Skip to main content
NIHPA Author Manuscripts logoLink to NIHPA Author Manuscripts
. Author manuscript; available in PMC: 2009 Nov 1.
Published in final edited form as: Arch Oral Biol. 2008 Jun 20;53(11):1058–1070. doi: 10.1016/j.archoralbio.2008.05.006

Age and Gender Related Differences in Human Parotid Gland Gene Expression

Alaka Srivastava a,c, Jianghua Wang b,c, Hui Zhou b, James E Melvin a,*, David T Wong b
PMCID: PMC2633719  NIHMSID: NIHMS72813  PMID: 18571147

Abstract

Objective

The present study evaluated differences in gene expression associated with age and gender in the human parotid gland.

Design

Parotid gland tissue was analyzed using the Affymetrix® GeneChip® HGU133plus2.0 array.

Results

Differential gene expression, defined as a statistically significant difference with a 1.5 fold or greater change, was detected in 787 gene probe sets; 467 (~59%) showed higher expression in females. Several genes associated with saliva secretion were differentially expressed in male and female parotid glands including vesicle-associated membrane protein 3 VAMP3, synaptosomal-associated protein SNAP23, RAS oncogene family member RAB1A and the syntaxin binding protein STXBP1. Evaluation of gene expression in the youngest and the oldest female subjects revealed that the expression of 228 probe sets were altered during aging; 155 genes were up-regulated in the aged female parotid gland. However, of the genes that were altered during aging, 22 of the 30 probes (73%) classified as being associated with immune responses were down-regulated in the aged parotid gland. A panel of differentially expressed, age- and gender-related genes was selected for validation by quantitative, real-time RT-PCR. Comparable differences in gene expression were detected by both Affymetrix array and quantitative, real-time RT-PCR methods.

Conclusions

Our data suggest that salivary gland function may be adversely affected in the aged population due, at least in part, to the altered regulation of several categories of genes. Moreover, the gender specific differences in gene expression identified in the present study correlate with the previously observed sexual dimorphism in salivary gland function.

Keywords: Human parotid, Salivary gland, Gene expression

INTRODUCTION

Previous studies suggest that there may be age and gender related differences in salivary gland function (15). However, the limited and often conflicting information available from healthy populations makes it difficult to confirm these differences (69). Saliva is produced and secreted into the oral cavity by the exocrine salivary glands. Humans possess three major pairs of salivary glands (parotid, submandibular and sublingual) and several types of minor salivary glands scattered throughout the oral cavity. The majority of saliva (>80%) is generated by the two largest of these glands, the parotid and submandibular glands (10, 11). Recent studies show that saliva contains well over one thousand different unique proteins, the functions for the majority of which are yet to be determined (12).

Salivation is a highly regulated process which occurs at a relatively slow rate between meals, with almost no secretion during sleep (13). The importance of saliva to oral health is most evident in subjects suffering from severe salivary gland hypofunction commonly associated with the autoimmune disease Sjögren’s syndrome, radiation therapy of head and neck cancers, and numerous types of medications. In these cases, there is a dramatic increase in both oral and systemic disease (14). Thus, without adequate saliva output, oral and pharyngeal health declines along with quality of life.

Persistent dry mouth is also a common symptom in aged individuals, although the mechanisms involved are not well understood. Dry mouth in the elderly is frequently associated with the increased use of medications and the functional disturbances associated with these medications. Both age and gender associated differences in the structure and function of salivary glands have been identified (1, 4). Examples of such differences include a decrease in gland size and weight (15), decreased saliva flow rate (13), and an increased concentration of immunoglobulin A (IgA) (3). In humans, decreases in protein synthesis (16) and salivary flow rate (1, 2, 4, 5) have been reported. Given these age related differences in salivary gland structure and function, it is expected that significant changes in gene expression must occur. However, other studies have failed to demonstrate a relationship between age and decreased function (69). Thus, the limited and often conflicting information available from healthy populations makes it difficult to confirm these differences. The purpose of the present study was to evaluate and compare differences in gene expression associated with age and gender in the human parotid gland.

MATERIALS and METHODS

Human Parotid Gland Tissue

Human parotid glands were obtained from 32 otherwise healthy male (n=13) and female (n=19) subjects (19–85 years of age) scheduled to have parotid surgery because their gland contained a benign tumor that required removal of all or a large portion of the gland. All samples were pathologically confirmed to be benign salivary gland tumors (pleomorphic adenoma, mixed tumor or Warthin’s tumor). Subjects were excluded who indicated that they experienced dry mouth or took medications known to adversely affect salivary gland function. Much of the normal tissue surrounding the tumor is not used for diagnostic evaluation of the sample. This discarded tissue was collected immediately after surgical excision and transported in ice-cold physiological saline to the laboratory where the tissue was frozen in liquid N2. Tissue was obtained and used as approved by the University of Rochester Institutional Review Board, or in the case of 3 samples, obtained through the Cooperative Human Tissue Network (CHTN). The functional properties of the parotid tissue obtained by these criteria appear normal in all respects (17, 18).

RNA Isolation and Array Analysis

Total RNA from parotid gland tissues was treated with RNase free DNase (Qiagen) and isolated by affinity chromatography according to the manufacturer’s protocol (RNeasy kit (Qiagen, Valencia, CA). RNA (3 µg) was subjected to 1 round of linear amplification with the RiboAmp™ RNA Amplification kit (ARCTURUS, Mountain View CA) and biotinylated using GeneChip® Expression 3’-Amplification reagents for IVT labeling (Affymetrix). Before hybridization, 13 µg of labeled RNA was fragmented using 5X fragmentation Buffer (Affymetrix). RNA quality was monitored before and after amplification, as well after fragmentation (2100 bioanalyzer, Agilent Technologies). Hybridization to the Human Genome U133 Plus 2.0 Array as well as imagine scanning (Affymetrix, Santa Clara, CA, USA) was performed by the Microarray Core Facility at the University of California, Los Angeles, according to standard protocols provided by Affymetrix.

Array Data and Statistic Analysis

The fluorescence intensities of the arrays were measured by Array Suite 5.0 software (Affymetrix). The data were imported into DNA-Chip Analyzer software (Affymetrix) for normalization and model-based analysis (19). A detection p-value was obtained for each probe set, and any probe sets with p < 0.04 were assigned as a "present" call, indicating that the matching gene transcript was reliably detected (Statistical algorithms description document. Affymetrix, 2002). The raw data were then exported to Microsoft Excel software for data sorting and mining.

The GeneSifter® array data analysis system (VizX Labs LLC, Seattle, WA) was used to identify age and gender related differences in gene expression of the human parotid gland. The Affymetrix non-normalized data (CEL files) were transferred into GeneSifter. Expression measurements were derived using RMA (robust multiple average) and filtering criteria of a 1.5 or greater fold change (20). Statistical significance was determined by Student’s t-test, and data were corrected for multiple testing using the method of Benjamini and Hochberg (21). Only the probe sets which passed the quality filtering with p values <0.05 were included in the analysis.

Pathway Analysis

Genes with significantly different expression were overlaid using GeneSifter software onto Ontological pathways (http://www.geneontology.org/) (22) and KEGG pathways (http://www.genome.jp/kegg/) (23). The ontological and KEGG pathway analyses provided detailed data on individual genes in the context of that gene's role in described biological processes, molecular functions, and cellular components. Pathways were considered significantly altered from the control gene expression profiles if the z-score for that pathway was less than −2 or greater than 2. z-Scores were calculated in GeneSifter using the following formula:

Z-score=(rn)RNN(RN)(1RN)(1n1N1)

where R = total number of genes meeting selection criteria, N = total number of genes measured, r = number of genes meeting selection criteria with the specified GO term, and n = total number of genes measured with the specific GO term (24). The data from the individual arrays (n = 13) are accessible for download through the National Center for Biotechnology Information’s Gene Expression Omnibus (http://www.ncbi.nlm.nih.gov/geo) through series accession number (GSE8764).

