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Updated: Feb 12, 2026

In Silico Clinical Trials for Cardiovascular Disease
Published on: May 27, 2022
Salivary biomarkers and cardiovascular disease: a systematic review
Vishal Gohel1, Judith A Jones2,3, Carolyn J Wehler2
1Boston University Henry M. Goldman School of Dental Medicine, 100 East Newton Street, Boston, MA 02118-2308, USA.
Insights
Salivary biomarkers show potential for assessing cardiovascular disease (CVD) risk. While C-reactive protein (CRP) in saliva consistently correlates with CVD, other biomarkers yield conflicting results, requiring further research.
Area of Science:
- Biomarkers
- Cardiovascular Disease Research
- Salivary Diagnostics
Background:
- Cardiovascular disease (CVD) poses a significant global health challenge.
- Non-invasive diagnostic methods for CVD are highly sought after.
- Salivary biomarkers offer a promising avenue for CVD assessment.
Purpose of the Study:
- To systematically review and summarize existing literature on salivary biomarkers and their association with CVD status.
- To identify commonly studied salivary biomarkers in relation to CVD.
- To evaluate the consistency and trends of these biomarkers in CVD assessment.
Main Methods:
- A comprehensive literature search was performed across PubMed, Web of Science, and Google Scholar.
- MeSH terms related to salivary biomarkers and CVD were utilized.
- Included articles underwent quality assessment using the Newcastle-Ottawa scale.
Main Results:
- Forty salivary biomarkers were analyzed across 22 selected studies.
- Salivary C-reactive protein (CRP) demonstrated the most consistent association with CVD.
- Statistically significant increases in salivary CRP were observed in all studies that analyzed it in relation to CVD.
- Other biomarkers like creatine kinase isoform MB, matrix metalloproteinase-9, and troponin I showed varying patterns.
Conclusions:
- Current evidence suggests an association between certain salivary biomarkers and CVD.
- Conflicting data exists for many biomarkers, necessitating further investigation.
- Saliva holds promise as a non-invasive tool for cardiovascular risk assessment, despite inconclusive findings.
Background:
The purpose of this systematic review is to summarize the literature examining associations between salivary biomarkers and cardiovascular disease (CVD) status.
Contents:
An advanced search was conducted using MeSH terms related to salivary biomarkers and CVD, and entered into the PubMed, Web of Science, and Google Scholar search databases. Four hundred and thirty-three records were narrowed to 22 accepted articles. Included titles were assessed for quality using the Newcastle-Ottawa scale, and ranked into categories of low, moderate, or high.
Summary:
A total of 40 salivary biomarkers were analyzed among accepted articles. The most studied markers were salivary creatine kinase isoform MB, C-reactive protein (CRP), matrix metalloproteinase-9, troponin I, myeloperoxidase, myoglobin, and brain natriuretic peptide. Salivary CRP provided the most consistent trends. Statistically significant increases of salivary CRP were present with CVD in every study that analyzed it. The remaining six markers demonstrated varying patterns.
Outlook:
Existing studies provide insufficient data to draw definitive conclusions. Current research shows that there is an association between some salivary biomarkers and CVD, but the details of existing studies are conflicting. Despite inconclusive results, the diagnostic potential of saliva shows promise as a non-invasive means of cardiovascular risk assessment.
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