Salivary 8-hydroxy-2'-deoxyguanosine levels in patients with oral cancer: a systematic review and meta-analysis.


Journal

BMC cancer
ISSN: 1471-2407
Titre abrégé: BMC Cancer
Pays: England
ID NLM: 100967800

Informations de publication

Date de publication:
06 Aug 2024
Historique:
received: 08 06 2024
accepted: 01 08 2024
medline: 7 8 2024
pubmed: 7 8 2024
entrez: 6 8 2024
Statut: epublish

Résumé

DNA is an important target for oxidative attack and its modification may increase the risk of mutagenesis. The aim of this study was to evaluate and compare salivary levels of the oxidative stress biomarker 8-hydroxy-2'-deoxyguanosine (8-OHdG) in patients with oral cancer (OC) compared to the control group by a comprehensive search of the available literature. The present systematic review and meta-analysis followed the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines and was registered in Open Science Framework (OSF): https://doi.org/10.17605/OSF.IO/X3YMR. Four electronic databases were used to identify studies for this systematic review: PubMed, Scopus, ScienceDirect, and Web of Science from January 15, 2005, to April 15, 2021. The Joanna Briggs Institute (JBI) tool was used to assess article quality. Of the 166 articles identified, 130 articles were excluded on the basis of title and abstract screening (duplicates, reviews, etc.). Thirty-six articles were evaluated at full text and 7 articles met the inclusion criteria. Of these, only 5 studies had compatible data for quantitative analysis. An increase in salivary 8-OHdG levels was found in patients with OC compared to healthy subjects, but without statistical significance. 8-OHdG: SMD = 2,72 (95%CI= -0.25-5.70); *p = 0.07. This systematic review and meta-analysis suggests a clear trend of increased 8-OHdG levels in saliva of OC patients compared to the control group. However, further studies are required to clarify and understand the altered levels of this oxidative stress marker.

Sections du résumé

BACKGROUND BACKGROUND
DNA is an important target for oxidative attack and its modification may increase the risk of mutagenesis. The aim of this study was to evaluate and compare salivary levels of the oxidative stress biomarker 8-hydroxy-2'-deoxyguanosine (8-OHdG) in patients with oral cancer (OC) compared to the control group by a comprehensive search of the available literature.
METHODS METHODS
The present systematic review and meta-analysis followed the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines and was registered in Open Science Framework (OSF): https://doi.org/10.17605/OSF.IO/X3YMR. Four electronic databases were used to identify studies for this systematic review: PubMed, Scopus, ScienceDirect, and Web of Science from January 15, 2005, to April 15, 2021. The Joanna Briggs Institute (JBI) tool was used to assess article quality.
RESULTS RESULTS
Of the 166 articles identified, 130 articles were excluded on the basis of title and abstract screening (duplicates, reviews, etc.). Thirty-six articles were evaluated at full text and 7 articles met the inclusion criteria. Of these, only 5 studies had compatible data for quantitative analysis. An increase in salivary 8-OHdG levels was found in patients with OC compared to healthy subjects, but without statistical significance. 8-OHdG: SMD = 2,72 (95%CI= -0.25-5.70); *p = 0.07.
CONCLUSIONS CONCLUSIONS
This systematic review and meta-analysis suggests a clear trend of increased 8-OHdG levels in saliva of OC patients compared to the control group. However, further studies are required to clarify and understand the altered levels of this oxidative stress marker.

Identifiants

pubmed: 39107689
doi: 10.1186/s12885-024-12746-0
pii: 10.1186/s12885-024-12746-0
doi:

Substances chimiques

8-Hydroxy-2'-Deoxyguanosine 88847-89-6
Biomarkers, Tumor 0

Types de publication

Journal Article Systematic Review Meta-Analysis

Langues

eng

Sous-ensembles de citation

IM

Pagination

960

Informations de copyright

© 2024. The Author(s).

