Abdo Jurjus, who is the Editorial Board Member of Exploration of Digestive Diseases, had no involvement in the decision-making or the review process of this manuscript. The other authors declare no conflicts of interest.
Open Exploration maintains a neutral stance on jurisdictional claims in published institutional affiliations and maps. All opinions expressed in this article are the personal views of the author(s) and do not represent the stance of the editorial team or the publisher.
References
Jang J, Jeong S. Inflammatory Bowel Disease: Pathophysiology, Treatment, and Disease Modeling.BioChip J. 2023;17:403–30. [DOI]
Chang JT. Pathophysiology of Inflammatory Bowel Diseases.N Engl J Med. 2020;383:2652–64. [DOI] [PubMed]
Long D. Mechanisms for Precision, Patient-Centered Therapy in Inflammatory Bowel Disease.Biomedicines. 2025;13:2504. [DOI] [PubMed] [PMC]
Kuenzig ME, Fung SG, Marderfeld L, Mak JWY, Kaplan GG, Ng SC, et al.; InsightScope Pediatric IBD Epidemiology Group; Benchimol EI. Twenty-first Century Trends in the Global Epidemiology of Pediatric-Onset Inflammatory Bowel Disease: Systematic Review.Gastroenterology. 2022;162:1147–59.e4. [DOI] [PubMed]
Borowitz SM. The epidemiology of inflammatory bowel disease: Clues to pathogenesis?Front Pediatr. 2023;10:1103713. [DOI] [PubMed] [PMC]
Jha M, Waheed A, Hooti JA, Nair S, Najam A, Mal M, et al. Advancements in Immunomodulatory Therapies for IBD and Their Interplay With the Gut-Brain Axis: An Updated Review of Current Literature and Beyond.Health Sci Rep. 2025;8:e71157. [DOI] [PubMed] [PMC]
Faggiani I, Fanizza J, D’Amico F, Allocca M, Zilli A, Parigi TL, et al. Extraintestinal Manifestations in Inflammatory Bowel Disease: From Pathophysiology to Treatment.Biomedicines. 2024;12:1839. [DOI] [PubMed] [PMC]
Kilic Y, Kamal S, Jaffar F, Sriranganathan D, Quraishi MN, Segal JP. Prevalence of Extraintestinal Manifestations in Inflammatory Bowel Disease: A Systematic Review and Meta-analysis.Inflamm Bowel Dis. 2024;30:230–9. [DOI] [PubMed]
Harrandah AM. The Oral-Gut-Systemic Axis: Emerging Insights into Periodontitis, Microbiota Dysbiosis, and Systemic Disease Interplay.Diagnostics (Basel). 2025;15:2784. [DOI] [PubMed] [PMC]
Siddiqui ZR, Rahman S, Verma N, Srivastava A, Jahan N, Mohanty S, et al. Gut–Oral Microbial Dysbiosis: A Correlated Ecosystem.Adv Gut Microbi Res. 2025;2025:12. [DOI]
Elzayat H, Mesto G, Al-Marzooq F. Unraveling the Impact of Gut and Oral Microbiome on Gut Health in Inflammatory Bowel Diseases.Nutrients. 2023;15:3377. [DOI] [PubMed] [PMC]
Bertl K, Burisch J, Pandis N, Klinge B, Stavropoulos A. Oral health in patients with inflammatory bowel disease: A cross-sectional survey in Sweden.Clin Oral Investig. 2024;28:573. [DOI] [PubMed] [PMC]
Teixeira PV, Magro F, Estevinho MM. Advancing Precision in IBD Care: Innovations in Diagnosis, Monitoring, and Multidisciplinary Management.Biomedicines. 2025;13:1421. [DOI] [PubMed] [PMC]
Kaz AM, Venu N. Diagnostic Methods and Biomarkers in Inflammatory Bowel Disease.Diagnostics (Basel). 2025;15:1303. [DOI] [PubMed] [PMC]
Majster M. Gateway to the gut: alterations in saliva in inflammatory bowel disease. Sweden: Karolinska Institutet (Sweden); 2021.
