Urinary 8‑hydroxydeoxyguanosine as a marker of oxidative stress induced genetic toxicity in oral cancer patients.

ABSTRACT

Context Recently, non‑communicable diseases have snatched the lead from infectious diseases in causing mortality. Of these, oral cancer accounts for a significant proportion of deaths. Every year in India significant percentage of newly diagnosed malignancy is oral cancer attributed to various reasons. Aims: The aim of this study was to assess the extent of oxidative stress and its effect on modification of DNA by urinary nucleoside 8-hydroxy-2’-deoxyguanosine (8-OHdG) levels in oral cancer subjects. To see the relationship between the nucleoside 8‑OHdG and antioxidant capacity ferric reducing ability plasma (FRAP) in oral cancer subjects. Settings and Design: Case–control study included three groups with 60 volunteers, who were divided into 30 controls, and equal number of clinically diagnosed oral cancer male patients (Subdivided into newly diagnosed [n = 15] and 1‑year treatment follow‑up oral cancer subjects [n = 15]). Materials and Methods: A random urine sample was used for analysis of 8‑OHdG concentration. Serum triglycerides, lipid peroxidation, protein thiols, and FRAP assay were performed by spectrophotometric technique. Statistical Analysis Used Student’s t‑test and one‑way analysis of variance were performed for group comparison and Pearson’s correlation analysis were used. A P < 0.05 was considered the optimum level of significance. Results: The urinary 8‑OHdG and serum malondialdehyde levels were significantly elevated in newly diagnosed oral cancer subjects in their 1‑year treatment compared to the control group (P < 0.05). A significant correlation was observed between urinary 8‑OHdG and FRAP in both groups of oral cancer subjects. Conclusions: Urinary 8‑OHdG can be a useful diagnostic marker of oxidative DNA damage in oral cancer subjects.