RT-PCR and Q-PCR

Quantitative PCR (Q-PCR) was used to validate microarray results. First-strand complementary DNA (cDNA) was synthesized from 1 µg of total RNA in a 20 µl reaction using the iScript™ cDNA synthesis kit (Bio-Rad, Hercules, CA). A primer set for each gene was generated using GeneFisher software (http://bibiserv.techfak.uni-bielefeld.de/genefisher/). The primers were synthesized commercially (Integrated DNA Technologies, Coralville, IA). Q-PCR was performed in triplicate using a 96-well iCycler IQ™ Real Time PCR Detection System (Bio-Rad, Hercules, CA) in 25 µl total volume containing 12.5 µl of 2XSYBR Green Master Mix , 0.5 to 1.0 µl of cDNA and 0.5 µl and 2 ng/µl of gene specific primers (Table 1). Q-PCR amplification was carried out by 40 cycles of 30 sec at 95°C and 30 sec at 60°C. Dissociation curves were monitored (60°C for 10 sec to 95°C in 0.5°C/10 sec increments) to ensure the absence of secondary PCR product. The predicted sizes of the PCR products were verified by agarose gel electrophoresis. In most cases, the PCR products were also sequence verified. The endogenous control, L32, was measured simultaneously for each sample. The PCR efficiency of the reaction was measured with L32 primers using serial dilution of cDNA (1:1, 1:2, 1:4, 1:8 and 1:16). Q-PCR amplification curves were analyzed with iCycler IQ Software version 3.1.7050. For relative quantification of gene expression, the comparative threshold cycle (Ct) method was used (described in User Bulletin 2 for ABI PRISM® 7700 Sequence Detection Systems). The value obtained from Ct represents the PCR cycle at which an increase in fluorescence signal can be detected above background for the particular gene. The Ct values of endogenous control (L32) were subtracted from that of each gene of interest Ct values to derive the ΔCt value. The relative expression of the gene of interest, ΔΔCt, was then evaluated by subtracting the ΔCt of control sample from the compared sample, e.g., male (control) to female (compared) or young (control) to old (compared). The fold difference was calculated as 2-ΔΔCt.

Table 1.

Oligonucleotide primers used for Q-PCR

Accession No. Gene ID Forward (5'–3') Reverse (5'–3')
NM_000738 CHRM1 TTCCTGGGAGTGGGAGTCAAG ATTGGGGAGCTCACAGGAGAG
NM_138455 CTHRC1 TCGCACTTCTTCTGTGGAAGG TGCGAGAAACTGAATTCCATCC
AF332225 CYORF15B GGCAGTTTCTTAGGCTGTGAC TTGTTTCCAATGCTAGCCAGAG
NM_004660 DDX3Y ACTGATAGGAAGGTCCACATCC AATACTGCTGGCTGGTAAAACC
NM_152679 SLC10A4 TGTGGAGATACACAGGAGCTTC GGCTTCACGTTAGCCATTCC
NM_139266 STAT1 CAAACCTCAAGCCAGCCTTG GGCAGTAACACGGGGATCTC
NR_001564 XIST AAACAAGGTGTTGTGGTCTTCC TCAGCTGTCAGTGATCTAATGC
BC033974 ZFY CTTCCCTCTCACTCCTGGTAC CAGGCAGAAGAAAGAATCAGCA
NM_001565 CXCL10 GAGGTGCTATGTTCTTAGTGGATG CTGAAAGAATTTGGGCCCCTTG
NM_002122 HLA-DQA1 GCTATATCCCCTCAGAGCTCAC AGTCAGCCCTGGATGAAAGATG

RESULTS

Gene Expression in Human Parotid Glands Measured by Array

RNA was isolated from the parotid glands of 8 female and 5 male subjects 19 to 71 years of age and analyzed by microarray. The Affymetrix® GeneChip® HGU133 Plus 2.0 array contains about 54,000 probe sets representing over 18,400 transcripts and variants, including 14,500 well-characterized human genes. The percent array outliers (19) were in the range of 0.12 to 0.31, and the percent of a single outlier was in the range of 0.11 and 1.02 (19). The percent of “present” call varied from array to array, ranging from 41.2% to 52.5%. About 21% of the probe sets were not detected on any of the 13 arrays. There was a common present call for about 26% of the probe sets on all 13 arrays. An additional 16% of the positive probe sets were detected on at least ten of the 13 arrays. Thus, nearly 37% of the probes sets were “present” on 10 of the 13 samples analyzed, which is similar to the number of genes expressed in other organ systems (25, 26).

Age Related Differences in Human Female Parotid Gland Gene Expression

Array data from human female parotid glands were compared for differences in gene expression. Data were analyzed by GeneSifter array data analysis system using RMA (robust multi-array analysis) and filtering criteria of a 1.5 or greater fold change (see METHODS). To eliminate gender differences in gene expression, only female samples were used for this analysis. Samples from 3 young females (19, 25 and 38 years old) and 3 older females (65, 65 and 69 years old) were compared (Figure 1). The expression of 228 probe sets showed differential expression between these two age groups; the signal on 155 (68%) of these probe sets increased in aged parotid glands (Figure 2, Supplement Table A). Probe sets representing 10 unique genes showed a 3 fold or more difference in expression during aging including e.g., CXCL10, UBD, HLA-DQA1 (Table 2, also see full Supplement Table 1). A few examples of highly differentially expressed genes are indicated by arrows in Figure 2. The differentially expressed genes are involved in numerous biological functions such as chemokine (CXCL10), electron transport (DHRS2), ion transport (SLC10A4), antigen processing (HLA-DQA1), proteolysis (UBD).

Figure 1.

Figure 1

Heat map of 228 differentially expressed genes comparing RNA samples from female human parotid of different age groups. The age is noted on each lane. Red represents relative expression greater than the median expression level across all samples, and green represents an expression level lower than the median. Black indicates intermediate expression.

Figure 2.

Figure 2

Scattered plot analysis of 228 genes, which have at least 1.5 fold difference in their expression in between young (19, 25 and 38 years of age) and old (65, 65 and 69 years of age) female parotid glands.

Table 2.

Gene expression ratio of older (65, 65 and 69 years) to younger (19, 25 and 38 years) (O/Y) female parotid glands*