Albagieh H, Alshehri AZ, Alduraywishi AS, Aldaws A, AlBalawi SS, Abu Shaqqaf HF, et al. Evaluation of Salivary Diagnostics: Applications, Benefits, Challenges, and Future Prospects in Dental and Systemic Disease Detection.Cureus. 2025;17:e77520. [DOI] [PubMed] [PMC]
Proctor GB. The physiology of salivary secretion.Periodontol 2000. 2016;70:11–25. [DOI] [PubMed]
Du XM, Liang XY, Zhou XD. Developments in Research on Salivary Biomarkers in the Diagnosis of Systemic Diseases.Sichuan Da Xue Xue Bao Yi Xue Ban. 2023;54:33–8. Chinese. [DOI] [PubMed] [PMC]
Alavi SE, Sharma LA, Sharma A, Ebrahimi Shahmabadi H. Salivary Biomarkers in Periodontal Disease: Revolutionizing Early Detection and Precision Dentistry.Mol Diagn Ther. 2025;29:721–40. [DOI] [PubMed]
Surdu A, Foia LG, Luchian I, Trifan D, Tatarciuc MS, Scutariu MM, et al. Saliva as a Diagnostic Tool for Systemic Diseases-A Narrative Review.Medicina (Kaunas). 2025;61:243. [DOI] [PubMed] [PMC]
Liao C, Chen X, Fu Y. Salivary analysis: An emerging paradigm for non-invasive healthcare diagnosis and monitoring.Interd Med. 2023;1:e20230009. [DOI]
Yang C, Chen J, Zhao Y, Xu Y, Wu J, Xu J, et al. Identification of Salivary Exosome-Derived miRNAs as Potential Biomarkers for Non-Invasive Diagnosis and Proactive Monitoring of Inflammatory Bowel Disease.Int J Mol Sci. 2025;26:7750. [DOI] [PubMed] [PMC]
Dongiovanni P, Meroni M, Casati S, Goldoni R, Thomaz DV, Kehr NS, et al. Salivary biomarkers: novel noninvasive tools to diagnose chronic inflammation.Int J Oral Sci. 2023;15:27. [DOI] [PubMed] [PMC]
Rodrigues C, Gomes ATPC, Leal J, Pereira P, Lopes PC, Mendes K, et al. Oral health in inflammatory bowel disease: the overlooked impact and the potential role of salivary calprotectin.BMC Oral Health. 2025;25:729. [DOI] [PubMed] [PMC]
Matsuoka M, Soria SA, Pires JR, Sant’Ana ACP, Freire M. Natural and induced immune responses in oral cavity and saliva.BMC Immunol. 2025;26:34. [DOI] [PubMed] [PMC]
Nijakowski K, Surdacka A. Salivary Biomarkers for Diagnosis of Inflammatory Bowel Diseases: A Systematic Review.Int J Mol Sci. 2020;21:7477. [DOI] [PubMed] [PMC]
Majster M, Lira-Junior R, Höög CM, Almer S, Boström EA. Salivary and Serum Inflammatory Profiles Reflect Different Aspects of Inflammatory Bowel Disease Activity.Inflamm Bowel Dis. 2020;26:1588–96. [DOI] [PubMed] [PMC]
Godala M, Gaszyńska E, Walczak K, Małecka-Wojciesko E. Role of Serum Interleukin-6, Interleukin-1β and Interleukin-10 in Assessment of Disease Activity and Nutritional Status in Patients with Inflammatory Bowel Disease.J Clin Med. 2023;12:5956. [DOI] [PubMed] [PMC]
Sheng Ding N, De Cruz P. Biomarkers in Inflammatory Bowel Diseases. Springer Cham; 2019. [DOI]
Gürsoy UK, Gürsoy M, Loimaranta V, Rautava J. Salivary Th17 cytokine, human β-defensin 1-3, and salivary scavenger and agglutinin levels in Crohn’s disease.Clin Oral Investig. 2024;28:108. [DOI] [PubMed] [PMC]
Enver A, Ozmeric N, Isler SC, Toruner M, Fidan C, Demirci G, et al. Evaluation of periodontal status and cytokine levels in saliva and gingival crevicular fluid of patients with inflammatory bowel diseases.J Periodontol. 2022;93:1649–60. [DOI] [PubMed] [PMC]
Wang W, Cao W, Zhang S, Chen D, Liu L. The Role of Calprotectin in the Diagnosis and Treatment of Inflammatory Bowel Disease.Int J Mol Sci. 2025;26:1996. [DOI] [PubMed] [PMC]
Bos V, Crouwel F, Waaijenberg P, Bouma G, Duijvestein M, Buiter HJ, et al. Salivary Calprotectin Is not a Useful Biomarker to Monitor Disease Activity in Patients with Inflammatory Bowel Disease.J Gastrointestin Liver Dis. 2022;31:283–9. [DOI] [PubMed]
Abu Sneineh A, Haj Ali S, Alani MA, Al Karmi J, Al Karmi F, Al-Wandawi MF, et al. The role of salivary calprotectin in monitoring Crohn’s disease: A cross-sectional study.Arab J Gastroenterol. 2025;26:368–72. [DOI] [PubMed]
Liguori S, Musella G, Adamo D, Miele E, Coppola N, Canfora F, et al. Salivary Calprotectin as a Biomarker in Early Onset Inflammatory Bowel Disease: A Pilot Study.J Clin Med. 2025;14:4232. [DOI] [PubMed] [PMC]
Mikhailova E, Sokolenko A, Combs SE, Shevtsov M. Modulation of Heat Shock Proteins Levels in Health and Disease: An Integrated Perspective in Diagnostics and Therapy.Cells. 2025;14:979. [DOI] [PubMed] [PMC]
Scalia F, Carini F, David S, Giammanco M, Mazzola M, Rappa F, et al. Inflammatory Bowel Diseases: An Updated Overview on the Heat Shock Protein Involvement.Int J Mol Sci. 2023;24:12129. [DOI] [PubMed] [PMC]
Motahari P, Pourzare Mehrbani S, Jabbarvand H. Evaluation of Salivary Level of Heat Shock Protein 70 in Patients with Chronic Periodontitis.J Dent (Shiraz). 2021;22:175–9. [DOI] [PubMed] [PMC]
Sitko K, Mantej J, Bednarek M, Tukaj S. Detection of autoantibodies to heat shock protein 70 in the saliva and urine of normal individuals.Front Immunol. 2024;15:1454018. [DOI] [PubMed] [PMC]
Kang SB, Kim H, Kim S, Kim J, Park SK, Lee CW, et al. Potential Oral Microbial Markers for Differential Diagnosis of Crohn’s Disease and Ulcerative Colitis Using Machine Learning Models.Microorganisms. 2023;11:1665. [DOI] [PubMed] [PMC]
Wands D, Whelan R, Hansen R, Rimmer P, Iqbal T, Ho GT. P1328 Reduced salivary alpha-diversity in Inflammatory Bowel Disease: Systematic review and meta-analysis of 1000 IBD patients—a role for oral microbiome as a marker of downstream dysbiosis in IBD.J Crohns Colitis. 2025;19:i2390–2.
