Cardiac Biomarkers: Invasive to Non-invasive Assessments

Curr Med Chem. 2016;23(37):4270-4284. doi: 10.2174/0929867323666161004150857.

Abstract

Cardiovascular disease (CVD) is a major threat to global health, estimated to be the cause 30 % (17.3 million in 2008) of deaths every year, and the number of deaths caused by CVD is expected to increase further, reaching 23.3 million by 2030. Hence, there is a growing demand for simpler sample extraction, rapid screening results, and intervention of the subsequent analysis in emergency units. In this paper, we reviewed CVD biomarkers in blood- and saliva-based specimens. The history of cardiac biomarkers indicates that in the beginning, cardiac troponin I (cTnI) was a widely accepted 'gold standard' marker due to its high specificity and selectivity. Considering the advantages of salivary-based cardiac biomarkers, we examined correlations between non-invasive (salivary) and invasive (blood) diagnoses, and it was found that C-reactive protein (CRP) provides a better correlation. Despite the low abundance of salivary CRP, several reports displayed the detection limit down to pg/ml using existing technologies. Thus, salivary CRP has the potential to be used for future forefront diagnostics for the early assessment of cardiac risks.

Publication types

  • Review

MeSH terms

  • Aspartate Aminotransferases / blood
  • Biomarkers / analysis*
  • Biomarkers / blood
  • C-Reactive Protein / analysis
  • Cardiovascular Diseases / diagnosis*
  • Cardiovascular Diseases / metabolism
  • Creatine Kinase / blood
  • Humans
  • Myocardial Infarction / diagnosis
  • Myocardial Infarction / metabolism
  • Myoglobin / analysis
  • Saliva / metabolism
  • Troponin I / blood

Substances

  • Biomarkers
  • Myoglobin
  • Troponin I
  • C-Reactive Protein
  • Aspartate Aminotransferases
  • Creatine Kinase