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唾液代谢组学:在口腔疾病中的概念和应用。

Saliva metabolomics: concepts and applications in oral disorders.

机构信息

International Research Center, Centro Internacional de Pesquisa, A.C. Camargo Cancer Center, Rua Taguá, 440 - Primeiro andar, São Paulo, 01508-010, Brazil.

Hospital São Paulo, São Paulo, SP, Brazil.

出版信息

Clin Oral Investig. 2024 Oct 8;28(11):579. doi: 10.1007/s00784-024-05990-y.

DOI:10.1007/s00784-024-05990-y
PMID:39377832
Abstract

OBJECTIVES

The purpose of this review was to present the basic concepts of metabolomics methodology and the use of saliva for diagnostic, prognostic, and predictive strategies.

MATERIAL AND METHODS

This review followed the focus in: "saliva metabolomics" and "oral diseases". The authors searched studies on PubMed database. The inclusion criteria were original studies and reviews that assessed metabolomics techniques. A descriptive analysis was performed considering the study design, approach system, clinical steps, and tools for the determination of profile or biomarkers metabolites, and the advantages and disadvantages.

RESULTS

Metabolomic analyses use a combination of analytical instrumentation and informatic tools to provide information on metabolite characteristics. In this review we described different technologies applied and the advantages and limitations of each technique. Furthermore, in the literature search, we retrieved 25 studies that investigated saliva metabolites in oral diseases: 8 studies used targeted analysis and 17 untargeted metabolomics approaches. Most studies included patients with periodontal diseases, oral squamous cell carcinoma, and Sjögren Syndrome. The most frequently reported metabolites were glycine, leucine, phenylalanine, dipeptides, linoleic acid, arachidonic acid, tyrosine, choline, taurine, lactate, valine, and proline.

CONCLUSIONS

Metabolomics analysis has emerged as a powerful tool for tumor diagnosis and to enhance tumor classification, including salivary gland tumors (SGTs). It also holds promise for developing personalized treatment plans and defining more precise prognostic categories.

CLINICAL RELEVANCE

Metabolomics is the most functional and comprehensive technique for monitoring and understanding gene functions and identifying the biochemical state of an organism in response to genetic and environmental changes.

摘要

目的

本文旨在介绍代谢组学方法的基本概念以及唾液在诊断、预后和预测策略中的应用。

材料和方法

本文的重点是“唾液代谢组学”和“口腔疾病”。作者在 PubMed 数据库中搜索了相关研究。纳入标准为评估代谢组学技术的原始研究和综述。通过考虑研究设计、系统方法、临床步骤和用于确定特征或生物标志物代谢物的工具,对其进行描述性分析,并评估其优缺点。

结果

代谢组学分析结合使用分析仪器和信息工具,提供关于代谢物特征的信息。在本综述中,我们描述了不同的技术应用以及每种技术的优缺点。此外,在文献检索中,我们检索到 25 项研究,这些研究调查了口腔疾病中的唾液代谢物:8 项研究使用了靶向分析,17 项研究使用了非靶向代谢组学方法。大多数研究包括牙周病、口腔鳞状细胞癌和干燥综合征患者。报道最多的代谢物是甘氨酸、亮氨酸、苯丙氨酸、二肽、亚油酸、花生四烯酸、酪氨酸、胆碱、牛磺酸、乳酸、缬氨酸和脯氨酸。

结论

代谢组学分析已成为肿瘤诊断和提高肿瘤分类的有力工具,包括唾液腺肿瘤(SGTs)。它还有望用于制定个性化的治疗计划和确定更精确的预后类别。

临床相关性

代谢组学是监测和理解基因功能以及识别生物体对遗传和环境变化的生化状态的最具功能和全面的技术。

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Inflammation. 2024 Jun;47(3):874-890. doi: 10.1007/s10753-023-01948-6. Epub 2023 Dec 26.
2
Identification of salivary metabolic biomarker signatures for oral tongue squamous cell carcinoma.口腔舌鳞状细胞癌唾液代谢生物标志物特征的鉴定
Arch Oral Biol. 2023 Nov;155:105780. doi: 10.1016/j.archoralbio.2023.105780. Epub 2023 Aug 3.
3
Salivary metabolomics of burning mouth syndrome: A cross-sectional study.
唾液代谢组学:诊断和管理口腔疾病的无创前沿领域。
J Transl Med. 2025 May 24;23(1):582. doi: 10.1186/s12967-025-06587-z.
口干症唾液代谢组学研究:一项横断面研究。
Arch Oral Biol. 2022 Dec;144:105552. doi: 10.1016/j.archoralbio.2022.105552. Epub 2022 Sep 24.
4
Development of analytical methods to study the salivary metabolome: impact of the sampling.开发用于研究唾液代谢组学的分析方法:采样的影响。
Anal Bioanal Chem. 2022 Sep;414(23):6899-6909. doi: 10.1007/s00216-022-04255-5. Epub 2022 Aug 5.
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NMR and Metabolomics-A Roadmap for the Future.核磁共振与代谢组学——未来路线图
Metabolites. 2022 Jul 23;12(8):678. doi: 10.3390/metabo12080678.
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Multiplexed single-cell analysis of FNA allows accurate diagnosis of salivary gland tumors.多指标单细胞分析细针穿刺活检可准确诊断唾液腺肿瘤。
Cancer Cytopathol. 2022 Aug;130(8):581-594. doi: 10.1002/cncy.22594. Epub 2022 Jun 6.
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Analysis of the saliva metabolic signature in patients with primary Sjögren's syndrome.原发性干燥综合征患者唾液代谢特征分析。
PLoS One. 2022 Jun 2;17(6):e0269275. doi: 10.1371/journal.pone.0269275. eCollection 2022.
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Update from the 5th Edition of the World Health Organization Classification of Head and Neck Tumors: Salivary Glands.世界卫生组织头颈部肿瘤分类第 5 版更新:唾液腺。
Head Neck Pathol. 2022 Mar;16(1):40-53. doi: 10.1007/s12105-022-01420-1. Epub 2022 Mar 21.