Open Access Highly Accessed Research

The impact of saliva collection and processing methods on CRP, IgE, and Myoglobin immunoassays

Roslinda Mohamed1, Jennifer-Leigh Campbell1, Justin Cooper-White1,2, Goce Dimeski3,4 and Chamindie Punyadeera1,2,5*

Author Affiliations

1 The Australian Institute for Bioengineering and Nanotechnology, St-Lucia, Australia

2 The School of Chemical Engineering and the University of Queensland, Queensland, Australia

3 Chemical Pathology, Princess Alexandra Hospital, Pathology Queensland, Woolloongabba, Australia

4 School of Medicine, Southside Clinical School, The University of Queensland, Herston, Australia

5 Saliva Translational Research Group, Tissue Engineering and Microfluidic Laboratory, the Australian Institute for Bioengineering and Nanotechnology, The University of Queensland, Old Cooper Road, St. Lucia, Queensland, 4072, Australia

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Clinical and Translational Medicine 2012, 1:19 doi:10.1186/2001-1326-1-19

Published: 5 September 2012

Abstract

Background

Owing to its ease of collection, saliva is potentially the sample of choice in diagnosis. Salivary biomolecules have provided a porthole in surveying a person’s health and well-being. Our study aims were (1) to demonstrate the effects of pre-analytical steps, collection and pre-processing techniques on salivary protein detection and (2) to establish an indication of salivary reference intervals for 3 biomolecules of clinical interest.

Methods

Saliva samples were collected from participants (n = 25, ages 20–35 years) using the following methods: no stimulation (resting/unstimulated), mechanical, and acid stimulation. The saliva was prepared for analysis by: unprocessed, post standard centrifugation in a container without any additives, and centrifugation using Centrifugal Filter Unit (Amicon® Ultra-0.5). AlphaLisa® assays were used to measure the levels of C-Reactive Protein (CRP), Immunoglobin (IgE) and myoglobin in saliva samples.

Results

Saliva flow rates were lowest with the resting/drooling collection method. The lowest total protein concentration was with acid stimulation. Unstimulated and mechanically stimulated collections produced no effect on the CRP and IgE levels while myoglobin levels were highest with the unstimulated collection. Acid stimulation had a negative impact on the measured concentrations of IgE and myoglobin (except for CRP levels).

Conclusion

Mechanical stimulation was the most viable option for collecting saliva without affecting the levels of CRP and myoglobin. The processing methods had an adverse effect on the concentration of total protein as well as on CRP and IgE concentrations.

Keywords:
Human saliva; Homogeneous bead-based assay; Salivary stimulations; Salivary pre-processing techniques; Non-invasive