Non-Cochrane · DTA · PM41590544

Comparative Meta-Analysis: Salivary, Plasma, and Serum miRNA Profiles for Oral Squamous Cell Carcinoma Detection.

Wijaya Arbi, Julia Vera, Soedarsono Nurtami, et al. · Journal of personalized medicine · 2026 · PubMed · doi:10.3390/jpm16010052

Findings

16 findings

Population
Patients with histopathologically confirmed oral squamous cell carcinoma (OSCC)Salivary miRNA assays (RT-qPCR, microarray or NGS)Healthy controls without diseasePooled Specificity for OSCC detection
Saliva, serum or plasma biofluid assays
Specificity 0.79 [0.70, 0.85]
GRADE not reported
10 studies
Patients with histopathologically confirmed oral squamous cell carcinoma (OSCC)Salivary miRNA assays (RT-qPCR, microarray or NGS)Healthy controls without diseasePooled AUC (HSROC) for OSCC detection
Saliva, serum or plasma biofluid assays
AUC (HSROC) 0.84 [0.80, 0.87]
GRADE not reported
10 studies
Patients with histopathologically confirmed oral squamous cell carcinoma versus healthy controlsSalivary miRNA assays (single miRNAs or panels)Histopathological diagnosis as reference standard (healthy controls)Diagnostic odds ratio (lnDOR meta-analysis)
Saliva
DOR 11.63 [4.57, 29.64]
GRADE not reported
9 studies
Patients with histopathologically confirmed oral squamous cell carcinoma (OSCC)Salivary miRNA assays (RT-qPCR, microarray or NGS)Healthy controls without diseasePooled Sensitivity for OSCC detection
Saliva, serum or plasma biofluid assays
Sensitivity 0.76 [0.68, 0.82]
GRADE not reported
10 studies
Patients with histopathologically confirmed oral squamous cell carcinoma (OSCC)Serum miRNA assays (RT-qPCR, microarray or NGS)Healthy controls without diseasePooled Sensitivity for OSCC detection
Saliva, serum or plasma biofluid assays
Sensitivity 0.82 [0.70, 0.90]
GRADE not reported
6 studies
Patients with histopathologically confirmed oral squamous cell carcinoma (OSCC)Serum miRNA assays (RT-qPCR, microarray or NGS)Healthy controls without diseasePooled Specificity for OSCC detection
Saliva, serum or plasma biofluid assays
Specificity 0.88 [0.75, 0.95]
GRADE not reported
6 studies
Patients with histopathologically confirmed oral squamous cell carcinoma (OSCC)Serum miRNA assays (RT-qPCR, microarray or NGS)Healthy controls without diseasePooled AUC (HSROC) for OSCC detection
Saliva, serum or plasma biofluid assays
AUC (HSROC) 0.91 [0.89, 0.94]
GRADE not reported
6 studies
Patients with histopathologically confirmed oral squamous cell carcinoma (OSCC)Plasma miRNA assays (RT-qPCR, microarray or NGS)Healthy controls without diseasePooled Specificity for OSCC detection
Saliva, serum or plasma biofluid assays
Specificity 0.79 [0.63, 0.89]
GRADE not reported
3 studies
Patients with histopathologically confirmed oral squamous cell carcinoma (OSCC)Plasma miRNA assays (RT-qPCR, microarray or NGS)Healthy controls without diseasePooled Sensitivity for OSCC detection
Saliva, serum or plasma biofluid assays
Sensitivity 0.77 [0.61, 0.88]
GRADE not reported
3 studies
Patients with histopathologically confirmed oral squamous cell carcinoma (OSCC)Plasma miRNA assays (RT-qPCR, microarray or NGS)Healthy controls without diseasePooled AUC (HSROC) for OSCC detection
Saliva, serum or plasma biofluid assays
AUC (HSROC) 0.85 [0.81, 0.89]
GRADE not reported
3 studies
Patients with histopathologically confirmed oral squamous cell carcinoma (OSCC)Combined biofluid (saliva, serum, plasma) miRNA assaysHealthy controls without diseasePooled AUC (HSROC) for OSCC detection
Saliva, serum or plasma biofluid assays
AUC (HSROC) 0.86 [0.83, 0.89]
GRADE not reported
19 studies · 2655 participants
Patients with histopathologically confirmed oral squamous cell carcinoma (OSCC)Combined biofluid (saliva, serum, plasma) miRNA assaysHealthy controls without diseasePooled Sensitivity for OSCC detection
Saliva, serum or plasma biofluid assays
Sensitivity 0.78 [0.72, 0.83]
GRADE not reported
19 studies · 2655 participants
Patients with histopathologically confirmed oral squamous cell carcinoma (OSCC)Combined biofluid (saliva, serum, plasma) miRNA assaysHealthy controls without diseasePooled diagnostic odds ratio for OSCC detection
Saliva, serum or plasma biofluid assays
DOR 13.20 [8.10, 21.51]
GRADE not reported
17 studies
Patients with histopathologically confirmed oral squamous cell carcinoma (OSCC)Combined biofluid (saliva, serum, plasma) miRNA assaysHealthy controls without diseasePooled Specificity for OSCC detection
Saliva, serum or plasma biofluid assays
Specificity 0.81 [0.75, 0.86]
GRADE not reported
19 studies · 2655 participants
Patients with histopathologically confirmed oral squamous cell carcinoma (OSCC)Plasma miRNA assaysSalivary miRNA assaysRatio of diagnostic odds ratios (meta-regression of lnDOR by biofluid)
Saliva, serum or plasma biofluid assays
DOR ratio 1.13 [0.35, 3.72]
GRADE not reported
17 studies
Patients with histopathologically confirmed oral squamous cell carcinoma (OSCC)Serum miRNA assaysSalivary miRNA assaysRatio of diagnostic odds ratios (meta-regression of lnDOR by biofluid)
Saliva, serum or plasma biofluid assays
DOR ratio 1.38 [0.33, 5.80]
GRADE not reported
17 studies

