title: Saliva induces expression of antimicrobial peptides and promotes intracellular killing of bacteria in keratinocytes by epidermal growth factor receptor transactivation.
abstract: BACKGROUND
  Wounds in the oral cavity, constantly exposed to both saliva and bacteria, heal quickly without infection. Furthermore, during licking of skin wounds, saliva promotes wound healing and plays a role in keeping the wound free of infection.
  
  
  OBJECTIVE
  To investigate whether saliva induces expression of antimicrobial peptides (AMPs) in human epidermal keratinocytes and whether saliva promotes clearance of intracellular bacteria in these cells.
  
  
  METHODS
  Expression of AMPs was investigated in the oral mucosa and ex vivo injured skin by immunohistochemistry. Human beta-defensin-3 expression was investigated in epidermal keratinocytes after saliva stimulation, using real-time polymerase chain reaction and immunofluorescence.
  
  
  RESULTS
  We found higher expression of AMPs in the oral mucosa than in the epidermis. Saliva accelerated the injury-induced expression of AMPs in human skin ex vivo and was a potent inducer of the expression of AMPs in epidermal keratinocytes. The expression of AMPs was induced by metalloproteinase-dependent epidermal growth factor receptor (EGFR) transactivation mediated by a salivary lipid. Saliva increased the intracellular clearance of Staphylococcus aureus in keratinocytes through EGFR activation.
  
  
  CONCLUSIONS
  These findings suggest a previously unreported role of saliva in innate immunity and demonstrate for the first time that saliva induces gene expression in epidermal keratinocytes.
authors.affiliation: Division of Infection Medicine, Department of Clinical Sciences Lund, Lund University, Tornavägen 10, SE-221 84 Lund, Sweden.
authors.forename: T
authors.initials: T
authors.lastname: Mohanty
authors.affiliation: Department of Plastic Surgery, Skåne University Hospital, Malmö, Sweden.
authors.forename: P
authors.initials: P
authors.lastname: Alberius
authors.affiliation: Division of Dermatology, Department of Clinical Sciences Lund, Lund University, Tornavägen 10, SE-221 84 Lund, Sweden.
authors.forename: A
authors.initials: A
authors.lastname: Schmidtchen
authors.affiliation: Department of Dermatology, University of Kiel, Kiel, Germany.
authors.forename: K
authors.initials: K
authors.lastname: Reiss
authors.affiliation: Department of Dermatology, University of Kiel, Kiel, Germany.
authors.forename: J-M
authors.initials: JM
authors.lastname: Schröder
authors.affiliation: Division of Infection Medicine, Department of Clinical Sciences Lund, Lund University, Tornavägen 10, SE-221 84 Lund, Sweden.|Wound Healing Center, Copenhagen University Hospital, Bispebjerg Hospital, Copenhagen, Denmark.
authors.forename: O E
authors.initials: OE
authors.lastname: Sørensen
mesh_terms: D023181:Antimicrobial Cationic Peptides / Q000378:metabolism*; D002478:Cells, Cultured; D066246:ErbB Receptors / Q000502:physiology*; D006801:Humans; D015603:Keratinocytes / Q000378:metabolism / Q000382:microbiology*; D008055:Lipids / Q000502:physiology; D009061:Mouth Mucosa / Q000378:metabolism; D010587:Phagocytosis / Q000502:physiology; D012463:Saliva / Q000502:physiology*; D012867:Skin / Q000378:metabolism
chemical_list: D023181:Antimicrobial Cationic Peptides; D008055:Lipids; C512478:EGFR protein, human; D066246:ErbB Receptors