Comparison of simple and rapid collection methods for measuring salivary IL-6 and PGE2 in cats with chronic gingivostomatitis: a pilot study
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Keywords

feline chronic gingivostomatitis, inflammation, saliva, IL-6, PGE2.

How to Cite

Gutierrez, R. de C. A., Bandini, L., Requicha, J. F., Lourenço, S., & Gomes, C. de O. M. S. (2026). Comparison of simple and rapid collection methods for measuring salivary IL-6 and PGE2 in cats with chronic gingivostomatitis: a pilot study . Brazilian Journal of Veterinary Medicine, 48, e012125. https://doi.org/10.29374/2527-2179.bjvm012125

Abstract

Feline chronic gingivostomatitis (FCGS) is characterized by persistent oral inflammation, leading to severe pain, hyporexia, weight loss, and reduced well-being. Affected cats exhibit altered levels of inflammatory mediators; however, most diagnostic procedures require administration of anesthesia, highlighting the need for alternative monitoring approaches. This prospective exploratory pilot study aimed to compare two simple and rapid saliva collection methods—pipetting and absorbent paper points—used for assessing prostaglandin E2 (PGE2) and interleukin-6 (IL-6) levels in cats. Saliva samples were obtained from 86 cats that were initially evaluated and classified into three groups: FCGS (n=22), other oral inflammatory conditions (OOIC) (n=27), and controls without oral inflammation (n=37); 25 of the control animals were subsequently excluded from the analysis. Compared with pipetting, absorbent paper points were better tolerated by cats with oral inflammation. In the samples collected by pipetting, the mean IL-6 concentration was higher in the FCGS group (473.10 pg/mL) than in the control group (12.78 pg/mL). A similar pattern was observed in samples collected using absorbent paper points; IL-6 levels were highest in the FCGS group (170.90 pg/mL), followed by the OOIC (6.05 pg/mL) and control (1.50 pg/mL) groups. PGE2 levels were also highest in the FCGS group (647.52 pg/mL), followed by the control group (182.13 pg/mL) and the OOIC group (111.40 pg/mL). These findings should be interpreted in light of the pilot design, sample exclusions, and absence of a diagnostic reference standard. Nonetheless, salivary assessment appears to be a feasible and promising noninvasive approach for monitoring oral inflammation in cats with FCGS

https://doi.org/10.29374/2527-2179.bjvm012125
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References

Aljaffary, M., Jang, H., Alomeir, N., Zeng, Y., Alkhars, N., Vasani, S., Almulhim, A., Wu, T. T., Quataert, S., Bruno, J., Lee, A., & Xiao, J. (2023). Effects of nystatin rinse on oral Candida species and Streptococcus mutans among healthy adults. Clinical Oral Investigations, 27(7), 3557-3568. https://doi.org/10.1007/s00784-023-04969-5. PMid:36964224.

Arzi, B., Mills-Ko, E., Verstraete, F. J. M., Kol, A., Walker, N. J., Badgley, M. R., Fazel, N., Murphy, W. J., Vapniarsky, N., & Borjesson, D. L. (2016). Therapeutic efficacy of fresh, autologous mesenchymal stem cells for severe refractory gingivostomatitis in cats. Stem Cells Translational Medicine, 5(1), 75-86. https://doi.org/10.5966/ sctm.2015-0127. PMid:26582907.

Cantos-Barreda, A., Escribano, D., Bernal, L. J., Cerón, J. J., & Martínez-Subiela, S. (2017). Quantification of anti-Leishmania antibodies in saliva of dogs. Veterinary Parasitology, 242, 54-58. https://doi.org/10.1016/j. vetpar.2017.05.017. PMid:28606325.

Ceciliani, F., Giordano, A., & Spagnolo, V. (2002). The systemic reaction during inflammation: The acute phase proteins. Protein and Peptide Letters, 9(3), 211-223. https://doi.org/10.2174/0929866023408779. PMid:12144517.

