Journal of Peking University (Health Sciences) ›› 2026, Vol. 58 ›› Issue (1): 1-9. doi: 10.19723/j.issn.1671-167X.2026.01.001

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Research progress in diagnosis and treatment of non-tumorous salivary gland diseases

Xin CONG1,2, Jiazeng SU1,3, Liling WU2, Chong DING1,4, Wei LI1,3, Guangyan YU1,3,*()   

  1. 1. Salivary Gland Disease Research Center, Peking University School and Hospital of Stomatology & National Center for Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Research Center of Oral Biomaterials and Digital Medical Devices & Beijing Key Laboratory of Digital Stomatology, Beijing 100081, China
    2. Department of Physiology and Pathophysiology, Peking University School of Basic Medical Sciences, Beijing 100191, China
    3. Department of Oral and Maxillofacial Surgery, Peking University School and Hospital of Stomatology, Beijing 100081, China
    4. Central Laboratory, Peking University School and Hospital of Stomatology, Beijing 100081, China
  • Received:2025-10-21 Online:2026-02-18 Published:2025-12-10
  • Contact: Guangyan YU
  • Supported by:
    the National Natural Science Foundation of China(82270993); the National Natural Science Foundation of China(31972908); the National Natural Science Foundation of China(82170977)

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Abstract:

Salivary gland diseases are common disorders in the oral and maxillofacial region, mainly classified into two categories: Tumorous and non-tumorous. Non-tumorous salivary gland diseases include various types such as salivary gland inflammation, Sjögren syndrome, granulomatous diseases, and developmental abnormalities. Some of these diseases are local lesions, while others are closely associated with systemic diseases, often accompanied by impaired salivary secretion function, leading to xerostomia and secondary lesions. Over the past more than 20 years, the Salivary Gland Disease Research Center of Peking University School and Hospital of Stomatology has conducted systematic and in-depth studies focusing on the regulation of salivary secretion function by tight junction proteins, the clinicopathological characteristics, prevention and treatment of novel chronic sialadenitis [including immunoglobulin (Ig) G4-related sialadenitis, 131I-induced sialadenitis, and eosinophilic sialodochitis], stem cells from human exfoliated deciduous teeth-based therapy for Sjögren syndrome, and salivary gland developmental abnormalities. These studies provide important references for the basic research, clinical diagnosis and treatment of related diseases.

Key words: Salivary glands, Tight junction proteins, Immunoglobulin G4-related sialadenitis, 131I-induced sialadenitis, Eosinophilic sialodochitis

CLC Number: 

  • R781.7
1
van Itallie CM, Anderson JM. Architecture of tight junctions and principles of molecular composition[J]. Semin Cell Dev Biol, 2014, 36, 157- 165.

doi: 10.1016/j.semcdb.2014.08.011
2
Maria OM, Kim JM, Gerstenhaber JA, et al. Distribution of tight junction proteins in adult human salivary glands[J]. J Histochem Cytochem, 2008, 56(12): 1093- 1098.

doi: 10.1369/jhc.2008.951780
3
Min SN, Cong X, Zhang Y, et al. Tricellulin modulates transport of macromolecules in the salivary gland[J]. J Dent Res, 2020, 99(3): 302- 310.

doi: 10.1177/0022034519896749
4
Zhang XM, Huang Y, Zhang K, et al. Expression patterns of tight junction proteins in porcine major salivary glands: A comparison study with human and murine glands[J]. J Anat, 2018, 233(2): 167- 176.

doi: 10.1111/joa.12833
5
Cong X, Zhang Y, Shi L, et al. Activation of transient receptor potential vanilloid subtype 1 increases expression and permeability of tight junction in normal and hyposecretory submandibular gland[J]. Lab Invest, 2012, 92(5): 753- 768.

doi: 10.1038/labinvest.2012.12
6
Peppi M, Ghabriel MN. Tissue-specific expression of the tight junction proteins claudins and occludin in the rat salivary glands[J]. J Anat, 2004, 205(4): 257- 266.

doi: 10.1111/j.0021-8782.2004.00332.x
7
Hashizume A, Ueno T, Furuse M, et al. Expression patterns of claudin family of tight junction membrane proteins in developing mouse submandibular gland[J]. Dev Dyn, 2004, 231(2): 425- 431.