Références

Bugshan A, Farooq I. Oral squamous cell carcinoma: metastasis, potentially associated malignant disorders, etiology and recent advancements in diagnosis. F1000Res. 2020;9:229. https://doi.org/10.12688/f1000research.22941.1 .
doi: 10.12688/f1000research.22941.1 pubmed: 32399208 pmcid: 7194458
Bastías D, Maturana A, Marín C, Martínez R, Niklander SE. Salivary biomarkers for oral Cancer detection: an exploratory systematic review. Int J Mol Sci. 2024;25:2634. https://doi.org/10.3390/ijms25052634 .
doi: 10.3390/ijms25052634 pubmed: 38473882 pmcid: 10932009
Muller S, Tilakaratne WM. Update from the 5th Edition of the World Health Organization Classification of Head and Neck tumors: Tumours of the oral cavity and Mobile Tongue. Head Neck Pathol. 2022;16:54–62. https://doi.org/10.1007/s12105-021-01402-9 .
doi: 10.1007/s12105-021-01402-9 pubmed: 35312982 pmcid: 9018914
Almangush A, Mäkitie AA, Triantafyllou A, de Bree R, Strojan P, Rinaldo A, et al. Staging and grading of oral squamous cell carcinoma: an update. Oral Oncol. 2020;107:104799. https://doi.org/10.1016/j.oraloncology.2020.104799 .
doi: 10.1016/j.oraloncology.2020.104799 pubmed: 32446214
Warnakulasuriya S, Kerr AR. Oral Cancer screening: past, Present, and Future. J Dent Res. 2021;100:1313–20. https://doi.org/10.1177/00220345211014795 .
doi: 10.1177/00220345211014795 pubmed: 34036828
Chamoli A, Gosavi AS, Shirwadkar UP, Wangdale KV, Behera SK, Kurrey NK et al. Overview of oral cavity squamous cell carcinoma: Risk factors, mechanisms, and diagnostics. Oral Oncol. 2021;121:105451. https://doi.org/10.1016/j.oraloncology.2021.105451 .
Rivera C. Essentials of oral cancer. Int J Clin Exp Pathol. 2015;8:11884–94.
pubmed: 26617944 pmcid: 4637760
Bagan J, Sarrion G, Jimenez Y. Oral cancer: clinical features. Oral Oncol. 2010;46:414–7. https://doi.org/10.1016/j.oraloncology.2010.03.009 .
doi: 10.1016/j.oraloncology.2010.03.009 pubmed: 20400366
Warnakulasuriya S. Clinical features and presentation of oral potentially malignant disorders. Oral Surg Oral Med Oral Pathol Oral Radiol. 2018;125:582–90. https://doi.org/10.1016/j.oooo.2018.03.011 .
doi: 10.1016/j.oooo.2018.03.011 pubmed: 29673799
Lousada-Fernandez F, Rapado-Gonzalez O, Lopez-Cedrun JL, Lopez-Lopez R, Muinelo-Romay L, Suarez-Cunqueiro MM. Liquid biopsy in oral Cancer. Int J Mol Sci. 2018;19:1704. https://doi.org/10.3390/ijms19061704 .
doi: 10.3390/ijms19061704 pubmed: 29890622 pmcid: 6032225
Barros O, D’Agostino VG, Lara Santos L, Vitorino R, Ferreira R. Shaping the future of oral cancer diagnosis: advances in salivary proteomics. Expert Rev Proteom. 2024;2:149–68. https://doi.org/10.1080/14789450.2024.2343585 .
doi: 10.1080/14789450.2024.2343585
Khurshid Z, Zafar MS, Khan RS, Najeeb S, Slowey PD, Rehman IU. Role of salivary biomarkers in oral Cancer detection. Adv Clin Chem. 2018;86:23–70. https://doi.org/10.1016/bs.acc.2018.05.002 .
doi: 10.1016/bs.acc.2018.05.002 pubmed: 30144841
Zhou Q, Ye F, Zhou Y. Oxidative stress-related biomarkers in oral squamous cell carcinoma patients: a systematic review and meta-analysis. Biomark Med. 2023;17:337–47. https://doi.org/10.2217/bmm-2022-0846 .
doi: 10.2217/bmm-2022-0846 pubmed: 37284735
Katakwar P, Metgud R, Naik S, Mittal R. Oxidative stress marker in oral cancer: a review. J Cancer Res Ther. 2016;12:438–46. https://doi.org/10.4103/0973-1482.151935 .
doi: 10.4103/0973-1482.151935 pubmed: 27461591
Ferraguti G, Terracina S, Petrella C, Greco A, Minni A, Lucarelli M, et al. Alcohol and Head and Neck Cancer: updates on the role of oxidative stress, genetic, epigenetics, oral microbiota, antioxidants, and Alkylating agents. Antioxid (Basel). 2022;11:145. https://doi.org/10.3390/antiox11010145 .
doi: 10.3390/antiox11010145
Martin KR, Barrett JC. Reactive oxygen species as double-edged swords in cellular processes: low-dose cell signaling versus high-dose toxicity. Hum Exp Toxicol. 2002;21:71–5. https://doi.org/10.1191/0960327102ht213oa .
doi: 10.1191/0960327102ht213oa pubmed: 12102499
Shin YJ, Vu H, Lee JH, Kim HD. Diagnostic and prognostic ability of salivary MMP-9 for oral squamous cell carcinoma: a pre-/post-surgery case and matched control study. PLoS ONE. 2021;16:e0248167. https://doi.org/10.1371/journal.pone.0248167 .
doi: 10.1371/journal.pone.0248167 pubmed: 33735248 pmcid: 7971541
Nandakumar A, Nataraj P, James A, Krishnan R. Estimation of salivary 8-Hydroxydeoxyguanosine (8-OHdG) as a potential biomarker in assessing progression towards malignancy: a case-control study. Asian Pac J Cancer Prev. 2020;21:2325–9. https://doi.org/10.31557/APJCP.2020.21.8.2325 .
doi: 10.31557/APJCP.2020.21.8.2325 pubmed: 32856861 pmcid: 7771935
Babiuch K, Bednarczyk A, Gawlik K, Pawlica-Gosiewska D, Kęsek B, Darczuk D, et al. Evaluation of enzymatic and non-enzymatic antioxidant status and biomarkers of oxidative stress in saliva of patients with oral squamous cell carcinoma and oral leukoplakia: a pilot study. Acta Odontol Scand. 2019;77:408–18. https://doi.org/10.1080/00016357.2019.1578409 .
doi: 10.1080/00016357.2019.1578409 pubmed: 30857448
