Painless and Readily Acceptable:Compared with methods such as blood collection, saliva collection is a non – invasive approach. The collection process does not cause pain to the subject. For example, for children and those who are afraid of injections, using a saliva collector for sample collection is a more friendly method, and they are more likely to cooperate to complete the sample collection.
Simple to Operate:It does not require professional medical staff to perform the operation. Users can complete the sample collection by themselves after simple instructions, which is very convenient in scenarios such as large – scale screening. For instance, during community – based SMA gene screening activities, residents can collect saliva samples at home according to the instructions and then send them to the testing institution, greatly improving the efficiency of sample collection.
Good Sample Stability
Protective Effect of the Preservation Solution:The saliva collector usually contains a special preservation solution that can effectively protect the cells and DNA in the sample. This preservation solution can maintain the integrity of the cells and prevent DNA degradation during the period from collection to testing. For example, in cases where the sample needs to be transported to a distant testing center, the preservation solution can ensure the quality of the sample during transportation and guarantee the accuracy of the test results.
Suitable for Long – term Storage and Batch Processing:The collected saliva samples can be stored for a long time under appropriate conditions, facilitating batch testing when needed. This is very beneficial for research institutions to establish gene sample banks and can provide sample support for long – term medical research and disease monitoring.
Adequate DNA Quantity for Detection
Abundant Cell Sources:Saliva contains various cells, such as oral epithelial cells, which can provide an adequate amount of DNA for gene detection. Under normal circumstances, through appropriate extraction methods, sufficient DNA for SMA detection and other related gene detections can be obtained from a small amount of saliva samples.
Reduced Sampling Error:Since it is relatively easy to obtain enough DNA, compared with some sample sources with low DNA content, the risk of errors caused by insufficient DNA during the extraction and detection processes is relatively low, which helps improve the accuracy of the detection.
Disadvantages
Possible Sample Contamination
Complex Oral Environment:The oral cavity is a complex microbial environment, and saliva may contain a large number of bacteria, food residues, and other impurities. These impurities may interfere with the DNA extraction and detection processes. For example, the DNA of bacteria may be extracted together with human DNA, affecting the subsequent analysis and detection of the target gene.
Prone to Contamination during Collection:If the collector does not follow the operation specifications strictly during the collection process, such as not cleaning the mouth or the collection device being contaminated, the sample may be contaminated by external impurities, thus affecting the reliability of the test results.
Variable DNA Quality
Influence of Individual Differences:There are differences in the composition of saliva and the state of cells among different individuals, which may lead to variations in the quality of the extracted DNA. For example, some individuals may have more easily ruptured cells in their saliva due to oral diseases or dietary habits, etc., and the DNA released may have been degraded to a certain extent, affecting the accuracy of the detection.
Problems with Preservation and Transportation:Despite the presence of the preservation solution in the collector, under some extreme conditions, such as non – compliant storage temperatures or severe shaking during transportation, the quality of DNA may still decline, thereby affecting the detection results.
Limitations
Relatively Limited Detection Range
Targeted Gene Detection:The SMA – test saliva collector is mainly designed for SMA – related genes, and its detection ability for other diseases or gene abnormalities is relatively limited. If it is necessary to detect multiple disease – related genes simultaneously, other more complex detection methods may be required or multiple sample collection methods may need to be combined.
Inability to Detect Non – genetic – factor – related Diseases:For some diseases caused by environmental factors, lifestyle, and other non – genetic factors, the saliva collector has basically no detection value because it mainly relies on the analysis of genetic information to achieve disease detection.
Complexity of Test Result Interpretation
Uncertainty of Gene Variation:Even if a gene variation is detected, it does not necessarily mean that the individual will definitely develop the disease. Because gene expression and disease occurrence are also affected by many other factors, such as gene modification and environmental factors. This makes the interpretation of test results complex, and multiple factors need to be considered comprehensively to make an accurate judgment.
Lack of Complete Clinical Information Support:Saliva test results often only provide genetic – level information and lack the complete clinical information of the patient, such as clinical symptoms and medical history. In clinical diagnosis, relying solely on saliva test results may lead to misdiagnosis or missed diagnosis, and it needs to be combined with other clinical examinations to play a better role.