doi: 10.1002/dvdy.20142
8
Huang Y, Mao QY, Shi XJ, et al. Disruption of tight junctions contributes to hyposalivation of salivary glands in a mouse model of type 2 diabetes[J]. J Anat, 2020, 237(3): 556- 567.

doi: 10.1111/joa.13203
9
Cong X, Zhang Y, He QH, et al. Endothelial tight junctions are opened in cholinergic-evoked salivation in vivo[J]. J Dent Res, 2017, 96(5): 562- 570.

doi: 10.1177/0022034516685048
10
Steward MC, Seo Y, Rawlings JM, et al. Water permeability of acinar cell membranes in the isolated perfused rabbit mandibular salivary gland[J]. J Physiol, 1990, 431, 571- 583.

doi: 10.1113/jphysiol.1990.sp018348
11
Cong X, Zhang Y, Li J, et al. Claudin-4 is required for modulation of paracellular permeability by muscarinic acetylcholine receptor in epithelial cells[J]. J Cell Sci, 2015, 128(12): 2271- 2286.

doi: 10.1242/jcs.165878
12
He L, Yuan SZ, Mao XD, et al. Claudin-10 decrease in the submandibular gland contributes to xerostomia[J]. J Dent Res, 2024, 103(2): 167- 176.

doi: 10.1177/00220345231210547
13
Zhang Y, Xiang B, Li YM, et al. Expression and characteristics of vanilloid receptor 1 in the rabbit submandibular gland[J]. Biochem Biophys Res Commun, 2006, 345(1): 467- 473.

doi: 10.1016/j.bbrc.2006.04.106
14
Cong X, Zhang Y, Yang NY, et al. Occludin is required for TRPV1-modulated paracellular permeability in the submandibular gland[J]. J Cell Sci, 2013, 126((Pt 5): 1109- 1121.
15
Li J, Cong X, Zhang Y, et al. ZO-1 and-2 are required for TRPV1-modulated paracellular permeability[J]. J Dent Res, 2015, 94(12): 1748- 1756.

doi: 10.1177/0022034515609268
16
Bongers EMHF, Shelton LM, Milatz S, et al. A novel hypokalemic-alkalotic salt-losing tubulopathy in patients with CLDN10 mutations[J]. J Am Soc Nephrol, 2017, 28(10): 3118- 3128.

doi: 10.1681/ASN.2016080881
17
Ewert P, Aguilera S, Alliende C, et al. Disruption of tight junction structure in salivary glands from Sjögren's syndrome patients is linked to proinflammatory cytokine exposure[J]. Arthritis Rheum, 2010, 62(5): 1280- 1289.

doi: 10.1002/art.27362
18
Zhang LW, Cong X, Zhang Y, et al. Interleukin-17 impairs salivary tight junction integrity in Sjögren's syndrome[J]. J Dent Res, 2016, 95(7): 784- 792.

doi: 10.1177/0022034516634647
19
Mei M, Xiang RL, Cong X, et al. claudin-3 is required for modulation of paracellular permeability by TNF-α through ERK1/2/slug signaling axis in submandibular gland[J]. Cell Signal, 2015, 27(10): 1915- 1927.

doi: 10.1016/j.cellsig.2015.07.002
20
Min SN, Wu LL, Zhang YY, et al. Disruption of tight junction structure contributes to secretory dysfunction in IgG4-related sialadenitis[J]. J Mol Histol, 2020, 51(1): 33- 46.

doi: 10.1007/s10735-019-09854-8
21
Huang Y, Liu HM, Mao QY, et al. High glucose reduces the paracellular permeability of the submandibular gland epithelium via the miR-22-3p/Sp1/claudin pathway[J]. Cells, 2021, 10(11): 3230.

doi: 10.3390/cells10113230
22
Yang NY, Ding C, Li J, et al. Muscarinic acetylcholine receptor-mediated tight junction opening is involved in epiphora in late phase of submandibular gland transplantation[J]. J Mol Histol, 2017, 48(2): 99- 111.

