Salivary metabolite signatures of oral cancer and leukoplakia

Jie Wei, Guoxiang Xie, Zengtong Zhou, Peng Shi, Yunping Qiu, Xiaojiao Zheng, Tianlu Chen, Mingming Su, Aihua Zhao, Wei Jia

Research output: Contribution to journalArticlepeer-review

172 Scopus citations


Oral cancer, one of the six most common human cancers with an overall 5-year survival rate of <50%, is often not diagnosed until it has reached an advanced stage. The aim of the current study is to explore salivary metabolomics as a disease diagnostic and stratification tool for oral cancer and leukoplakia and evaluate the potential of salivary metabolome for detection of oral squamous cell carcinoma (OSCC). Saliva metabolite profiling for a group of 37 OSCC patients, 32 oral leukoplakia (OLK) patients and 34 healthy subjects was performed using ultraperformance liquid chromatography coupled with quadrupole/time-of-flight mass spectrometry in conjunction with multivariate statistical analysis. The OSCC, OLK and healthy control groups demonstrate characteristic salivary metabolic signatures. A panel of five salivary metabolites including γ-aminobutyric acid, phenylalanine, valine, n-eicosanoic acid and lactic acid were selected using OPLS-DA model with S-plot. The predictive power of each of the five salivary metabolites was evaluated by receiver operating characteristic curves for OSCC. Valine, lactic acid and phenylalanine in combination yielded satisfactory accuracy (0.89, 0.97), sensitivity (86.5% and 94.6%), specificity (82.4% and 84.4%) and positive predictive value (81.6% and 87.5%) in distinguishing OSCC from the controls or OLK, respectively. The utility of salivary metabolome diagnostics for oral cancer is successfully demonstrated in this study and these results suggest that metabolomics approach complements the clinical detection of OSCC and stratifies the two types of lesions, leading to an improved disease diagnosis and prognosis.

Original languageEnglish (US)
Pages (from-to)2207-2217
Number of pages11
JournalInternational Journal of Cancer
Issue number9
StatePublished - Nov 1 2011
Externally publishedYes


  • metabolomics
  • multivariate statistical analysis
  • oral squamous cell carcinoma
  • receiver operating characteristics
  • saliva
  • ultraperformance liquid chromatography quadrupole-time of flight mass spectrometry

ASJC Scopus subject areas

  • Oncology
  • Cancer Research


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