Guruprasad R, Nair Preeti P, Singh Manika, Singh Manishi, Singh Mp, Jain Arpit
Department of Oral Medicine and Radiology, People's College of Dental Sciences and Research Centre, Karond Bhanpur Bypass Road, Bhopal, India.
Department of Biochemistry, Chiraiyu Medical College, Bhopal, India.
Indian J Dent. 2014 Apr;5(2):81-5. doi: 10.4103/0975-962X.135266.
In this study Serum Vitamin C and Iron levels in Oral submucous fibrosis (OSMF) were estimated. The objective was to evaluate the correlation between Serum Vitamin C and Iron levels in OSMF individuals. Serum Iron content can be a predictor for the progression of this condition. OSMF is basically a disorder of collagen metabolism where Vitamin C gets utilized in conversion of proline into hydroxyproline, this hydroxylation reaction requires ferrous Iron and Vitamin C. Many studies regarding micronutrients and other antioxidants levels have been emphasized, but very few studies are done on the Serum levels of Vitamin C and its correlation with Iron in OSMF patients.
Thirty five OSMF patients and 50 deleterious habit free healthy individuals (controls) were selected. Two ml of venous blood was collected from each individual. Vitamin C level in serum was estimated by 2-4 dinitrophenylhydrazine method and Iron estimated by Tripyridyl method.
The level of Serum Vitamin-C and Iron was significantly decreased in OSMF patients when compared to controls which were statistically significant.
On the basis of these observations, it seems possible that the chemical, thermal and/or mechanical factors associated with the use of areca nut may act in conjunction with the Vitamin C and Iron deficiency leading to the development of OSMF. Therapeutic substitution of vitamin C and Iron may be recommended in the management of OSMF.
在本研究中,对口腔黏膜下纤维化(OSMF)患者的血清维生素C和铁水平进行了评估。目的是评估OSMF患者血清维生素C和铁水平之间的相关性。血清铁含量可能是这种疾病进展的一个预测指标。OSMF本质上是一种胶原蛋白代谢紊乱疾病,其中维生素C在脯氨酸转化为羟脯氨酸的过程中被利用,这种羟化反应需要亚铁和维生素C。许多关于微量营养素和其他抗氧化剂水平的研究已得到强调,但关于OSMF患者血清维生素C水平及其与铁的相关性的研究却很少。
选取35例OSMF患者和50例无不良习惯的健康个体(对照组)。从每个个体采集2毫升静脉血。血清维生素C水平采用2-4二硝基苯肼法测定,铁采用三联吡啶法测定。
与对照组相比,OSMF患者的血清维生素C和铁水平显著降低,差异具有统计学意义。
基于这些观察结果,与槟榔使用相关的化学、热和/或机械因素可能与维生素C和铁缺乏共同作用,导致OSMF的发生。在OSMF的治疗中,可能建议补充维生素C和铁。