Gene Name Acc. No. Gene ID Ratio (O/Y) Direction Ontology
Cytokine subfamily B (Cys-X-Cys), member 10 NM_001565 CXCL10 8.37 Down Chemokine
Solute carrier family 10 member 4 AI421796 SLC10A4 4.41 Up Ion transport
Diubiquitin D NM_006398 UBD 3.89 Down Proteolysis
Histocompatibility complex, class II, DQ alpha 1 BG397856 HLA-DQA1 3.5 Down Antigen processing
Interferon, alpha-inducible protein NM_022873 IFI6 3.49 Down Release of cytochrome c from mitochondria
Short-chain alcohol dehydrogenase family member NM_005794 DHRS2 3.38 Up Electron transport
Interferon-stimulated transcription factor 3, gamma NM_006084 ISGF3G 3.34 Down Regulation of transcription
Signal transducer and activator of transcription 1, 91kDa BC002704 STAT1 3.31 Down Regulation of transcription
Interferon-stimulated protein, 15 kDa NM_005101 ISG15 3.05 Down Response to other organism
Ependymin related protein 1 BC000686 EPDR1 3 Up Ion binding
Cysteine/tyrosine-rich 1 H06649 CYYR1 2.92 Up
Periostin, osteoblast specific factor D13665 POSTN 2.86 Up Skeletal development
Collagen triple helix repeat containing 1 AA584310 CTHRC1 2.82 Up Phosphate transport
Histone deacetylase 9 BM726008 HDAC9 2.73 Up Negative regulation of transcription
Phosphodiesterase 5A, cGMP-specific BF221547 PDE5A 2.68 Up Signal transduction
Immunoglobulin heavy constant gamma 1 BC001872 IGHG1 2.66 Down Antigen processing
Stearoyl-CoA desaturase AA678241 SCD 2.49 Down Lipid metabolic process
Rho GTPase activating protein 6 NM_001174 ARHGAP6 2.4 Up Regulation of catalytic activity
Glycoprotein (transmembrane) nmb (GPNMB) NM_002510 GPNMB 2.37 Up Negative regulation of cellular process
Interferon regulatory factor 7 NM_004030 IRF7 2.36 Down Negative regulation of transcription
Four and a half LIM domains 1 AF063002 FHL1 2.31 Up Metal Binding
Lysosomal associated protein transmembrane 4 beta AW149681 LAPTM4B 2.31 Up Transport
Cytochrome P450, family 4, subfamily B, polypeptide 1 J02871 CYP4B1 2.26 Up Electron transport
Frizzled-related protein U91903 FRZB 2.23 Up Cell communication
Four and a half LIM domains 1 (FHL1) NM_001449 FHL1 2.18 Up Metal Binding
Solute carrier family 1 , member 1 AW235061 SLC1A1 2.16 Up Transport
Epithelial stromal interaction 1 AA781795 EPSTI1 2.15 Down
Guanylate binding protein 1, interferon-inducible AW014593 GBP1 2.15 Down Immune response
Tubulin tyrosine ligase-like family, member 7 NM_024686 TTLL7 2.14 Up Protein modification
NGFRAP1-like 1 AV726956 NGFRAP1L1 2.13 Down
Fatty acid synthase AI954041 FASN 2.12 Down Fatty acid biosynthetic process
Guanylate binding protein 1, interferon-inducible BC002666 GBP1 2.1 Down Immune response
Interferon induced transmembrane protein 3 (1-8U) BF338947 IFITM3 2.1 Down Immune response
Asparaginase like 1 NM_025080 ASRGL1 2.09 Up Glycoprotein catabolic process
Myxovirus (influenza virus) resistance 2 NM_002463 MX2 2.09 Down Defense response
Solute carrier organic anion transporter, member 1A2 NM_021094 SLCO1A2 2.09 Up Transport
Interferon induced transmembrane protein 1 AA749101 IFITM1 2.08 Down Immune response
Plasminogen activator, tissue NM_000930 PLAT 2.07 Up Protein modification
Solute carrier family 25, member 34 AU151211 SLC25A34 2.07 Up Transport
ATP-binding cassette, member 2 (ABCB2) NM_000593 TAP1 2.03 Down Response to stimulus
Low density lipoprotein receptor NM_000527 LDLR 2.03 Down Protein Biosysnthesis
Cysteine/tyrosine-rich 1 AI458003 CYYR1 2.02 Up
NLR family, CARD domain containing 5 AA005023 NLRC5 2.02 Down Defense response
Lysosomal associated protein transmembrane 4 beta NM_018407 LAPTM4B 2.01 Up Transport
Monocyte to macrophage differentiation-associated NM_012329 MMD 2.01 Up Cytolysis
Peroxisomal biogenesis factor 6 NM_000287 PEX6 2.01 Down Peroxisome organization
Integrin beta 1 binding protein 1 NM_004763 ITGB1BP1 2 Up Cell adhesion
*

Genes listed had signal intensity of >5.0 in at least one group, expression ratio of >2.0 (between glands), p value <0.05, with known gene identity.

Interestingly, a large number of the differentially expressed genes include those known to be involved in immune responses (Table 3). The very high z-score (11.72, Table 3) indicates that the older population may have an altered immune system. Out of the 522 probe sets on the HGU133A Plus 2.0 array known to be associated with the immune system, 30 probe sets were differentially expressed. The expression decreased on 22 probe sets while expression increased on 8 probe sets in the older population. A list of the 30 differentially expressed probe sets involved in immune response is given in Table 4. The expression of both HLA-DQA1 and HLA-DQB1 are decreased in the parotid gland of the aged female, as well as Chemokine (C-X-C motif) ligand 10 (CXCL10). Several other proteins (e.g., IRF6, IRF7, GBP1, IFITM1, IFITM2, PSMB8 and PSMB9), which are known to be involved in different immune response pathways, showed altered expression in the aged population (Table 4).

Table 3.

Differential gene expression in older (69,65 and 65 years) compared to younger (19, 25 and 38) female parotid glands and their ontological categorization based on their immunity response

Ontology Diff exp genesa Up-regb Down-regb Tot on arrayc z-Score upd z-Score downd
Immune response 28 4 24 522 −1.14 11.72
Defense response 16 6 10 476 −0.13 4.14
Antigen processing and presentation 9 0 9 52 −0.84 15.24
Response to biotic stimulus 9 0 9 215 −1.37 8.58
Response to other organism 7 1 6 151 −0.72 5.23
Response to virus 6 0 6 84 −1.07 7.57
a

Diff exp genes indicates the total number of genes differentially expressed on the array in that category.

b

Up-reg and down-reg indicate the total number of up and down regulated genes respectively in older population.

c

Tot on array indicates the total number of genes on the array in that onctological category.

d

z-score-up and z-score-down indictae the z-score for that category.

Table 4.

Differentially expressed genes known to be involved in the immune response in older (65, 65 and 69 years) compared to younger (19, 25 and 38 years) female parotid glands

Gene Name Accession No. Gene ID Ratio Direction
Chemokine (C-X-C motif) ligand 10 NM_001565 CXCL10 8.37 Down
Ubiquitin D NM_006398 UBD 3.89 Down
Major histocompatibility complex, class II, DQ alpha 1 BG397856 HLA-DQA1 3.5 Down
Interferon, alpha-inducible protein 6 NM_022873 IFI6 3.49 Down
Interferon-stimulated transcription factor 3, gamma 48kDa NM_006084 ISGF3G 3.34 Down
interferon-stimulated protein, 15 kDa NM_005101 ISG15 3.05 Down
Histone deacetylase 9 BM726008 HDAC9 2.73 Up
interferon regulatory factor 7 NM_004030 IRF-7 2.36 Down
guanylate binding protein 1, interferon-inducible, 67kD AW014593 GBP1 2.15 Down
Guanylate binding protein 1, interferon-inducible BC002666 GBP1 2.1 Down
Interferon induced transmembrane protein 3 BF338947 IFITM3 2.1 Down
Myxovirus (influenza virus) resistance 2 NM_002463 MX2 2.09 Down
Interferon induced transmembrane protein 1 AA749101 IFITM1 2.08 Down
Transporter 1, ATP-binding cassette, sub-family B NM_000593 TAP1 2.03 Down
Major histocompatibility complex, class II, DQ beta 1 AI583173 HLA-DQB1 1.99 Down
Myeloid leukemia factor 1 NM_022443 MLF1 1.97 Up
Proteasome subunit, beta type, 9 NM_002800 PSMB9 1.97 Down
NCK adaptor protein 1 NM_006153 NCK1 1.95 Up
Suppressor of cytokine signaling 5 AW664421 SOCS5 1.95 Up
Interferon regulatory factor 1 NM_002198 IRF-1 1.89 Down
Secreted and transmembrane 1 BF939675 SECTM1 1.82 Down
Leptin NM_000230 LEP 1.74 Up
Clusterin M25915 CLU 1.67 Up
CD74 molecule K01144 CD74 1.63 Down
Mucosa associated lymphoid tissue lymphoma translocation ge NM_006785 MALT1 1.63 Up
Proteasome subunit, beta type, 9 AI375915 PSMB9 1.62 Down
Proteasome subunit, beta type, 8 U17496 PSMB8 1.61 Down
Tumor necrosis factor (ligand) superfamily, member 13b AF134715 TNFSF13B 1.58 Down
Interferon induced transmembrane protein 2 NM_006435 IFITM2 1.55 Down
Chemokine (C-C motif) receptor 2 NM_000647 CCR2 1.5 Up

The older population also showed altered expression of several ion transporters and neurotransmitter receptors known to be involved in saliva secretion, e.g., the cholinergic muscarinic type 1 receptor CHRM1 and the K channel KCNJ2 showed lower expression in the aged (Supplement Table A). Other ion transporters and channels, such as, SLC10A4, CTHRC1 (Phosphate/organic transporter), SLC21A3, SLC01A2, SLC24A3 SLC30A9, SCL39A10 and CLCN3 also showed differential expression (Supplement Table A) [the data from the 13 individual arrays are accessible for download through the National Center for Biotechnology Information’s Gene Expression Omnibus (http://www.ncbi.nlm.nih.gov/geo) through series accession number (GSE8764)].

