eprintid: 10188168 rev_number: 8 eprint_status: archive userid: 699 dir: disk0/10/18/81/68 datestamp: 2024-02-29 09:51:53 lastmod: 2024-10-28 15:24:32 status_changed: 2024-02-29 09:51:53 type: article metadata_visibility: show sword_depositor: 699 creators_name: Zarnegar, Roxaneh creators_name: Vounta, Angeliki creators_name: Li, Qiuyuan creators_name: Ghoreishizadeh, Sara title: Nociception related biomolecules in the adult human saliva: a scoping review with additional quantitative focus on cortisol ispublished: inpress subjects: RNOH divisions: UCL divisions: B04 divisions: C05 divisions: F46 keywords: Acute pain; Biomarkers; Experimental pain; Induced Pain; Saliva; scoping review note: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions. abstract: Nociception related salivary biomolecules can be useful patients who are not able to self-report pain. We present the existing evidence on this topic using the PRISMA-ScR guidelines and a more focused analysis of cortisol change after cold pain induction using the direction of effect analysis combined with risk of bias analysis using ROBINS-I. Five data bases were searched systematically for articles on adults with acute pain secondary to disease, injury or experimentally induced pain. 43 articles met the inclusion criteria for the general review and 11 of these were included in the cortisol-cold pain analysis. Salivary melatonin, kallikreins, pro-inflammatory cytokines, soluable TNFαreceptor II, secretory IgA, testosterone, salivary α-amylase and, most commonly, cortisol have been studied in relation to acute pain. There is greatest information about cortisol and sAA which both rise after cold pain when compared with other modalities. Where participants have been subjected to both pain and stress, stress is consistently a more reliable predictor of salivary biomarker change than pain. In conclusion, there remain considerable challenges in identifying biomarkers that can be used in clinical practice to guide the measurement of nociception and treatment of pain. Standardization of methodology and researchers’ greater awareness of the factors that affect salivary biomolecule concentrations are needed to improve our understanding of this field towards creating a clinically relevant body of evidence. date: 2024-02-22 date_type: published publisher: SAGE Publications official_url: http://dx.doi.org/10.1177/17448069241237121 oa_status: green full_text_type: other language: eng primo: open primo_central: open_green verified: verified_manual elements_id: 2252122 doi: 10.1177/17448069241237121 medium: Print-Electronic lyricists_name: Ghoreishizadeh, Seyedeh lyricists_id: SSGHO93 actors_name: Kalinowski, Damian actors_id: DKALI47 actors_role: owner funding_acknowledgements: 204841/Z/16/Z [Wellcome Trust] full_text_status: public publication: Molecular Pain event_location: United States issn: 1744-8069 citation: Zarnegar, Roxaneh; Vounta, Angeliki; Li, Qiuyuan; Ghoreishizadeh, Sara; (2024) Nociception related biomolecules in the adult human saliva: a scoping review with additional quantitative focus on cortisol. Molecular Pain 10.1177/17448069241237121 <https://doi.org/10.1177/17448069241237121>. (In press). Green open access document_url: https://discovery.ucl.ac.uk/id/eprint/10188168/1/Ghoreishizadeh_Nociception%20related%20biomolecules%20in%20the%20adult%20human%20saliva_AAM.pdf