1
|
Shah R, Khidri FF, Waryah YM, Nigar R, Mahmood A, Shaikh H, Awan MQ, Ujjan ID, Waryah AM. Serum and salivary Cu/Zn ratio as a diagnostic biomarker for oral submucosal fibrosis: an analysis of trace metals and LOX gene variants. Biometals 2024; 37:447-459. [PMID: 38085405 DOI: 10.1007/s10534-023-00561-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2023] [Accepted: 11/06/2023] [Indexed: 04/11/2024]
Abstract
This study aimed to analyze the serum and salivary levels of copper (Cu), zinc (Zn), iron (Fe), chromium (Cr), manganese (Mn) and the Cu/Zn ratio and investigate the association between LOX gene variants (rs18800449 and rs2288393) and oral submucosal fibrosis (OSMF). A total of 250 subjects were included in the study: OSMF patients (n = 50), areca nut chewers without OSMF (n = 100) and controls (n = 100). Trace metals were measured using an atomic absorption spectrophotometer, while LOX gene variants were genotyped using the tetra primer amplification refractory mutation system (tetra ARMS) polymerase chain reaction (PCR) method. The results showed significant variations in serum and salivary Cu, Zn, Fe and Cr levels and serum Mn concentrations among the three groups (p < 0.0001). Serum Cu levels were significantly higher in OSMF patients, while serum Zn levels were significantly lower. Both serum and salivary Cu/Zn ratios demonstrated a statistically significant difference (p < 0.0001) and diagnostic potential to differentiate OSMF from chewers and controls. However, LOX gene variants did not show an association between OSMF and chewers, except for rs1800449 genotypes, which showed a significant and increased risk with the AA genotype in OSMF patients compared to controls (OR = 7.58; 95%CI 2.30-24.97). The study suggests that trace elements and genetic variants may impact the etiology of OSMF. The findings may aid in early diagnosis, suitable treatment, and as a prognostic indicator for disease progression.
Collapse
Affiliation(s)
- Rafia Shah
- Department of Molecular Biology and Genetics, Liaquat University of Medical and Health Sciences, Jamshoro, Pakistan
| | - Feriha Fatima Khidri
- Department of Molecular Biology and Genetics, Liaquat University of Medical and Health Sciences, Jamshoro, Pakistan
- Department of Biochemistry, Bilawal Medical College, Liaquat University of Medical and Health Sciences, Jamshoro, Pakistan
| | - Yar Muhammad Waryah
- Department of Molecular Biology and Genetics, Liaquat University of Medical and Health Sciences, Jamshoro, Pakistan
- Department of Molecular Biology, Sindh Institute of Ophthalmology and Visual Sciences, Hyderabad, Pakistan
| | - Roohi Nigar
- Department of Gynecology and Obstetrics, Bilawal Medical College, Liaquat University of Medical and Health Sciences, Jamshoro, Pakistan
| | - Amber Mahmood
- Department of Molecular Biology and Genetics, Liaquat University of Medical and Health Sciences, Jamshoro, Pakistan
| | - Hina Shaikh
- Department of Molecular Biology and Genetics, Liaquat University of Medical and Health Sciences, Jamshoro, Pakistan
| | - Muhammad Qasim Awan
- Department of Molecular Biology and Genetics, Government College University Faisalabad, Faisalabad, Pakistan
| | - Ikram Din Ujjan
- Department of Pathology, Liaquat University of Medical and Health Sciences, Jamshoro, Pakistan.
| | - Ali Muhammad Waryah
- Department of Molecular Biology and Genetics, Liaquat University of Medical and Health Sciences, Jamshoro, Pakistan.
