Detection of corticosteroid binding globulin in parotid fluids: evidence for the presence of both protein-bound and non-protein-bound (free) steroids in uncontaminated saliva.
Corticosteroid binding globulin (CBG) was detected by a specific radioimmunoassay in mixed saliva (25.4 +/- 4.0 micrograms/l, mean +/- SEM) and in pure, uncontaminated parotid fluids (17.4 +/- 2.7 micrograms/l) at resting flow-rates of approximately 500 microliters/min and 50 microliters/gland per min, respectively. In parotid fluids collected at stimulated flow-rates of between 300-1000 microliters/gland per min, CBG could not be detected. This observation suggests the direct flow-rate-dependent transfer/secretion of CBG in saliva. When cortisol was measured (RIA) in dilution experiments in both mixed saliva and parotid fluids using phosphate buffer at pH 7.4 as diluent, a protein-binding effect analogous to that found in plasma samples was observed. However, this effect was abolished if a known CBG inhibitor, phosphate:citrate buffer at pH 4, was used as the diluent in the assay. A bound fraction of cortisol was found in both mixed saliva (14.0 +/- 4.0%) and parotid fluid samples (12.3 +/- 1.3%) by equilibrium dialysis. These findings appear to contradict the currently accepted notion that specific plasma steroid binding proteins, and hence the protein-bound steroids, are absent in uncontaminated saliva; and that their presence in mixed saliva is the consequence solely of contamination by gingival fluid and/or plasma from mouth or gum abrasions. We conclude that both protein-bound and free steroids are present in uncontaminated saliva and that salivary total and plasma free steroid concentrations are not identical.
Department of Molecular Endocrinology, University College, London, UK.
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Chu
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Ekins
D000328:Adult; D005122:Exudates and Transudates / Q000378:metabolism*; D005260:Female; D006801:Humans; D006854:Hydrocortisone / Q000378:metabolism; D008297:Male; D010306:Parotid Gland / Q000378:metabolism*; D011485:Protein Binding; D011863:Radioimmunoassay; D012463:Saliva / Q000378:metabolism*; D014156:Transcortin / Q000378:metabolism*
D014156:Transcortin; D006854:Hydrocortisone