Is Salivary Exosome the Answer to Early Detection of Oral Cancer?
Journal Title: Dentistry – Open Journal - Year 2015, Vol 2, Issue 2
Abstract
The presence of exosomesin almost all bodily fluidsincluding saliva1 represents a promising surrogate approach to investigate tumour markers. This has important clinical implications for developing non-invasive salivary diagnostics and therapeutics.2 Human saliva is an ideal fluid for developing non-invasive diagnostics and salivary biomarkers have been demonstrated in clinical studies showing promising diagnostic potentials but lacking in sensitivity mostly due to complexity of saliva.2,3 Hence, this led to the emerging interests on exosomes which are membrane-bound extracellular vesicles carrying specific membrane proteins with numerous types of nucleic acids4 and protein cargos,2,5,6 well protected from degradation by extracellular enzymes. Their size (50-150 nm diameter) is an advantage for purification and reducing the overall complexity ofsaliva.2 Most of the salivary exosome studies to date have been restricted to characterization of normal healthy samples.2 Emerging studies began looking at biochemical properties of disease-derived saliva exosomes.2,5,6 So, itseems no brainer thatsalivary exosome serves asthe perfect target for finding a biomarker that could enable early oral cancer detection by means of a simple saliva test.
Authors and Affiliations
Muy-Teck Teh
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