| |
Collapse
|
2
|
Strey JR, Roxo-Gonçalves M, Guzenski BD, Martins MAT, Romanini J, de Figueiredo MAZ, D'Ávila OP, Gonçalves MR, Umpierre RN, Harzheim E, de Campos Hildebrand L, Carrard VC. Oral Medicine Experience and Attitudes Toward Oral Cancer: An Evaluation of Dentists Working in Primary Health Care. JOURNAL OF CANCER EDUCATION : THE OFFICIAL JOURNAL OF THE AMERICAN ASSOCIATION FOR CANCER EDUCATION 2022; 37:1621-1628. [PMID: 33825147 DOI: 10.1007/s13187-021-01999-z] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 03/22/2021] [Indexed: 06/12/2023]
Abstract
This analytical, cross-sectional, observational study aimed to evaluate the perception of dentists working at the public system of the state of Rio Grande do Sul, southern Brazil, regarding academic training to treat oral lesions, adoption of preventive measures for oral cancer, and attitude toward the need to perform oral biopsies. The sample consisted of questionnaires filled out by 192 dentists (153 women and 39 men) working in primary health care who participated in training activities on oral cancer diagnosis in July 2016. To enroll in the training activities, the professionals completed an online questionnaire to evaluate their perceptions regarding oral cancer issues. With respect to preventive measures, 96.88% of dentists reported performing full mouth examination, 87.50% reported providing tobacco cessation counseling, and 51.04% reported giving advice on excessive alcohol consumption. In addition, 72.40% and 44.79% of dentists considered, respectively, clinical training and theory instruction in oral medicine to be insufficient during undergraduate school. Only 8.33% reported performing biopsies in daily clinical routine, and almost 90% reported referring the patient to a specialist from the public system or universities. Lack of experience was the main reason not to perform a biopsy. The dentists in our sample recognize the importance of preventive measures for oral cancer, but few of them perform biopsies regularly. Therefore, there is a need for continuing education actions including practical training.
Collapse
Affiliation(s)
- Jéssica Rodriguez Strey
- Department of Conservative Dentistry-Oral Pathology, School of Dentistry, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil
| | - Michelle Roxo-Gonçalves
- Department of Conservative Dentistry-Oral Pathology, School of Dentistry, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil
- TelessaúdeRS-UFRGS, Porto Alegre, RS, Brazil
| | - Bianca Dutra Guzenski
- Department of Conservative Dentistry-Oral Pathology, School of Dentistry, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil
| | - Marco Antonio Trevizani Martins
- Department of Conservative Dentistry-Oral Pathology, School of Dentistry, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil
- Department of Oral Medicine, Hospital de Clínicas de Porto Alegre (HCPA), Porto Alegre, RS, Brazil
| | - Juliana Romanini
- Dental Specialty/Oral Medicine Center, Porto Alegre City Hall, Porto Alegre, RS, Brazil
| | | | | | - Marcelo Rodrigues Gonçalves
- TelessaúdeRS-UFRGS, Porto Alegre, RS, Brazil
- Primary Health Care Service, Hospital de Clínicas de Porto Alegre (HCPA), Porto Alegre, Brazil
| | - Roberto Nunes Umpierre
- TelessaúdeRS-UFRGS, Porto Alegre, RS, Brazil
- Residence in Family and Community Medicine, Hospital de Clínicas de Porto Alegre (HCPA), Porto Alegre, Brazil
| | | | - Laura de Campos Hildebrand
- Department of Conservative Dentistry-Oral Pathology, School of Dentistry, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil
| | - Vinicius Coelho Carrard
- Department of Conservative Dentistry-Oral Pathology, School of Dentistry, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil.
- TelessaúdeRS-UFRGS, Porto Alegre, RS, Brazil.
- School of Dentistry, Rua Ramiro Barcelos, 2492/503, Porto Alegre, RS, 90035-003, Brazil.
