Saliva as a Diagnostic Fluid
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Questions and Answers

What advantage does saliva offer over serum in diagnostic procedures?

  • Presence of antibiotics
  • More invasive sample collection
  • Higher concentration of diagnostic markers
  • Real-time diagnostic values (correct)
  • Which of the following is NOT a property of saliva as a diagnostic fluid?

  • It is more expensive than serum (correct)
  • Multiple samples can be easily obtained
  • It requires less manipulation to obtain samples
  • It can reflect changes in oral and systemic diseases
  • What inorganic compound in stimulated saliva has a range of 20-80 mmol/l?

  • Na+ (correct)
  • Cl−
  • HCO3 −
  • K+
  • What is a potential use of saliva in medical diagnostics?

    <p>Diagnosing inflammatory and autoimmune diseases</p> Signup and view all the answers

    How does the composition of saliva affect its diagnostic utility?

    <p>Changes in composition correlate with diseases</p> Signup and view all the answers

    Which inorganic compound is present at the lowest concentration in unstimulated saliva?

    <p>Mg2+</p> Signup and view all the answers

    What characteristic of saliva enhances its role in real-time diagnostics?

    <p>Noninvasive collection method</p> Signup and view all the answers

    Why are changes in saliva composition significant for researchers?

    <p>They reflect various health conditions</p> Signup and view all the answers

    Which salivary biomarker is strongly connected to the inflammatory potential observed in periodontal disease?

    <p>IL-1</p> Signup and view all the answers

    What role does Tumor Necrosis Factor play in periodontal disease?

    <p>Influences bone collagen synthesis</p> Signup and view all the answers

    Which biomarker is associated with tissue destruction in periodontal disease?

    <p>Matrix metalloproteinase-9</p> Signup and view all the answers

    What is a common feature associated with high levels of microRNAs like miR-200a, miR-125a, and miR-31 in salivary analysis?

    <p>They serve as indicators for oral cancer diagnosis.</p> Signup and view all the answers

    Which salivary biomarker is noted for having positive tumor-specific DNA in all patients diagnosed with oral cancer?

    <p>IL-8</p> Signup and view all the answers

    How does the p53 protein relate to malignancy development?

    <p>Its inactivation due to mutations contributes to malignancy.</p> Signup and view all the answers

    What can high levels of the IL-1beta biomarker indicate?

    <p>Presence of malignancy or periodontal disease</p> Signup and view all the answers

    Which biomarker mentioned is known for being related to hypermethylation and high levels of tumor presence?

    <p>Endothelin receptor type-B</p> Signup and view all the answers

    What is the significance of elevated salivary HO-1 concentrations in patients with idiopathic Parkinson's disease?

    <p>It is a potential biomarker for differentiating Parkinson's disease from non-neurological controls.</p> Signup and view all the answers

    Which of the following factors does NOT influence the evaluation of biomarkers in orofacial pain conditions?

    <p>Surgical history of the patient</p> Signup and view all the answers

    Which condition is NOT typically associated with chronic orofacial pain?

    <p>Coronary artery disease</p> Signup and view all the answers

    The presence of which type of inclusions is found in the dopaminergic neurons affected by Parkinson's disease?

    <p>Lewy bodies and Lewy neurites</p> Signup and view all the answers

    What is the estimated 1-month prevalence rate of self-reported orofacial pain according to population-based studies?

    <p>19% to 26%</p> Signup and view all the answers

    Which of the following biomarkers were found in high levels in the saliva of patients with oral squamous cell carcinoma (OSCC)?

    <p>Tissue polypeptide antigen</p> Signup and view all the answers

    The formation of which types of inclusions signals the degeneration occurring in dopaminergic neurons?

    <p>Alpha-synuclein and ubiquitin-containing fibrillar inclusions</p> Signup and view all the answers

    What role does salivary cortisol potentially play in patients diagnosed with OSCC?

    <p>It is a marker for clinical staging.</p> Signup and view all the answers

    Which method shows potential for differentiating various conditions associated with orofacial pain?

    <p>Combination of different biomarkers</p> Signup and view all the answers

    Which cancer types were associated with high levels of cancer antigen CA125 in saliva?

    <p>Ovarian and breast</p> Signup and view all the answers

    Which of the following factors makes the treatment of orofacial pain conditions challenging?

    <p>Heterogeneity of tissues affected</p> Signup and view all the answers

    What is the significance of understanding the transcriptome and proteome in saliva for cancer diagnosis?

    <p>They can offer simple diagnostic tools for the disease.</p> Signup and view all the answers

    Which cytokine levels were reported to be increased in atherosclerosis according to the studies?

