Recent Publications
Salivary microbiome responses to chlorhexidine and Coriandrum sativum essential oil mouthwashes in patients with periodontitis in a randomized 2-week clinical trial
Kazarina A, Vaškevica A, Emuliņa DE, Zayakin P, Hušča S, Pirsko V, Sokolovska L, Sergejeva N, Nakurte I, Pastare L, Ruhl S.
Accepted
Clin. Oral Investig.
A randomized two-week clinical trial in patients with periodontitis, comparing how the salivary microbiome responds to chlorhexidine mouthwash and to a mouthwash containing coriander (Coriandrum sativum) essential oil.
Multiscale structural evolution of proline-rich protein genes shapes primate salivary defenses
Aguado WD, Karageorgiou C, Kassem S, Hernandez Rojas R, Veilleux CC, Melin AD, Vogel ER, Ruhl S, Gokcumen O, Pajić P.
2026
Mol. Biol. Evol. msag224 (online ahead of print)
Comparative analysis of 27 primate species reveals how gene rearrangements and repeat variation contribute to the evolution of salivary proline-rich proteins.
Convergent evolution through independent rearrangements in the primate amylase locus
Karageorgiou C, Pajić P, Ruhl S, Gokcumen O.
2026
Cell Rep. 45(6): 117445. Preprint: 10.1101/2025.08.14.670395
An analysis of 53 primate species shows the amylase locus to be a hotspot of structural variation, where independent gene duplications in different primate lineages repeatedly produced amylase copies expressed in the pancreas and salivary glands.
Identification of interbacterial adhesion between oral Schaalia species and streptococcal serine-rich repeat glycoproteins
Ahearn CP, Tettelin H, Vickerman MM, Ruhl S.
2026
Selected as Editor’s Choice article.
FEMS Microbiol. Lett. 373: fnag057
Schaalia isolates from dental plaque, tongue, and saliva bind to oral streptococci through the streptococcal serine-rich repeat glycoproteins, an interbacterial adhesion that helps explain how dental biofilms form.
Saliva Protein Genes in Humans were Shaped During Primate Evolution
Pajic P, Landau L, Gokcumen O, Ruhl S.
2025
Genome Biol. Evol. 17(9): evaf165. Preprint: 10.1101/2024.02.14.580359
Gene duplication, loss, and changes in gene regulation reveal the evolutionary flexibility of genes encoding proteins in saliva.
Sialic Acid Identity Modulates Host Tropism of Sialoglycan-binding Viridans Group Streptococci
Morrison KM, Agarwal R, Stubbs HE, Yu H, Ruhl S, Chen X, Sullam PM, Bensing BA, Smith JC, Iverson TM*.
2025
J. Biol. Chem. 301(9): 110540. Preprint: 10.1101/2025.06.24.660003
Using streptococcal adhesins that recognize both the human-type (Neu5Ac) and non-human-type (Neu5Gc) sialic acids, the study shows that sialic acid identity influences, but does not alone determine, which hosts viridans group streptococci prefer.
Human oral lectin ZG16B acts as a cell wall polysaccharide probe to decode host–microbe interactions with oral commensals
Ghosh S, Ahearn CP, Isabella CR, Marando VM, Dodge GJ, Bartlett H, McPherson RL, Dugan AE, Jain S, Neznanova L, Tettelin H, Putnik R, Grimes CL, Ruhl S, Kiessling LL, Imperiali B.
2023
Proc. Natl. Acad. Sci. U.S.A. 120(22): e2216304120
The abundant salivary protein ZG16B is shown to be a lectin that binds cell wall polysaccharides of select oral commensals, most prominently Streptococcus vestibularis, and together with the salivary mucin MUC7 helps keep their growth in check.
A mechanism of gene evolution generating mucin function
Pajic P, Shen S, Qu J, May AJ, Knox SM, Ruhl S*, Gokcumen O*.