Celebi, A. A., Demirer, S., Catalbas, B., & Arikan, S. (2013). Effect of ovarian activity on orthodontic tooth movement and crevicular fluid levels of interleukin-1β and prostaglandin E2 in cats. The Angle Orthodontist, 83(1), 70-75. https://doi.org/10.2319/012912-78.1. PMid:22668314.

Cronin, G. M., Hemsworth, P. H., Barnett, J. L., Jongman, E. C., Newman, E. A., & McCauley, I. (2003). An anti-barking muzzle for dogs and its short-term effects on behaviour and saliva cortisol concentrations. Applied Animal Behaviour Science, 83(3), 215-226. https://doi.org/10.1016/S0168-1591(03)00133-3.

Dodds, W. J. (2018). Diagnosis of canine food sensitivity and intolerance using saliva: Report of outcomes. Journal - American Holistic Veterinary Medical Association, 49, 32-43.

Dodds, W. J. (2019). Diagnosis of feline food sensitivity and intolerance using saliva: 1000 cases. Animals, 9(8), 534. https://doi.org/10.3390/ani9080534. PMid:31390763.

Dolieslager, S. M. J. D., Lappin, D. F., Bennett, D., Graham, L., Johnston, N., & Riggio, M. P. (2013). The influence of oral bacteria on tissue levels of toll-like receptor and cytokine mRNAs in feline chronic gingivostomatitis and oral health. Veterinary Immunology and Immunopathology, 151(3-4), 263-274. https://doi.org/10.1016/j. vetimm.2012.11.016. PMid:23287555.

Dreschel, N. A., & Granger, D. A. (2009). Methods of collection for salivary cortisol measurement in dogs. Hormones and Behavior, 55(1), 163-168. https://doi.org/10.1016/j.yhbeh.2008.09.010. PMid:18948108.

Harley, R., Gruffydd-Jones, T. J., & Day, M. J. (2003). Salivary and serum immunoglobulin levels in cats with chronic gingivostomatitis. The Veterinary Record, 152(5), 125-129. https://doi.org/10.1136/vr.152.5.125. PMid:12585597.

Harley, R., Helps, C. R., Harbour, D. A., Gruffydd-Jones, T. J., & Day, M. J. (1999). Cytokine mRNA expression in lesions of cats with chronic gingivostomatitis. Clinical and Diagnostic Laboratory Immunology, 6(4), 471-478. https://doi.org/10.1128/CDLI.6.4.471-478.1999. PMid:10391845.

Jaedicke, K. M., Preshaw, P. M., & Taylor, J. J. (2016). Salivary cytokines as biomarkers of periodontal diseases. Periodontology 2000, 70(1), 164-183. https://doi.org/10.1111/prd.12117. PMid:26662489.

Jennings, M. W., Lewis, J. R., Soltero-Rivera, M. M., Brown, D. C., & Reiter, A. M. (2015). Effect of tooth extraction on stomatitis in cats: 95 cases (2000–2013). Journal of the American Veterinary Medical Association, 246(6), 654-660. https://doi.org/10.2460/javma.246.6.654. PMid:25719848.

Kelly, S. M., Karsh, J., Marcelo, J., Boeckh, D., Stepner, N., Santone, B., Yang, J., & Yang, W. H. (2018). Fel d 1 and Fel d 4 levels in cat fur, saliva and urine. The Journal of Allergy and Clinical Immunology, 142(6), 1990-1992.e3. https://doi.org/10.1016/j.jaci.2018.07.033. PMid:30176277.

Kotrschal, K., Schöberl, I., Bauer, B., Thibeaut, A. M., & Wedl, M. (2009). Dyadic relationships and operational performance of male and female owners and their male dogs. Behavioural Processes, 81(3), 383-391. https:// doi.org/10.1016/j.beproc.2009.04.001. PMid:19520238.

