Salivary cortisol
Salivary cortisol is the fraction of the steroid hormone cortisol measured in saliva, and it is widely used as a non-invasive biomarker of hypothalamic-pituitary-adrenal (HPA) axis activity.
Salivary cortisol is the fraction of the steroid hormone cortisol measured in saliva, and it is widely used as a non-invasive biomarker of hypothalamic-pituitary-adrenal (HPA) axis activity. Because salivary cortisol reflects the biologically active, unbound portion of circulating cortisol, it is commonly used in research and clinical settings to assess stress responses, adrenal function, and endocrine dysregulation.
In biomedical research, salivary cortisol is especially useful for monitoring dynamic changes over time, such as responses to acute stress, surgery, pain, exercise, or endocrine interventions. It is frequently paired with other markers of autonomic or endocrine activity, including salivary alpha-amylase, plasma hormone profiling, and targeted metabolomics, to characterize stress physiology more comprehensively.
Where the papers sit
10 papers from the last 6 months study salivary cortisol directly · updated from PubMed 5 Oct 2026
Study type 2 clinical trials · 4 observational · 3 human data · 1 preclinical
Themes 3 themes
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Adrenal Insufficiency Management
Adrenal insufficiency work is shifting toward better identification of stress-related cortisol deficiency and more tailored steroid replacement. Hydrocortisone, with or without fludrocortisone, is being tested in prednisolone-induced insufficiency and critical illness-related corticosteroid insufficiency. Refractory hyponatremia, especially after brain injury or pituitary surgery, remains a recurring clinical clue, but hypocortisolism explains only some postoperative cases. Multicentre protocols and biomarker-enrichment strategies aim to clarify CIRCI criteria and treatment benefit.
4 papers · 40%
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Cortisol Sensor Development
Wearable and point-of-care platforms are moving cortisol measurement toward continuous, real-time monitoring in sweat and other complex matrices. Molecularly imprinted polymers, aptamers, SERS, and electrochemical or fluorescent readouts recur as routes to higher sensitivity and selectivity. Gold and Prussian blue nanostructures expand detection range, while time-gated fluorescence addresses autofluorescence. Translation still hinges on stable operation and validation against clinical cortisol measurements.
3 papers · 30%
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Others — Cortisol Biomarker Validation
Cortisol biomarker measurement spans hair, peri-implant crevicular fluid, and urine, with assay validation central to interpretation. Chromogranin A, S100A12, dehydroepiandrosterone, and psychometric measures appear as accompanying indicators of stress, health, or disease. Urinary-free cortisol thresholds are being assessed for distinguishing ACTH-dependent Cushing syndrome, while other work focuses on biomarker changes across physiological or production stages. The cluster shares an emphasis on measurement validity but lacks a single clinical application or unified direction.
3 papers · 30%
Papers
The 10 papers from the last 6 months that study salivary cortisol directly, newest first, by theme and by study type. Study types come from PubMed publication types and MeSH headings.
