Literature DB >> 27891452

Clinical Utility of Serum Homocysteine and Folate as Tumor Markers in Oral Squamous Cell Carcinoma - A Cross-Sectional Study.

Sridhar Reddy Erugula1, Mahesh Kumar Kandukuri2, Prasanna M Danappanavar3, Kranti Kiran Reddy Ealla4, Surekha Velidandla4, Sangameshwar Manikya5.   

Abstract

INTRODUCTION: Oral Squamous Cell Carcinoma (OSCC) is a common malignancy involving head and neck. Identifying the markers of molecular levels or biochemical markers involving the various metabolic reactions associated with the initiation and biological behavior of individual tumors are very important in diagnosis and prognosis. AIM: To measure and compare the levels of serum Homocysteine (Hcy) and serum folate in OSCC patients, smoking group and healthy subjects and also to assess the clinical utility of serum Hcy as a potential tumor marker in OSCC.
MATERIALS AND METHODS: The study group comprised of 60 subjects, of whom 30 were classified as OSCC cases (GROUP I) and 15 were classified as smokers without OSCC (GROUP II). The control group included 15 healthy individuals without smoking habit (Group III). Hcy was measured with High Performance Liquid Chromatography (HPLC). Folate estimation was done by Chemiluminiscence Immuno Assay (CLIA). Comparison of mean Hcy and folate values among the groups was done using ANOVA with Post-Hoc Games Howell test. Gender was compared using Chi-square test. Comparison of mean age was using ANOVA with Post-Hoc Tukey's test.
RESULTS: The mean serum folate level in OSCC patients was 5.34ng/mL, 7.68ng/mL in smoking group and 10.99ng/mL in control group. There was a significant difference in the mean serum folate levels among the three study groups (p<0.001). The mean serum Hcy in OSCC patients was 23.58μmol/L, 17.46μmol/L, in smoking group and 10.76μmol/l in controls. There was a significant difference in the mean serum Hcy levels among the three study groups (p<0.001).
CONCLUSION: The present study found an interesting association with serum Hcy and folate levels in OSCC which could be useful as a biochemical "Tumor Marker" and thereby providing insights into the onset and progression of the disease.

Entities:  

Keywords:  Biochemical markers; Chemiluminiscence immuno assay; High performance liquid chromatography; Molecular markers; Smoking

Year:  2016        PMID: 27891452      PMCID: PMC5121798          DOI: 10.7860/JCDR/2016/19656.8637

Source DB:  PubMed          Journal:  J Clin Diagn Res        ISSN: 0973-709X


  27 in total

1.  Gene promoter hypermethylation in tumors and serum of head and neck cancer patients.

Authors:  M Sanchez-Cespedes; M Esteller; L Wu; H Nawroz-Danish; G H Yoo; W M Koch; J Jen; J G Herman; D Sidransky
Journal:  Cancer Res       Date:  2000-02-15       Impact factor: 12.701

Review 2.  The epidemiology and risk factors of head and neck cancer: a focus on human papillomavirus.

Authors:  C C R Ragin; F Modugno; S M Gollin
Journal:  J Dent Res       Date:  2007-02       Impact factor: 6.116

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Authors:  M R Spitz
Journal:  Semin Oncol       Date:  1994-06       Impact factor: 4.929

4.  Local and systemic effects of cigarette smoking on folate and vitamin B-12.

Authors:  C J Piyathilake; M Macaluso; R J Hine; E W Richards; C L Krumdieck
Journal:  Am J Clin Nutr       Date:  1994-10       Impact factor: 7.045

Review 5.  Molecular markers of head and neck squamous cell carcinoma: promising signs in need of prospective evaluation.

Authors:  Phillipe Lothaire; Evandro de Azambuja; Didier Dequanter; Yassine Lalami; Christos Sotiriou; Guy Andry; Gilberto Castro; Ahmad Awada
Journal:  Head Neck       Date:  2006-03       Impact factor: 3.147

Review 6.  Chemoprevention of head and neck cancer.

Authors:  W B Armstrong; F L Meyskens
Journal:  Otolaryngol Head Neck Surg       Date:  2000-05       Impact factor: 3.497

Review 7.  The effects of tobacco smoke on the homocysteine level--a risk factor of atherosclerosis.

Authors:  Andrze J Sobczak
Journal:  Addict Biol       Date:  2003-06       Impact factor: 4.280

8.  Mathematical modeling of folate metabolism: predicted effects of genetic polymorphisms on mechanisms and biomarkers relevant to carcinogenesis.

Authors:  Cornelia M Ulrich; Marian Neuhouser; Amy Y Liu; Alanna Boynton; Jesse F Gregory; Barry Shane; S Jill James; Michael C Reed; H Frederik Nijhout
Journal:  Cancer Epidemiol Biomarkers Prev       Date:  2008-07       Impact factor: 4.254

9.  Folic acid for the prevention of colorectal adenomas: a randomized clinical trial.

Authors:  Bernard F Cole; John A Baron; Robert S Sandler; Robert W Haile; Dennis J Ahnen; Robert S Bresalier; Gail McKeown-Eyssen; Robert W Summers; Richard I Rothstein; Carol A Burke; Dale C Snover; Timothy R Church; John I Allen; Douglas J Robertson; Gerald J Beck; John H Bond; Tim Byers; Jack S Mandel; Leila A Mott; Loretta H Pearson; Elizabeth L Barry; Judy R Rees; Norman Marcon; Fred Saibil; Per Magne Ueland; E Robert Greenberg
Journal:  JAMA       Date:  2007-06-06       Impact factor: 56.272

10.  Elevated homocysteine level and folate deficiency associated with increased overall risk of carcinogenesis: meta-analysis of 83 case-control studies involving 35,758 individuals.

Authors:  Donghong Zhang; Xuemei Wen; Wei Wu; Ye Guo; Wei Cui
Journal:  PLoS One       Date:  2015-05-18       Impact factor: 3.240

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