Assessment of glutathione peroxidase enzyme response and total antioxidant status in oral cancer – Systematic review and meta‐analysis

Abstract Background Oxidative stress induced by free radical accumulation contributes to many pathologies, including cancer. Antioxidant defense system fails to scavenge free radicals when it is excessively accumulated. Assessing individual antioxidant enzymes and total antioxidant capacity could di...

Full description

Bibliographic Details
Main Authors: Khadijah Mohideen, Nadeem Jeddy, C. Krithika, Shahul Hameed Faizee, Safal Dhungel, Snehashish Ghosh
Format: Article
Language:English
Published: Wiley 2023-08-01
Series:Cancer Reports
Subjects:
Online Access:https://doi.org/10.1002/cnr2.1842
_version_ 1828718038094970880
author Khadijah Mohideen
Nadeem Jeddy
C. Krithika
Shahul Hameed Faizee
Safal Dhungel
Snehashish Ghosh
author_facet Khadijah Mohideen
Nadeem Jeddy
C. Krithika
Shahul Hameed Faizee
Safal Dhungel
Snehashish Ghosh
author_sort Khadijah Mohideen
collection DOAJ
description Abstract Background Oxidative stress induced by free radical accumulation contributes to many pathologies, including cancer. Antioxidant defense system fails to scavenge free radicals when it is excessively accumulated. Assessing individual antioxidant enzymes and total antioxidant capacity could direct the customized therapeutic strategies. Objective Evaluation of total antioxidant status and enzyme glutathione peroxidase activity in the oral cancer group compared to the healthy control group. Method The literature search included databases PubMed, Science Direct, Wiley Online Library, Cochrane and Cross Reference between 1999 and 2021. The database search was completed in the month of August 2022. The extracted data were analyzed by Comprehensive Meta‐Analysis (CMA) version 3 software (Biostat Inc. Englewood, NJ). Based on search strategies, 1435 articles have been retrieved from the database. In the segregated articles, 1365 were excluded due to duplicated articles, animal studies, low‐quality studies, articles unrelated to the research question, and with unmatched objectives. Based on inclusion criteria, 70 articles were selected for full‐text valuation. However, 33 articles were found highly suitable for inclusion and data extraction. Finally, 11 articles were selected for meta‐analysis. Results The meta‐analysis of four included studies of tissue samples showed a significantly (p < .001) increased GPx activity in the oral cancer group, when compared to the control group, whereas three included studies of erythrocyte samples displayed a significantly (p < .001) decreased GPx activity in the oral cancer group than the control group with the pooled standardized mean difference value of −2.766 moles/min/g Hb at 95% CI (−3.297 to −2.234). The meta‐analysis of the included studies depicted an insignificant (p = .947) reduction of salivary TAS levels in the oral cancer group when compared to the control group. Conclusion Our systematic review and meta‐analysis depict antioxidant GPx enzyme activity in the regional tissue samples of the oral cancer group differs from other systemic biological fluid samples compared to the healthy control group.
first_indexed 2024-03-12T14:37:04Z
format Article
id doaj.art-4010dba308c74187a3fc32511b4ae909
institution Directory Open Access Journal
issn 2573-8348
language English
last_indexed 2024-03-12T14:37:04Z
publishDate 2023-08-01
publisher Wiley
record_format Article
series Cancer Reports
spelling doaj.art-4010dba308c74187a3fc32511b4ae9092023-08-17T03:11:27ZengWileyCancer Reports2573-83482023-08-0168n/an/a10.1002/cnr2.1842Assessment of glutathione peroxidase enzyme response and total antioxidant status in oral cancer – Systematic review and meta‐analysisKhadijah Mohideen0Nadeem Jeddy1C. Krithika2Shahul Hameed Faizee3Safal Dhungel4Snehashish Ghosh5Department of Oral Pathology and Microbiology, Sathyabama Dental College and Hospital Sathyabama Institute of Science and Technology Chennai IndiaDepartment of Oral Pathology and Microbiology, Thai Moogambigai Dental College and Hospital Dr. M.G.R. Educational and Research Institute Chennai IndiaMeenakshi Academy of Higher Education and Research Chennai Tamil Nadu IndiaDepartment of Orthodontics and Dentofacial Orthopaedics, Sathyabama Dental College and Hospital Sathyabama Institute of Science and Technology Chennai