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Use of Saliva Biomarkers and DNA Epigenetics in Forensic Identification: A Narrative Review

Seema Gupta, Shalini Priya

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Indian Journal of Forensic Odontology 18(2):p 67-72, July - Dec 2025. | DOI: 10.21088/ijfo.0974.505X.18225.4

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Seema Gupta, Shalini Priya. Use of Saliva Biomarkers and DNA Epigenetics in Forensic Identification: A Narrative Review. Ind J Forensic Odontol 2025; 18(2): 67-72.

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Received : November 01, 2025         Accepted : December 05, 2025          Published : December 30, 2025

Abstract

Forensic identification plays a pivotal role in criminal investigations and mass disaster scenarios. Traditional methods, such as dental records, fingerprints, and DNA profiling using short tandem repeats (STRs), have limitations in cases involving degraded samples, partial remains, or the need for investigative leads like age estimation. This review explores the emerging potential of saliva as a noninvasive, information-rich biological fluid and DNA epigenetics as a transformative tool in forensic science. Saliva is easily collectible and contains a diverse array of biomarkers, including genomic DNA, proteins, microbes, and cell-free DNA. Concurrently, DNA methylation, a stable epigenetic mark, provides a novel layer of information beyond the genetic code. This narrative review synthesizes current literature on the application of salivary biomarkers for body fluid identification, sex determination, and recent advances in age estimation. It further delves into the principles of DNA methylation, highlighting its forensic utility for constructing epigenetic clocks to predict chronological age and for differentiating body fluids through tissue-specific methylation patterns. The integration of salivary analysis with epigenetic profiling presents a powerful, complementary approach to traditional forensics. Key findings indicate that while these methodologies show immense promise, challenges regarding standardization, validation, and the influence of confounding factors remain. Future research should focus on developing robust, portable assays and expanding reference databases to facilitate the routine adoption of these tools in forensic practice.