Lommer, M. J. (2013). Efficacy of cyclosporine for chronic, refractory stomatitis in cats: A randomized, placebo-controlled, double-blinded clinical study. Journal of Veterinary Dentistry, 30(1), 8-17. https://doi.org/10.1177/0 89875641303000101. PMid:23757820.

Nguyen-Kim, H., Beckmann, C., Redondo, M., Ziliox, J., Valett, V., Berger-Sturm, K., Overbeck, J., & Auber, L. A. (2022). COVID salivary diagnostics: A comparative technical study. Journal of Medical Virology, 94(9), 4277-4286. https://doi.org/10.1002/jmv.27883. PMid:35614569.

Nickel, M. R., Sweet, H. M., Lee, A., Bohaychuk-Preuss, K., Varnhagen, C., & Olson, M. (2022). A saliva urea test strip for use in feline and canine patients: A pilot study. Journal of Veterinary Diagnostic Investigation : Official Publication of the American Association of Veterinary Laboratory Diagnosticians, Inc, 34(3), 496-503. https://doi.org/10.1177/10406387221086917. PMid:35412397.

Oyama, D., Hyodo, M., Doi, H., Kurachi, T., Takata, M., Koyama, S., Satoh, T., & Watanabe, G. (2014). Saliva collection by using filter paper for measuring cortisol levels in dogs. Domestic Animal Endocrinology, 46, 20-25. https://doi.org/10.1016/j.domaniend.2013.09.008. PMid:24140070.

Peralta, S., Grenier, J. K., Webb, S. M., Miller, A. D., Miranda, I. C., & Parker, J. S. (2023). Transcriptomic signatures of feline chronic gingivostomatitis are influenced by upregulated IL6. Scientific Reports, 13(1), 13437. https://doi.org/10.1038/s41598-023-40679-4. PMid:37596310.

Sexton, W. M., Lin, Y., Kryscio, R. J., Dawson 3rd, D. R., Ebersole, J. L., & Miller, C. S. (2011). Salivary biomarkers of periodontal disease in response to treatment. Journal of Clinical Periodontology, 38(5), 434-441. https://doi.org/10.1111/j.1600-051X.2011.01706.x. PMid:21480939.

Soltero-Rivera, M., Goldschmidt, S., & Arzi, B. (2023). Feline chronic gingivostomatitis: Current concepts in clinical management. Journal of Feline Medicine and Surgery, 25(8), X231186834. https://doi.org/10.1177/1098612X231186834. PMid:37548475.

Tenorio, A. P., Franti, C. E., Madewell, B. R., & Pedersen, N. C. (1990). Chronic oral infections of cats and their relationship to persistent oral carriage of feline calicivirus, immunodeficiency, or leukemia viruses. Veterinary Immunology and Immunopathology, 29(1-2), 1-14. https://doi.org/10.1016/0165-2427(91)90048-H. PMid:1659031.

Thomas, S., Lappin, D. F., Bennett, D., Nile, C., & Riggio, M. P. (2024). Elevated pro-inflammatory cytokines and chemokines in saliva of cats with feline odontoclastic resorptive lesion. Research in Veterinary Science, 166, 105092. https://doi.org/10.1016/j.rvsc.2023.105092. PMid:38029490.

Tiwari, S. K., Khan, A. A., Ahmed, K. S., Ahmed, I., Kauser, F., Hussain, M. A., Ali, A. M., Habeeb, A., Abid, Z., Ahmed, N., & Habibullah, C. M. (2005). Rapid diagnosis of Helicobacter pylori infection in dyspeptic patients using salivary secretion: A non-invasive approach. Singapore Medical Journal, 46(5), 224-228. PMid:15858691.

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Copyright (c) 2026 Rita de Cássia Anaya Gutierrez, Luciana Bandini, João Filipe Requicha, Silvia Lourenço, Cristina de Oliveira Massoco Salle Gomes