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23

Volume 1 Issue 7

|

I

ssues and

P

eople

Revealing the

SECRETSOF SALIVA

CDA:

What is the focus of your research?

Dr. Walter Siqueira:

I’m trying to

identify biomarkers in saliva to determine

one’s vulnerability to several oral and

systemic diseases, and I’m trying to prevent

oral disease using modified salivary proteins.

CDA:

What made you leave Boston

University to join Western University?

WS:

The support researchers receive in

Canada. This country has a unique program,

the Canadian Foundation for Innovation (CFI),

which helps setting up research laboratories.

Thanks to CFI, we have a mass spectrometer

dedicated solely to our research purposes.

Only in Canada did I have this opportunity.

When I first visited London, I was amazed by

the university’s infrastructure and people’s

collegiality. I knew it was a good place to

settle down. I’ve never regretted moving.

CDA:

Why is saliva research so promising?

WS:

Everything we can detect in serum,

we can detect in saliva. Technology used to

be our limiting factor but now, with mass

spectrometers being so sensitive, we’re

able to identify salivary biomarkers. On

top of being time and cost efficient, saliva

collection isn’t an invasive prodecure and

Thanks to a 5-minute procedure, dentists could be

involved in the early detection of several diseases.

That would put dentists where we need to be—

key players in our patients’ overall health.

Dr. Walter Siqueira is associate professor in dentistry and biochemistry at the Schulich School of Medicine &Dentistry.

He is also the principal investigator at the only Canadian research laboratory dedicated solely to saliva research. CDA

discussed the importance of saliva as both a diagnostic and therapeutic fluid with Dr. Siqueira.

doesn’t need to be performed by highly

trained professionals—you only need to spit

in a tube.

CDA:

How do you think the use of saliva

as a diagnostic fluid will change dentistry?

WS:

I think dentists will work more closely

with physicians to help diagnose systemic

conditions. A saliva profile is like a fingerprint

of one’s health status: it shows their

vulnerability not only to dental disease but

also many other conditions, such as lung

cancer, renal disease and Dengue Fever.

Thanks to a 5-minute procedure, dentists

could be involved in the early detection of

several diseases. That would put dentists

where we need to be— key players in our

patients’ overall health.

CDA:

How close are we to using saliva as

a diagnostic fluid?

WS:

We’re not close enough, because each

disease needs to be studied separately. That

said, we can now buy saliva-based HIV test

kits in drugstores in the United States.

My laboratory is working with researchers

from the Boston Medical Center on

pulmonary disease detection, including

asthma. So far, 10 salivary biomarkers have

been identified to predict the exacerbation

of asthma over a 24–48 hour period.

Walter Siqueira

DDS, PhD