Does Clonazepam induce salivary gland toxicity? A morphometric analysis of salivary glands in pregnant mice

Physiological alterations in pregnancy may induce changes in salivary secretion and a predisposition to anxiety disorders. Clonazepam, a benzodiazepine, is recommended as the first choice for the treatment of anxiety disorders. To date, no studies have described the consequences of using this drug...

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Main Authors: Adrielle Larissa D'Andrea, Márjori Frítola, Carolina Cortez de Barros, Isabella Grippe da Silva Pinhatari, Caio Cézar Nantes Martins, Camila Salvador Sestario, Maria José Sparça Salles
Format: Article
Language:English
Published: Universidade Estadual de Maringá 2022-10-01
Series:Acta Scientiarum. Health Sciences
Subjects:
Online Access:https://periodicos.uem.br/ojs/index.php/ActaSciHealthSci/article/view/60003
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author Adrielle Larissa D'Andrea
Márjori Frítola
Carolina Cortez de Barros
Isabella Grippe da Silva Pinhatari
Caio Cézar Nantes Martins
Camila Salvador Sestario
Maria José Sparça Salles
author_facet Adrielle Larissa D'Andrea
Márjori Frítola
Carolina Cortez de Barros
Isabella Grippe da Silva Pinhatari
Caio Cézar Nantes Martins
Camila Salvador Sestario
Maria José Sparça Salles
author_sort Adrielle Larissa D'Andrea
collection DOAJ
description Physiological alterations in pregnancy may induce changes in salivary secretion and a predisposition to anxiety disorders. Clonazepam, a benzodiazepine, is recommended as the first choice for the treatment of anxiety disorders. To date, no studies have described the consequences of using this drug on the salivary glands of pregnant women. Therefore, the objective was to evaluate the alterations induced by exposure to Clonazepam in the salivary glands of pregnant mice. Twenty-two pregnant Swiss mice were divided into a control group (C) and a treated group (T), which received distilled water and 10 mg Kg-1 of Clonazepam, respectively, via gavage, daily, from the 5 to the 17th day of pregnancy. On the 18th day, euthanasia and collection of salivary glands were carried out, and the salivary glands were histologically processed and morphometrically analyzed under an optical microscope. The area, perimeter, and diameter of the acini and the thickness of the secretory ducts of each gland were measured. Parametric data (expressed as mean and standard deviation) were analyzed using the Student's t-test, and non-parametric data (expressed as median and interquartile range) using the Mann-Whitney test (p <0.05). Parotid glands’ acinar diameters (C: 44.1 ± 12.2 µm; T: 36.5 ± 7.8 µm; p =0.002) and ductal thicknesses (C: 16.9 [14.3-21.3] µm; T: 15.1 [13.4-16.3] µm; p =0.043) were statistically smaller in the T group than in the C group. No further alterations were found in other parameters from parotid glands, nor in submandibular and sublingual glands. It is concluded that Clonazepam induces morphological alterations in the parotid glands of pregnant mice. These alterations are probably associated with hyposalivation and xerostomia, already described as a common complaint among the users of benzodiazepines. Further studies are, therefore, suggested to assess the implications of these findings on pregnant women’s oral health.
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spelling doaj.art-becf58b992844ccdbefb676643fa7f632022-12-22T03:26:13ZengUniversidade Estadual de MaringáActa Scientiarum. Health Sciences1679-92911807-86482022-10-0145110.4025/actascihealthsci.v45i1.60003Does Clonazepam induce salivary gland toxicity? A morphometric analysis of salivary glands in pregnant miceAdrielle Larissa D'Andrea0Márjori Frítola1Carolina Cortez de Barros2Isabella Grippe da Silva Pinhatari 3Caio Cézar Nantes Martins4Camila Salvador Sestario5Maria José Sparça Salles6Universidade Estadual de Londrina. Universidade Estadual de LondrinaUniversidade Estadual de LondrinaUniversidade Estadual de LondrinaUniversidade Estadual de LondrinaUniversidade Estadual de LondrinaUniversidade Estadual de Londrina Physiological alterations in pregnancy may induce changes in salivary secretion and a predisposition to anxiety disorders. Clonazepam, a benzodiazepine, is recommended as the first choice for the treatment of anxiety disorders. To date, no studies have described the consequences of using this drug on the salivary glands of pregnant women. Therefore, the objective was to evaluate the alterations induced by exposure to Clonazepam in the salivary glands of pregnant mice. Twenty-two pregnant Swiss mice were divided into a control group (C) and a treated group (T), which received distilled water and 10 mg Kg-1 of Clonazepam, respectively, via gavage, daily, from the 5 to the 17th day of pregnancy. On the 18th day, euthanasia and collection of salivary glands were carried out, and the salivary glands were histologically processed and morphometrically analyzed under an optical microscope. The area, perimeter, and diameter of the acini and the thickness of the secretory ducts of each gland were measured. Parametric data (expressed as mean and standard deviation) were analyzed using the Student's t-test, and non-parametric data (expressed as median and interquartile range) using the Mann-Whitney test (p <0.05). Parotid glands’ acinar diameters (C: 44.1 ± 12.2 µm; T: 36.5 ± 7.8 µm; p =0.002) and ductal thicknesses (C: 16.9 [14.3-21.3] µm; T: 15.1 [13.4-16.3] µm; p =0.043) were statistically smaller in the T group than in the C group. No further alterations were found in other parameters from parotid glands, nor in submandibular and sublingual glands. It is concluded that Clonazepam induces morphological alterations in the parotid glands of pregnant mice. These alterations are probably associated with hyposalivation and xerostomia, already described as a common complaint among the users of benzodiazepines. Further studies are, therefore, suggested to assess the implications of these findings on pregnant women’s oral health. https://periodicos.uem.br/ojs/index.php/ActaSciHealthSci/article/view/60003psychotropic drugs; anxiety disorders; pregnancy; salivary glands; xerostomia, oral health.
spellingShingle Adrielle Larissa D'Andrea
Márjori Frítola
Carolina Cortez de Barros
Isabella Grippe da Silva Pinhatari
Caio Cézar Nantes Martins
Camila Salvador Sestario
Maria José Sparça Salles
Does Clonazepam induce salivary gland toxicity? A morphometric analysis of salivary glands in pregnant mice
Acta Scientiarum. Health Sciences
psychotropic drugs; anxiety disorders; pregnancy; salivary glands; xerostomia, oral health.
title Does Clonazepam induce salivary gland toxicity? A morphometric analysis of salivary glands in pregnant mice
title_full Does Clonazepam induce salivary gland toxicity? A morphometric analysis of salivary glands in pregnant mice
title_fullStr Does Clonazepam induce salivary gland toxicity? A morphometric analysis of salivary glands in pregnant mice
title_full_unstemmed Does Clonazepam induce salivary gland toxicity? A morphometric analysis of salivary glands in pregnant mice
title_short Does Clonazepam induce salivary gland toxicity? A morphometric analysis of salivary glands in pregnant mice
title_sort does clonazepam induce salivary gland toxicity a morphometric analysis of salivary glands in pregnant mice
topic psychotropic drugs; anxiety disorders; pregnancy; salivary glands; xerostomia, oral health.
url https://periodicos.uem.br/ojs/index.php/ActaSciHealthSci/article/view/60003
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