Gender Related Differences in Human Parotid Tissue

To determine whether gender-related gene expression differences exist in the human parotid gland, eight female samples (19, 25, 38, 41, 49, 65, 65 and 69 years of age) and five male samples (42, 59, 62, 70 and 71 years old) were analyzed by microarray. Examination of the array data by GeneSifter software demonstrated that gender has a very significant influence on gene expression in the parotid gland with 787 probe sets showing differential expression. Table 5 presents the gene expression differences between male and female parotid samples. Male tissues showed higher expression with 320 probe sets, while, 467 probe sets were preferentially expressed at a higher level in females. Ten unique gene probe sets were expressed at greater than a 10-fold difference with an additional 79 gene probes were over-expressed at more than a two-fold difference. Not surprisingly, the greatest differences in expression levels (up to 124-fold) were observed in the genes linked to the X and Y chromosomes (Figure 3 and Table 6). Twenty-five probe sets representing genes on the X chromosome were differentially expressed. Of these, 19 were found at higher levels in female glands, while 6 probe sets were slightly higher in male tissue. HBA2 is involved in oxygen transport while XIST regulates X chromosome inactivation (Figure 3). Multiple probe sets for the XIST gene are present on the array which all show much higher expression in females (Figure 3). All 17 of the probe sets for genes on the Y chromosome showed higher expression in male samples and almost no signal was detected in female samples. Representative examples are shown by arrows in Figure 3. These Y chromosome-specific genes are involved in various biological functions such as protein biosynthesis (RPS4Y1), nucleotide binding (DDX3Y), transcription regulation (SMCY, ZFY).

Table 5.

Differential expression of probe sets in male (n=5) and female (n=8) parotid glands*

Expression Threshhold Differentially Expressed Genes Genes Up-reguatted in Male Genes Up-regulated in Female
>1.5 fold 787 320 467
>1.5 fold and <2 698 280 418
>2 fold and <10 79 35 44
>10 fold 10 5 5
*

A student t-test was applied, with the p value <0.05.

Figure 3.

Figure 3

Scattered plot analysis of 787 genes, which have at least 1.5 fold differences in their expression in between male and female parotid glands.

Table 6.

Gender related differential gene expression in human parotid gland*

Higher Expression in Female
Gene Name Accession No. Gene ID Ratio Ontology
X (inactive)-specific transcript NR_001564 XIST 124.03
Zinc finger, CCHC domain containing 2 NM_017742 ZCCHC2 3.52 Metal Ion Binding
Pinin, desmosome associated protein NM_002687 PNN 3.03 Transcription regulation
Hemoglobin, alpha1 NM_000517 HBA1 3.01 Oxygen transport
PRO1073 protein NM_014086 PRO1073 2.62 Unknown
Serpin peptidase inhibitor clade B (ovalbumin), member 9 BC002538 SERPINB9 2.59 Anti-apoptosis signal transduction
Collagen, type VI, alpha 2 NM_001849 COL6A2 2.53 Organization and biogenesis
Family with sequence similarity 108 member 1 NM_031213 FAM108A1 2.49 Hydrolase activity
WW, C2 and coiled-coil domain containing 1 NM_015238 WWC1 2.46 Cellular function
ADP-ribosylation factor 3 NM_001659 ARF3 2.45 GTPase signal transduction
ATPase, Class V, type 10C NM_024490 ATP10A 2.45 Cation transport
Immunoglobulin heavy constant mu BC001872 IGHG1 2.43 Immune response
Immediate early response 3 interacting protein 1 NM_016097 IER3IP1 2.33 Integral to membrane
ATP-binding cassette (CFTR/MRP), member 10 NM_033450 ABCC10 2.3 Transport
Rabaptin, RAB GTPase binding effector protein 2 NM_024816 RABEP2 2.27 Endocytosis, protein transport
Essential meiotic endonuclease 1 homolog 1 NM_152463 EME1 2.27 DNA repair
Misshapen-like kinase 1(zebrafish) (MINK1 NM_015716 MINK1 2.26 Protein Phosphorylation
Arachidonate 5-lipoxygenase NM_000698 ALOX5 2.25 Linoleic acid metabolism
Secreted phosphoprotein 1 NM_001040058 SPP1 2.18 TGF Beta Signaling Pathway
Small nuclear ribonucleoprotein polypeptide A NM_004596 SNRPA 2.16 mRNA processing
Member RAS oncogene family NM_021168 RAB40C 2.15 GTPase signal transduction
RUN and TBC1 domain containing 1 BC029251 RUTBC1 2.13 Unknown
Protease, serine, 21 NM_006799 PRSS21 2.13 Proteolysis
Additional sex combs like 1 NM_015338 ASXL1 2.1 Transcription regulation
Insulin-like growth factor 2 mRNA binding protein 2 NM_006548 IGF2BP2 2.08 Protein biosynthesis
Zinc finger protein 432 NM_014650 ZNF432 2.07 Transcription regulation
Metastasis associated lung adenocarcinoma transcript 1 NR_002819 MALAT1 2.07 Binding
UDP-N-acetyl-alpha-D-galactosamine: Polypeptide N-acetylgalactosaminyltransferase-like 1 AI097463 GALNTL1 2 Glycan biosynthesis
Higher Expression in Male
Gene Name Accession No. Gene ID Ratio Ontology
Ribosomal protein S4, Y-linked (RPS4Y) NM_001008 RPS4Y1 29.65 Protein Biosysnthesis
DEADH (Asp-Glu-Ala-AspHis) box polypeptide, Y linked NM_004660 DDX3Y 16.17 Nucleotide binding
Chromosome Y open reading frame 15A, Testis protein AF332224 CYorf15A 15.48
Eukaryotic translation initiation factor 1A, Y-linked BC005248 EIF1AY 14.74 Protein Biosysnthesis
Smcy homolog, Y-linked NM_004653 SMCY 11.81 Transcription regulation
Zinc finger protein, Y-linked NM_003411 ZFY 6.79 Transcription regulation
Ubiquitin specific peptidase 9, Y-linked NM_004654 USP9Y 5.28 Ubiquitin-dependent protein catabolism
Lumican NM_002345 LUM 2.82 visual perception, Collagen fibril organization
Cofilin 1(non-muscle) NM_005507 CFL1 2.63 Signal Transduction
SH3 domain binding glutamic acid-rich protein like NM_003022 SH3BGRL 2.61 SH3/SH2 adaptor activity
Cysteine-rich secretory protein 2 NM_003296 CRISP2 2.51 Testis Specific
Acid phosphatase, testicular NM_033068 ACPT 2.43 Riboflavin metabolism
RNA binding motif protein 3 NM_006743 RBM3 2.33 RNA Processing
Rho GTPase activating protein 5 NM_001173 ARHGAP5 2.24 GTPase mediated signal transduction
Inhibin beta A NM_002192 INHBA 2.22 TGF Beta Signaling Pathway
Short coiled-coil protein NM_032547 SCOC 2.18 Unknown
Crystallin, beta B2 NM_000496 CRYBB2 2.16 Visual perception
Apolipoprotein D NM_001647 APOD 2.15 Lipid metabolism
Similar to ubiquitin B precursor NM_018955 UBB 2.13 Protein ubiquitination
HBS1-like NM_006620 HBS1L 2.12 Protein Biosynthesis
Replication protein A3 NM_002947 RPA3 2.11 DNA replication
Chromosome 1 open reading frame 43 NM_015449 C1orf43 2.11 Unknown
Cysteine/tyrosine-rich 1 NM_052954 CYYR1 2.1 Unknown
Basic helix-loop-helix domain containing, class B, 2 NM_003670 BHLHB2 2.08 Transcription regulation
Chromosome 1 open reading frame 80 NM_022831 C1orf80 2.06 Unknown
Fatty acid binding protein 7 NM_001446 FABP7 2.05 Fatty acid metabolism
Ras-related C3 botulinum toxin substrate 1 NM_006908 RAC1 2.04 GTPase mediated signal transduction
*

