“…Saliva, as the external secretion of the oral cavity, has always been considered as a promising candidate for the early screening of OSCC. − However, there are over 100 different biomarkers with the potential for OSCC diagnosis, representatively including catalase (CAT), interleukin-6 (IL-6), interleukin-8 (IL-8), choline, lactic acid, l -carnitine, miR-24, sialic acid, etc. − How to select the optimized biomarkers for detection becomes a significant issue. Interestingly, lactic acid (byproduct of hypoxic respiration) and choline (closely involved in the synthesis of cell membranes) often have more pronounced concentration differences in saliva samples between OSCC patients and healthy individuals and correlation with disease courses, possessing a significant diagnostic value. − ,− However, since their concentration is quite low, their practical detection always requires us to employ sophisticated and expensive equipment, e.g., high-performance liquid chromatography (HPLC), which further limits their practical applications.…”