Review Article

MicroRNAs as Salivary Markers for Periodontal Diseases: A New Diagnostic Approach?

Table 3

Comparison of methods for salivary miRNA diagnosis.

Author and yearNumber of study participantsForm of salivamiRNA extraction methodDetection of miRNA profileValidationInternal controlStatistical analysisPotential marker for carcinoma

Park et al. 2009 [28]50 oral squamous cell carcinoma (OSCC) patients and 50 healthy matched control subjectsUnstimulated whole saliva and saliva supernatantmirVana miRNA Isolation Kit (Ambion)
DNA-free (Ambion)
RT-preamp-qPCR (Applied Biosystems)(i) RT-preamp-qPCR (Applied Biosystems)
(ii) Four-plex RT-preamp-qPCR for miR-142-3p, miR-200a, miR-125a, and miR-93.
U6 snRNAMann-Whitney testmiR-125a
miR-200a

Liu et al. 2012 [31]45 patients with OSCC and 10 patient with oral verrucous leukoplakia
24 healthy individuals
Unstimulated saliva supernatantmirVana PARIS Isolation kit (Ambion)
DNase digestion
TaqMan miRNA assay system (Applied Biosystems)TaqMan miRNA assay system (Applied Biosystems)miR-16Mann-Whitney test, Wilcoxon matched pairs test, and linear regression analysis, receiver-operating characteristics ROC analysismiR-31

Yang et al. 2013 [33]8 progressing LGD leukoplakias
7 nonprogressing LGD leukoplakias
7 healthy volunteers
Unstimulated salivaRNeasy Micro Kit (Qiagen)TaqMan® low density array (TLDA) qRT-PCR system (Applied Biosystems) were used for global miR expression analysis in tissue samplesTaqMan MicroRNA Assay (Applied Biosystems)RNU6Random variance -test, Benjamini-Hochberg false discovery rate (FDR) method, Mann-Whitney test, Student’s -tests (two-sided)miR-10b, miR-145, miR-99b, miR-708, miR-181c, miR-30e, miR-660, miR-197

Xie et al. 2013 [36]39 patients with esophageal cancer and 19 healthy controlsStimulated whole saliva and supernatantmirVana PARIS Kit (Ambion)7 whole saliva samples for EC group and 3 for healthy group for Agilent microarray 11.0 (Agilent Technologies)RT-qPCR SYBR Premix Ex Taq (TaKaRa)miR-16Mann-Whitney test or the Kruskall-Wallis test, test, receiver-operating characteristics ROC curves, Spearman’s correlation testmiR-10b, miR-144, miR-451 (in whole saliva)
miR-10b, miR-144, miR-21, miR-451 (in saliva supernatant)

Matse et al. 2013 [37]38 patients with malignant and 29 with benign parotid gland tumorsWhole saliva and supernatantmirVana Paris kit (Ambion)
DNase I (Qiagen)
TaqMan Human MicroRNA Cards (Applied Biosystems)
TaqMan MicroRNA assays (Applied Biosystems)
TaqMan microRNA assays (Applied Biosystems)U6 snRNAWilcoxon rank-sum test, ROC curveshsa-miR-374, hsa-miR-222, hsa-miR-15b, hsa-let-7g, hsa-miR-132, mmu-miR-140-5p

Momen-Heravi et al. 2014 [34]9 OSCC patients before treatment, 8 patients with OSCC in remission, 8 patients with OLP, and 9 healthy controlsUnstimulated whole salivaRNeasy kit (Qiagen)multiplexed NanoString nCounter
miRNA expression assay (NanoString Technologies)
TaqMan MicroRNA assay (Applied Biosystems)miRNA-1911-way analysis of variance, followed by a 2-tailed Mann-Whitney test or Student’s -test, ROC curves analysismiR-27b

Salazar et al. 2014 [29]5 HNSCC patients, 5 healthy controls for expression analysis
56 HNSCC patients, 56 healthy controls for validation
Unstimulated whole salivaQIAzol lysis reagent (Qiagen)
NucleoSpin miRNA kit (Macherey-Nagel)
miScript miRNA PCR arrays (Qiagen)RT-qPCR miScript SYBR green PCR master mix (Qiagen)SNORD96AMann Withney -test, ROC curves, Wilcoxon rank sum test, Bonferroni methodmiR-9, miR-134, miR-191

Zahran et al. 2015 [35]20 healthy controls, 40 potentially malignant disorders, 20 OSCC, 20 recurrent aphthous stomatitisUnstimulated saliva supernatantmiRNeasy serum/plasma extraction kit (Qiagen)RT-qPCR SYBR green PCR kit (Qiagen)SNORD68One-way ANOVA, -test, Dunnett -test, Scheffe’s multiple comparison, two-tailed testsmiR-21, miR-184, miR-145

Duz et al. 2016 [32]50 saliva samples from 25 TSCC patients (once prior to and once after surgical treatment)Unstimulated saliva supernatantmirVana PARIS kit (Ambion)8 samples (4 TSCC patients 4 healthy control) using Agilent 8 × 60K human V19 miRNA microarraysTaqMan MicroRNA assay (Applied Biosystems)RNU6bTwo-sided Student’s -test, Receiver operating characteristic (ROC) curves, 95% confidence interval (CI)miR-139-5p

Hung et al. 2016 [30]20 patients with oral potentially malignant disorders, 24 healthy individualsUnstimulated saliva supernatantmirVana PARIS isolation kit (Ambion)TaqMan microRNA assay (Applied Biosystems)miR-16Unpaired test, ROC curves, Kaplan-Meier method, log-rank test, Cox proportional hazard modelmiR-21
miR-31

RNA extraction and isolation methods are listed. The proof of quality and quantity and quality assurance are shown as important quality criteria to draw conclusions regarding the reproducibility and standardization of the investigations. Furthermore, methods for miRNA profiling and miRNA validation are listed. In addition, the number of study participants is provided to draw conclusions regarding the validity of the results. The form of saliva is also listed.