Evidence map›Paper›PMID 42381001›Full record

ArticleBMC oral health2026

Altered peripheral blood mRNA and salivary biomarkers in dental anxiety: a cross-sectional study.

Liu Wenlong, Tao Huai, Wang Shichen, Liu Chao, Hou Xianggang, Zhu Hongshuang, Duan Yige, Bai Minghai, Liu Yong

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Article in BMC oral health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

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9 authors.

Liu Wenlong *Department of Orthodontics, Changsha Stomatological Hospital, Changsha, 410005, China.
Tao Huai *Department of Biochemistry and Molecular Biology, Hunan University of Chinese Medicine, Changsha, China.
Wang ShichenDepartment of Psychiatry, National Center for Mental Disorders, The Second Xiangya, National Clinical Research Center for Mental Disorders, Hospital of Central South University, Changsha, Hunan, 410011, China.
Liu ChaoDepartment of Orthodontics, Changsha Stomatological Hospital, Changsha, 410005, China.
Hou XianggangSchool of Stomatology, Hunan University of Traditional Chinese Medicine, Changsha, 410208, China.
Zhu HongshuangSchool of Stomatology, Hunan University of Traditional Chinese Medicine, Changsha, 410208, China.
Duan YigeDepartment of Orthodontics, Changsha Stomatological Hospital, Changsha, 410005, China.
Bai MinghaiDepartment of Orthodontics, Changsha Stomatological Hospital, Changsha, 410005, China. 429526876@qq.com.
Liu YongDepartment of Psychiatry, National Center for Mental Disorders, The Second Xiangya, National Clinical Research Center for Mental Disorders, Hospital of Central South University, Changsha, Hunan, 410011, China.

Funding

Hunan University of Chinese Medicine No. 2022XYLH131
6 · The paper itself

Abstract

introductionPrevious studies indicate that dental anxiety (DA) is associated with increased salivary cortisol and alpha-amylase, biomarkers of hypothalamic-pituitary-adrenal (HPA) axis and sympathetic-adrenal-medullary (SAM) activation. However, underlying molecular mechanisms remain unclear. This study aimed to explore whether peripheral blood mRNA expression levels of glucocorticoid receptor (GR), GR transcripts containing exons 1B (GR-1B), glutamate ionotropic receptor AMPA type subunit 1 (GRIA1), oxytocin (OT), oxytocin receptor (OTR), and Poly ADP-Ribose Polymerase 1 (PARP1), together with salivary cortisol and alpha-amylase levels, are associated with dental anxiety.

methodsIn this cross-sectional study, a total of 30 DA patients and 28 non-DA patients were included. The mRNA expression levels of GR, GR-1B, GRIA1, OT, OTR, and PARP1 in peripheral blood were determined by real-time quantitative polymerase chain reaction. Salivary cortisol and alpha-amylase concentrations were determined by enzyme-linked immunosorbent assay.

resultsThe expression levels of GR-1B mRNA were significantly higher in the DA group than in the non-DA group, whereas GRIA1 and OT mRNA expression levels were lower in the DA group. Concurrently, salivary cortisol and alpha-amylase levels were significantly higher in the DA group.

conclusionDental anxiety may be associated with altered stress-related molecular expression and salivary biomarkers. These findings provide preliminary evidence of peripheral molecular and salivary changes associated with dental anxiety and may contribute to understanding its biological correlates.

Indexed as

Dental AnxietyRNA, MessengerSalivaAdultalpha-AmylasesBiomarkersCross-Sectional StudiesFemaleHumansHydrocortisoneMaleOxytocinPoly (ADP-Ribose) Polymerase-1Receptors, AMPAReceptors, Glucocorticoidalpha-AmylasesBiomarkersHydrocortisoneOxytocinPoly (ADP-Ribose) Polymerase-1Receptors, AMPAReceptors, GlucocorticoidRNA, MessengerAlpha-amylaseCortisolDental anxietyGR-1BGRIA1OTThe Modified Dental Anxiety Scale (MDAS)

Identifiers

PMID42381001
PMCPMC13587487

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