Jd. Harrison et al., ULTRASTRUCTURAL-LOCALIZATION OF MICROLITHS IN SALIVARY-GLANDS OF CAT, Journal of oral pathology & medicine, 22(8), 1993, pp. 358-362
Although microliths occur in normal human salivary glands and may be a
n aetiological factor of sialadenitis, little is known of their natura
l history. In an attempt to remedy this, we investigated a large archi
val collection of normal and experimental feline parotid, submandibula
r and sublingual salivary glands. In submandibular and sublingual glan
ds, microliths were detected ultrastructurally in: all types of acinar
secretory cells; myoepithelial cells, ductal cells; lumina; intercell
ular spaces; basement membrane; stroma; macrophages; multinuclear gian
t cells; and neutrophils. Microliths were not detected ultrastructural
ly in parotid glands. Microliths appear to form in acinar cells during
autophagy and in stagnant secretory material in lumina. Microliths ap
pear to be removed by secretion in the saliva, discharge from cells la
terally and basally, and engulfment by macrophages. There appears to b
e a turnover of microliths, which possibly is upset by secretory inact
ivity with a resulting accumulation that leads to localized obstructio
n and sialadenitis.