Quantitative histological analysis of the epithelium of the ventral surface of hamster tongue in experimental iron deficiency

Re-Emphasizing the Roles of General Medical and Dental Practitioners Regarding Oral Cancer Eradication in Nigeria

The burden of oral cancer in Nigeria is largely under-reported. The available data on oral cancer etiology/risk factors, clinical features, disease burden, and literacy rate in Nigeria points towards a possible explosion in prevalence in the near future, which poses a serious public health concern. The general medical and dental practitioners (GMDPs) in Nigeria can salvage this looming problem through appropriate public health and clinical interventions. This narrative review article re-emphasizes the key roles of GMDPs towards oral cancer eradication in Nigeria. It also discusses oral cancer case definition, etiology, risk factors, and the epidemiological burden in the Nigerian context.

Study of trace metal imbalances in the blood, scalp hair and nails of oral cancer patients from Pakistan

Oral cancer is an important cause of cancer morbidity and mortality globally and exposure to trace metals alongside tobacco, alcohol and HPV are the important etiological factors in its development. Selected essential and toxic trace metals (Cd, Cr, Cu, Fe, Mn, Ni, Pb and Zn) were measured in the blood, scalp hair and nails of oral cancer patients and counterpart controls by atomic absorption spectrometry. Mean concentrations of Cd, Ni and Pb were found to be significantly higher (p<0.05) and those of Cu, Fe and Zn were considerably lower in the blood, scalp hair and nails of the patients than the controls. Most of the metal concentrations exhibited higher dispersion and asymmetry in the blood, scalp hair and nails of the patients compared with the controls. The correlation study revealed significantly diverse relationships among the metals in blood, scalp hair and nails of both donor groups. Variations in the metal levels were also noted for various stages (I, II, III & IV) as well as the types (adenocarcinoma and squamous cell carcinoma) of oral cancer. Multivariate cluster analysis of the metal levels in the patients were also significantly dissimilar than the controls. The study evidenced considerably divergent variations in the metal levels in oral cancer patients in comparison with the controls.

Histological and ultrastructural aspects of the tongue in undernourished rats

There are few published studies on the effects of protein-caloric undernourishment on the oral mucosa.

Objectives

The objective of this study is to verify the histological and ultrastructural aspects of the tongue mucosa in protein-caloric undernourished adult rats.

Material and Methods

A clinical experimental study was done in thirty Wistar rats, 15 controls and 15 with protein-caloric undernourishment. The last group received ration in small amounts, with a reduced casein content, during 45 days. Rats were weighed every 3 days, from the first (90 days of life) to the last day of a 45-day dietary period, when they were sacrificed. Plasma was used for protein electrophoresis and their tongues were prepared for light and scanning electron microscopy. Analysus of variance and Student's t-test were used for statistical analysis.

Results

A significant decrease in weight and in plasma proteins was found in protein-caloric undernourished rats compared to the control group. Histological findings revealed no differences between the two groups and there were no statistically significant differences in the filiform papilla count under the scanning electron microscopy.

Conclusion

Protein-caloric undernourishment does not cause alterations in the tongue mucosa of adult rats.

Aspectos histológicos e ultraestruturais da língua em ratos desnutridos

Poucos estudos sobre os efeitos da desnutrição protéico-calórica na mucosa oral são encontrados na literatura. OBJETIVOS: O objetivo deste trabalho é verificar os efeitos da desnutrição protéico-calórica na mucosa da língua de ratos adultos, envolvendo microscopia óptica e eletrônica de varredura. MATERIAIS E MÉTODOS: Um estudo experimental foi realizado em trinta ratos Wistar, 15 controles e 15 com desnutrição protéico-calórica. O último grupo recebeu ração em pequena quantidade, com menor conteúdo de caseína, durante 45 dias. Os ratos foram pesados a cada 3 dias, do primeiro (90 dias de vida) ao último dia (45 dias de dieta), quando foram sacrificados. Foi realizada eletroforese de proteínas plasmáticas e as línguas foram preparadas para microscopia óptica comum e eletrônica. Para análise estatística utilizou-se análise de variância e teste T de Student. RESULTADOS: Foi observada uma significante diminuição no peso e nas proteínas plasmáticas dos ratos com desnutrição protéico-calórica em relação ao grupo controle. A análise histológica não mostrou diferenças entre os dois grupos, e os resultados, com respeito à contagem das papilas filiformes da mucosa lingual pela microscopia eletrônica, não revelou diferenças estatisticamente significantes entre os grupos. CONCLUSÃO: A desnutrição protéico-calórica não causa alterações na mucosa da língua de ratos adultos.

Oral epithelial response to experimental chronic alcohol ingestion in hamsters

The purpose of this study was to assess the effect of alcohol on oral epithelium by quantifying epithelial compartment thicknesses after chronic alcohol ingestion with the use of a computerized planimetry system. A 10% solution of absolute alcohol in water was given as the sole source of drinking fluid to young adult Syrian hamsters over a period of 9 months. Quantitative histologic analysis showed significant atrophy of the posterior lateral tongue epithelium. The epithelium of the dorsal tongue showed an increase in the thickness percentage of keratin. No significant change was found in the ventral aspect of the tongue epithelium. It was concluded that such alcohol-related atrophy may render the lateral margins of the posterior tongue more susceptible to carcinogenesis.

