Why saliva?
Saliva is non-invasive and cost-effective diagnostic fluid which is ideal for early detection and community screening in high-risk populations.
Key salivary biomarkers Genetic markers: p53, miRNAs (miR-21, miR-31), DNA methylation changes.
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Metabolic markers: polyamines
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Proteomic markers: IL-6, IL-8, TNF- alpha
Why salivary biomarkers are important?
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Before appearance of clinical lesions, molecular changes begin way before.
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Support early detection and prevention of disease progression
Advantages over conventional biopsy
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Painless
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Patient friendly
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Suitable for mass screening
Current limitations
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Lack of standardized panels
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Mostly adjunctive
Can saliva-based tests become the first line of screening for oral cancer?