Lollipops detect cancer

Non-invasive test funded in Swindon to speed up diagnosis.

A diagnosis of mouth or throat cancer is life-changing. In many cases, the disease is only detected once it has spread, requiring intensive treatment such as surgery, chemotherapy and radiotherapy.

Recovery can involve long and difficult rehabilitation, with patients sometimes needing feeding tubes, tracheostomies or other interventions to eat, breathe and communicate again.

A gruelling process faced by thousands

The diagnostic process itself can also be distressing. For thousands of people each year in the UK, where more than 12,000 cases of mouth and throat cancer are diagnosed, confirmation often comes through invasive biopsies or cameras inserted through the nose or mouth.

These procedures are not only uncomfortable but, when diagnosis is delayed, may leave patients facing more complex treatment and poorer outcomes.

A simple sweet with life-saving potential

Researchers at the University of Birmingham are developing a less invasive alternative that could make a huge difference for patients: a flavoured ‘lollipop’ test designed to spot mouth cancers earlier, when treatment is most effective.

Co-funded by Cancer Research UK and Swindon-based UK Research and Innovation (UKRI), Dr Ruchi Gupta’s team in the School of Chemistry has created a smart hydrogel that can capture cancer-linked proteins from saliva.

The process is simple. A patient sucks on the lollipop and the hydrogel absorbs their saliva. In the laboratory, the gel is exposed to a specific colour of light, releasing the trapped proteins for analysis.

The aim is to deliver a test that is quick, accurate and comfortable, ideally taking no more than 10 minutes in a clinic.

From early trials to wider potential

Early results suggest the science is sound. Dr Gupta and her colleagues are now working to speed up the protein-capture process and ensure the test can reliably distinguish cancer markers from the many other proteins found in saliva. If successful, the test could transform how doctors screen people at higher risk, such as heavy smokers, and might eventually become a wider screening option for the general population.

The technology could also have applications beyond oral cancers. Because the hydrogel is designed to capture specific proteins, it could be adapted for other diagnostic uses, such as urine tests for different diseases or even environmental monitoring.

My vision is that our technology will allow objective detection of oral cancer at early stages. This would be massive in reducing the number of cancer deaths that occur because of late-stage diagnosis.

Dr Ruchi Gupta

Associate Professor of Analytical Science, University of Birmingham

From lab to life: support that makes a difference

The project, called HOPe, is one of many innovative healthcare initiatives supported by UKRI.

In 2022 alone, the Swindon-based research and innovation agency put £32.4 million of funding into early-stage healthcare innovation across the UK, helping researchers explore high-risk, high-reward ideas that could one day change lives.

For Dr Gupta’s team, the support has also provided scope to consider broader applications of the technology. “[Our market research is] allowing us to look at what other areas we could use the technology in and where it could have the most impact,” she said.

Towards earlier, easier cancer diagnosis

For patients, though, the most immediate promise lies in turning something daunting and invasive into something familiar and simple. By replacing cameras and scalpels with a sweet, the researchers hope to remove one of the barriers that discourages people from getting tested.

For those who otherwise might have to live through the gruelling effects of late-stage diagnosis, that could make all the difference.

About UKRI

UK Research and Innovation invests taxpayers’ money into groundbreaking research and innovation to improve the lives and livelihoods of people everywhere.

Headquartered in Swindon, UKRI creates impact locally and around the world, in areas from cancer treatments to clean oceans.

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