2022
Sci. Adv. 8(34): eabm8757
Across mammals, new mucin genes arose repeatedly when secreted proline-rich proteins gained repeats rich in serine and threonine that become heavily O-glycosylated, revealing a recurring route by which new gene functions evolve.
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The Crossroads of Glycoscience, Infection, and Immunology
McKitrick TR, Ackerman ME, Anthony RM, Bennett CS, Demetriou M, Hudalla GA, Ribbeck K, Ruhl S, Woo CM, Yang L, Zost SJ, Schnaar RL, Doering TL.
2021
Front. Microbiol. 12: 731008
A perspective based on a 2020 NIH workshop, outlining where glycoscience intersects with infection and immunity and how new glycan tools and resources can advance research.
Saliva and serum protein adsorption on chemically modified silica surfaces
Lehnfeld J, Dukashin Y, Mark J, White GD, Wu S, Katzur V, Müller R*, Ruhl S*.
2021
J. Dent. Res. 100: 1047–1054
Using silica surfaces with seven different chemical coatings, the study shows that the amount of saliva and serum protein that adsorbs depends on the coating, but not in a way that simple surface properties such as wettability, surface energy, or charge can predict.
The Human Salivary Proteome Wiki: A community-driven research platform
Lau WW, Hardt M, Zhang YH, Freire M, Ruhl S.
2021
J. Dent. Res. 100: 1510–1519
Introduces the Human Salivary Proteome Wiki, a public, community-curated database that collects and annotates information on the proteins found in human saliva.
Functional Specialization of Human Salivary Glands and Origins of Proteins Intrinsic to Human Saliva
Saitou M, Gaylord E, Xu D, Neznanova L, Nathan S, Grawe A, Chang J, Ryan W, Ruhl S*, Knox SM*, Gokcumen O*.
2020
Cell Rep. 33(7): 108402
To understand the glandular origins of proteins in saliva, we performed the hitherto most comprehensive investigation of gene expression in healthy human salivary glands. Our results revealed that each mature salivary gland type contributes a distinct repertoire of proteins to saliva. We provide evidence that these unique, gland-specific secreted protein profiles emerge late in gland development. Our results suggest that the origins of salivary proteins in whole mixed saliva can be parsed out only through an integrative analysis of both protein and RNA levels.
The effects of modified sialic acids on mucus and erythrocytes on influenza A virus HA and NA functions
Barnard KN, Alford-Lawrence BK, Buchholz DW, Wasik BR, LaClair JR, Yu H, Honce R, Ruhl S, Pajic P, Daugherity EK, Chen X, Schultz-Cherry SL, Aguilar HC, Varki A, Parrish CR.
2020
J. Virol. 94: e01567-19. Preprint: 10.1101/800300
Chemically modified forms of sialic acid found on mucus, in saliva, and on red blood cells of different animals can inhibit binding and cleavage by influenza A virus hemagglutinin and neuraminidase.
Human and Non-Human Lineage-Specific Footprints in the Salivary Proteome
Thamadilok S, Choi KS, Ruhl L, Schulte F, Reddy MS, Kazim AL, Hardt M, Gokcumen O, Ruhl S.
2020
Mol. Biol. Evol. 37: 395–405
Here, we compared the proteomes of human saliva and the saliva of our closest extant evolutionary relatives, chimpanzees and gorillas, using macaques as an outgroup, with the aim to uncover features in saliva protein composition that are unique to each species. We found that humans produce a waterier saliva, containing less than half total protein than great apes and Old World monkeys. For all major salivary proteins in humans, we could identify counterparts in chimpanzee and gorilla saliva. However, we discovered unique protein profiles in saliva of humans that were distinct from those of nonhuman primates. These findings open up the possibility that dietary differences and pathogenic pressures may have shaped a distinct salivary proteome in the human lineage.
Independent Amylase Gene Copy Number Bursts Correlate with Dietary Preferences in Mammals
Pajic P, Pavlidis P, Dean K, Neznanova L, Romano R-A, Garneau D, Daugherity E, Globig A, Ruhl S*, Gokcumen O*.
