Diagnostic utility of salivary LDH and MMP-9 in differentiating oral cancer from potentially malignant disorders

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Authors: Ragini Motwani, Yash Saxena, Ipsita Sharma, Maheshwari Shanmugam, Nidhi Dhakar, Swati S.P, Tanvi Hirani
Cited by: 1

Abstract

Early distinction between oral squamous cell carcinoma (OSCC) and possibly malignant disorders (PMDs) has been one of the most important diagnostic issues that may involve invasive biopsies. Therefore, it is of interest to assess the usefulness of salivary lactate dehydrogenase (LDH) and matrix metalloproteinase-9 (MMP-9) as non-invasive biomarkers of early detection. Spectrophotometry and ELISA were used in analyzing saliva samples of 135 participants (50 OSCC, 45 PMDs, 40 controls). The level of LDH and MMP-9 was much greater in OSCC than in PMDs and controls and demonstrated very high diagnostic accuracy (AUC > 0.89). Simultaneous biomarker measurement had better sensitivity and specificity indicating their possible use as well-grounded, non-invasive measures of screening oral cancer in its early stages.

Fields of Study & Subjects

Salivary Gland Disorders and Functions Head and Neck Cancer Studies Oral Health Pathology and Treatment

Publication details

Journal / source
Bioinformation
Publisher
Biomedical Informatics
Volume
22
Issue
1
Pages
230–236
Publication date
31 January 2026
Language
EN