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Shoji et al.



                Discussion


                In  the  present  study,  the  use  of  human  saliva   samples recruited were from age range from 19
                samples  for  NMR-based  metabolomics  was     to  64.  Studies  enclosing  a  larger  number  of
                                        1
                evaluated. High-resolution  H NMR spectra was   subjects and specific age group are needed to
                obtained,  and  the  major  signals  were  clearly   minimize the potential confounders.
                assigned  consistent  with  earlier  studies.  Tech-  The  samples  collected  in  this  study  were  only
                nical advances in NMR spectroscopy, it is now
                                                               from  around  the  Klang  valley  area.  Samples
                possible  to  identify  and  quantify  hundreds  of   from other states should be covered in order to
                metabolites from many different types of biolog-  establish  a  database  that  can  represent  the
                ical samples in relatively short orders [9]. How-
                                                               healthy  adults  in  Malaysia.  There  are  few  un-
                ever,  the  procedure  from  sample  collection  to   known peaks needed to be further investigated.
                analysis  is  sensitive.  Cellular  debris  from  both   Some metabolites in the saliva that were previ-
                human  and  bacterial  sources  may  contribute
                                                               ously identified in other studies such as Butyr-
                various  metabolites,  and  products  of  bacterial   ate,  Choline,  Ethanol,  Glycine,  Histidine  and
                metabolism  may  also  be  present.  Steroids,   Pyruvate  were  not  found  in  this  study.  This
                some  other  hormones,  and  many  drugs  and
                                                               might be due to the small sample size and thus
                antibodies  can  diffuse  from  serum  into  saliva
                                                               inadequate of some metabolite concentration to
                [13].  Filtration  of  saliva  samples  using  centri-  be quantified. In cases where quantitation was
                fuge provides an effective method of removing
                                                               not reliable for a particular compound, concen-
                both proteins and particulate matter from saliva
                                                               trations were either not used (for generation of
                samples. Analysis of the sample will be easier   a model using multivariate statistics), or report-
                when  the  protein  is  removed  from  the  sample
                                                               ed  as  being  less  than  1  µM.  It  is  known  that
                [13].  It  also  depends  on  the  method  of  collec-
                                                               gender has an influence over urinary metabolite
                tion, food components may be directly observed   concentrations  [11,  12].  To  determine  differ-
                during  targeted  profiling  of  saliva  [14].  For  ex-
                                                               ences in salivary composition due to gender, 20
                ample,  caffeine  can  be  solutes  already  dis-  females  and  5  males  was  obtained  and  ana-
                solved in the food, and rapidly dissolve into the   lysed using   H NMR spectroscopy coupled with
                                                                          1
                saliva. All of these factors provide the important
                                                               targeted  profiling. Figure 3 revealed no signifi-
                information  for  consideration  when  collecting
                                                               cant variation between male and female saliva
                saliva  sample.  The  result  only  showed  of  25   metabolites.  As  compare  to  the  study  of
                samples out of the total of 50 samples collect-
                                                               Takeda et al. [9], the male subjects has higher
                ed, 20 females and 5 males. This smaller sam-
                                                               in  concentration  of  nearly  all  to  metabolites
                ple set might be potentially affecting the result.    compared to female subjects, included acetate,
                The reason for reduced sample set was mainly
                                                               formate, glycine, lactate, methanol, propionate,
                due  to  the  inhomogeneities  in  its  field  of  the
                                                               propylene, glycol, pyruvate, succinate, and tau-
                samples,  outliers  with  weird  peak  that  may  be   rine. The sample size was obviously imbalance,
                due  to  sugar,  food  or  underlying  systemic  dis-
                                                               as 20 female samples versus 5 males samples
                ease.  Some  studies  indicated  that  there  are
                                                               only.  Thus,  a  larger  sample  set  is  needed  for
                age-associated alterations in certain aspects of   further validation and future clinical application.
                salivary gland function [15].  In this study, the






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