2019
eLife
Here, we present comprehensive evidence for AMY copy number expansions that independently occurred in several mammalian species which consume diets rich in starch. We also provide correlative evidence that AMY gene duplications may be an essential first step for amylase to be expressed in saliva. Our findings underscore the overall importance of gene copy number amplification as a flexible and fast evolutionary mechanism that can independently occur in different branches of the phylogeny.
Archaic Hominin Introgression in Africa Contributes to Functional Salivary MUC7 Genetic Variation
Xu D, Pavlidis P, Taskent RO, Alachiotis N, Flanagan C, DeGiorgio M, Blekhman R, Ruhl S*, Gokcumen O*.
2017
Mol. Biol. Evol. 34(10): 2704–2715
Our investigation revealed a significant association of MUC7 haplotypic variation with the composition of the oral microbiome. Furthermore, we conclude that a divergent MUC7 haplotype likely originated in an unknown African hominin population and introgressed into ancestors of modern Africans.
Recent evolution of the salivary mucin MUC7
Xu D, Pavlidis P, Thamadilok S, Redwood E, Fox S, Blekhman R, Ruhl S*, Gokcumen O*.
2016
Sci. Rep. 6: 31791
Traces how the gene for the salivary mucin MUC7 has changed in recent human and primate evolution, with a focus on variation in its glycosylated repeat region.
Absence of capsule reveals glycan-mediated binding and recognition of salivary mucin MUC7 by Streptococcus pneumoniae
Thamadilok S, Roche-Håkansson H, Håkansson AP, Ruhl S.
2016
Mol. Oral Microbiol. 31: 175–188
Shows that Streptococcus pneumoniae lacking its polysaccharide capsule binds the salivary mucin MUC7 through recognition of its glycans, a binding that the capsule normally masks.
Oral streptococci utilize a Siglec-like domain of serine-rich repeat adhesins to preferentially target platelet sialoglycans in human blood
Deng L, Bensing BA, Thamadilok S, Yu H, Lau K, Chen X, Ruhl S, Sullam PM, Varki A.
2014
PLoS Pathog. 10: e1004540
Oral streptococci use the Siglec-like binding domain of their serine-rich repeat adhesins to selectively target sialic acid-containing glycans on platelets in human blood, with implications for infective endocarditis.
Probing of microbial biofilm communities for coadhesion partners
Ruhl S, Eidt A, Melzl H, Reischl U, Cisar JO.
2014
Appl. Environ. Microbiol. 80: 6583–6590
Describes an overlay method for screening the many species of dental plaque and other mixed biofilms for bacteria that adhere to one another (coadhesion partners).
Salivary protein adsorption and Streptococcus gordonii adhesion to dental material surfaces
Schweikl H, Hiller K-A, Carl U, Schweiger R, Eidt A, Ruhl S, Müller R, Schmalz G.
2013
Dent. Mater. 29: 1080–1089
Examines which salivary proteins adsorb to different dental material surfaces and how this protein layer influences the adhesion of Streptococcus gordonii.
Surface-immobilized PAMAM-dendrimers modified with cationic or anionic terminal functions: physicochemical surface properties and conformational changes after application of liquid interface stress
Katzur V, Eichler M, Deigele E, Stage C, Karageorgiev P, Geis-Gerstorfer J, Schmalz G, Ruhl S, Rupp F, Müller R.
2011
J. Colloid. Interface Sci. 366: 179–190
Characterizes surfaces coated with PAMAM dendrimers carrying positively or negatively charged end groups, including how the coatings change under liquid interface stress.
The impact of dendrimer-grafted surface modifications to model silicon surfaces on protein adsorption and bacterial adhesion
Eichler M, Katzur V, Scheideler Lutz, Haupt M, Geis-Gerstorfer J, Schmalz G, Ruhl S, Müller R, Rupp F.
2011
Biomaterials 32: 9168–9179
Tests how grafting dendrimers onto model silicon surfaces affects protein adsorption and the subsequent adhesion of bacteria.