Park YE, Moon HS, Yong D, Seo H, Yang J, Shin TS, et al. Microbial changes in stool, saliva, serum, and urine before and after anti-TNF-α therapy in patients with inflammatory bowel diseases.Sci Rep. 2022;12:6359. [DOI] [PubMed] [PMC]
Byrd KM, Gulati AS. The “Gum-Gut” Axis in Inflammatory Bowel Diseases: A Hypothesis-Driven Review of Associations and Advances.Front Immunol. 2021;12:620124. [DOI] [PubMed] [PMC]
Abdelbary MMH, Hatting M, Bott A, Dahlhausen A, Keller D, Trautwein C, et al. The oral-gut axis: Salivary and fecal microbiome dysbiosis in patients with inflammatory bowel disease.Front Cell Infect Microbiol. 2022;12:1010853. [DOI] [PubMed] [PMC]
Kang DY, Park JL, Yeo MK, Kang SB, Kim JM, Kim JS, et al. Diagnosis of Crohn’s disease and ulcerative colitis using the microbiome.BMC Microbiol. 2023;23:336. [DOI] [PubMed] [PMC]
Rodríguez-Lago I, Blackwell J, Mateos B, Marigorta UM, Barreiro-de Acosta M, Pollok R. Recent Advances and Potential Multi-Omics Approaches in the Early Phases of Inflammatory Bowel Disease.J Clin Med. 2023;12:3418. [DOI] [PubMed] [PMC]
Alemany-Cosme E, Sáez-González E, Moret I, Mateos B, Iborra M, Nos P, et al. Oxidative Stress in the Pathogenesis of Crohn’s Disease and the Interconnection with Immunological Response, Microbiota, External Environmental Factors, and Epigenetics.Antioxidants (Basel). 2021;10:64. [DOI] [PubMed] [PMC]
Tratenšek A, Locatelli I, Grabnar I, Drobne D, Vovk T. Oxidative stress-related biomarkers as promising indicators of inflammatory bowel disease activity: A systematic review and meta-analysis.Redox Biol. 2024;77:103380. [DOI] [PubMed] [PMC]
Muro P, Zhang L, Li S, Zhao Z, Jin T, Mao F, et al. The emerging role of oxidative stress in inflammatory bowel disease.Front Endocrinol (Lausanne). 2024;15:1390351. [DOI] [PubMed] [PMC]
Krzystek-Korpacka M, Kempiński R, Bromke MA, Neubauer K. Oxidative Stress Markers in Inflammatory Bowel Diseases: Systematic Review.Diagnostics (Basel). 2020;10:601. [DOI] [PubMed] [PMC]
Bigagli E, Innocenti T, Dragoni G, Pindozzi F, Galli A, Lodovici M, et al. Salivary oxidative stress persists in inflammatory bowel disease regardless of biological treatment response.Front Pharmacol. 2025;16:1699252. [DOI] [PubMed] [PMC]
Janšáková K, Escudier M, Tóthová Ľ, Proctor G. Salivary changes in oxidative stress related to inflammation in oral and gastrointestinal diseases.Oral Dis. 2021;27:280–9. [DOI] [PubMed]
Berthet L, Casado-Bedmar M, Viennois É. Role of miRNA in chronic inflammatory bowel disease pathogenesis and their potential in diagnostics and therapeutics.Bull Natl Acad Med. 2024;208:999–1007. French. [DOI]
Xu S, Mumuni AN, Tuason RTS, Maki KA. Methodological Considerations in Saliva-Based Biomarker Research: Addressing Patient-Specific Variability in Translational Research Protocols.Curr Protoc. 2025;5:e70235. [DOI] [PubMed] [PMC]
Armstrong AJS, Parmar V, Blaser MJ. Assessing saliva microbiome collection and processing methods.NPJ Biofilms Microbiomes. 2021;7:81. [DOI] [PubMed] [PMC]
Huang J, Zhu X, Ma Y, Zhang Z, Zhang J, Hao Z, et al. Machine learning in the differential diagnosis of ulcerative colitis and Crohn’s disease: a systematic review.Transl Gastroenterol Hepatol. 2025;10:56. [DOI] [PubMed] [PMC]