Kaur J, Politis C, Jacobs R. Salivary 8-hydroxy-2-deoxyguanosine, malondialdehyde, vitamin C, and vitamin E in oral pre-cancer and cancer: diagnostic value and free radical mechanism of action. Clin Oral Investig. 2016;20:315–9. https://doi.org/10.1007/s00784-015-1506-4 .
doi: 10.1007/s00784-015-1506-4 pubmed: 26077895
Agha-Hosseini F, Mirzaii-Dizgah I, Farmanbar N, Abdollahi M. Oxidative stress status and DNA damage in saliva of human subjects with oral lichen planus and oral squamous cell carcinoma. J Oral Pathol Med. 2012;41:736–40. https://doi.org/10.1111/j.1600-0714.2012.01172.x .
doi: 10.1111/j.1600-0714.2012.01172.x pubmed: 22582895
Kumar A, Pant MC, Singh HS, Khandelwal S. Determinants of oxidative stress and DNA damage (8-OhdG) in squamous cell carcinoma of head and neck. Indian J Cancer. 2012;49:309–15. https://doi.org/10.4103/0019-509X.104499 .
doi: 10.4103/0019-509X.104499 pubmed: 23238150
Bahar G, Feinmesser R, Shpitzer T, Popovtzer A, Nagler RM. Salivary analysis in oral cancer patients: DNA and protein oxidation, reactive nitrogen species, and antioxidant profile. Cancer. 2007;109:54–9. https://doi.org/10.1002/cncr.22386 .
doi: 10.1002/cncr.22386 pubmed: 17099862
Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ. 2021;29:372. https://doi.org/10.1136/bmj.n71 .
doi: 10.1136/bmj.n71
Moola S, Munn Z, Tufanaru C, Aromataris E, Sears K, Sfetcu R et al. Chapter 7: Systematic reviews of etiology and risk. In: Aromataris E, Munn Z, editors. JBI Manual for Evidence Synthesis. JBI, 2020. https://synthesismanual.jbi.global
Georgaki M, Theofilou I, Pettas E, Stoufi E, Younis RH, Kolokotronis A, et al. Understanding the complex pathogenesis of oral cancer: a comprehensive review. Oral Surg Oral Med Oral Pathol Oral Radiol. 2021;5:566–79. https://doi.org/10.1016/j.oooo.2021.04.004 .
doi: 10.1016/j.oooo.2021.04.004
Bashir A, Khan ZA, Maqsood A, Prabhu N, Saleem MM, Alzarea BK, et al. The evaluation of clinical signs and symptoms of malignant tumors involving the Maxillary Sinus: recommendation of an examination sieve and risk alarm score. Healthc (Basel). 2023;11:194. https://doi.org/10.3390/healthcare11020194 .
doi: 10.3390/healthcare11020194
Klaunig JE. Oxidative stress and Cancer. Curr Pharm Des. 2018;24:4771–8. https://doi.org/10.2174/1381612825666190215121712 .
doi: 10.2174/1381612825666190215121712 pubmed: 30767733
Lin Y, Jiang M, Chen W, Zhao T, Wei Y. Cancer and ER stress: mutual crosstalk between autophagy, oxidative stress and inflammatory response. Biomed Pharmacother. 2019;118:109249. https://doi.org/10.1016/j.biopha.2019.109249 .
doi: 10.1016/j.biopha.2019.109249 pubmed: 31351428
Senghore T, Li YF, Sung FC, Tsai MH, Hua CH, Liu CS, et al. Biomarkers of oxidative stress Associated with the risk of potentially malignant oral disorders. Anticancer Res. 2018;38:5211–6. https://doi.org/10.21873/anticanres.12844 .
doi: 10.21873/anticanres.12844 pubmed: 30194169
Prieto-Correa JR, Bologna-Molina R, González-González R, Molina-Frechero N, Soto-Ávila JJ, Isiordia-Espinoza M, et al. DNA oxidative damage in oral cancer: 8-hydroxy-2´-deoxyguanosine immunoexpression assessment. Med Oral Patol Oral Cir Bucal. 2023;28:e530–8. https://doi.org/10.4317/medoral.25924 .
doi: 10.4317/medoral.25924 pubmed: 37471300 pmcid: 10635627
Zhou Y, Liu Z. Saliva biomarkers in oral disease. Clin Chim Acta. 2023;548:117503. https://doi.org/10.1016/j.cca.2023.117503 .
doi: 10.1016/j.cca.2023.117503 pubmed: 37536520
Min H, Zhu S, Safi L, Alkourdi M, Nguyen BH, Upadhyay A, et al. Salivary Diagnostics in Pediatrics and the Status of Saliva-based biosensors. Biosens (Basel). 2023;13:206. https://doi.org/10.3390/bios13020206 .
doi: 10.3390/bios13020206
Britze TE, Jakobsen KK, Grønhøj C, von Buchwald C. A systematic review on the role of biomarkers in liquid biopsies and saliva samples in the monitoring of salivary gland cancer. Acta Otolaryngol. 2023;143:709–13. https://doi.org/10.1080/00016489.2023.2238757 .
doi: 10.1080/00016489.2023.2238757 pubmed: 37534452
Khijmatgar S, Yong J, Rübsamen N, Lorusso F, Rai P, Cenzato N, et al. Salivary biomarkers for early detection of oral squamous cell carcinoma (OSCC) and head/neck squamous cell carcinoma (HNSCC): a systematic review and network meta-analysis. Jpn Dent Sci Rev. 2024;60:32–9. https://doi.org/10.1016/j.jdsr.2023.10.003 .
doi: 10.1016/j.jdsr.2023.10.003 pubmed: 38204964
Krishna Prasad RB, Sharma A, Babu HM. An insight into salivary markers in oral cancer. Dent Res J (Isfahan). 2013;10:287–95.
pubmed: 24019794
Nagler RM. Saliva as a tool for oral cancer diagnosis and prognosis. Oral Oncol. 2009;45:1006–10. https://doi.org/10.1016/j.oraloncology.2009.07.005 .
doi: 10.1016/j.oraloncology.2009.07.005 pubmed: 19828359
Kumar M, Nanavati R, Modi TG, Dobariya C. Oral cancer: etiology and risk factors: a review. J Cancer Res Ther. 2016;12:458–63. https://doi.org/10.4103/0973-1482.186696 .
doi: 10.4103/0973-1482.186696 pubmed: 27461593
Shah SU, Nigar S, Yousofi R, Maqsood A, Altamash S, Lal A, et al. Comparison of triamcinolone with pentoxifylline and vitamin E efficacy in the treatment of stage 2 and 3 oral submucous fibrosis: a randomized clinical trial. SAGE Open Med. 2023;11:20503121231200757. https://doi.org/10.1177/20503121231200757 .
doi: 10.1177/20503121231200757 pubmed: 37786898 pmcid: 10541733

