The salivary glands are the organs which produce saliva, and they are essential for a healthy mouth. Radiotherapy is a life-saving treatment for those with head and neck cancer; however, while it often succeeds in treating the cancer, a severe side-effect is damage to healthy tissue, including including the salivary glands. This results in a multitude of oral problems, such as difficulties in eating and speaking, all of which can adversely affect a patient’s quality of life. Existing treatments concentrate only on short-term relief of such side-effects. My group aim to develop a regenerative strategy to restore salivary function by understanding how the salivary glands are built in the first place and how they are damaged during radiotherapy.
We have previously demonstrated that nerves surround the salivary glands and interact with stem cells, unspecialised cells that can develop into mature cells following injury, to promote regeneration. Importantly, both the gland and the nerves surrounding it are damaged by radiotherapy. Furthermore, we have identified that macrophages, a type of immune cell that play a role in tissue repair and regeneration, are essential for salivary gland regeneration after radiotherapy injury, but are negatively affected by radiotherapy. My research group are working to better understand how nerves, macrophages and epithelial cells communicate to build the organ and to maintain its function, and what goes wrong following radiotherapy injury, with the ultimate aim to develop technologies to promote regeneration and greatly improve patient quality of life.