a NP20 and an IMAC-30 chip with values of the m/z ratio ranging from 1 to 30.000 kDa. Results: Comparison of the parotid saliva of irradiated patients and healthy controls showed 35 (out of 218) significantly different (up- or down-regulated) peaks using the IMAC-30 chip (p<0.01). The NP20 chip showed 69 (out of 217) significantly different (up- or down-regulated) peaks (p<0.01). On both chips, the significant different peaks presented troughout the range of m/z values. Significantly different peaks are, among others, in the range of the m/z ratio's of PRP's, histatins and statherin.
Conclusion: Besides a reduction in the amount of saliva, irradiation can cause changes in protein/peptide profiles that may be responsible for reduced protective properties of saliva. PRP's, histatins and statherin could be accountable for that.