Xingqun Cheng, Xuedong Zhou, Xin Xu
State Key Laboratory of Oral Diseases, Dept. of Conservative Dentistry and Endodontics, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China.
Hua Xi Kou Qiang Yi Xue Za Zhi. 2016 Dec 1;34(6):647-653. doi: 10.7518/hxkq.2016.06.019.
Saliva is secreted by salivary glands and performs a variety of functions, including mouth cleaning and protection, antibacterial activity, and digestion. With the rapid progress in salivaomics, saliva became recognized as a potential pool of biological markers. Being a non-invasive and safe source, saliva is a potential substitute for blood in diagnosis and prognosis of diseases. This review summarizes the latest advancement in saliva-related studies and presents the potential value of saliva in early diagnosis of oral diseases, such as dental caries, periodontal disease, cancer, diabetes, and other systemic disorders. Saliva biomarkers can reveal changes ranging from changes in biochemical index, DNA, RNA, and proteins to the diversification of microbiota structure. By integrating recent data, this paper discusses the clinical significance and application prospect of saliva in early diagnosis of diseases and in translational and precision medicine.
唾液由唾液腺分泌,具有多种功能,包括口腔清洁与保护、抗菌活性以及消化功能。随着唾液组学的迅速发展,唾液被认为是一个潜在的生物标志物库。作为一种非侵入性且安全的来源,唾液在疾病的诊断和预后方面是血液的潜在替代品。本综述总结了唾液相关研究的最新进展,并阐述了唾液在口腔疾病(如龋齿、牙周病、癌症、糖尿病和其他全身性疾病)早期诊断中的潜在价值。唾液生物标志物能够揭示从生化指标、DNA、RNA和蛋白质的变化到微生物群结构多样化等一系列变化。通过整合近期数据,本文探讨了唾液在疾病早期诊断以及转化医学和精准医学中的临床意义及应用前景。