Гематосаливарный барьер как многогранная система: литературный обзор
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Аннотация
Цель данного обзора — дать всестороннее описание гематосаливарного барьера, систематизировать результаты последних исследований его структуры и функции в норме и при патологии. Гематосаливарный (ГСБ) барьер – многогранная система, ключевыми компонентами которой являются слюнные железы, эпителий полости рта, белки межклеточных соединений, поддерживающие прочность барьера, а также слюна и слизь. Кровоснабжение барьера, нервные связи, местные иммунные реакции и микробиом полости рта создают среду, в которой функционирует ГСБ. При оценке ГСБ необходимо учитывать ряд дополнительных факторов, включая иннервацию, кровоснабжение, наличие циркулирующих метаболитов в сосудах, снабжающих эпителий полости рта и слюнные железы, а также объем выделяемой слюны и ее реологические свойства, состав микробиома полости рта и состояние иммунной системы.
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