doi: 10.1007/s10735-016-9709-9
23
Mao QY, Xie S, Wu LL, et al. Alteration of tight junctions during botulinum toxin type A-inhibited salivary secretion[J]. Oral Dis, 2023, 29(5): 2086- 2095.

doi: 10.1111/odi.14223
24
Liu XJ, Li M, Su JZ, et al. Carbachol improves the secretion of transplanted submandibular glands during the latent period after microvascular autologous transplantation for severe keratoconjunctivitis sicca[J]. Int J Oral Maxillofac Surg, 2016, 45(10): 1273- 1279.

doi: 10.1016/j.ijom.2016.03.015
25
Zhang L, Su JZ, Cai ZG, et al. Factors influencing the long-term results of autologous microvascular submandibular gland transplantation for severe dry eye disease[J]. Int J Oral Maxillofac Surg, 2019, 48(1): 40- 47.

doi: 10.1016/j.ijom.2018.07.006
26
俞光岩, 吴立玲, 蔡志刚, 等. 血管化自体下颌下腺移植治疗重症干眼20年研究[J]. 北京大学学报(医学版), 2018, 50(1): 1- 4.
27
Shan XF, Xu H, Cai ZG, et al. Botulinum toxin A inhibits salivary secretion of rabbit submandibular gland[J]. Int J Oral Sci, 2013, 5(4): 217- 223.

doi: 10.1038/ijos.2013.82
28
Krug SM, Amasheh S, Richter JF, et al. Tricellulin forms a barrier to macromolecules in tricellular tight junctions without affecting ion permeability[J]. Mol Biol Cell, 2009, 20(16): 3713- 3724.

doi: 10.1091/mbc.e09-01-0080
29
Mao X, Li H, Min S, et al. Loss of tricellular tight junction tricellulin leads to hyposalivation in Sjögren's syndrome[J]. Int J Oral Sci, 2025, 17(1): 22.

doi: 10.1038/s41368-025-00349-9
30
Mao X, Min S, He Q, et al. In vivo vascular permeability detection in mouse submandibular gland[J]. J Vis Exp, 2022(186): e64167.
31
Cong X, Kong W. Endothelial tight junctions and their regulatory signaling pathways in vascular homeostasis and disease[J]. Cell Signal, 2020, 66, 109485.

doi: 10.1016/j.cellsig.2019.109485
32
Cong X, Zhang XM, Zhang Y, et al. Disruption of endothelial barrier function is linked with hyposecretion and lymphocytic infiltration in salivary glands of Sjögren's syndrome[J]. Biochim Biophys Acta Mol Basis Dis, 2018, 1864(10): 3154- 3163.

doi: 10.1016/j.bbadis.2018.07.002
33
Mao XD, Min SN, Zhu MQ, et al. The role of endothelial barrier function in the fibrosis of salivary gland[J]. J Dent Res, 2023, 102(1): 82- 92.

doi: 10.1177/00220345221118508
34
俞光岩, 洪霞, 李巍, 等. IgG4相关唾液腺炎的临床病理特点及诊断[J]. 北京大学学报(医学版), 2019, 51(1): 1- 3.
35
Hong X, Sun ZP, Li W, et al. Comorbid diseases of IgG4-related sialadenitis in the head and neck region[J]. Laryngoscope, 2015, 125(9): 2113- 2118.

doi: 10.1002/lary.25387
36
Li W, Chen Y, Sun ZP, et al. Clinicopathological characteristics of immunoglobulin G4-related sialadenitis[J]. Arthritis Res Ther, 2015, 17(1): 186.

doi: 10.1186/s13075-015-0698-y
37
Hong X, Zhang YY, Li W, et al. Treatment of immunoglobulin G4-related sialadenitis: Outcomes of glucocorticoid therapy combined with steroid-sparing agents[J]. Arthritis Res Ther, 2018, 20(1): 12.