Genes listed had a signal intensity of >5.0 in at least one group, expression ratio of >2.0 (between glands), p value <0.05, with known gene identity.

The distribution on chromosomes 1 to 22 of the 652 genes differentially expressed in male and female parotid glands was analyzed, excluding the X and Y sex chromosomes. The number of differentially expressed genes on a given chromosome was directly related to the total number of predicted genes present on that chromosome (Figure 4). This result suggests that the distribution of differentially expressed genes is randomly dispersed throughout the genome.

Figure 4.

Figure 4

A direct correlation in between number of genes on a chromosome and the number of differentially expressed genes on that chromosome

The effect of gender on gene expression in the human parotid gland involved a diverse range of biological processes, molecular functions and cellular components. The z-score analysis indicates the involvement of these genes in several important pathways. As shown in Table 7, gender influenced many genes that affect metabolism, transcription, DNA binding, metal binding and secretory pathway, and they are localized in different cell compartments. Among the differentially expressed genes, several are involved in transcription regulation; e.g., PNN, ASXL1 and ZNF432 are more highly expressed in females, whereas SMCY, ZFY and BHLHB2 are more highly expressed in male parotid tissue (Table 6). Male parotid glands highly expressed submaxillary gland androgen regulated protein B (SMR3A, ont = secretion) and apolipoprotein D (APOD, ont = lipid metabolism); whereas, genes highly expressed in female glands were SPDI, transmembrane family member 2 (SID2, ont = lipid metabolism) and cytochrome B5 reductase (CYB5R3, ont = electron transport) (see GEO # GSE8764). (Supplement Table B).

Table 7.

Gene expression in male and female human parotid glands and their ontological categorization

Ontology Diff M F Total M F
exp genesa upb upc on Arrayd z-scoree z-scoref
Biological Processes
Physiological process 387 176 211 9550 1.54 2.21
Metabolism 275 122 153 6530 0.99 2.25
Regulation of biological process 139 51 88 3375 −1.34 2.53
Protein metabolism 122 64 58 2623 3.01 0.51
Transcription 76 23 53 1977 −2.24 2.04
Cell organization and biogenesis 66 38 28 1405 2.86 −0.26
Protein transport 33 16 17 534 2.22 1.82
Protein biosynthesis 28 17 11 525 2.63 0.01
Vesicle-mediated transport 25 15 10 352 3.62 1.01
Protein kinase cascade 19 10 9 278 2.35 1.36
Response to wounding 19 5 14 363 −0.57 2.4
Macromolecule catabolism 18 11 7 332 2.18 0.03
Secretion 16 12 4 250 3.69 −0.54
Endocytosis 12 6 6 130 2.48 2.03
Cellular Components
Intracellular 329 139 190 7016 1.78 4.34
Organelle 259 108 151 5757 0.55 2.8
Membrane-bound organelle 231 97 134 5065 0.77 2.62
Cytoplasm 161 82 79 3131 4.01 1.25
Nucleus 155 56 99 3468 −1.04 2.93
Integral to membrane 117 54 63 3457 −1.32 −2.02
Protein complex 78 41 37 1569 2.58 0.33
Mitochondrion 34 21 13 618 3.05 −0.24
Endoplasmic reticulum 31 19 12 579 2.73 −0.29
Organelle membrane 30 15 15 474 2.26 1.38
Extracellular region 28 15 13 998 −0.76 −2.11
Ribonucleoprotein complex 23 18 5 330 5.04 −0.91
Envelope 19 10 9 252 2.6 1.44
Molecular Processes
Protein binding 204 97 107 4621 2.51 0.77
Ion binding 120 41 79 3370 −2.64 0.74
Nucleotide binding 99 39 60 1790 1.61 3.65
Transferase activity 70 22 48 1665 −1.35 2.1
ATP coupled activity and binding 60 22 38 1196 0.33 2.47
Kinase activity 37 11 26 733 −0.47 2.6
Pyrophosphatase activity 33 19 14 502 3.63 0.95
GTP binding 23 14 9 290 4.12 1.08
Transcription factor activity 23 6 17 791 −2.15 −0.07
Structural constituent of ribosome 12 9 3 150 4.06 −0.16
Calmodulin binding 11 3 8 120 0.66 3.37
Hydrogen ion transporter activity 10 4 6 96 1.85 2.74
a

Diff exp genes indicate the total number of genes differentially expressed on the array in that category.

b

up regulated genes in male parotid glands, as compared to those of female (M-up).

c

Up regulated genes in female parotid glands, as compared to those of male (F-up).

d

'Total on array indicates the total number of genes on the array in that Ontological category.

e

z-score-M and z-score-F indicate the z-score for the male and female respectively.

f

The z-scores with value >2.0 or <-2.0 are reported for ontologies with more than 10 differentially expressed genes.

The Affymetrix® GeneChip® HGU133 Plus 2.0 array contains about 250 probe sets related to the secretory pathway, 16 of which were differentially expressed by gender with a z-score of 3.69 (Table 7). Several proteins involved in exocytosis were found to be differentially expressed in parotid tissue, e.g., members of the SNARE complex such as Syntaxin, VAMP, SNAP and proteins involved in the regulation and formation of the SNARE complex, e.g., RAB (Table 8). ARF3, which encodes for a small guanine nucleotide-binding protein that plays a role in vascular trafficking and as an activator of phospholipase D, also showed differential expression. The GTP binding protein SARA showed higher expression in female parotid tissue. Several members of calcium signaling pathways were also differentially expressed, e.g. CAMK2G, Inositol 3 phosphate 3 kinase B (ITPKB), nitric oxide synthase 3 (NOS3), and the plasma membrane calcium ATPase type 2 (PMCA2) (Table 9).

Table 8.

Differentially expressed genes in male and female human parotid glands known to be involved in secretion

Gene Name Accession No. Gene ID Ratio (M/F) Direction
ADP-ribosylation factor 3 NM_001659 ARF3 2.45 Down
Calcium/calmodulin-dependent protein kinase (CaM kinase) II gamma NM_172173 CAMK2G 2.38 Down
Inhibin, beta A NM_002192 INHBA 2.22 Up
Signal recognition particle 54kDa NM_003136 SRP54 1.82 Up
Vesicle-associated membrane protein 3 (cellubrevin) NM_004781 VAMP3 1.82 Up
RAB1A, member RAS oncogene family NM_004161 RAB1A 1.76 Up
tumor necrosis factor (ligand) superfamily, member 13b NM_006573 TNFSF13B 1.75 Down
RAB1A, member RAS oncogene family NM_004161 RAB1A 1.73 Up
Epidermal growth factor receptor pathway substrate 15-like 1 NM_021235 EPS15R 1.66 Down
SEC24 related gene family, member D NM_014822 SEC24D 1.63 Up
Syntaxin binding protein 3 NM_007269 STXBP3 1.63 Up
Caspase recruitment domain family, member 8 NM_014959 CARD8 1.61 Down
Translocation associated membrane protein 1 NM_014294 TRAM1 1.61 Up
RAB2, member RAS oncogene family NM_002865 RAB2 1.61 Up
RAB22A, member RAS oncogene family NM_020673 RAB22A 1.61 Up
Folate receptor 1 NM_016731 FOLR1 1.59 Up
GTP-binding protein Sara NM_016103 SAR1B 1.59 Up
ATP-binding cassette, sub-family A (ABC1), member 1 NM_005502 ABCA1 1.58 Down
Syntaxin binding protein 1 NM_003165 STXBP1 1.56 Down
Synaptosomal-associated protein, 23kDa NM_130798 SNAP23 1.53 Up

Table 9.