Auteurs

Mario Alberto Alarcón-Sánchez (MA)

Biomedical Science, Faculty of Chemical-Biological Sciences, Autonomous University of Guerrero, Chilpancingo de los Bravo, Guerrero, 39090, Mexico. marioaasanchez@hotmail.com.

Lilibeth-Stephania Escoto-Vasquez (LS)

Department of Oral Medicine and Pathology, Postgraduate Division, Dental School, National Autonomous University of Mexico, Mexico City, 04510, Mexico.

Artak Heboyan (A)

Department of Research Analytics, Saveetha Institute of Medical and Technical Sciences, Saveetha Dental College and Hospitals, Saveetha University, Chennai, 600 077, India. heboyan.artak@gmail.com.
Department of Prosthodontics, Faculty of Stomatology, Yerevan State Medical University after Mkhitar Heratsi, Str. Koryun 2, Yerevan, 0025, Armenia. heboyan.artak@gmail.com.
Department of Prosthodontics, School of Dentistry, Tehran University of Medical Sciences, North Karegar St, Tehran, Iran. heboyan.artak@gmail.com.

Articles similaires

[Redispensing of expensive oral anticancer medicines: a practical application].

Lisanne N van Merendonk, Kübra Akgöl, Bastiaan Nuijen
1.00
Humans Antineoplastic Agents Administration, Oral Drug Costs Counterfeit Drugs

Smoking Cessation and Incident Cardiovascular Disease.

Jun Hwan Cho, Seung Yong Shin, Hoseob Kim et al.
1.00
Humans Male Smoking Cessation Cardiovascular Diseases Female
Humans United States Aged Cross-Sectional Studies Medicare Part C
1.00
Humans Yoga Low Back Pain Female Male

Classifications MeSH