Integrity of proteins in human saliva after sterilization by gamma irradiation
Ruhl S, Berlenbach P, Langenfelder S, Hörl D, Lehn N, Hiller K-A, Schmalz G, Durchschlag H.
2011
Appl. Environ. Microbiol. 77: 749–755
Assesses whether gamma irradiation can sterilize human saliva samples while keeping their proteins intact for research use.
Outer membrane protein (OMP) expression profile in Helicobacter pylori clinical isolates
Odenbreit S, Swoboda K, Barwig I, Ruhl S, Borén T, Koletzko S, Haas R.
2009
Infect. Immun. 77: 3782–3790
Profiles the expression of outer membrane proteins, including adhesins, across clinical isolates of Helicobacter pylori.
Influences of protein films on antibacterial or bacteria-repellent surface coatings in a model system using silicon wafers
Müller R, Eidt A, Hiller K-A, Katzur V, Subat M, Schweikl H, Imazato S, Ruhl S, Schmalz G.
2009
Biomaterials 30: 4921–4929
Uses silicon wafers as a model to test how an adsorbed protein film alters the performance of antibacterial and bacteria-repellent surface coatings.
Identification of glycoprotein receptors within the human salivary proteome for the lectin-like BabA and SabA adhesins of Helicobacter pylori by fluorescence-based 2-D bacterial overlay
Walz A, Odenbreit S, Stühler K, Wattenberg A, Meyer HE, Mahdavi J, Borén T, Ruhl S.
2009
Proteomics 9: 1582–1592
Uses a fluorescence-based two-dimensional bacterial overlay to identify salivary glycoproteins that serve as receptors for the Helicobacter pylori adhesins BabA and SabA.
Helicobacter pylori in human oral cavity and stomach
Bürgers R, Schneider-Brachert W, Reischl U, Behr A, Hiller K-A, Lehn N, Schmalz G, Ruhl S.
2008
Eur. J. Oral Sci. 116: 297–304
Investigates whether Helicobacter pylori found in the mouth relates to H. pylori infection of the stomach in the same patients.
Fluorescence-based bacterial overlay method for simultaneous in situ quantification of surface-attached bacteria
Müller R, Gröger G, Hiller K-A, Schmalz G, Ruhl S.
2007
Appl. Environ. Microbiol. 73: 2653–2660
Introduces a fluorescence-based overlay method for measuring bacteria attached to surfaces directly in place, for many samples at once.
Chemiluminescence-based detection and comparison of protein amounts adsorbed on differently modified silica surfaces
Müller R, Hiller K-A, Schmalz G, Ruhl S.
2006
Anal. Biochem. 359: 194–202
Presents a chemiluminescence-based method to measure and compare the amounts of protein adsorbed on chemically modified silica surfaces.
Helicobacter pylori adhesion to carbohydrates
Aspholm M, Kalia A, Ruhl S, Schedin S, Arnqvist A, Sjöström R, Gerhard M, Semino-Mora C, Dubois A, Unemo M, Danielsson D, Teneberg S, Kon W, Berg D, Borén T.
2006
Meth. Enzymol. 417: 293–339
Methods chapter on studying how Helicobacter pylori binds to host carbohydrates through its adhesins.
Proteome analysis of glandular parotid and submandibular-sublingual saliva in comparison to whole human saliva by two-dimensional gel electrophoresis
Walz A, Wattenberg A, Meyer HE, Schmalz G, Blüggel M, Ruhl S.
2006
Proteomics 6: 1631–1639
Compares the protein make-up of parotid and submandibular-sublingual gland secretions with whole saliva using two-dimensional gel electrophoresis.
Salivary receptors for the proline rich protein-binding and lectin-like adhesins of oral actinomyces and streptococci
Ruhl S, Sandberg AL and Cisar JO.
2004
J. Dent. Res. 83: 505–510
Identifies the salivary molecules recognized by the proline-rich protein-binding and lectin-like adhesins of oral actinomyces and streptococci.
