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氧化应激酶作为口腔潜在恶性疾病和口腔鳞状细胞癌患者的标志物

Oxidative Stress Enzyme as Markers in Oral Potentially Malignant Disorders and Oral Squamous Cell Carcinoma Patients.

作者信息

Shamsi Shoa, Rai Arpita, Manjhi Lakhan, Mahuli Simpy Amit, Shree Priya, Haque Zeya Ul, Kumari Sneha

机构信息

Dental College, Rajendra Institute of Medical Sciences (RIMS), Bariatu, Ranchi, 834009 India.

Oral Medicine and Radiology Department, Dental College, Rajendra Institute of Medical Sciences (RIMS), Bariatu, Ranchi, 834009 India.

出版信息

Indian J Otolaryngol Head Neck Surg. 2023 Dec;75(4):3757-3764. doi: 10.1007/s12070-023-04076-7. Epub 2023 Jul 21.

Abstract

Oxidative stress is a recognized factor that poses a significant risk for the development of Oral Squamous Cell Carcinoma (OSCC) and Oral Submucous Fibrosis (OSMF), as it leads to the generation of Reactive Oxygen Species. In recent years, there has been significant research on the enzymes MDA (malondialdehyde) and SOD (superoxide dismutase), investigating their potential role in the development of OPMD and OSCC. These enzymes have emerged as promising biomarkers due to their ability to provide a less invasive, cost-effective, and objective diagnostic method. Furthermore, they can be used to monitor disease progression and assess the effectiveness of therapy. The aim of this study was to assess the levels of MDA and SOD in the serum of patients diagnosed with OSCC and OSMF. Study group comprised of 60 patients, out of which 20 cases of clinically diagnosed OSCC patients and 20 cases of OSMF and 20 cases pf control comprising of healthy patients were recruited. Estimation MDA and SOD was done by ELISA. The statistical analysis was done using SPSS analysis. When comparing the levels of MDA and SOD between the OSCC and OSMF groups and the control group, statistically significant findings indicated elevated levels of malondialdehyde and reduced levels of superoxide dismutase in both the OSCC and OSMF groups. In this study, the assessment of lipid peroxidation through MDA levels revealed elevated concentrations in both the OSCC and OSMF groups when compared to the control group. Specifically, the order of MDA levels was observed as OSCC > OSMF > Control. Conversely, antioxidant enzyme levels, such as SOD, exhibited decreased concentrations in the OSCC and OSMF groups compared to the control group, with the order of SOD levels being Control > OSMF > OSCC. Consequently, the findings suggest that MDA and SOD can be considered potential biomarkers for identifying and monitoring OSCC and OSMF diseases.

摘要

氧化应激是一个公认的因素,它对口腔鳞状细胞癌(OSCC)和口腔黏膜下纤维化(OSMF)的发展构成重大风险,因为它会导致活性氧的产生。近年来,对丙二醛(MDA)和超氧化物歧化酶(SOD)这两种酶进行了大量研究,探讨它们在口腔潜在恶性疾病(OPMD)和OSCC发展中的潜在作用。由于这两种酶能够提供一种侵入性较小、成本效益高且客观的诊断方法,它们已成为有前景的生物标志物。此外,它们可用于监测疾病进展和评估治疗效果。本研究的目的是评估诊断为OSCC和OSMF的患者血清中MDA和SOD的水平。研究组由60名患者组成,其中招募了20例临床诊断为OSCC的患者、20例OSMF患者以及20例由健康患者组成的对照组。通过酶联免疫吸附测定法(ELISA)测定MDA和SOD。使用社会科学统计软件包(SPSS)分析进行统计分析。当比较OSCC组和OSMF组与对照组之间的MDA和SOD水平时,具有统计学意义的结果表明,OSCC组和OSMF组中的丙二醛水平升高,超氧化物歧化酶水平降低。在本研究中,通过MDA水平评估脂质过氧化发现,与对照组相比,OSCC组和OSMF组中的浓度均升高。具体而言,观察到MDA水平的顺序为OSCC>OSMF>对照组。相反,与对照组相比,OSCC组和OSMF组中的抗氧化酶水平(如SOD)浓度降低,SOD水平的顺序为对照组>OSMF>OSCC。因此,研究结果表明,MDA和SOD可被视为识别和监测OSCC和OSMF疾病的潜在生物标志物。

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