Review Article

Salivary Cytokines as Potential Diagnostic Biomarkers for Systemic Lupus Erythematosus Disease

Table 2

Salivary cytokine profiles in SLE patients.

StudySubjects ()Salivary cytokines measuredAnalytical methodsFindings

Mendonça et al. [18]70 SLE patients (with or without PD)/70 HC (with or without PD)IL-33, IL-17A, IL-6ELISA/cytometric bead array(i) Significantly higher salivary levels of IL-6 and IL-17A in SLE-PD compared to HC-PD
(ii) Lower levels of IL-33 in SLE-non-PD compared to HC-non-PD
(iii) The PD significantly increased the levels of IL-6, IL-17A, and IL-33 in saliva of SLE patients compared to SLE-non-PD
(iv) Periodontitis seemed to affect SLE individuals earlier
Stanescu et al. [17]24 SLE patients/5 HCIL-6, leptin, MCP-1, and PAI-1Stochastic sensors(i) Significantly higher salivary levels of IL-6 in SLE patients
(ii) Salivary IL-6 levels highly correlated with the serum IL-6 levels in SLE patients
Corrêa et al. [9]52 SLE patients (with or without PD)/52 HC (with or without PD)IL-6, IL-17, IL-33, TNF-α, and IFN-γ(i) Flow cytometer
(ii) ELISA
(i) Significantly increased saliva levels of IL-6, IL-17, and IL-33 in SLE-PD compared to HC-PD
(ii) Changes in the oral microbiota were linked to increased local inflammation, as demonstrated by higher concentrations of IL-6, IL-17, and IL-33 in SLE-PD patients
Marques et al. [16]60 SLE patients (30 with and 30 without PD)/54 HC (27 with and 27 without PD)IFN-γ, IL-10, IL-17, IL-1β, IL-4, and IL-6Automatic analyzer MAGPIX system(i) Higher salivary levels of IFN-γ, IL-10, IL-17, IL-1β, IL-6, and IL-4 in SLE even in the absence of PD
(ii) Higher salivary levels of IL-1β and IL-6 in HC-PD compared to SLE-PD and SLE-non-PD
(iii) IL-1β and IL-4 salivary levels were positively correlated with periodontal status indicating their potential as markers of the amount and extent of periodontal damage in SLE patients

ELISA: enzyme-linked immunosorbent assay; HC: healthy controls; IL: interleukins; IL-1RA: interleukin 1 receptor antagonist; INF: interferon; MCP: monocyte chemoattractant protein; PD: periodontal disease; SLE: systemic lupus erythematosus; TNF: tumor necrosis factor.