References

  • 1.   Goodwin W, Linacre A, Hadi S. An introduction to forensic genetics. 3rd ed. Nashville, TN: John Wiley & Sons; 2025. 224 p.
  • 2.   Pretty I, Sweet D. A look at forensic dentistry – Part 1: The role of teeth in the determination of human identity. Br Dent J. 2001 Apr 14;190(7):359–66.
  • 3.   Butler JM. Forensic DNA Typing: Biology, Technology, and Genetics of STR Markers. Burlington, MA: Elsevier Academic Press; 2005.
  • 4.   Kayser M. Forensic DNA Phenotyping: Predicting human appearance from crime scene material for investigative purposes. Forensic Sci Int Genet. 2015 Sept;18:33–48.
  • 5.   Quinones I, Daniel B. A practical approach to obtaining DNA from saliva stains found on the skin and its application to casework. J Forensic Sci. 2012;57(2):515–9.
  • 6.   Llena-Puy C. The rôle of saliva in maintaining oral health and as an aid to diagnosis. Med Oral Patol Oral Cir Bucal. 2006 Aug;11(5):E449-55.
  • 7.   Feber A, Wilson GA, Zhang L, Presneau N, Idowu B, Down TA, et al. Comparative methylome analysis of benign and malignant peripheral nerve sheath tumors. Genome Res. 2011 Apr; 21(4):515–24.
  • 8.   Vidaki A, Kayser M. From forensic epigenetics to forensic epigenomics: broadening DNA investigative intelligence. Genome Biol. 2017 Dec 21;18(1):238.
  • 9.   Lee HY, Park MJ, Kim NY, Sim JE, Yang WI, Shin K-J. Simple and highly effective DNA extraction methods from old skeletal remains using silica columns. Forensic Sci Int Genet. 2010 Oct;4(5):275–80.
  • 10.   Zubakov D, Liu F, Kokmeijer I, Choi Y, van Meurs JBJ, van IJcken WFJ, et al. Human age estimation from blood using mRNA, DNA methylation, DNA rearrangement, and telomere length. Forensic Sci Int Genet. 2016 Sept;24:33–43.
  • 11.   Humphrey SP, Williamson RT. A review of saliva: normal composition, flow, and function. J Prosthet Dent. 2001 Feb;85(2):162–9.
  • 12.   Fleischhacker M, Schmidt B. Circulating nucleic acids (CNAs) and cancer--a survey. Biochim Biophys Acta. 2007 Jan;1775(1): 181–232.
  • 13.   Haas C, Hanson E, Anjos MJ, Banemann R, Berti A, Borges E, et al. RNA/DNA co-analysis from human saliva and semen stains--results of a third collaborative EDNAP exercise. Forensic Sci Int Genet. 2013 Feb;7(2):230–9.
  • 14.   Oragene® DNA Self-Collection Kit: Product Instructions. Ottawa, Canada: DNA Genotek. 2019. 15. van Oorschot RA, Ballantyne KN, Mitchell RJ. Forensic trace DNA: a review. Investig Genet. 2010 Dec 1;1(1):14.
  • 16.   An JH, Shin K-J, Yang WI, Lee HY. Body fluid identification in forensics. BMB Rep. 2012 Oct;45(10):545–53.
  • 17.   Lee SB, McCord B, Buel E. Advances in forensic DNA quantification: a review: Nucleic acids. Electrophoresis. 2014 Nov;35(21–22):3044–52.
  • 18.   Takashina M, Sakurada K, Akutsu T, Ikegaya H. Evaluation of saliva as a source of DNA for multiplex PCR- based identification. Leg Med (Tokyo). 2018;31:38–44.
  • 19.   Dawes C, Pedersen AML, Villa A, Ekström J, Proctor GB, Vissink A, et al. The functions of human saliva: A review sponsored by the World Workshop on Oral Medicine VI. Arch Oral Biol. 2015 June;60(6):863–74.
  • 20.   Juusola J, Ballantyne J. Messenger RNA profiling: a prototype method to supplant conventional methods for body fluid identification. Forensic Sci Int. 2003 Aug 12;135(2):85–96. 21. Machida T, Tomofuji T, Ekuni D, Maruyama T, Yoneda T, Kawabata Y, et al. MicroRNAs in salivary exosome as potential biomarkers of aging. Int J Mol Sci. 2015 Sept 7;16(9):21294– 309. 22. Ozeki Y, Nagai A, Uchida K, Watanabe K, Yokoyama A, Miyazaki Y. Metabolomic profiling of saliva in patients with primary Sjögren’s syndrome. Clin Exp Immunol. 200 AD;(1):52–61.
  • 23.   Chojnowska S, Baran T, Wilińska I, Sienicka P, Cabaj-Wiater I, Knaś M. Human saliva as a diagnostic material. Adv Med Sci. 2018 Mar;63(1):185–91.
  • 24.   Ladd-Acosta C, Fallin MD. DNA methylation signatures as biomarkers of prior environmental exposures. Curr Epidemiol Rep. 2019 Mar;6(1):1–13.
