Unexpected beta adrenergic effects of the antitumor agent, cyclocytidine, on rat salivary glands

Toxic effects of l-aspartic acid at high dose levels on kidneys and salivary glands in Fischer 344 rats detected in a 90-day feeding study

A subchronic oral toxicity study of l-aspartic acid (l-Asp) was conducted with groups of 10 male and 10 female Fischer 344 rats fed a powder diet containing 0%, 0.05%, 1.25%, 2.5% and 5.0% concentrations for 90 days. Serum biochemistry showed treatment-related decreases of blood urea nitrogen, creatinine and uric acid levels in both sexes. In addition, incidences of urinary ketone and protein were significantly increased in treated both sexes, while relative kidney weight was significantly increased in the 5.0% male rat, and regenerative renal tubules with tubular dilation were histopathologically observed in male rats of the 2.5% or greater groups. The observed renal injury was confirmed not to be due to accumulation of alpha2u-globulin. Acinar cell hypertrophy of salivary glands was histopathologically evident in male and female rats of the 2.5% or greater groups. The present results indicate that l-Asp causes toxic effects on kidneys and possibly salivary glands at high dose levels in male and female Fischer 344 rats. Such toxic effects were observed only in animals given 2.5% and/or higher doses of l-Asp. In conclusion, the no-observed-adverse-effect-level (NOAEL) for l-Asp is 1.25% (696.6 mg/kg body weight/day for males and 715.2 mg/kg body weight/day for females) under the present experimental conditions.

Protection against irradiation-induced damage to salivary glands by adrenergic agonist administration

PURPOSE

Irradiation [IR]-induced damage to major salivary glands is an entity first described at the beginning of our century, yet its underlying mechanism is still enigmatic. Exposure of the salivary glands to IR is often inevitable when delivering radiotherapy for malignancies of the head and neck region. Frequently, this results in rapidly developing, life-long severe xerostomia for which no adequate prevention or treatment is available. The purpose of this study was to examine the role of secretion granules in serous cells of the parotid (P) and submandibular (SM) glands as mediators in the IR-induced salivary damage. Functional parameters (flow rate and gland weight), and total body weight were examined at both early term (4 days) and extended term (2 months) post-IR in male Wistar rats exposed to 15 Gy of head and neck irradiation following stimulation for granule secretion (degranulation).

METHODS AND MATERIALS

At 4 days, it was demonstrated that IR reduced P flow rate, P gland weight, total body weight, and submandibular/sublingual gland weight by 89, 33, 30, and 32% (p < 0.01), respectively, while SM flow rate was not altered significantly. At 2 months, these parameters were reduced by 59, 37, 31, and 37%, respectively, and the SM flow rate was reduced by 39% (p < 0.01).

RESULTS

Pilocarpine, a muscarinsic agonist which, albeit its efficacy as a salivary watery secretion stimulator, causes only limited degranulation, did not protect significantly any of the reduced parameters at either term. In contrast, cyclocytidine, an adrenergic agonist that is a very potent salivary degranulating agent, protected the P against the weight loss at 4 days and 2 months, and against the flow rate reduction at 2 months. The P weight and flow rate were protected to the extent that their values were not significantly different than those of the nonirradiated controls. Cyclocytidine also partially protected against the body weight reduction at 2 months. Our results emphasize the importance of secretion granules as mediatory agents in IR-induced P damage, and more so at the extended term. The demonstrated protective role of adrenergic agonists against IR damage to the P may be of importance in the clinical setting.

The effect of pilocarpine and atropine administration on radiation-induced injury of rat submandibular glands

In the management of head and neck tumors by radiotherapy, the patients are prone to suffer from radiation-induced damage of the salivary glands. This experiment was carried out to examine the effect of pilocarpine and atropine on the rat submandibular gland and to establish whether it is possible to protect the salivary glands from irradiation by altering the amount of secretory granules in the serous cells prior to irradiation. The submandibular glands of rats were irradiated after pretreatment with or without drugs. Single irradiation of 18 Gy caused significant damage to the submandibular glands without pretreatment, showing the most severe changes 1 week after irradiation and slowly recovering thereafter. Pilocarpine pretreatment was protective against irradiation, displaying much less damage after irradiation of the same dosage, and with complete recovery after 4 weeks. On the other hand, atropine-pretreated animals revealed more extensive damage than the other two groups, possibly due to the retention of secretory granules.

Morphological changes in salivary glands after treatment with sialagogues. An electronmicroscopical study

A dual innervation in salivary glands has been discussed. It is unclear how alpha-adrenergic and cholinergic agents stimulate the secretory cells. Different effects on serous and mucous cells are reported after stimulating with carbachol, clonidine, noradrenaline, cyclocytidine and pilocarpine, respectively. In the rat, carbachol and clonidine predominantly affect the mucous cells, however, with different morphological effects. Cyclocytidine exclusively degranulates the serous cells. Noradrenaline stimulates both serous and mucous cells and gives rise to vast cytoplasmic changes. Pilocarpine only shows effect on the mucous cells with formation of intracytoplasmic vacuoles. The effects reported are discussed with regard to experiments on salivary gland radiosensitivity.

Salivary gland morphology after alpha-adrenergic and cholinergic stimulation. An ultrastructural study

The submandibular glands in 100 rats were subjected to different sialagogues: carbachol, clonidine, noradrenalin, and cyclocytidine. The morphological effects of these drugs were compared ultrastructurally. Clonidine, which is an alpha-2-agonist affected mostly the mucous cells, with formation of cytoplasmic vacuoles between the mucous droplets. Noradrenalin and cyclocytidine, both alpha-1-agonists, showed depletion of secretory granules in the serous cells. Noradrenalin also induced cytoplasmic disorganization with enlarged mitochondria, irregular endoplasmic reticulum, and shrinking of the secretory lumen. Carbachol, a cholinergic agonist, was found to produce widespread vacuolization in the cytoplasm of both serous and mucous cells. Small vesicles appeared and mitochondria were destroyed. To induce experimentally a complete depletion of granular serous cells, without other changes in ultrastructural morphology, cyclocytidine was found to be the most efficient drug.

A histological study of the effects of different alpha-adrenergic and cholinergic agonists on the rat submandibular gland

Rat submandibular glands were exposed to various sialagogues, including carbachol, clonidine, noradrenaline and cyclocytidine. The effects of these drugs were morphologically compared. Clonidine, which is an alpha-2-agonist, caused no depletion of granules in the serous cells examined. Noradrenaline and cyclocytidine, which are alpha-1-agonists, showed remarkable depletion of secretory granules in the serous cells. Carbachol caused visible and abundant salivation in the animals, but was found to produce only partial granular depletion of both serous and mucous cells. To induce experimentally a complete depletion of granular serous cells, cyclocytidine was found to be an excellent choice as a sialagogue with no side-effects on the cardiac and respiratory system.