High Patient Acceptance Compared with traditional blood collection or muscle biopsy, saliva collection is completely non – invasive. For patients, especially children and those who are afraid of invasive examinations, using the SMA detection saliva collector does not cause pain or physical trauma. For example, in neonatal screening, this non – invasive method allows infants to complete sample collection without any pain, reducing the baby’s crying and restlessness, and making it easier to obtain parental cooperation.
Simple Operation The saliva collection process is straightforward and does not require complex operations by professional medical staff. Generally, users only need to follow the instructions of the collector, put the collector in the mouth, and secrete and collect enough saliva through simple stimulation (such as chewing or sucking). This simple operation makes it convenient to use in scenarios such as large – scale screening or home – based collection. For example, in community – based carrier screening activities, ordinary people can complete saliva collection on their own after simple training.
(II) Good Sample Stability
Convenient for Transportation and Storage After collection, saliva samples can remain relatively stable under appropriate storage conditions. The SMA detection saliva collector is usually equipped with a special preservation solution that can protect biological components such as DNA in the saliva. The collected samples can be transported and stored at room temperature or low temperature, which provides convenience for sample collection, transportation, and subsequent testing. For example, samples collected in remote areas can be sent to the testing laboratory via regular express delivery without worrying about rapid sample deterioration.
Extended Detection Time Window Due to the good stability of the samples, even if immediate testing is not possible, the samples remain valid within a certain period. This provides flexibility for testing institutions to arrange testing times and can also adapt to different testing procedures and work arrangements. For instance, in cases where there is a large number of samples, the testing institution can gather the samples and conduct unified testing at an appropriate time without worrying about sample failure affecting the test results.
(III) Suitable for Large – scale Screening
Cost – effective In terms of the collection tool itself, the production cost of the SMA detection saliva collector is relatively low, which reduces the collection cost in large – scale screening projects. Compared with blood testing, which requires relatively expensive consumables such as blood collection needles and tubes, the saliva collector is more cost – efficient. Moreover, since the operation is simple and does not require professional medical staff for collection, it also saves labor costs, making large – scale screening more economically feasible.
Efficient Sample Collection In large – scale screening, the ability to collect samples quickly and efficiently is crucial. The SMA detection saliva collector can be used to collect samples from a large number of people simultaneously. For example, in screening activities carried out in schools or communities, saliva samples from numerous participants can be collected in a short time, improving the screening efficiency.
II. Disadvantages
(I) Issues with DNA Content and Quality in Saliva Samples
Relatively Low DNA Content The DNA content in saliva is usually lower compared to samples such as blood. This may have a certain impact on the sensitivity of the detection. In some cases, additional extraction and amplification steps of DNA in saliva samples may be required to meet the testing requirements. For example, for some gene – testing techniques, a sufficient amount of DNA template is needed to accurately detect mutations in SMA – related genes. Low DNA content may lead to inaccurate test results or failure to detect certain mutations.
Impurity Interference Saliva contains various impurities, such as oral bacteria, food residues, and enzymes. These impurities may be co – extracted during the DNA extraction process, affecting the purity and quality of the DNA. For example, the DNA of oral bacteria may interfere with the detection of the target genes (SMA – related genes), and components in food residues may inhibit subsequent gene – testing reactions, thus reducing the accuracy of the detection.
(II) Test Results May be Affected by the Oral Environment
Impact of Oral Hygiene The oral hygiene of the person being sampled can affect the test results. If the oral cavity is not cleaned properly and there are a large number of bacteria and food residues, it may degrade the quality of the collected saliva sample, thereby affecting the accuracy of the test results. For example, collecting saliva immediately after eating may cause food components to mask the signals of SMA – related genes or react with the detection reagents, resulting in false – positive or false – negative results.
Differences in Oral Microbiota There are differences in the oral microbiota among individuals, and these microorganisms may affect the DNA in saliva. For example, certain microorganisms may decompose or alter the structure of DNA in saliva, or release substances that interfere with the gene – testing process. This uncertainty in the oral microbiota among individuals increases the complexity of interpreting test results.
(III) Relatively Limited Detection Range
Limited Gene Expression Information Saliva samples mainly reflect the genetic information of oral cells. For a systemic disease like SMA, although mutations in related disease – causing genes can be detected, the information obtained about gene expression and functional changes in other tissues (such as muscle tissue) is relatively limited. For example, when evaluating the treatment effect, it may not be possible to comprehensively understand the impact of the drug on gene expression in muscle cells throughout the body solely through saliva samples. Other tissue samples may need to be tested to obtain more complete information.
Difficulty in Detecting Other Disease Markers The saliva collector is mainly designed for detecting SMA – related genes and has limited ability to detect other disease markers that may co – exist or other complex biomolecules potentially related to SMA. If a patient has other diseases simultaneously or there are other factors affecting the SMA condition, other detection methods may be required for comprehensive evaluation.