Differentially expressed genes in male and female parotid glands known to be involved in calcium signaling pathways

Gene Name Accession No. Gene ID Ratio (M/F) direction
Inositol 1,4,5-triphosphate 3-kinase B NM_002221 IP3K 1.8 down
Nitric Oxide synthase 3 NM_024711 NOS3 1.65 down
Calcium clamoduline-dependent protein kinase (CaM Kinase) II gamma NM_172170 CAMK2G 2.38 down
ATPase, Ca2+ transporting, plasma membrane X63575 PMCA2 1.72 down
Voltage-dependent anion channel 3 U90943 VDAC3 1.77 up
Guanine nucleotide binding protein (G protein) q polypeptide NM_002072 GNAQ 1.98 up

Validation of Array Data

Gender Related Differences

In addition to the RNA samples analyzed by microarray, RNA samples from another 19 subjects were also isolated for Q-PCR analysis to validate the gender-specific array results. This second group included 11 female subjects (27, 35, 36, 40, 43, 49, 53, 61, 66, 74 and 83 years of age) and 8 males (40, 46, 51, 55, 67, 70, 73 and 85 years old). Four genes which were differentially expressed in human parotid glands were selected for Q-PCR evaluation. Genes highly expressed in male glands included DDX3Y, ZFY and CYTORF15, whereas a gene highly expressed in female glands was XIST. Q-PCR results confirmed the array data (Table 10). Each of the genes tested by Q-PCR showed the same pattern of expression as measured by array technique.

Table 10.

Q-PCR confirmation of selected HGU133A 2.0 microarray results

Sex Differences (Sample number used for QPCR, Female n= 11; Male n=8)
AccessioN No. GeneID Fold Changes (M/F) Gene Name
Microarray p Value Q-PCR p Value
NR_001564 XIST −124.03 0.00 −106.0 0.00 X (inactive)-specific transcript
NM_004660 DDX3Y 16.17 0.00 40.0 0.00 DEADH (Asp-Glu-Ala-AspHis) box polypeptide, Y chromosome
BC033974 ZFY 6.79 0.00 15.0 0.00 Zinc finger protein, Y-linked
AF332225 CYorf15B 15.48 0.00 22.0 0.00 Chromosome Y open reading frame 15B
Differences due to aging (Sample number used for QPCR, Young n = 8; Old n = 8)
Accession No. GeneID Fold Changes (O/Y) Gene Name
Microarray p Value Q-PCR p Value
BC002704 STAT1 −3.3 0.035 −1.51 0.03 Signal transducer and activator of transcription 1
NM_001565 CXCL10 −8.37 0.041 −1.96 0.05 Small inducible cytokine subfamily B (Cys-X-Cys), member 10
NM_002122 HLA-DQA1 −3.5 0.035 −1.57 0.05 Histocompatibility complex, class II, DQ alpha 1
NM_152679 SLC10A4* 4.41 0.032 2.00 0.05 Solute carrier family 10 (sodium/bile acid cotransporter family), member 4
NM_138455 CTHRC1* 2.82 0.047 1.81 0.05 Collagen triple helix repeat containing 1
AI500293 CHRM1* −1.61 0 −1.28 0.04 Cholinergic receptor, muscarinic 1
*

Tested with mixed population of male and female young and old subjects

Age Related Differences

To verify the differential gene expression in the young and old female populations as observed by microarray analysis, three genes were selected for Q-PCR (STAT1, CXCL10 and HLA-DQA1). The female parotid from 8 young (19, 27, 35, 36, 38, 40, 43 and 49 years old) and 8 older (53, 61, 65, 65, 66, 69, 74 and 83 years) subjects were used for this analysis. Table 10 shows that the results of Q-PCR study gave the same gene expression pattern as that obtained by microarray. Three genes (SLC10A4, CTHRC1 and CHRM1) were further tested with mixed gender populations of young (19, 27, 36, 38 and 49 year old females; and 40, 46 and 51 year old males) and old (61, 66, 74 and 83 year old females; and 67, 70, 73 and 85 year old males) subjects. As shown in Table 10, all three genes selected for validation by Q-PCR technique further confirmed the array results.

DISCUSSION

Although well documented in rodents, this is the first comprehensive report to demonstrate the inherent gender-specific differences in gene expression in human parotid gland. Our findings are consistent with the gender associated and gland specific variations in mRNA levels previously reported in rodent model salivary gland systems (20, 27, 28) and in lacrimal (29) and meibomian glands (30). The differentially expressed genes in these studies are involved in a wide range of biological processes, molecular functions and cellular components, including growth and development, transcription, metabolism, signal transduction, ion transport, receptor activity and protein and nucleic acid binding. In the present study, gender-specific differences in expression were noted for 787 out of 54,000 probe sets on the HG U133 Plus 2.0 array, with the majority of these genes being expressed to a higher extend in females (~59%). The proteins encoded by these genes are located in different cell compartments, i.e. the nucleus, plasma membrane, mitochondria and cytoplasm. At this time, we can only speculate as to the biological and physiological implications of the observed sexual dimorphism in salivary gland gene expression. It should be noted that the sexual dimorphism in mice is in part due to gland-specific differences in gene expression between males and females (20), consistent with the gender-related differences in human salivary glands being due to tissue-specific variations in gene expression.

Gender-specific differential gene expression was detected on all chromosomes and the number of differences was found to be directly related to the size of the chromosome, i.e. the larger the chromosome, the greater the number of differences in gene expression that were detected (a similar chromosomal distribution was detected for aging, not shown) suggesting that the distribution of differentially expressed genes is randomly dispersed throughout the genome. The differential gene expression pattern on the X and Y chromosomes of several genes (e.g. UTX, DDX3X, SMCX) are in agreement with previous reports on human lympholastoma cell line (31) and 11 different human tissues (32). The gene ontologies analysis of gender-specific, differential expression patterns provides several examples of genes that potentially explain how gender modulates salivation by the human parotid gland (1, 4, 15).

Age related differences in gene expression have been noted in the mouse submandibular gland model (33). Using cDNA array analysis, Hiratsuka et al. found that 160 of the 1328 genes screened showed more than a two-fold change, 96% of which exhibited decreased expression in elderly mice (33). These genes are associated with numerous biological pathways, e.g., transcription regulation, ion transport, and signal transduction. The effects of age on specific gene ontologies in the human parotid gland may provide insight into functional and morphological changes previously described (2, 3, 16).