  • 25.   Garagnani P, Bacalini MG, Pirazzini C, Gori D, Giuliani C, Mari D, et al. Methylation of ELOVL2 gene as a new epigenetic marker of age. Aging Cell. 2012 Dec;11(6):1132–4.
  • 26.   Lee HY, Jung S-E, Oh YN, Choi A, Yang WI, Shin K-J. Epigenetic age signatures in the forensically relevant body fluid of semen: a preliminary study. Forensic Sci Int Genet. 2015 Nov;19:28–34.
  • 27.   Zeilinger S, Kühnel B, Klopp N, Baurecht H, Kleinschmidt A, Gieger C, et al. Tobacco smoking leads to extensive genome-wide changes in DNA methylation. PLoS One. 2013 May 17;8(5):e63812. 1. Goodwin W, Linacre A, Hadi S. An introduction to forensic genetics. 3rd ed. Nashville, TN: John Wiley & Sons; 2025. 224 p. 2. Pretty I, Sweet D. A look at forensic dentistry – Part 1: The role of teeth in the determination of human identity. Br Dent J. 2001 Apr 14;190(7):359–66. 3. Butler JM. Forensic DNA Typing: Biology, Technology, and Genetics of STR Markers. Burlington, MA: Elsevier Academic Press; 2005. 4. Kayser M. Forensic DNA Phenotyping: Predicting human appearance from crime scene material for investigative purposes. Forensic Sci Int Genet. 2015 Sept;18:33–48. 5. Quinones I, Daniel B. A practical approach to obtaining DNA from saliva stains found on the skin and its application to casework. J Forensic Sci. 2012;57(2):515–9. 6. Llena-Puy C. The rôle of saliva in maintaining oral health and as an aid to diagnosis. Med Oral Patol Oral Cir Bucal. 2006 Aug;11(5):E449-55. 7. Feber A, Wilson GA, Zhang L, Presneau N, Idowu B, Down TA, et al. Comparative methylome analysis of benign and malignant peripheral nerve sheath tumors. Genome Res. 2011 Apr; 21(4):515–24. 8. Vidaki A, Kayser M. From forensic epigenetics to forensic epigenomics: broadening DNA investigative intelligence. Genome Biol. 2017 Dec 21;18(1):238. 9. Lee HY, Park MJ, Kim NY, Sim JE, Yang WI, Shin K-J. Simple and highly effective DNA extraction methods from old skeletal remains using silica columns. Forensic Sci Int Genet. 2010 Oct;4(5):275–80. 10. Zubakov D, Liu F, Kokmeijer I, Choi Y, van Meurs JBJ, van IJcken WFJ, et al. Human age estimation from blood using mRNA, DNA methylation, DNA rearrangement, and telomere length. Forensic Sci Int Genet. 2016 Sept;24:33–43. 11. Humphrey SP, Williamson RT. A review of saliva: normal composition, flow, and function. J Prosthet Dent. 2001 Feb;85(2):162–9. 12. Fleischhacker M, Schmidt B. Circulating nucleic acids (CNAs) and cancer--a survey. Biochim Biophys Acta. 2007 Jan;1775(1): 181–232. 13. Haas C, Hanson E, Anjos MJ, Banemann R, Berti A, Borges E, et al. RNA/DNA co-analysis from human saliva and semen stains--results of a third collaborative EDNAP exercise. Forensic Sci Int Genet. 2013 Feb;7(2):230–9. 14. Oragene® DNA Self-Collection Kit: Product Instructions. Ottawa, Canada: DNA Genotek. 2019. 15. van Oorschot RA, Ballantyne KN, Mitchell RJ. Forensic trace DNA: a review. Investig Genet. 2010 Dec 1;1(1):14. 16. An JH, Shin K-J, Yang WI, Lee HY. Body fluid identification in forensics. BMB Rep. 2012 Oct;45(10):545–53. 17. Lee SB, McCord B, Buel E. Advances in forensic DNA quantification: a review: Nucleic acids. Electrophoresis. 2014 Nov;35(21–22):3044–52. 18. Takashina M, Sakurada K, Akutsu T, Ikegaya H. Evaluation of saliva as a source of DNA for multiplex PCR- based identification. Leg Med (Tokyo). 2018;31:38–44. 19. Dawes C, Pedersen AML, Villa A, Ekström J, Proctor GB, Vissink A, et al. The functions of human saliva: A review sponsored by the World Workshop on Oral Medicine VI. Arch Oral Biol. 2015 June;60(6):863–74. 20. Juusola J, Ballantyne J. Messenger RNA profiling: a prototype method to supplant conventional methods for body fluid identification. Forensic Sci Int. 2003 Aug 12;135(2):85–96. 21. Machida T, Tomofuji T, Ekuni D, Maruyama T, Yoneda T, Kawabata Y, et al. MicroRNAs in salivary exosome as potential biomarkers of aging. Int J Mol Sci. 2015 Sept 7;16(9):21294– 309. 