腮腺良性肿瘤患者手术前后血液促氧化剂-抗氧化剂平衡指标及皮质醇的评估:一项初步研究

The Evaluation of Blood Prooxidant-Antioxidant Balance Indicators and Cortisol Pre- and Post-Surgery in Patients with Benign Parotid Gland Tumors: A Preliminary Study.

作者信息

Bańkowski Sebastian, Pilch Jan, Witek Bartosz, Markowski Jarosław, Likus Wirginia, Rozpara Michał, Sadowska-Krępa Ewa

机构信息

Department of Biochemistry, Institute of Sport Sciences, Academy of Physical Education, 40-065 Katowice, Poland.

Department of Anatomy and Pre-Medical First Aid, Institute of Sport Sciences, Academy of Physical Education, 40-065 Katowice, Poland.

出版信息

J Clin Med. 2025 Aug 1;14(15):5425. doi: 10.3390/jcm14155425.

Abstract

The majority of parotid gland tumors are benign, e.g., pleomorphic adenoma (PA) and Warthin's tumor (WT). From a biomedical point of view, oxidative stress is of significant importance due to its established association with the initiation and progression of various types of cancer, including parotid gland cancers. This study aimed to assess whether blood prooxidant-antioxidant markers could aid in diagnosing and guiding surgery for recurrent malignancies after parotid tumor treatment. We examined patients (n = 20) diagnosed with WT (n = 14) and PA (n = 6) using histopathological verification and computed tomography (CT) who qualified for surgical treatment. Blood samples were taken before the surgery and again 10 days later for biochemical analysis. The activities of the antioxidant enzymes (SOD, CAT and GPx), the non-enzymatic antioxidants (GSH and UA) and oxidative stress markers (MDA and TOS) were determined in the blood. The activities of CK and LDH and the concentrations of Cor and TAS were measured in the serum. Hb and Ht were determined in whole blood. The patients' SOD, CAT, and GPx activities after surgery did not differ significantly from their preoperative levels. However, following surgery, their serum TOS levels were significantly elevated in all the patients compared to baseline. In contrast, the plasma MDA concentrations were markedly reduced after surgery. Similarly, the GSH concentrations showed a significant decrease postoperatively. No significant changes were observed in the CK and LDH activities, TAS concentrations, or levels of Hb, Ht and Cor following surgery. The surgical removal of salivary gland tumors did not result in a reduction in oxidative stress at 10 days after surgery. Therefore, further studies are needed to determine the effectiveness of endogenous defense mechanisms in counteracting the oxidative stress induced by salivary gland tumors.

摘要

大多数腮腺肿瘤是良性的,例如多形性腺瘤(PA)和沃辛瘤(WT)。从生物医学角度来看,氧化应激因其与包括腮腺癌在内的各种类型癌症的发生和发展之间已确立的关联而具有重要意义。本研究旨在评估血液中的促氧化剂 - 抗氧化剂标志物是否有助于腮腺肿瘤治疗后复发性恶性肿瘤的诊断和手术指导。我们使用组织病理学验证和计算机断层扫描(CT)检查了符合手术治疗条件的患者(n = 20),其中诊断为WT的患者有14例,诊断为PA的患者有6例。在手术前采集血样,10天后再次采集血样进行生化分析。测定血液中抗氧化酶(超氧化物歧化酶、过氧化氢酶和谷胱甘肽过氧化物酶)、非酶抗氧化剂(谷胱甘肽和尿酸)以及氧化应激标志物(丙二醛和总氧化状态)的活性。测定血清中的肌酸激酶和乳酸脱氢酶活性以及皮质醇和总抗氧化能力的浓度。在全血中测定血红蛋白和血细胞比容。术后患者的超氧化物歧化酶、过氧化氢酶和谷胱甘肽过氧化物酶活性与术前水平相比无显著差异。然而,术后所有患者的血清总氧化状态水平与基线相比均显著升高。相比之下,术后血浆丙二醛浓度明显降低。同样,谷胱甘肽浓度术后也显著降低。术后肌酸激酶和乳酸脱氢酶活性、总抗氧化能力浓度或血红蛋白、血细胞比容和皮质醇水平均未观察到显著变化。唾液腺肿瘤手术切除后10天并未导致氧化应激降低。因此,需要进一步研究以确定内源性防御机制在对抗唾液腺肿瘤诱导的氧化应激方面的有效性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c85e/12347416/0587fcb2b90e/jcm-14-05425-g001.jpg

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索