We also found that age had a significant influence on the expression of genes associated with primary metabolism and physiological processes. These observations were not unexpected considering that aged animals demonstrate a reduced protein biosynthesis, but importantly, our results provide novel information defining which specific genes may be most affected by aging. Of particular interest are those associated with defense/immune responses. The expression of both HLA-DQA1 and HLA-DQB1 are decreased in the parotid gland of the aged. HLA-DQA1 and HLA-DQB1 belong to the histocompatibility complex loci (HLA) class II. The class II molecule is a heterodimer consisting of an alpha (DQA) and beta (DQB) chain, both anchored in the membrane. HLA II plays a central role in the immune system by T-cell activation (34, 35). Chemokine (C-X-C motif) ligand 10 (CXCL10) also showed lower expression in the aged population. Chemokines are a group of low molecular weight peptides that induce the chemotaxis of different leukocyte subtypes. At present, more than 50 chemokines have been described. CXC chemokines attract neutrophils and promote their adherence to endothelial cells. Several other proteins known to be involved in different immune response pathways showed altered expression in aged population (e.g., IRF1, IRF7, GBP1, IFITM1, IFITM2, IFITM3, PSMB8 and PSMB9). Complex remodeling of the immune system occurs during aging, which may contribute significantly to morbidity and mortality in the elderly (36, 37). Despite the great number of studies on changes in the immune system of the elderly, the biological basis of such changes is unclear. This is at least partly due to the alterations observed in the immune system of the elderly that could be a cause or the consequence of the underlying pathological processes. Undoubtedly, diseases such as infectious, autoimmune and neoplastic pathologies, which aged people are particularly susceptible to, involve dysregulation of immune function (36, 37). On the other hand, recent studies in healthy centenarians suggest that the immunological changes observed during aging are consistent with a reshaping, rather than a generalized deterioration, of the main immune functions (38).

The number of elderly is dramatically increasing, and consequently, geriatric pathology is becoming a more important aspect of clinical practice. Therefore, it is particularly important to evaluate further the findings in the immune system of the elderly so as to better understand their susceptibility to certain diseases, and the links between health and longevity. Salivary gland function may prove to be a parameter worth evaluating in the aged, as shown in other clinical populations (39,40).

This study is an initial important step in identifying the genes which are differentially expressed due to gender and aging. It is noteworthy that very little overlap was observed between the gender-related and age-related differences in gene expression (<1.3%), indicating that these differences are specific. Our results will hopefully stimulate additional studies in this area, especially clinical studies that aid in the development of strategies to reverse or lessen the negative impact of age-related changes in gene expression on oral health. Although the amount of data obtained from microarray can be overwhelming, informatics tools are emerging that take high quality datasets and permit systems level analysis that can identify key biological pathways and genes that are involved in normal physiological and pathogenic processes (41). Q-PCR analysis confirmed the results of the microarray study, and verified reproducibility of our results in additional independent samples, indicating that glands from another population of subjects of the same age range and/or gender group would very likely generate the same results. Therefore, our results provide critical information for understanding the complex changes in gene expression that may significantly contribute to gender-associated and age-related differences in the secretion mechanism.

Supplementary Material

01

ACKNOWLEDGEMENTS

We thank Zugen Chen, Jason Liu and Shilpa Patel at UCLA microarray core facility for their cooperation in generating the microarray data. We also thank Eastern, Mid Western and South Division of the Cooperative Human Tissue Network for the supply of the human salivary gland tissue. This research was supported in part by PHS grants RO1-DE09692, R37-DE08921 (JEM), T32-DE07202 (AS), RO1-DE17593 (DTW) and T32-DE07296 (JW).

Footnotes

Publisher's Disclaimer: This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.

