Review Article

Salivary Diagnostics: A Brief Review

Table 1

Summary of the salivary biomarkers in various systemic diseases.

S. numberDiseasesBiomarkers Source of biomarkers

(1)Autoimmune diseases
(1) Sjogren’s syndrome
(2) Multiple sclerosis
(3) Sarcoidosis
Lactoferrin, beta 2 microglobulin, lysozyme C, cystatin C, salivary amylase, and carbonic anhydrase
IgA production
Alpha-amylase and kallikrein
Saliva

(2)Bone turnover markersBody mass index, D-PYR, OC concentration, calcaneus T scores, hepatocyte growth factor, interleukin-1 beta, salivary osteonectin, and ALP activitySerum and saliva

(3)Cardiovascular markersCardiac troponins, C-reactive protein, myoglobin, myeloperoxidase, ICAM-1, CD 40, and salivary lysozymeSerum and saliva

(4)Dental caries and periodontal diseasesStreptococcus mutans and lactobacilli count, aspartate aminotransferase, alkaline phosphatase, uric acid, albumin, pIgR, Arp 3, CA VI, IL-1Ra, PLS-2, LEI, and IGJSaliva

(5)Diseases of the adrenal cortexSalivary cortisol

(6)Drug level monitoringNicotine, cannabinoids, cocaine, phencyclidine, opioids, barbiturates, diazepines, amphetamines, ethanol, cotinine, methamphetamine, endogenous γ-hydroxybutyric acid, and 3,4-methylenedioxymethamphetamineSerum and saliva

(7)Forensic evidenceBlood group antigens and DNA testingSaliva

(8)Genetic disorders
(1) Cystic fibrosis
(2) Ectodermal dysplasia
Cathepsin-D, sodium, potassium, chloride, calcium, magnesium, and lactate dehydrogenase
Inorganic constituents, total protein
Saliva

(9)Infections
(1) Viral infections
(2) Bacterial infections
(3) Fungal infections
Measles virus-specific IgM
HIV—HIV-1, HIV-2—antibodies, salivary proteins
Mycobacterium tuberculosis, MUC 5B, and MUC 7
Candidiasis immunoglobulins, Hsp 70, and calprotectin, histatins, mucins, basic proline rich proteins, and peroxidases
Serum and saliva

(10)Malignancy lnc RNA, miRNA, CCNI, EGFR, FGF19, FRS2 and GREB1, AGPAT1, B2M, BASP2, IER3, and IL1B, p53, CA15-3, C-erb2, CA 125, FGF 2, PSA, cortisol, lactate dehydrogenase, silver nitrate and nitrite, and salivary adenosine deaminaseSerum and saliva

(11)Occupational and environmental medicineSalivary cortisol, IgA, lysozyme, chromogranin, alpha-amylase, lead, and cadmiumSerum and saliva

(12)Psychological researchSalivary amylase, cortisol, substance P, lysozyme, secretory IgG, and testosteroneSaliva

(13)Renal diseasesCortisol, nitrite, uric acid, sodium chloride, pH, alpha-amylase, and lactoferrin. Salivary phosphate, serum creatinine, and glomerular filtration rateSerum and saliva