TY - JOUR
T1 - Diagnostic salivary biomarkers in oral cancer and oral potentially malignant disorders and their relationships to risk factors ?
T2 - A systematic review
AU - Piyarathne, Nadisha Sewwandi
AU - Rasnayake, R.M.S.G.K
AU - Angammana, Randilini
AU - Chandrasekera, Pushpika
AU - Ramachandra, Samantha
AU - Weerasekera, Manjula
AU - Yasawardene, Surangi
AU - Abu Eid, Rasha
AU - Jayasinghe, Jaya
AU - Gupta, Ekta
N1 - Acknowledgements
NP was financially supported by University of Aberdeen (Elphinstone scholarship) and University grants commission of Sri Lanka. Authors would like to thank the library staff at Medical library and Sri Duncan Rice library for their support in the literature search and recovery of research articles.
PY - 2021
Y1 - 2021
N2 - Introduction Oral squamous cell carcinoma (OSCC) and oral potentially malignant disorders (OPMD) are a significant health burden globally. Smoking, alcohol, and betel quid are the main risk factors. Lack of screening methods has been highlighted as a significant challenge in management. Salivary biomarkers are proposed as noninvasive diagnostic tools. The aim of this systematic review was to study salivary biomarkers reported in OSCC and OPMD. Specific objectives were to select a salivary biomarker panel suitable for early detection of OSCC and OPMD and to assess relationships between salivary biomarkers and risk factors. Methods Electronic literature search was conducted in academic databases (Scopus, Medline, Embase and Web of Science) without any restrictions. Following calibration, two blinded reviewers screened the studies and extracted data. A risk of bias assessment was conducted using Newcastle Ottawa scale. 295 studies were included with descriptive data analysis. Expert opinion A salivary biomarker panel including Interleukin (IL) 1 beta, IL6, and IL8 was selected for OSCC and OPMD. Reported relationships between salivary biomarkers and risk factors are discussed and research gaps are highlighted. Future research should be directed to assess potential salivary biomarkers and their relationships to risk factors in order to understand the biomarker's role in disease initiation.
AB - Introduction Oral squamous cell carcinoma (OSCC) and oral potentially malignant disorders (OPMD) are a significant health burden globally. Smoking, alcohol, and betel quid are the main risk factors. Lack of screening methods has been highlighted as a significant challenge in management. Salivary biomarkers are proposed as noninvasive diagnostic tools. The aim of this systematic review was to study salivary biomarkers reported in OSCC and OPMD. Specific objectives were to select a salivary biomarker panel suitable for early detection of OSCC and OPMD and to assess relationships between salivary biomarkers and risk factors. Methods Electronic literature search was conducted in academic databases (Scopus, Medline, Embase and Web of Science) without any restrictions. Following calibration, two blinded reviewers screened the studies and extracted data. A risk of bias assessment was conducted using Newcastle Ottawa scale. 295 studies were included with descriptive data analysis. Expert opinion A salivary biomarker panel including Interleukin (IL) 1 beta, IL6, and IL8 was selected for OSCC and OPMD. Reported relationships between salivary biomarkers and risk factors are discussed and research gaps are highlighted. Future research should be directed to assess potential salivary biomarkers and their relationships to risk factors in order to understand the biomarker's role in disease initiation.
KW - Oral squamous cell carcinoma
KW - oral potentially malignant disorders
KW - risk factors
KW - salivary biomarkers
U2 - 10.1080/14737159.2021.1944106
DO - 10.1080/14737159.2021.1944106
M3 - Article
VL - 21
SP - 789
EP - 807
JO - Expert Review of Molecular Diagnostics
JF - Expert Review of Molecular Diagnostics
SN - 1473-7159
IS - 8
ER -