| |
Collapse
|
3
|
de Assis ALEM, Archanjo AB, Maranhão RC, Mendes SO, de Souza RP, de Cicco R, de Oliveira MM, Borçoi AR, de L Maia L, Nunes FD, Dos Santos M, Trivilin LO, Pinheiro CJG, Álvares-da-Silva AM, Nogueira BV. Chlorine, chromium, proteins of oxidative stress and DNA repair pathways are related to prognosis in oral cancer. Sci Rep 2021; 11:22314. [PMID: 34785721 PMCID: PMC8595368 DOI: 10.1038/s41598-021-01753-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/27/2021] [Accepted: 11/02/2021] [Indexed: 12/24/2022] Open
Abstract
The comparison of chemical and histopathological data obtained from the analysis of excised tumor fragments oral squamous cell carcinoma (OSCC) with the demographic and clinical evolution data is an effective strategy scarcely explored in OSCC studies. The aim was to analyze OSCC tissues for protein expression of enzymes related to oxidative stress and DNA repair and trace elements as candidates as markers of tumor aggressiveness and prognosis. Tumor fragments from 78 OSCC patients that had undergone ablative surgery were qualitatively analyzed by synchrotron micro-X-ray fluorescence for trace elements. Protein expression of SOD-1, Trx, Ref-1 and OGG1/2 was performed by immunohistochemistry. Sociodemographic, clinical, and histopathological data were obtained from 4-year follow-up records. Disease relapse was highest in patients with the presence of chlorine and chromium and lowest in those with tumors with high OGG1/2 expression. High expression of SOD-1, Trx, and Ref-1 was determinant of the larger tumor. Presence of trace elements can be markers of disease prognosis. High expression of enzymes related to oxidative stress or to DNA repair can be either harmful by stimulating tumor growth or beneficial by diminishing relapse rates. Interference on these players may bring novel strategies for the therapeutic management of OSCC patients.
Collapse
Affiliation(s)
| | - Anderson Barros Archanjo
- Biotechnology Graduate Program/RENORBIO, Federal Univerty of Espírito Santo, Vitória, 29040090, Brazil
| | - Raul C Maranhão
- Heart Institute (InCor), Medical School Hospital, University of São Paulo, São Paulo, 05403900, Brazil
| | - Suzanny O Mendes
- Biotechnology Graduate Program/RENORBIO, Federal Univerty of Espírito Santo, Vitória, 29040090, Brazil
| | - Rafael P de Souza
- Cancer Institute Arnaldo Vieira de Carvalho, São Paulo, 01219010, Brazil
| | - Rafael de Cicco
- Cancer Institute Arnaldo Vieira de Carvalho, São Paulo, 01219010, Brazil
| | - Mayara M de Oliveira
- Biotechnology Graduate Program/RENORBIO, Federal Univerty of Espírito Santo, Vitória, 29040090, Brazil
| | - Aline R Borçoi
- Biotechnology Graduate Program/RENORBIO, Federal Univerty of Espírito Santo, Vitória, 29040090, Brazil
| | - Lucas de L Maia
- Biotechnology Graduate Program/RENORBIO, Federal Univerty of Espírito Santo, Vitória, 29040090, Brazil
| | - Fabio D Nunes
- Department of Stomatology, Faculty of Dentistry, University of São Paulo, São Paulo, 05508000, Brazil
| | - Marcelo Dos Santos
- Multicampi School of Medical Sciences of Rio Grando Do Norte, Federal University of Rio Grande Do Norte, Caicó, 59300000, Brazil
| | - Leonardo O Trivilin
- Department of Veterinary Medicine, Center for Agricultural Sciences and Engineering, Federal University of Espírito Santo, Alegre, 29500000, Brazil
| | - Christiano J G Pinheiro
- Department of Rural Engineering, Center for Agricultural Sciences and Engineering, Federal University of Espírito Santo, Alegre, 29500000, Brazil
| | - Adriana M Álvares-da-Silva
- Biotechnology Graduate Program/RENORBIO, Federal Univerty of Espírito Santo, Vitória, 29040090, Brazil.,Department of Morphology, Health Sciences Center, Federal University of Espírito Santo, Vitória, 29047105, Brazil
| | - Breno Valentim Nogueira
- Biotechnology Graduate Program/RENORBIO, Federal Univerty of Espírito Santo, Vitória, 29040090, Brazil. .,Department of Morphology, Health Sciences Center, Federal University of Espírito Santo, Vitória, 29047105, Brazil.
| |
Collapse
|