REFERENCES

  • 1.Percival RS, Challacombe SJ, Marsh PD. Flow rates of resting whole and stimulated parotid saliva in relation to age and gender. J Dent Res. 1994;73(8):1416–1420. doi: 10.1177/00220345940730080401. [DOI] [PubMed] [Google Scholar]
  • 2.Yeh CK, Johnson DA, Dodds MW. Impact of aging on human salivary gland function: a community-based study. Aging (Milano) 1998;10(5):421–428. doi: 10.1007/BF03339889. [DOI] [PubMed] [Google Scholar]
  • 3.Eliasson L, Birkhed D, Osterberg T, Carlen A. Minor salivary gland secretion rates and immunoglobulin A in adults and the elderly. Eur J Oral Sci. 2006;114(6):494–499. doi: 10.1111/j.1600-0722.2006.00413.x. [DOI] [PubMed] [Google Scholar]
  • 4.Heintze U, Birkhed D, Bjorn H. Secretion rate and buffer effect of resting and stimulated whole saliva as a function of age and sex. Swed Dent J. 1983;7(6):227–238. [PubMed] [Google Scholar]
  • 5.Pedersen W, Schubert M, Izutsu K, Mersai T, Truelove E. Age-dependent decreases in human submandibular gland flow rates as measured under resting and post-stimulation conditions. J Dent Res. 1985;64(5):822–825. doi: 10.1177/00220345850640050801. [DOI] [PubMed] [Google Scholar]
  • 6.Tylenda CA, Ship JA, Fox PC, Baum BJ. Evaluation of submandibular salivary flow rate in different age groups. J Dent Res. 1988;67(9):1225–1228. doi: 10.1177/00220345880670091501. [DOI] [PubMed] [Google Scholar]
  • 7.Wu AJ, Baum BJ, Ship JA. Extended stimulated parotid and submandibular secretion in a healthy young and old population. J Gerontol A Biol Sci Med Sci. 1995;50A(1):M45–M48. doi: 10.1093/gerona/50a.1.m45. [DOI] [PubMed] [Google Scholar]
  • 8.Fischer D, Ship JA. Effect of age on variability of parotid salivary gland flow rates over time. Age Ageing. 1999;28(6):557–561. doi: 10.1093/ageing/28.6.557. [DOI] [PubMed] [Google Scholar]
  • 9.Elishoov H, Wolff A, Volovikov A, Gorsky M. [Evaluation of unstimulated and stimulated parotid salivary flow rate in Israeli healthy subjects aged 60 years and older] Refuat Hapeh Vehashinayim. 2005;22(2):44–48. 86. [PubMed] [Google Scholar]
  • 10.Cook D, Van Lennep EW, Roberts ML, Young JA. Secretion by the Major Salivary Glands. In: Johnson LR, editor. Physiology of the Gastrointestinal Tract. New York: Raven Press; 1994. pp. 1061–1117. [Google Scholar]
  • 11.Turner RJ, Sugiya H. Understanding salivary fluid and protein secretion. Oral Dis. 2002;8(1):3–11. doi: 10.1034/j.1601-0825.2002.10815.x. [DOI] [PubMed] [Google Scholar]
  • 12.Guo T, Rudnick PA, Wang W, Lee CS, Devoe DL, Balgley BM. Characterization of the human salivary proteome by capillary isoelectric focusing/nanoreversed-phase liquid chromatography coupled with ESI-tandem MS. J Proteome Res. 2006;5(6):1469–1478. doi: 10.1021/pr060065m. [DOI] [PubMed] [Google Scholar]
  • 13.Melvin JE, Yule D, Shuttleworth T, Begenisich T. Regulation of fluid and electrolyte secretion in salivary gland acinar cells. Annu Rev Physiol. 2005;67:445–469. doi: 10.1146/annurev.physiol.67.041703.084745. [DOI] [PubMed] [Google Scholar]
  • 14.Ship JA. Diagnosing, managing, and preventing salivary gland disorders. Oral Dis. 2002;8(2):77–89. doi: 10.1034/j.1601-0825.2002.2o837.x. [DOI] [PubMed] [Google Scholar]
  • 15.Inoue H, Ono K, Masuda W, Morimoto Y, Tanaka T, Yokota M, et al. Gender difference in unstimulated whole saliva flow rate and salivary gland sizes. Arch Oral Biol. 2006;51(12):1055–1060. doi: 10.1016/j.archoralbio.2006.06.010. [DOI] [PubMed] [Google Scholar]
  • 16.Vissink A, Spijkervet FK, Van Nieuw Amerongen A. Aging and saliva: a review of the literature. Spec Care Dentist. 1996;16(3):95–103. doi: 10.1111/j.1754-4505.1996.tb00842.x. [DOI] [PubMed] [Google Scholar]
  • 17.Brown DA, Bruce JI, Straub SV, Yule DI. cAMP potentiates ATP-evoked calcium signaling in human parotid acinar cells. J Biol Chem. 2004;279(38):39485–39494. doi: 10.1074/jbc.M406201200. [DOI] [PubMed] [Google Scholar]
  • 18.Nakamoto T, Srivastava A, Romanenko VG, Ovitt CE, Perez-Cornejo P, Arreola J, et al. Functional and molecular characterization of the fluid secretion mechanism in human parotid acinar cells. Am J Physiol Regul Integr Comp Physiol. 2007;292(6):R2380–R2390. doi: 10.1152/ajpregu.00591.2006. [DOI] [PubMed] [Google Scholar]
  • 19.Li C, Wong WH. Model-based analysis of oligonucleotide arrays: expression index computation and outlier detection. Proc Natl Acad Sci U S A. 2001;98(1):31–36. doi: 10.1073/pnas.011404098. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 20.Treister NS, Richards SM, Lombardi MJ, Rowley P, Jensen RV, Sullivan DA. Sex-related differences in gene expression in salivary glands of BALB/c mice. J Dent Res. 2005;84(2):160–165. doi: 10.1177/154405910508400210. [DOI] [PubMed] [Google Scholar]
  • 21.Reiner A, Yekutieli D, Benjamini Y. Identifying differentially expressed genes using false discovery rate controlling procedures. Bioinformatics. 2003;19(3):368–375. doi: 10.1093/bioinformatics/btf877. [DOI] [PubMed] [Google Scholar]
  • 22.Ashburner M, Ball CA, Blake JA, Botstein D, Butler H, Cherry JM, et al. Gene ontology: tool for the unification of biology. The Gene Ontology Consortium. Nat Genet. 2000;25(1):25–29. doi: 10.1038/75556. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 23.Kanehisa M, Goto S, Kawashima S, Okuno Y, Hattori M. The KEGG resource for deciphering the genome. Nucleic Acids Res. 2004;32(Database issue):D277–D280. doi: 10.1093/nar/gkh063. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 24.Doniger SW, Salomonis N, Dahlquist KD, Vranizan K, Lawlor SC, Conklin BR. MAPPFinder: using Gene Ontology and GenMAPP to create a global gene-expression profile from microarray data. Genome Biol. 2003;4(1):R7. doi: 10.1186/gb-2003-4-1-r7. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 25.Wang J, Robinson JF, Khan HM, Carter DE, McKinney J, Miskie BA, et al. Optimizing RNA extraction yield from whole blood for microarray gene expression analysis. Clin Biochem. 2004;37(9):741–744. doi: 10.1016/j.clinbiochem.2004.03.013. [DOI] [PubMed] [Google Scholar]
  • 26.Thach DC, Shaffer KM, Ma W, Stenger DA. Assessing the feasibility of using neural precursor cells and peripheral blood mononuclear cells for detection of bioactive Sindbis virus. Biosens Bioelectron. 2003;18(8):1065–1072. doi: 10.1016/s0956-5663(02)00246-4. [DOI] [PubMed] [Google Scholar]
  • 27.Murphy RA, Watson AY, Metz J, Forssmann WG. The mouse submandibular gland: an exocrine organ for growth factors. J Histochem Cytochem. 1980;28(8):890–902. doi: 10.1177/28.8.6969274. [DOI] [PubMed] [Google Scholar]
  • 28.Senorale-Pose M, Jacqueson A, Rougeon F, Rosinski-Chupin I. Acinar cells are target cells for androgens in mouse submandibular glands. J Histochem Cytochem. 1998;46(5):669–678. doi: 10.1177/002215549804600512. [DOI] [PubMed] [Google Scholar]
  • 29.Richards SM, Jensen RV, Liu M, Sullivan BD, Lombardi MJ, Rowley P, et al. Influence of sex on gene expression in the mouse lacrimal gland. Exp Eye Res. 2006;82(1):13–23. doi: 10.1016/j.exer.2005.04.014. [DOI] [PubMed] [Google Scholar]
  • 30.Richards SM, Yamagami H, Schirra F, Suzuki T, Jensen RV, Sullivan DA. Sex-related effect on gene expression in the mouse meibomian gland. Curr Eye Res. 2006;31(2):119–128. doi: 10.1080/02713680500514644. [DOI] [PubMed] [Google Scholar]
  • 31.McRae AF, Matigian NA, Vadlamudi L, Mulley JC, Mowry B, Martin NG, et al. Replicated effects of sex and genotype on gene expression in human lymphoblastoid cell lines. Hum Mol Genet. 2007;16(4):364–373. doi: 10.1093/hmg/ddl456. [DOI] [PubMed] [Google Scholar]
  • 32.Talebizadeh Z, Simon SD, Butler MG. X chromosome gene expression in human tissues: male and female comparisons. Genomics. 2006;88(6):675–681. doi: 10.1016/j.ygeno.2006.07.016. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 33.Hiratsuka K, Kamino Y, Nagata T, Takahashi Y, Asai S, Ishikawa K, et al. Microarray analysis of gene expression changes in aging in mouse submandibular gland. J Dent Res. 2002;81(10):679–682. doi: 10.1177/154405910208101005. [DOI] [PubMed] [Google Scholar]
  • 34.Zang W, Murphy B. Peptide-mediated immunosuppression. Am J Ther. 2005;12(6):592–599. doi: 10.1097/01.mjt.0000178766.60234.e2. [DOI] [PubMed] [Google Scholar]
  • 35.O'Hanlon TP, Carrick DM, Targoff IN, Arnett FC, Reveille JD, Carrington M, et al. Immunogenetic risk and protective factors for the idiopathic inflammatory myopathies: distinct HLA-A, -B, -Cw, -DRB1, and -DQA1 allelic profiles distinguish European American patients with different myositis autoantibodies. Medicine (Baltimore) 2006;85(2):111–127. doi: 10.1097/01.md.0000217525.82287.eb. [DOI] [PubMed] [Google Scholar]
  • 36.Katz JM, Plowden J, Renshaw-Hoelscher M, Lu X, Tumpey TM, Sambhara S. Immunity to influenza: the challenges of protecting an aging population. Immunol Res. 2004;29(1–3):113–124. doi: 10.1385/IR:29:1-3:113. [DOI] [PubMed] [Google Scholar]
  • 37.Vesosky B, Turner J. The influence of age on immunity to infection with Mycobacterium tuberculosis. Immunol Rev. 2005;205:229–243. doi: 10.1111/j.0105-2896.2005.00257.x. [DOI] [PubMed] [Google Scholar]
  • 38.Franceschi C, Bonafè M. Centenarians as a model for healthy aging. Biochem Soc Trans. 2003;31:457–461. doi: 10.1042/bst0310457. [DOI] [PubMed] [Google Scholar]
  • 39.Nieuw Amerongen AV, Ligtenberg AJ, Veerman EC. Implications for diagnostics in the biochemistry and physiology of saliva. Ann N Y Acad Sci. 2007;1098:1–6. doi: 10.1196/annals.1384.033. [DOI] [PubMed] [Google Scholar]
  • 40.Samaranayake L. Saliva as a diagnostic fluid. Int Dent J. 2007;57(5):295–299. doi: 10.1111/j.1875-595x.2007.tb00135.x. [DOI] [PubMed] [Google Scholar]
  • 41.Langfelder P, Horvath S. Eigengene networks for studying the relationships between co-expression modules. BMC Syst Biol. 2007;1(1):54. doi: 10.1186/1752-0509-1-54. [DOI] [PMC free article] [PubMed] [Google Scholar]

Associated Data

This section collects any data citations, data availability statements, or supplementary materials included in this article.

Supplementary Materials

01

RESOURCES