Abstract:Objectives: Salivary and serum levels of interleukin-6 (IL-6) and interleukin-8 (IL-8) have previously been studied in oral cancer with conflicting results. Methods: We designed a controlled study to assess the correlation between pretreatment salivary and serum levels of IL-6 and IL-8, and all-cause survival and cancer recurrence in oral cancer patients. Results: Fifty-two oral cancer patients and 52 healthy control cases were selected. In univariate analysis, salivary IL-6 and IL-8 seemed to be more expressed in cases (p<.001 and p=.010 respectively). Multivariate analysis showed that higher pretreatment saliva IL-6 levels were significantly associated with better survival (HR, 8.62; 95% CI, p=.031). Conclusions: To date, this is the largest prospective controlled study that analyses the pre-treatment salivary and serum levels of IL-6 and IL-8 in oral cancer patients, suggesting salivary IL-6 as possible prognostic biomarkers, but further validation on a larger sample is still necessary. Thank you for your decision and comments regarding the above manuscript.In order to expedite the processing of the revised manuscript, we have attempted to answer the reviewers' comment in a point-by-point manner.The attached highlights the changes in yellow.#Reviewer 1:-As required primary and secondary endpoints have been better described at the beginning of the M&M section.-Some lines about the sample size have been added, as required, when discussing about statistical methods.-As suggested, in the Discussion section the weaknesses and strengths of the study have been discussed; moreover, the potential clinical applications of the achieved results have been better commented.We now hope that our revisions will be acceptable. Conclusions: To date, this is the largest prospective controlled study that analyses the pre-treatment salivary and serum levels of IL-6 and IL-8 in oral cancer patients, suggesting salivary IL-6 as possible prognostic biomarkers, but further validation on a larger sample is still necessary.