doi: 10.1186/s13075-017-1507-6
38
俞光岩, 柳登高, 李巍, 等. 3类新型慢性唾液腺炎的诊断和治疗[J]. 北京大学学报(医学版), 2022, 54(1): 13- 17.
39
Singer MC, Marchal F, Angelos P, et al. Salivary and lacrimal dysfunction after radioactive iodine for differentiated thyroid cancer: American Head and Neck Society Endocrine Surgery Section and Salivary Gland Section joint multidisciplinary clinical consensus statement of otolaryngology, ophthalmology, nuclear medicine and endocrinology[J]. Head Neck, 2020, 42(11): 3446- 3459.

doi: 10.1002/hed.26417
40
李潇, 苏家增, 张严妍, 等. 131I相关唾液腺炎的炎症分级及内镜治疗[J]. 北京大学学报(医学版), 2020, 52(3): 586- 590.
41
Li X, Yang J, Qu LY, et al. Diagnosis and treatment of radioactive iodine-induced sialadenitis: A 10-year endoscopic experience[J]. Laryngoscope, 2024, 134(11): 4506- 4513.

doi: 10.1002/lary.31514
42
Baer AN, Okuhama A, Eisele DW, et al. Eosinophilic sialodochitis: Redefinition of 'allergic parotitis' and 'sialodochitis fibrinosa'[J]. Oral Dis, 2017, 23(7): 840- 848.

doi: 10.1111/odi.12595
43
Zhu WX, Chen Y, Liu DG, et al. Eosinophilic sialodochitis: A type of chronic obstructive sialadenitis related to allergy[J]. Laryngoscope, 2021, 131(3): E800- E806.
44
Du ZH, Ding C, Zhang Q, et al. Stem cells from exfoliated deciduous teeth alleviate hyposalivation caused by Sjögren syndrome[J]. Oral Dis, 2019, 25(6): 1530- 1544.

doi: 10.1111/odi.13113
45
Du Z, Wei P, Jiang N, et al. SHED-derived exosomes ameliorate hyposalivation caused by Sjögren's syndrome via Akt/GSK-3β/Slug-mediated ZO-1 expression[J]. Chin Med J, 2023, 136(21): 2596- 2608.

doi: 10.1097/CM9.0000000000002610
46
Chu WX, Ding C, Du ZH, et al. SHED-exos promote saliva secretion by suppressing p-ERK1/2-mediated apoptosis in glandular cells[J]. Oral Dis, 2024, 30(5): 3066- 3080.

doi: 10.1111/odi.14776
47
Du ZH, Chu WX, Peng X, et al. SHED-derived exosomes ameliorate Sjögren's syndrome induced hyposalivation by sup-pressing Th1 cell response via the miR-29a-3p/T-bet axis[J]. ACS Appl Mater Interfaces, 2025, 17(4): 5752- 5761.

doi: 10.1021/acsami.4c16595
48
Du Z, Feng L, Zhang Y, et al. Route of application and dose evaluation of dental pulp stem cells for the treatment of sialadenitis caused by Sjögren's syndrome: A preclinical study[J]. Biomedicines, 2025, 13(5): 1068.

doi: 10.3390/biomedicines13051068
49
俞光岩. 非肿瘤性唾液腺疾病的手术治疗[J]. 现代口腔医学杂志, 2011, 25(6): 401- 404.
50
俞光岩. 儿童唾液腺疾病[J]. 北京大学学报(医学版), 2024, 56(1): 1- 3.
51
Sun ZP, Hong X, Ma XC, et al. Cheek fistula from the ectopic salivary gland: A variant of the oculo-auriculo-vertebral spectrum[J]. Laryngoscope, 2015, 125(2): 360- 364.

doi: 10.1002/lary.24859
52
Wang Y, Yu GY, Huang MX, et al. Diagnosis and treatment of congenital dilatation of Stensen's duct[J]. Laryngoscope, 2011, 121(8): 1682- 1686.

doi: 10.1002/lary.21854
53
Zhu H, Yu GY. Lacrimo-auriculo-dento-digital syndrome with AIRE mutation: A case report[J]. J Stomatol Oral Maxillofac Surg, 2022, 123(6): e988- e990.

doi: 10.1016/j.jormas.2022.07.014
54
俞光岩, 宿骞, 张艳, 等. 唾液腺疾病与全身系统性疾病的相关性[J]. 北京大学学报(医学版), 2023, 55(1): 1- 7.
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