Pathogenesis of oral submucous fibrosis. Relationship to risk factors associated with oral cancer

Oral submucous fibrosis (OSF) is a chronic disease of the oral mucosa characterized by inflammation and a progressive fibrosis of the lamina propria and deeper connective tissues. It is a condition predominantly seen among people of Indian origin, and an epidemiologic survey done a decade ago showed no less than 250,000 cases in India, a figure that must have increased sharply. OSF is a condition with a high risk of malignant transformation; to date, no conclusive etiologic agent has been identified, although plenty of data have been generated on various aspects of the disease. These include genetic, carcinogenic, immunologic, viral, nutritional, and autoimmune possibilities, all of which also have been implicated in the development of oral cancer. This article reviews existing evidence on the pathogenesis of OSF and its relation to oral cancer and suggests a possible multifactorial model to explain the disease process.

Iron deficiency depresses cell proliferation in hamster cheek pouch epithelium

Iron deficiency anaemia was induced in hamsters by feeding a low iron diet coupled with weekly bleeding. To assess cell proliferation, the stathmokinetic agent vinblastine sulphate was administered and cell birth rates were calculated from cumulative mitotic indices. The rate was significantly reduced in epithelium from iron-deficient animals. The uptake of tritiated thymidine [( 3H]TdR) was also significantly reduced in these animals. Results of both stathmokinetic and labelling experiments indicate that cell production in the cheek pouch epithelium of iron-deficient animals is impaired.

Nutritional factors and oral candidosis

A variety of nutritional factors including deficiencies of iron, folic acid, vitamins, and diets rich in carbohydrates have been implicated in the pathogenesis of oral candidal infections. The following reviews the growing body of data, from in vivo and in vitro studies, related to each of these implicated factors. Although much disagreement exists as to the specific roles played by these individual factors, there is little doubt that nutritional factors either acting locally or via systemic mechanisms could significantly affect the pathogenesis of oral candidoses. Hence, the role of these less well-characterised predisposing factors should be considered when one is treating patients with intractable oral candidal infections.

Cell kinetics of hamster ventral tongue epithelium in iron deficiency

The cell-kinetic parameters of labelling index and duration of the S phase of the cell cycle (Ts) were investigated in the ventral tongue epithelium of hamsters with experimentally-induced iron deficiency. The labelling indices in animals with iron-deficiency anaemia and iron deficiency without anaemia did not differ from normal, but the Ts values were significantly shorter indicating an increased cell-production rate. The epithelial cell-kinetic parameters of iron-depleted animals did not differ from normal, but the labelling index was greater than in animals with the more severe stages of iron deficiency.

Hemidesmosomal dimensions and frequency in experimental oral carcinogenesis: a stereological investigation

Connective tissue invasion by carcinomas results in a variety of morphological changes at the epithelial-connective tissue junction. In this report, hemidesmosomal size (-delta) and frequency (Ns) were quantified using established stereological methods. Following treatment of hamster cheek pouches with the chemical carcinogen DMBA, lesions defined as hyperplasias, dysplasias and carcinomas were evaluated using electron microscopical techniques. Untreated pouches served as controls. Stereological intersection counting procedures were used to quantify hemidesmosomes at the epithelial-connective tissue junction. During carcinogenesis, hemidesmosomal diameter decreased progressively, although the reductions were not statistically significant. Hemidesmosomal frequency also decreased progressively between control and carcinoma groups. Normal basal plasma membranes possessed approximately 8 hemidesmosomes/micron 2 whereas values were reduced to approximately 3/micron 2 in the carcinoma group. The reductions in hemidesmosomal frequency during carcinogenesis may reflect an increased motility of basal epithelial cells and a decreased adherence of basal cells to the adjacent lamina propria. The specificity of this alteration in the pathogenesis of malignancy can be readily determined by the application of stereological methods to various neoplastic and non-neoplastic lesions.

The effect of iron deficiency on experimental oral carcinogenesis in the rat

The effect of iron deficiency on oral carcinogenesis was investigated in 30 young adult male Charles River white rats. In 15 animals, prior to the start of carcinogen treatment, iron deficiency anaemia was produced and subsequently maintained by a combination of low iron diet (12 mg Fe2+ kg-1 diet) and repeated venesection. Fifteen control animals were fed the same diet supplemented with iron to approximately 140 mg FE2+ kg-1 diet. All animals were treated with the carcinogen 0.5% 4-Nitroquinoline-N-oxide in propylene glycol which was painted on the palate 3 times weekly. Animals were killed when tumours were grossly evident. The mean haemoglobin levels at the start of carcinogen applications were 10.1 g dl-1 in the anaemic group and 14.1 g dl-1 in the control group, and at the time of killing were 8.2 g dl-1 in anaemic animals and 13.8 g dl-1 in controls. The incidence of animals developing squamous cell carcinomas was similar in both groups, but tumour development was significantly earlier in iron-deficient animals (mean 183 days) compared to controls (mean 229 days). Iron-deficient animals showed a significantly greater incidence of tongue tumours and control animals showed a significantly greater incidence of palatal tumours.