22. Ozeki Y, Nagai A, Uchida K, Watanabe K, Yokoyama A, Miyazaki Y. Metabolomic profiling of saliva in patients with primary Sjögren’s syndrome. Clin Exp Immunol. 200 AD;(1):52–61. 23. Chojnowska S, Baran T, Wilińska I, Sienicka P, Cabaj-Wiater I, Knaś M. Human saliva as a diagnostic material. Adv Med Sci. 2018 Mar;63(1):185–91. 24. Ladd-Acosta C, Fallin MD. DNA methylation signatures as biomarkers of prior environmental exposures. Curr Epidemiol Rep. 2019 Mar;6(1):1–13. 25. Garagnani P, Bacalini MG, Pirazzini C, Gori D, Giuliani C, Mari D, et al. Methylation of ELOVL2 gene as a new epigenetic marker of age. Aging Cell. 2012 Dec;11(6):1132–4. 26. Lee HY, Jung S-E, Oh YN, Choi A, Yang WI, Shin K-J. Epigenetic age signatures in the forensically relevant body fluid of semen: a preliminary study. Forensic Sci Int Genet. 2015 Nov;19:28–34. 27. Zeilinger S, Kühnel B, Klopp N, Baurecht H, Kleinschmidt A, Gieger C, et al. Tobacco smoking leads to extensive genome-wide changes in DNA methylation. PLoS One. 2013 May 17;8(5):e63812. 28. Vidaki A, Ballard D, Aliferi A, Miller TH, Barron L, Syndercombe Court D. DNA methylation-based forensic age prediction using artificial neural networks and next generation sequencing. Forensic Science International Genetics. 2017 May 1;28:225–36. 29. Thompson TM, Shariff F, Donnell O, Kidd D, Go JR, Kidd RC. Methylation QTLs in the developing brain and their enrichment in schizophrenia risk loci. Nat Neurosci. 2013;16(10):1348–54. 30. Park J-L, Kim JH, Seo E, Bae DH, Kim S-Y, Lee H-C, et al. Identification and evaluation of age-correlated DNA methylation markers for forensic use. Forensic Sci Int Genet. 2016 July;23:64–70. 31. Hong SR, Jung S-E, Lee EH, Shin K-J, Yang WI, Lee HY. DNA methylation-based age prediction from saliva: High age predictability by combination of 7 CpG markers. Forensic Sci Int Genet. 2017 July;29:118–25. 32. Silva DSBS, Antunes J, Balamurugan K, Duncan G, Alho CS, McCord B. Developmental validation studies of epigenetic DNA methylation markers for the detection of blood, semen and saliva samples. Forensic Sci Int Genet. 2016 July;23:55–63. 33. Tost J. DNA methylation: an introduction to the biology and the disease-associated changes of a promising biomarker. Mol Biotechnol. 2010 Jan;44(1):71–81. 34. Naue J, Hoefsloot HCJ, Mook ORF, RijlaarsdamHoekstra L, van der Zwalm MCH, Henneman P, et al. Chronological age prediction based on DNA methylation: Massive parallel sequencing and random forest regression. Forensic Sci Int Genet. 2017 Nov;31:19–28. 35. Bruijns BB, Tiggelaar RM, Gardeniers H. The extraction and recovery of DNA from soil and sediment samples for forensic applications. J Forensic Sci. 2018;63(2):341–51. 36. Tutton R. Sociological Perspectives on the Emergent Field of Forensic Epigenetics. Routledge Handbook of Social Studies of Forensic Science. 2018;245–58. 37. Abboud A. Daubert v. In: Embryo Project Encyclopedia. Merrell Dow Pharmaceuticals, Inc; 1993. 38. Samuel G, Kennett D. The ethical and legal landscape of forensic epigenetics. Forensic Epigenetics. 2020;255–70. 39. Hansen HB, Damgaard PB, Margaryan A, Stenderup J, Lynnerup N, Willerslev E, et al. Comparing ancient DNA preservation in petrous bone and tooth cementum. PLoS One. 2017 Jan 27;12(1):e0170940. 40. Freire-Aradas A, Phillips C, Mosquera-Miguel A, Girón-Santamaría L, Gómez-Tato A, Casares de Cal M, et al. Development of a methylation marker set for forensic age estimation using analysis of public methylation data and the Agena Bioscience EpiTYPER system. Forensic Sci Int Genet. 2016 Sept;24:65–74. 41. Freire-Aradas A, Pośpiech E, Aliferi A, GirónSantamaría L, Mosquera-Miguel A, Pisarek A, et al. A comparison of forensic age prediction models using data from four DNA methylation technologies. Front Genet [Internet]. 2020 Aug 19;11. Available from: https:// www.frontiersin.org/article/10.3389/ fgene.2020.00932/full...
