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. 2022 Jul 14;10(7):1702. doi: 10.3390/biomedicines10071702

Table 2.

Salivary biomarkers for AD.

Study
(Author/Year)
Biomarker Tested Biomarker/
Concentration (Saliva)
Detection Method
(Saliva)
Body Fluids Tested
1. Bermejo-
Pareja
et al., 2010 [18]
Aβ42 Aβ42 markedly elevated in AD patients
compared to controls:
AD: 6.81 ± 20.04 pg/mL
Mild AD: 7.67 ± 16.25 pg/mL
Moderate AD: 11.70 ± 34.76 pg/mL
Severe AD: 3.03 ± 3.49 pg/mL
Control: 2.89 ± 4.96 pg/mL
No significant changes with Aβ42 in plasma
ELISA Saliva
Plasma
Aβ40 Aβ40 unaltered in AD patients
compared to controls:
AD: 22.3 ± 4.88 pg/mL
Mild AD: 21.87 ± 5.7 pg/mL
Moderate AD: 21.5 ± 4.17 pg/mL
Severe AD: 23.92 ± 4.55 pg/mL
Control: 20.82 ± 5.55 pg/mL
No significant changes with Aβ40 in plasma
ELISA Saliva
Plasma
Aβ42/
Aβ40
ratio
Aβ42/Aβ40 ratio is moderately (but non-significantly) elevated in patients with mild and moderate AD compared to controls ELISA Saliva
Plasma
2. Shi et al.,
2011 [19]
Aβ42 Data cannot be extracted
Aβ42 not detected in the cohort,
neither with Luminex nor with IP/MS
Luminex
IP/MS
Saliva
t-tau Data cannot be extracted
tau detected with IP/MS in saliva t-tau
unaltered in patients with AD
compared to controls
Luminex
IP/MS
Saliva
p-tau Data cannot be extracted
p-tau markedly elevated in patients with AD
compared to controls
Luminex Saliva
p-tau/
t-tau ratio
Data cannot be extracted
p-tau/t-tau ratio significantly elevated in patients
with AD compared to controls
Luminex Saliva
3. Kim et al., 2014 [20] Aβ42 Data cannot be extracted
Aβ42 significantly elevated in patients with severe AD compared to patients with mild AD or controls
MIA
ELISA
Saliva
Aβ40 Data cannot be extracted
Aβ40 non-significantly elevated in patients with severe AD compared to patients with mild AD or controls
MIA
ELISA
Saliva
Aβ42/Aβ40 ratio Data cannot be extracted
Aβ42/Aβ40 ratio is not elevated in patients
with severe or mild AD compared to controls
Aβ42/Aβ40 ratio is elevated in patients
with severe AD compared to patients
with mild AD (significance unclear)
MIA Saliva
4. Lau et al.,
2015 [21]
Aβ42 Data cannot be extracted
Aβ42 not detected in salivary samples of patients with AD or controls
ELISA Saliva
t-tau Data cannot be extracted
t-tau unaltered in patients with AD compared to controls
ELISA Saliva
p-tau Data cannot be extracted
p-tau moderately (but non-significantly) elevated in patients with AD compared to controls
ELISA Saliva
p-tau/
t-tau ratio
Data cannot be extracted
p-tau/t-tau ratio moderately (but non-significantly) elevated in patients with AD compared to controls
ELISA Saliva
5. Lee et al.,
2017 [22]
Aβ42 Aβ42 significantly elevated in AD patients
compared to controls
Aβ42 markedly elevated in pre-AD patients
compared to controls
Aβ42 unaltered in AD patients
compared to pre-AD patients
AD: 59.07 ± 6.33 pg/mL
Pre-AD: 56.14 ± 7.12 pg/mL
Control: 22.06 ± 0.41 pg/ml
ELISA Saliva
6. McGeer et al., 2018 [23] Aβ42 Aβ42 significantly elevated in AD patients
compared to controls and low controls
Aβ42 unaltered in AD patients
compared to high controls
AD: 53.95 ± 2.24 pg/mL
Control: 26.55 ± 1.85 pg/mL
High control: 45.96 ± 3.01 pg/mL
Low control: 21.54 ± 0.19 pg/mL
ELISA Saliva
7. Sabbagh et al., 2018 [24] Aβ42 Aβ42 significantly elevated in AD patients
compared to controls
AD: 51.7 ± 1.6 pg/mL
Control: 21.1 ± 0.3 pg/mL
ELISA Saliva
8. Pekeles et al., 2019 [25] p-tau/
t-tau ratio
Data cannot be extracted
p-tau/t-tau ratio significantly elevated
in patients with AD compared to controls
(for three of the four phosphorylation sites tested)
Western blot (for saliva)
ELISA (for CSF)
Saliva
CSF
9. Ashton et al., 2018 [26] t-tau t-tau non-significantly altered among AD, MCI,
and controls
AD: 12.3 ng/L
MCI: 9.8 ng/L
Control: 9.6 ng/L
SIMOA immunoassay Saliva
10. Tvarijonaviciute et al.,
2020 [27]
Aβ40 Aβ40 non-significantly elevated in AD patients
compared to controls
AD: 21.98 ± 16.94 pg/mL
Control: 19.97 ± 6.35 pg/mL
MILLIPLEX® MAP Saliva
Aβ42 Aβ42 non-significantly decreased in AD patients
compared to controls
AD: 3.15 ± 0.72 pg/mL
Control: 3.57 ± 0.93 pg/mL
MILLIPLEX® MAP Saliva
t-tau t-tau unaltered in patients
with AD compared to controls
AD: 21.57 ± 22.11 pg/mL
Control: 21.15 ± 16.58 pg/mL
MILLIPLEX® MAP Saliva
p-tau p-tau moderately (but non-significantly) decreased in patients with AD
compared to controls
AD: 40.33 ± 42.95 pg/mL
Control: 42.5 ± 38.35 pg/ml
MILLIPLEX® MAP Saliva

CSF: cerebrospinal fluid; ELISA: enzyme-linked immunosorbent assay; IP: immunoprecipitation; MIA: magnetic immunoassay; MS: mass spectrometry; NS: not specified. Biomarker concentrations of main population groups are underlined.