Hostname: page-component-8448b6f56d-xtgtn Total loading time: 0 Render date: 2024-04-18T08:12:08.263Z Has data issue: false hasContentIssue false

Significance of free radical injury in laryngeal and hypopharyngeal cancers

Published online by Cambridge University Press:  23 November 2009

M K Manjunath*
Affiliation:
Department of ENT – Head and Neck Surgery, Sree Siddhartha Medical College, Tumkur, Karnataka, India
V Annam
Affiliation:
Department of Pathology, Sree Siddhartha Medical College, Tumkur, Karnataka, India
D R Suresh
Affiliation:
Department of Biochemistry, Sree Siddhartha Medical College, Tumkur, Karnataka, India
*
Address for correspondence: Dr M K Manjunath, Assistant Professor, Department of ENT – Head and Neck Surgery, Sree Siddhartha Medical College, BH Road, Agalakote, Tumkur, Karnataka, India572107. E-mail: drmanjumk@yahoo.com

Abstract

Background and objectives:

Laryngeal and hypopharyngeal cancer is a multifactorial disease caused by various carcinogens such as tobacco, alcohol and viruses. Likewise, oxidative stress is known to cause aberrations in the cell membrane and DNA, leading to cancer. We conducted this prospective study in order to evaluate the level of oxidative stress in laryngeal and hypopharyngeal cancer patients.

Methods:

Fifty patients with laryngeal and hypopharyngeal cancer and 40 control subjects were selected. Serum malondialdehyde concentrations and ferric reducing antioxidant power were assessed, in order to evaluate oxidative stress. Results were analysed by Student's t-test.

Results:

Malondialdehyde levels were significantly higher and ferric reducing antioxidant power lower in the cancer patients, compared with the controls, indicating higher oxidative stress in the former. There was no statistically significant difference in malondialdehyde concentration or ferric reducing antioxidant power, comparing patients with versus without neck secondaries, and patients with early stage versus late stage tumours.

Conclusion:

Oxidative stress may have a role to play in the initiation of laryngeal and hypopharyngeal cancers, especially in patients with other risk factors such as tobacco and alcohol use.

Type
Main Article
Copyright
Copyright © JLO (1984) Limited 2009

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1Loyo, M, Pai, SI. The molecular genetics of laryngeal cancer. Otolaryngol Clin North Am 2008;41:657–72CrossRefGoogle ScholarPubMed
2Dwivedi, RC, Raturi, DP, Kandpal, N, Dwivedi, RC, Singh, RP, Puri, VN. Oxidative stress in patients with laryngeal carcinoma. Indian J Cancer 2008;45:97–9CrossRefGoogle ScholarPubMed
3Caliskan-Can, E, Firat, H, Ardic, S, Bolkan, S, Torun, M, Yardin-Akaydin, S. Increased levels of 8-hydroxydeoxyguanosine and its relationship with lipid peroxidation and antioxidant vitamins in lung cancer. Clin Chem Lab Med 2008;46:107–12CrossRefGoogle ScholarPubMed
4Ernst, P. The role of inflammation in the pathogenesis of gastric cancer. Alimentary Pharmacology & Therapeutics 1999;13:1318CrossRefGoogle Scholar
5Brown, NS, Bicknell, R. Hypoxia and oxidative stress in breast cancer: oxidative stress – its effects on the growth, metastatic potential and response to therapy of breast cancer. Breast Cancer Res 2001;3:323–7CrossRefGoogle ScholarPubMed
6Greene, FL, Page, DL, Fleming, ID, Fritz, AG, Balch, CM, Haller, DG, eds. AJCC Cancer Staging Manual, 6th edn.New York: Springer, 2002;1788CrossRefGoogle Scholar
7Satoh, K. Serum lipid peroxide in cerebrovascular disorders determined by a new colorimetric method. Clinica Chemica Acta 1978;90:3743Google ScholarPubMed
8Benzie, IF, Strain, JJ. The ferric reducing ability of plasma (FRAP) as a measure of antioxidant power: the FRAP assay. Analytical Biochemistry 1996;239:70–6CrossRefGoogle ScholarPubMed
9Watkinson, JC, Gaze, MN, Wilson, JA, eds. Tumours of the larynx. In: Stell and Maran's Head and Neck Surgery, 4th edn.Oxford: Butterworth-Heinemann, 2000;233–74Google Scholar
10Abidi, S, Ali, A. Role of oxygen free radicals in the pathogenesis and etiology of cancer. Cancer Lett 1999;142:19CrossRefGoogle Scholar
11Van-Ginkel, G, Sevanian, A. Lipid peroxidation-induced membrane structural alterations. Methods Enzymol 1994;233:273–88CrossRefGoogle ScholarPubMed
12Wiseman, H, Halliwell, B. Damage to DNA by reactive oxygen and nitrogen species: role in inflammatory disease and progression to cancer. Biochem J 1996;313:1729CrossRefGoogle ScholarPubMed
13Suresh, DR, Silvia, WD, Agarwal, R. Lipid peroxidation and total antioxidant capacity in patients with chronic renal failure. Asian J Biochem 2008;3:315–18CrossRefGoogle Scholar
14Klaunig, JE, Xu, Y, Isenberg, JS, Bachowski, S, Kolaja, KL, Jiang, J et al. The role of oxidative stress in chemical carcinogenesis. Environ Health Perspect 1998;106:289–95Google ScholarPubMed
15Barber, DA, Harris, SR. Oxygen free radicals and antioxidants: a review. Am Pharm 1994;34:2635CrossRefGoogle Scholar
16Llesuy, S, Evelson, P, Campos, AM, Lissi, E. Methodologies for evaluation of total antioxidant activities in complex mixtures: a critical review. Biol Res 2001;34:5173CrossRefGoogle ScholarPubMed
17McCall, MR, Frei, B. Can antioxidant vitamins materially reduce oxidative damage in humans? Free Radical Biol Med 1999;26:1034–53CrossRefGoogle ScholarPubMed
18Pstova, J, Zahalkova, J, Hrbac, J, Simanek, V, Bartek, JJ. Determination of total antioxidant capacity (TAC) in plasma by cyclic voltammetry. Biomed Pap 2001;145:81–3CrossRefGoogle Scholar