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唾液——健康与疾病状态下身体的诊断窗口。

Saliva--a diagnostic window to the body, both in health and in disease.

作者信息

Greabu Maria, Battino Maurizio, Mohora Maria, Totan Alexandra, Didilescu Andreea, Spinu Tudor, Totan Cosmin, Miricescu Daniela, Radulescu Radu

机构信息

*Department of Biochemistry, Faculty of Dental Medicine, "Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania.

出版信息

J Med Life. 2009 Apr-Jun;2(2):124-32.

Abstract

Saliva, the most available and non-invasive biofluid of the human body, permanently "bathes" the oral cavity and is trying to cope with an ever-changing milieu. The oral cavity, a very complex and unique milieu due to its dual function, is the only place in the body where the mineralized tissue is exposed to the external environment in which there are complex interactions between various surfaces: host soft and hard tissues, food, air, and microorganisms. Saliva includes a large number of inorganic and organic compounds, which act as a "mirror of the body's health." In addition to its other functions, saliva could constitute the first line of defense against oxidative stress. Due to its composition and functions, saliva could have a significant role in controlling and/or modulating oxidative damages in the oral cavity. As a diagnostic fluid, saliva offers distinctive advantages over serum. Furthermore, saliva may provide a cost-effective approach for the screening of large populations. Gland-specific saliva can be used for diagnosis of pathology specific to one of the major salivary glands. Whole saliva, however, is most frequently used for diagnosis of systemic diseases. As we enter the era of genomic medicine, sialochemistry will play an increasingly important role in the early detection, the monitoring and progression of the systemic and oral diseases. We reviewed the current data within literature and of our research concerning clinical potential of the saliva.

摘要

唾液是人体最易获取且无创的生物流体,它持续“冲洗”口腔,并试图应对不断变化的环境。口腔因其双重功能而成为一个非常复杂且独特的环境,是人体中矿化组织暴露于外部环境的唯一部位,在这个环境中,宿主的软硬组织、食物、空气和微生物等各种表面之间存在复杂的相互作用。唾液包含大量无机和有机化合物,堪称“人体健康的镜子”。除了其他功能外,唾液可能构成抵御氧化应激的第一道防线。鉴于其成分和功能,唾液在控制和/或调节口腔氧化损伤方面可能发挥重要作用。作为一种诊断液体,唾液相对于血清具有独特优势。此外,唾液可为大规模人群筛查提供一种经济有效的方法。特定腺体的唾液可用于诊断主要唾液腺之一的特定病理状况。然而,全唾液最常用于诊断全身性疾病。随着我们进入基因组医学时代,唾液化学将在全身性疾病和口腔疾病的早期检测、监测及病情进展方面发挥越来越重要的作用。我们回顾了文献中的现有数据以及我们关于唾液临床潜力的研究。

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