{Reference Type}: Journal Article {Title}: Salivary protein changes in response to acute stress in medical residents performing advanced clinical simulations: a pilot proteomics study. {Author}: Marvin RK;Saepoo MB;Ye S;White DB;Liu R;Hensley K;Rega P;Kazan V;Giovannucci DR;Isailovic D; {Journal}: Biomarkers {Volume}: 22 {Issue}: 3 {Year}: May 2017 0 {Factor}: 2.663 {DOI}: 10.1080/1354750X.2017.1279215 {Abstract}: BACKGROUND: Quantitative changes of salivary proteins due to acute stress were detected.
OBJECTIVE: To explore protein markers of stress in saliva of eight medical residents who performed emergency medicine simulations.
METHODS: Saliva was collected before the simulations, after the simulations, and following morning upon waking. Proteins were separated by sodium dodecyl sulphate-polyacrylamide gel electrophoresis (SDS-PAGE), identified by mass spectrometry (MS), and relatively quantified by densitometry.
RESULTS: Salivary alpha-amylase and S-type cystatins significantly increased, while the ∼26 kDa and low-molecular weight (MW) (<10 kDa) SDS-PAGE bands exhibited changes after stress.
CONCLUSIONS: Alpha-amylase and cystatins are potential salivary markers of acute stress, but further validation should be performed using larger sample populations.