    <p>Interleukin-1β, IL-6, TNF-α, and prostaglandin E2</p> Signup and view all the answers

    What percentage of oral cancer cases globally is represented by oral squamous cell carcinoma?

    <p>90%</p> Signup and view all the answers

    Which substance was identified as an important biomarker in the study of oral cancer?

    <p>Ornithine decarboxylase antizyme 1</p> Signup and view all the answers

    What is one of the primary reasons early diagnosis is emphasized in cancer management?

    <p>It is key to achieving a good prognosis.</p> Signup and view all the answers

    What is the primary function of lysozyme in the oral cavity?

    <p>To act as an antibacterial enzyme against gram-positive bacteria</p> Signup and view all the answers

    How does salivary IgA contribute to the management of bacterial infections in children with severe ECC?

    <p>By binding to S.mutans lipopolysaccharides to reduce inflammatory responses</p> Signup and view all the answers

    In the studies discussed, what association was found between lysozyme levels and S.mutans?

    <p>Low lysozyme levels are associated with decreased amounts of S.mutans</p> Signup and view all the answers

    What are the potential antiviral and antifungal properties of lysozyme characterized as?

    <p>Its broader biological activity beyond antibacterial effects</p> Signup and view all the answers

    Which salivary immunoglobulin primarily inhibits the growth and acid production of S.mutans?

    <p>IgG</p> Signup and view all the answers

    Which of the following studies indicated higher salivary IgG levels among children with ECC?

    <p>Bagherian et al. study</p> Signup and view all the answers

    What is one effect lysozyme has on cariogenic microorganisms?

    <p>It inhibits their biofilm formation</p> Signup and view all the answers

    What does the controversy regarding salivary IgG and IgM as biomarkers for caries indicate?

    <p>There is not enough evidence linking them to caries activity</p> Signup and view all the answers

    Study Notes

    Saliva as a Diagnostic Fluid

    • Saliva is a cost-effective diagnostic tool with real-time values.
    • Multiple samples can be obtained easily with less manipulation.
    • Saliva composition changes reflect various oral and systemic diseases.

    Comparison of Inorganic Compounds

    • Saliva has different inorganic compound concentrations compared to plasma.
    • Sodium (Na+): Whole unstimulated saliva (5 mmol/l) vs. plasma (145 mmol/l).
    • Potassium (K+): Higher in saliva (22 mmol/l) than plasma (4 mmol/l).
    • Chloride (Cl−): 15 mmol/l in saliva vs. 120 mmol/l in plasma.
    • Calcium (Ca2+): Similar levels in saliva (1-4 mmol/l) compared to plasma (2.2 mmol/l).

    Salivary Biomarkers for Diseases

    • Periodontal Disease

      • IL-1 and IL-6 have strong relations with periodontal disease.
      • Tumor necrosis factor influences bone collagen synthesis.
      • Matrix Metalloproteinase-9 involved in immune response and tissue destruction.
    • Oral Cancer

      • Tumor-specific DNA identified in 100% of oral cancer patients’ saliva.
      • High levels of IL-8 and several microRNAs (miR-200a, miR-125a, miR-31) correlate with oral cancer.
      • p53 antibodies found in saliva of patients with oral squamous cell carcinoma.
    • Cardiovascular Disease

      • Salivary levels of IL-1β, IL-6, and TNF-α are elevated in patients with atherosclerosis.
      • Increased prostaglandin E2 also noted in cardiovascular disease contexts.
    • Parkinson’s Disease

      • Higher salivary levels of HO-1 detected in idiopathic Parkinson’s disease patients.
      • Salivary analysis can differentiate patients from non-neurological controls effectively.

    Viral Infections and Saliva

    • Salivary biomarkers can identify viral infections using viral DNA.
    • Relation to chronic orofacial pain conditions, including TMJ myalgia and atypical odontalgia.

    Role of Lysozyme in Oral Health

    • Lysozyme serves as an antibacterial agent against gram-positive bacteria in saliva.
    • Plays a role in preventing inflammation by reducing cariogenic microbes.
    • Variability in research outcomes regarding salivary IgG and IgM as caries biomarkers.

    General Significance

    • Saliva can potentially serve as a non-invasive screening and diagnostic tool for various diseases.
    • Holds promise for evaluating multiple biomarkers for improved clinical utility in diagnostics.

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    Description

    This quiz explores the advantages of using saliva as a diagnostic fluid compared to serum. It discusses the factors that contribute to its effectiveness, including cost, real-time diagnostic values, and ease of sampling. Delve into the significance of salivary glands and oral mucosal transudate in diagnostics.

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