To evaluate the role of lactate dehydrogenase as biomarker in the progression of potentially malignant disorders in smokers and gutkha chewers

Aim

To evaluate the role of lactate dehydrogenase (LDH) as a biomarker in the progression of potentially malignant disorders in smokers and gutkha chewers.

Material and Methods

The total of 70 individuals having the habit of chewing gutkha and smoking were selected for the study and divided into four groups. Group 1: 20 individuals having the habit of smoking, Group 2: 20 individuals having the habit of chewing gutkha, Group 3: 20 individuals having the habit of smoking and gutkha chewing, and Group 4: 10 healthy individuals.

Results

In the present study showed that unstimulated whole saliva from group 1, group 2, and group 3 individuals, there was a significant decrease in isoenzymes LDH-1 and LDH-2 and there was no effect on LDH-3 isoenzyme. In the present study, there is a significant increase in salivary isoenzyme LDH-4. The result indicated that there is an effect of carcinogen (tobacco)-enhanced activity on salivary LDH. The present study showed 70 volunteers reported a statistical significant correlation among the groups. The individuals with habit of smoking and gutkha chewing showed P value <.001 with a significant increase in the isoenzyme LDH-4. A significant increase in the buccal micronuclei of exfoliated cells in the oral mucosal cells of smokers and gutkha chewers. This shows a positive relationship between LDH isoenzymes and the individuals with the smoking and chewing of tobacco.

Conclusion

There was a significant correlation between the levels of salivary LDH isoenzymes and cytomorphometric analysis of oral epithelium in smokers and gutkha chewers.

Correlation Between Histological Grading and Ploidy Status in Oral Leukoplakia, Oral Submucous Fibrosis, and Oral Squamous Cell Carcinoma: A Flow Cytometric Analysis

Background:

Methods to analyze progression of carcinogenesis and stage of cancer are vital nowadays due to the high prevalence of these lesions. DNA ploidy analysis is one such important method in early diagnosis and improving prognosis.

Aims and Objectives:

The aim of this study was to correlate histopathological grading and DNA ploidy in oral leukoplakia, oral submucous fibrosis (OSMF), and oral squamous cell carcinoma (OSCC) cases.

Materials and Methods:

Our study included 80 subjects, grouped into 4 groups of 20 each of OSCC, leukoplakia, OSMF, and healthy individuals. Histopathological grading was carried out in study cases, DNA ploidy was estimated using flow cytometry, and both the findings were correlated.

Results:

Among the 20 cases of leukoplakia group, 6 cases showed aneuploidy and 14 showed diploidy. In the 20 cases of OSF group, 2 cases showed aneuploidy and 18 showed diploidy, and in the 20 cases of OSCC group, 10 showed aneuploidy and 10 showed diploidy. Most of the aneuploidy cases showed severe dysplasia.

Conclusion:

Analysis of DNA ploidy status can serve as a diagnostic tool for early detection of malignancies owing to the subjective nature of traditional histopathological grading.