Included primary studies 19

Open in Studies
StudyYearAlso included byOutcomes it informs hereTrial data
Balakittnen 2024
A novel saliva-based miRNA profile to diagnose and predict oral cancer.
PMID:38368395
20242 other reviewsnot statednot extracted yet
Garg 2023
Evaluation of Diagnostic Significance of Salivary miRNA-184 and miRNA-21 in Oral Squamous Cell Carcinoma and Oral Potentially Malignant…
PMID:38015343
20232 other reviewsnot statednot extracted yet
Romani 2021
Genome-wide study of salivary miRNAs identifies miR-423-5p as promising diagnostic and prognostic biomarker in oral squamous cell carcinoma.
PMID:33456584
20212 other reviewsnot statednot extracted yet
Tarrad 2023
"Salivary LINC00657 and miRNA-106a as diagnostic biomarkers for oral squamous cell carcinoma, an observational diagnostic study".
PMID:38087258
20232 other reviewsnot statednot extracted yet
Chen 2018
Diagnostic and prognostic value of serum miR-99a expression in oral squamous cell carcinoma.
PMID:30223386
20181 other reviewnot statednot extracted yet
Duz 2016
Identification of miR-139-5p as a saliva biomarker for tongue squamous cell carcinoma: a pilot study.
PMID:26650483
20161 other reviewnot statednot extracted yet
He 2020
Salivary exosomal miR-24-3p serves as a potential detective biomarker for oral squamous cell carcinoma screening.
PMID:31704611
20201 other reviewnot statednot extracted yet
Mehterov 2022
A novel panel of clinically relevant miRNAs signature accurately differentiates oral cancer from normal mucosa.
PMID:36531016
20221 other reviewnot statednot extracted yet
Scholtz 2022
Salivary miR-31-5p, miR-345-3p, and miR-424-3p Are Reliable Biomarkers in Patients with Oral Squamous Cell Carcinoma.
PMID:35215172
20221 other reviewnot statednot extracted yet
Wan 2017
Salivary miRNA panel to detect HPV-positive and HPV-negative head and neck cancer patients.
PMID:29245955
20171 other reviewnot statednot extracted yet
Chang 2018
A Three-MicroRNA Signature as a Potential Biomarker for the Early Detection of Oral Cancer.
PMID:29518940
2018this review onlynot statednot extracted yet
Karimi 2020
Evaluation of circulating serum 3 types of microRNA as biomarkers of oral squamous cell carcinoma; A pilot study.
PMID:31483888
2020this review onlynot statednot extracted yet
Lu 2015
Combined determination of circulating miR-196a and miR-196b levels produces high sensitivity and specificity for early detection of oral…
PMID:25485932
2015this review onlynot statednot extracted yet
Mazumder 2023
MiRNAs as non-invasive biomarkers in the serum of Oral Squamous Cell Carcinoma (OSCC) and Oral Potentially Malignant Disorder (OPMD)…
PMID:36657275
2023this review onlynot statednot extracted yet
Nakamura 2021
Circulating microRNA Panel as a Potential Novel Biomarker for Oral Squamous Cell Carcinoma Diagnosis.
PMID:33504017
2021this review onlynot statednot extracted yet
Piao 2023
A circulating microRNA panel as a novel dynamic monitor for oral squamous cell carcinoma.
PMID:36737651
2023this review onlynot statednot extracted yet
Tachibana 2016
Circulating miR-223 in Oral Cancer: Its Potential as a Novel Diagnostic Biomarker and Therapeutic Target.
PMID:27441818
2016this review onlynot statednot extracted yet
Wang 2021
MicroRNA-206 has a bright application prospect in the diagnosis of cases with oral cancer.
PMID:34418889
2021this review onlynot statednot extracted yet
Zahran 2015
Salivary microRNAs in oral cancer.
PMID:25784212
2015this review onlynot statednot extracted yet

Overlap with other reviews

Reviews that include the same primary studies are not independent evidence. Shared counts match studies by PMID, DOI or NCT, and otherwise by author and year (a probable match). Only the non-Cochrane dental reviews have study lists, so overlap with Cochrane reviews is not counted yet.

Review question

ElementPlanned (methods)Found (results)
PopulationPatients with histopathologically confirmed oral squamous cell carcinoma1872 OSCC patients and 783 healthy controls (n=19 studies)
InterventionDetection and quantification of miRNAs in saliva, plasma or serum (RT-qPCR, microarray or NGS)Salivary miRNAs (10 studies, 13 datasets); serum miRNAs (6 studies, 8 datasets); plasma miRNAs (3 studies, 7 datasets); single miRNAs and panels
ComparisonHealthy controls without clinical evidence of diseaseHealthy controls
OutcomesDiagnostic accuracy: sensitivity, specificity, AUC, PPV, NPV, TP, FP, TN, FNPooled sensitivity, specificity, AUC (HSROC) by biofluid and combined; diagnostic odds ratio
Study designsObservational diagnostic accuracy studies (case-control, cohort)Case-control and cohort diagnostic accuracy studies (n=19)
TimingStudies published January 2015 to December 2025Not specified