  • 28.   Vidaki A, Ballard D, Aliferi A, Miller TH, Barron L, Syndercombe Court D. DNA methylation-based forensic age prediction using artificial neural networks and next generation sequencing. Forensic Science International Genetics. 2017 May 1;28:225–36.
  • 29.   Thompson TM, Shariff F, Donnell O, Kidd D, Go JR, Kidd RC. Methylation QTLs in the developing brain and their enrichment in schizophrenia risk loci. Nat Neurosci. 2013;16(10):1348–54.
  • 30.   Park J-L, Kim JH, Seo E, Bae DH, Kim S-Y, Lee H-C, et al. Identification and evaluation of age-correlated DNA methylation markers for forensic use. Forensic Sci Int Genet. 2016 July;23:64–70.
  • 31.   Hong SR, Jung S-E, Lee EH, Shin K-J, Yang WI, Lee HY. DNA methylation-based age prediction from saliva: High age predictability by combination of 7 CpG markers. Forensic Sci Int Genet. 2017 July;29:118–25. .
  • 32.   Silva DSBS, Antunes J, Balamurugan K, Duncan G, Alho CS, McCord B. Developmental validation studies of epigenetic DNA methylation markers for the detection of blood, semen and saliva samples. Forensic Sci Int Genet. 2016 July;23:55–63.
  • 33.   Tost J. DNA methylation: an introduction to the biology and the disease-associated changes of a promising biomarker. Mol Biotechnol. 2010 Jan;44(1):71–81.
  • 34.   Naue J, Hoefsloot HCJ, Mook ORF, RijlaarsdamHoekstra L, van der Zwalm MCH, Henneman P, et al. Chronological age prediction based on DNA methylation: Massive parallel sequencing and random forest regression. Forensic Sci Int Genet. 2017 Nov;31:19–28.
  • 35.   Bruijns BB, Tiggelaar RM, Gardeniers H. The extraction and recovery of DNA from soil and sediment samples for forensic applications. J Forensic Sci. 2018;63(2):341–51.
  • 36.   Tutton R. Sociological Perspectives on the Emergent Field of Forensic Epigenetics. Routledge Handbook of Social Studies of Forensic Science. 2018;245–58.
  • 37.   Abboud A. Daubert v. In: Embryo Project Encyclopedia. Merrell Dow Pharmaceuticals, Inc; 1993.
  • 38.   Samuel G, Kennett D. The ethical and legal landscape of forensic epigenetics. Forensic Epigenetics. 2020;255–70.
  • 39.   Hansen HB, Damgaard PB, Margaryan A, Stenderup J, Lynnerup N, Willerslev E, et al. Comparing ancient DNA preservation in petrous bone and tooth cementum. PLoS One. 2017 Jan 27;12(1):e0170940.
  • 40.   Freire-Aradas A, Phillips C, Mosquera-Miguel A, Girón-Santamaría L, Gómez-Tato A, Casares de Cal M, et al. Development of a methylation marker set for forensic age estimation using analysis of public methylation data and the Agena Bioscience EpiTYPER system. Forensic Sci Int Genet. 2016 Sept;24:65–74.
  • 41.   Freire-Aradas A, Pośpiech E, Aliferi A, GirónSantamaría L, Mosquera-Miguel A, Pisarek A, et al. A comparison of forensic age prediction models using data from four DNA methylation technologies. Front Genet [Internet]. 2020 Aug 19;11. Available from: https:// www.frontiersin.org/article/10.3389/ fgene.2020.00932/full.

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Seema Gupta, Shalini Priya. Use of Saliva Biomarkers and DNA Epigenetics in Forensic Identification: A Narrative Review. Ind J Forensic Odontol 2025; 18(2): 67-72.


Licence:

Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)

This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.



Received Accepted Published
November 01, 2025 December 05, 2025 December 30, 2025

DOI: 10.21088/ijfo.0974.505X.18225.4

Keywords

SalivaForensic IdentificationBiomarkersDNA MethylationEpigeneticsHuman IdentificationBody Fluid Identification

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Received November 01, 2025
Accepted December 05, 2025
Published December 30, 2025

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Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)

This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.



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