Babaee Neda, Hosseinkazemi Hamed, Pouramir Mahdi, Khakbaz Baboli Oveis, Salehi Maede, Khadir Fatemeh, Bijani Ali, Mehryari Mahsa
Department of Oral Medicine, Faculty of Dentistry, Babol University of Medical Sciences, Babol Iran.
Cellular and Molecular Biology Research Center, Babol University of Medical Sciences, Babol, Iran.
Caspian J Intern Med. 2016 Winter;7(1):13-8.
Recurrent aphthous stomatitis (RAS) is the most common inflammatory ulcerative condition of oral cavity. The aim of this study was to compare the levels of the salivary Malondialdehyde (MDA) and total antioxidant capacity (TAC) and blood parameter in RAS versus healthy controls.
This case-control study consisted of 28 patients with RAS and 28 age and sex -matched control without RAS. Cell blood count was assessed by sysmex system, serum iron and total iron binding capacity was measured by standard laboratory kit and for ferritin ELISA kit was utilized. Salivary TAC and MDA level determined using FRAP and TBARS method respectively. Statistical analysis was performed using SPSS Version 21, chi-square test was used to compare proportions, and student's t-test and Mann Whitney U-test were used for the comparison of quantitative variables.
Salivary MDA level was significantly higher (p<0.001) and TAC level was significantly lower (p<0.042) in RAS as compared with the control group. Also, serum ferritin level was significantly higher in RAS patients (p<0.008).
These findings indicate the alteration of oxidant/antioxidant status was observed in recurrent aphthous stomatitis, may be also associated with changing several hematinic parameters in this study. The finding maybe helpful to clarify the etiologies of RAS and possibely to improve the management or preventive options.
复发性阿弗他口炎(RAS)是口腔最常见的炎性溃疡性疾病。本研究旨在比较RAS患者与健康对照者唾液中丙二醛(MDA)水平、总抗氧化能力(TAC)及血液参数。
本病例对照研究纳入28例RAS患者和28例年龄及性别匹配的无RAS对照者。采用希森美康系统评估血细胞计数,用标准实验室试剂盒测定血清铁和总铁结合力,采用酶联免疫吸附测定(ELISA)试剂盒检测铁蛋白。分别用铁离子还原抗氧化能力(FRAP)法和硫代巴比妥酸反应物(TBARS)法测定唾液TAC和MDA水平。使用SPSS 21版进行统计分析,采用卡方检验比较比例,采用学生t检验和曼-惠特尼U检验比较定量变量。
与对照组相比,RAS患者唾液MDA水平显著升高(p<0.001),TAC水平显著降低(p<0.042)。此外,RAS患者血清铁蛋白水平显著升高(p<0.008)。
这些发现表明复发性阿弗他口炎患者存在氧化/抗氧化状态改变,本研究中可能还与多种血液学参数变化有关。该发现可能有助于阐明RAS的病因,并可能改善其治疗或预防方案。