Estimation of alpha-amylase in smokers with and without leukoplakia and oral cancer—A comparative study

Background: Cigarette smoke releases free radicles that have deleterious effects on the oral mucosa including potentially malignant disorders and oral cancer. In response to cigarette smoking, salivary flow rate increases as a defense activity along with a rise in alpha-amylase levels. Aim: To estim...

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Main Authors: Harshitha Akkinepally, M L Avinash Tejasvi, N Lakshmi Kavitha, Archana Pokala, Praveen Reddy, Vummadi Reddy Keerthi
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2023-01-01
Series:Journal of Indian Academy of Oral Medicine and Radiology
Subjects:
Online Access:http://www.jiaomr.in/article.asp?issn=0972-1363;year=2023;volume=35;issue=3;spage=331;epage=334;aulast=Akkinepally
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author Harshitha Akkinepally
M L Avinash Tejasvi
N Lakshmi Kavitha
Archana Pokala
Praveen Reddy
Vummadi Reddy Keerthi
author_facet Harshitha Akkinepally
M L Avinash Tejasvi
N Lakshmi Kavitha
Archana Pokala
Praveen Reddy
Vummadi Reddy Keerthi
author_sort Harshitha Akkinepally
collection DOAJ
description Background: Cigarette smoke releases free radicles that have deleterious effects on the oral mucosa including potentially malignant disorders and oral cancer. In response to cigarette smoking, salivary flow rate increases as a defense activity along with a rise in alpha-amylase levels. Aim: To estimate salivary alpha-amylase levels in smokers with and without leukoplakia and oral cancer cases. Methods: This comparative study was carried out on 120 subjects; 30 subjects each in four groups which include non-smokers, smokers without oral lesions, smokers with leukoplakia, and smokers with oral squamous cell carcinoma (OSCC). Five microliters of unstimulated saliva were collected from the subjects by the spitting method. Alpha-amylase salivary levels were determined by spectrophotometric assay. Data collected were analyzed using a one-way ANOVA test. Results: No significant difference between alpha-amylase values was observed among smokers without oral lesions and smokers with leukoplakia groups when compared with non-smokers, but a significant difference was seen in the OSCC group in comparison with all three groups (smokers without oral lesions group vs OSCC group – P = 0.0045; leukoplakia group vs OSCC group P = 0.0326). Conclusion: Salivary alpha-amylase levels increased in smokers without any lesion and smokers with leukoplakia when compared with nonsmokers, although it was statistically not significant. Salivary alpha-amylase levels in oral cancer were significantly higher when compared with non-smokers, and smokers with and without leukoplakia. Smoking induced a change in salivary antioxidant levels. Changes in antioxidant levels can influence the deleterious effects of smoking on oral mucosa as well as systemic health.
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spelling doaj.art-0707f7bdf52e428a939766039285514a2023-10-30T10:03:33ZengWolters Kluwer Medknow PublicationsJournal of Indian Academy of Oral Medicine and Radiology0972-13632023-01-0135333133410.4103/jiaomr.jiaomr_230_23Estimation of alpha-amylase in smokers with and without leukoplakia and oral cancer—A comparative studyHarshitha AkkinepallyM L Avinash TejasviN Lakshmi KavithaArchana PokalaPraveen ReddyVummadi Reddy KeerthiBackground: Cigarette smoke releases free radicles that have deleterious effects on the oral mucosa including potentially malignant disorders and oral cancer. In response to cigarette smoking, salivary flow rate increases as a defense activity along with a rise in alpha-amylase levels. Aim: To estimate salivary alpha-amylase levels in smokers with and without leukoplakia and oral cancer cases. Methods: This comparative study was carried out on 120 subjects; 30 subjects each in four groups which include non-smokers, smokers without oral lesions, smokers with leukoplakia, and smokers with oral squamous cell carcinoma (OSCC). Five microliters of unstimulated saliva were collected from the subjects by the spitting method. Alpha-amylase salivary levels were determined by spectrophotometric assay. Data collected were analyzed using a one-way ANOVA test. Results: No significant difference between alpha-amylase values was observed among smokers without oral lesions and smokers with leukoplakia groups when compared with non-smokers, but a significant difference was seen in the OSCC group in comparison with all three groups (smokers without oral lesions group vs OSCC group – P = 0.0045; leukoplakia group vs OSCC group P = 0.0326). Conclusion: Salivary alpha-amylase levels increased in smokers without any lesion and smokers with leukoplakia when compared with nonsmokers, although it was statistically not significant. Salivary alpha-amylase levels in oral cancer were significantly higher when compared with non-smokers, and smokers with and without leukoplakia. Smoking induced a change in salivary antioxidant levels. Changes in antioxidant levels can influence the deleterious effects of smoking on oral mucosa as well as systemic health.http://www.jiaomr.in/article.asp?issn=0972-1363;year=2023;volume=35;issue=3;spage=331;epage=334;aulast=Akkinepallyalpha-amylaseoral canceroral leukoplakiasmoking
spellingShingle Harshitha Akkinepally
M L Avinash Tejasvi
N Lakshmi Kavitha
Archana Pokala
Praveen Reddy
Vummadi Reddy Keerthi
Estimation of alpha-amylase in smokers with and without leukoplakia and oral cancer—A comparative study
Journal of Indian Academy of Oral Medicine and Radiology
alpha-amylase
oral cancer
oral leukoplakia
smoking
title Estimation of alpha-amylase in smokers with and without leukoplakia and oral cancer—A comparative study
title_full Estimation of alpha-amylase in smokers with and without leukoplakia and oral cancer—A comparative study
title_fullStr Estimation of alpha-amylase in smokers with and without leukoplakia and oral cancer—A comparative study
title_full_unstemmed Estimation of alpha-amylase in smokers with and without leukoplakia and oral cancer—A comparative study
title_short Estimation of alpha-amylase in smokers with and without leukoplakia and oral cancer—A comparative study
title_sort estimation of alpha amylase in smokers with and without leukoplakia and oral cancer a comparative study
topic alpha-amylase
oral cancer
oral leukoplakia
smoking
url http://www.jiaomr.in/article.asp?issn=0972-1363;year=2023;volume=35;issue=3;spage=331;epage=334;aulast=Akkinepally
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