Adhesion of viridans group streptococci to sialic acid-, galactose- and N-acetylgalactosamine-containing receptors
Takahashi Y, Ruhl S, Yoon J-W, Sandberg AL and Cisar JO.
2002
Oral Microbiol. Immunol. 17: 257–262
Characterizes the binding of viridans group streptococci to receptors containing sialic acid, galactose, or N-acetylgalactosamine.
Identification of polymorphonuclear leukocyte and HL-60 cell receptors for adhesins of Streptococcus gordonii and Actinomyces naeslundii
Ruhl S, Cisar JO, Sandberg AL.
2000
Infect. Immun. 68: 6346–6354
Identifies the receptors on neutrophils and HL-60 cells that are recognized by adhesins of Streptococcus gordonii and Actinomyces naeslundii.
Specific inhibitors of bacterial adhesion: Observations from the study of gram-positive bacteria that initiate biofilm formation on the tooth surface
Cisar JO, Takahashi Y, Ruhl S, Donkersloot JA, and Sandberg AL.
1997
Adv. Dent. Res. 11: 168–175
Discusses specific inhibitors of bacterial adhesion, based on studies of the gram-positive bacteria that first colonize the tooth surface.
A specific cell surface antigen of Streptococcus gordonii is associated with bacterial hemagglutination and adhesion to α2-3-linked sialic acid-containing receptors
Takahashi Y, Sandberg AL, Ruhl S, Muller J, and Cisar JO.
1997
Infect. Immun. 65: 5042–5051
Links a specific cell surface antigen of Streptococcus gordonii to its ability to agglutinate red blood cells and bind α2-3-linked sialic acid receptors.
Putative glycoprotein and glycolipid polymorphonuclear leukocyte receptors for the Actinomyces naeslundii WVU45 lectin
Sandberg AL, Ruhl S, Joralmon RA, Brennan MJ, Sutphin MJ, and Cisar JO.
1995
Infect. Immun. 63: 2625–2631
Identifies candidate glycoprotein and glycolipid receptors on neutrophils for the lectin of Actinomyces naeslundii WVU45.
Interferon-γ antagonizes interleukin-6-induced expression of interleukin-4 receptors in murine myeloid cells by a transcriptional mechanism
Ruhl S, Feldman GM, Akahane K, and Pluznik DH.
1993
Blood 82: 2641–2648
Shows that interferon-γ blocks the interleukin-6-induced expression of interleukin-4 receptors in mouse myeloid cells at the level of transcription.
Soluble interleukin-4 receptor production by murine myeloid progenitor cells: induction by interleukin-6 and interferon-γ
Ruhl S, Pluznik DH, and Feldman GM.
1993
Cytokine 5: 144–149
Shows that mouse myeloid progenitor cells produce a soluble form of the interleukin-4 receptor when stimulated with interleukin-6 and interferon-γ.
Transient expression of the IL-2 receptor α-chain in IL-6-induced myeloid cells is regulated by autocrine production of prostaglandin E2
Ruhl S, Begley CG, Bickel M, and Pluznik DH.
1992
Exp. Hematol. 20: 619–625
Shows that the brief appearance of the IL-2 receptor α-chain on IL-6-stimulated myeloid cells is controlled by prostaglandin E2 that the cells produce themselves.
Induction of interferon-β and 2'5'-oligoadenylate synthetase mRNA by interleukin-6 during differentiation of murine myeloid cells
Bickel M, Dveksler G, Dieffenbach CW, Ruhl S, Midura SB, and Pluznik DH.
1990
Cytokine 2: 1–9
Shows that interleukin-6 induces interferon-β and 2'5'-oligoadenylate synthetase mRNA as mouse myeloid cells differentiate.
Adenosine and its derivates control human monocyte differentiation into highly accessory cells versus macrophages
Najar HM, Ruhl S, Bru-Capdeville AC, and Peters JH.
1990
J. Leuk. Biol. 47: 429–439
Shows that adenosine and related compounds steer human monocytes toward becoming highly accessory cells rather than macrophages.