title: Current developments in salivary diagnostics.
abstract: Salivary diagnostics is an emerging field that has progressed through several important developments in the past decade, including the publication of the human salivary proteome and the infusion of federal funds to integrate nanotechnologies and microfluidic engineering concepts into developing compact point-of-care devices for rapid analysis of this secretion. In this article, we discuss some of these developments and their relevance to the prognosis, diagnosis and management of periodontitis, as an oral target, and cardiovascular disease, as a systemic example for the potential of these biodiagnostics. Our findings suggest that several biomarkers are associated with distinct biological stages of these diseases and demonstrate promise as practical biomarkers in identifying and managing periodontal disease, and acute myocardial infarction. The majority of these studies have progressed through biomarker discovery, with the identified molecules requiring more robust clinical studies to enable substantive validation for disease diagnosis. It is predicted that with continued advances in this field the use of a combination of biomarkers in multiplex panels is likely to yield accurate screening tools for these diagnoses in the near future.
authors.affiliation: Oral Medicine Section, University of Kentucky College of Dentistry, Lexington, KY 40536-0297, USA. cmiller@uky.edu
authors.forename: Craig S
authors.initials: CS
authors.lastname: Miller
authors.forename: Joseph D
authors.initials: JD
authors.lastname: Foley
authors.forename: Alison L
authors.initials: AL
authors.lastname: Bailey
authors.forename: Charles L
authors.initials: CL
authors.lastname: Campell
authors.forename: Roger L
authors.initials: RL
authors.lastname: Humphries
authors.forename: Nicolaos
authors.initials: N
authors.lastname: Christodoulides
authors.forename: Pierre N
authors.initials: PN
authors.lastname: Floriano
authors.forename: Glennon
authors.initials: G
authors.lastname: Simmons
authors.forename: Bryon
authors.initials: B
authors.lastname: Bhagwandin
authors.forename: James W
authors.initials: JW
authors.lastname: Jacobson
authors.forename: Spencer W
authors.initials: SW
authors.lastname: Redding
authors.forename: Jeffrey L
authors.initials: JL
authors.lastname: Ebersole
authors.forename: John T
authors.initials: JT
authors.lastname: McDevitt
mesh_terms: D015415:Biomarkers / Q000032:analysis*; D016723:Bone Remodeling / Q000502:physiology; D002318:Cardiovascular Diseases / Q000175:diagnosis / Q000378:metabolism; D003238:Connective Tissue / Q000737:chemistry; D006801:Humans; D018836:Inflammation Mediators / Q000032:analysis; D056656:Lab-On-A-Chip Devices; D010510:Periodontal Diseases / Q000175:diagnosis / Q000378:metabolism; D020543:Proteome; D012463:Saliva / Q000737:chemistry*
chemical_list: D015415:Biomarkers; D018836:Inflammation Mediators; D020543:Proteome
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