By theme
Adrenal Insufficiency Management (4)
- HydrOcortisone and fludRocortisoNe for critical ILLness-related corticosteroid insufficiency (HORNbILL): study protocol for a multicentre randomised placebo-controlled trial. BMJ open · 17 Jun 2026 PMID 42309657
- The Limited Role of Hypocortisolism in the Development of Delayed Postoperative Hyponatremia After Pituitary Surgery. Pituitary · 16 Jun 2026 PMID 42301545
- Refractory hyponatremia after traumatic brain injury unmasks adrenal insufficiency in a patient with remote steroid use. CEN case reports · 16 Jun 2026 PMID 42301338
- Effect of supplemental hydrocortisone during stress in prednisolone-induced adrenal insufficiency: a study protocol for a multicentre, randomised, double-blinded, placebo-controlled clinical trial on health-related quality of life in patients with polymyalgia rheumatica/giant cell arteritis on low-dose prednisolone treatment (the RESCUE study). BMJ open · 11 Jun 2026 PMID 42276802
Cortisol Sensor Development (3)
- A wearable electrochemical sensor for sweat cortisol detection based on molecularly imprinted polymer nanoparticles and cellulose nanofiber/carbon nanotube conductive aerogel. Mikrochimica acta · 14 May 2026 PMID 42133086
- Time-Gated Fluorescent Aptamer Sensors Eliminate Autofluorescence during Continuous Molecular Detection in Complex Biological Matrices. ACS sensors · 22 Apr 2026 PMID 42017428
- A triple-mode SERS-LFIA platform based on Au@4-MBA@Ag core-shell nanorods for ultrasensitive point-of-care detection of cortisol. Analytica chimica acta · 20 Apr 2026 PMID 42009419
Others — Cortisol Biomarker Validation (3)
- Chromogranin A and S100A12 protein measurement in hair of pigs: assay validation, changes across different production stages and comparison with other hair biomarkers. Veterinary research communications · 17 Jul 2026 PMID 42467125
- Peri-implant crevicular fluid stress-related biomarkers and psychometric scores in peri-implant health and disease. Clinical oral investigations · 16 Jul 2026 PMID 42461416
- Urinary-free cortisol-based thresholds for differentiating ACTH-dependent Cushing: a Spanish validation study. The Journal of clinical endocrinology and metabolism · 1 May 2026 PMID 42063386
By study type
Clinical trials (2)
- HydrOcortisone and fludRocortisoNe for critical ILLness-related corticosteroid insufficiency (HORNbILL): study protocol for a multicentre randomised placebo-controlled trial. BMJ open · 17 Jun 2026 PMID 42309657
- Effect of supplemental hydrocortisone during stress in prednisolone-induced adrenal insufficiency: a study protocol for a multicentre, randomised, double-blinded, placebo-controlled clinical trial on health-related quality of life in patients with polymyalgia rheumatica/giant cell arteritis on low-dose prednisolone treatment (the RESCUE study). BMJ open · 11 Jun 2026 PMID 42276802
Observational studies and case reports (4)
- Peri-implant crevicular fluid stress-related biomarkers and psychometric scores in peri-implant health and disease. Clinical oral investigations · 16 Jul 2026 PMID 42461416
- The Limited Role of Hypocortisolism in the Development of Delayed Postoperative Hyponatremia After Pituitary Surgery. Pituitary · 16 Jun 2026 PMID 42301545
- Refractory hyponatremia after traumatic brain injury unmasks adrenal insufficiency in a patient with remote steroid use. CEN case reports · 16 Jun 2026 PMID 42301338
- Urinary-free cortisol-based thresholds for differentiating ACTH-dependent Cushing: a Spanish validation study. The Journal of clinical endocrinology and metabolism · 1 May 2026 PMID 42063386
Human data, design not indexed (3)
- A wearable electrochemical sensor for sweat cortisol detection based on molecularly imprinted polymer nanoparticles and cellulose nanofiber/carbon nanotube conductive aerogel. Mikrochimica acta · 14 May 2026 PMID 42133086
- Time-Gated Fluorescent Aptamer Sensors Eliminate Autofluorescence during Continuous Molecular Detection in Complex Biological Matrices. ACS sensors · 22 Apr 2026 PMID 42017428
- A triple-mode SERS-LFIA platform based on Au@4-MBA@Ag core-shell nanorods for ultrasensitive point-of-care detection of cortisol. Analytica chimica acta · 20 Apr 2026 PMID 42009419
Preclinical: animal, cell and lab studies (1)
- Chromogranin A and S100A12 protein measurement in hair of pigs: assay validation, changes across different production stages and comparison with other hair biomarkers. Veterinary research communications · 17 Jul 2026 PMID 42467125
Written from 10 PubMed abstracts, each one listed by PMID above. Published: 2026-06-18. Last written: 2026-08-27 by GPT. Drafted by language models from published abstracts; not medical advice.