UCLA School of Dentistry and Center of Oral/Head & Neck Oncology Research, Los Angeles, California, USA.
Clin Microbiol Rev. 2013 Oct;26(4):781-91. doi: 10.1128/CMR.00021-13.
The pursuit of timely, cost-effective, accurate, and noninvasive diagnostic methodologies is an endeavor of urgency among clinicians and scientists alike. Detecting pathologies at their earliest stages can significantly affect patient discomfort, prognosis, therapeutic intervention, survival rates, and recurrence. Diagnosis and monitoring often require painful invasive procedures such as biopsies and repeated blood draws, adding undue stress to an already unpleasant experience. The discovery of saliva-based microbial, immunologic, and molecular biomarkers offers unique opportunities to bypass these measures by utilizing oral fluids to evaluate the condition of both healthy and diseased individuals. Here we discuss saliva and its significance as a source of indicators for local, systemic, and infectious disorders. We highlight contemporary innovations and explore recent discoveries that deem saliva a mediator of the body's physiological condition. Additionally, we examine the current state of salivary diagnostics and its associated technologies, future aspirations, and potential as the preferred route of disease detection, monitoring, and prognosis.
追求及时、经济、准确和非侵入性的诊断方法是临床医生和科学家共同的紧迫任务。在疾病的早期阶段进行检测可以显著影响患者的不适、预后、治疗干预、生存率和复发率。诊断和监测通常需要进行痛苦的有创性程序,如活检和反复抽血,这给已经不愉快的体验增加了不必要的压力。基于唾液的微生物、免疫和分子生物标志物的发现提供了独特的机会,可以通过利用口腔液来评估健康和患病个体的状况,从而避免这些措施。在这里,我们讨论了唾液及其作为局部、全身和传染性疾病指标来源的重要性。我们强调了当代的创新,并探讨了最近的发现,这些发现认为唾液是身体生理状况的介质。此外,我们还研究了唾液诊断的现状及其相关技术、未来的期望以及作为疾病检测、监测和预后首选途径的潜力。