IndiaDepartment of Oral and Maxillofacial Surgery College of Medical Sciences Bharatpur NepalDepartment of Oral Pathology College of Medical Sciences Bharatpur NepalAbstract Background Oxidative stress induced by free radical accumulation contributes to many pathologies, including cancer. Antioxidant defense system fails to scavenge free radicals when it is excessively accumulated. Assessing individual antioxidant enzymes and total antioxidant capacity could direct the customized therapeutic strategies. Objective Evaluation of total antioxidant status and enzyme glutathione peroxidase activity in the oral cancer group compared to the healthy control group. Method The literature search included databases PubMed, Science Direct, Wiley Online Library, Cochrane and Cross Reference between 1999 and 2021. The database search was completed in the month of August 2022. The extracted data were analyzed by Comprehensive Meta‐Analysis (CMA) version 3 software (Biostat Inc. Englewood, NJ). Based on search strategies, 1435 articles have been retrieved from the database. In the segregated articles, 1365 were excluded due to duplicated articles, animal studies, low‐quality studies, articles unrelated to the research question, and with unmatched objectives. Based on inclusion criteria, 70 articles were selected for full‐text valuation. However, 33 articles were found highly suitable for inclusion and data extraction. Finally, 11 articles were selected for meta‐analysis. Results The meta‐analysis of four included studies of tissue samples showed a significantly (p < .001) increased GPx activity in the oral cancer group, when compared to the control group, whereas three included studies of erythrocyte samples displayed a significantly (p < .001) decreased GPx activity in the oral cancer group than the control group with the pooled standardized mean difference value of −2.766 moles/min/g Hb at 95% CI (−3.297 to −2.234). The meta‐analysis of the included studies depicted an insignificant (p = .947) reduction of salivary TAS levels in the oral cancer group when compared to the control group. Conclusion Our systematic review and meta‐analysis depict antioxidant GPx enzyme activity in the regional tissue samples of the oral cancer group differs from other systemic biological fluid samples compared to the healthy control group.https://doi.org/10.1002/cnr2.1842glutathione peroxidase activityoral canceroral squamous cell carcinomatotal antioxidant status
spellingShingle Khadijah Mohideen
Nadeem Jeddy
C. Krithika
Shahul Hameed Faizee
Safal Dhungel
Snehashish Ghosh
Assessment of glutathione peroxidase enzyme response and total antioxidant status in oral cancer – Systematic review and meta‐analysis
Cancer Reports
glutathione peroxidase activity
oral cancer
oral squamous cell carcinoma
total antioxidant status
title Assessment of glutathione peroxidase enzyme response and total antioxidant status in oral cancer – Systematic review and meta‐analysis
title_full Assessment of glutathione peroxidase enzyme response and total antioxidant status in oral cancer – Systematic review and meta‐analysis
title_fullStr Assessment of glutathione peroxidase enzyme response and total antioxidant status in oral cancer – Systematic review and meta‐analysis
title_full_unstemmed Assessment of glutathione peroxidase enzyme response and total antioxidant status in oral cancer – Systematic review and meta‐analysis
title_short Assessment of glutathione peroxidase enzyme response and total antioxidant status in oral cancer – Systematic review and meta‐analysis
title_sort assessment of glutathione peroxidase enzyme response and total antioxidant status in oral cancer systematic review and meta analysis
topic glutathione peroxidase activity
oral cancer
oral squamous cell carcinoma
total antioxidant status
url https://doi.org/10.1002/cnr2.1842
work_keys_str_mv AT khadijahmohideen assessmentofglutathioneperoxidaseenzymeresponseandtotalantioxidantstatusinoralcancersystematicreviewandmetaanalysis
AT nadeemjeddy assessmentofglutathioneperoxidaseenzymeresponseandtotalantioxidantstatusinoralcancersystematicreviewandmetaanalysis
AT ckrithika assessmentofglutathioneperoxidaseenzymeresponseandtotalantioxidantstatusinoralcancersystematicreviewandmetaanalysis
AT shahulhameedfaizee assessmentofglutathioneperoxidaseenzymeresponseandtotalantioxidantstatusinoralcancersystematicreviewandmetaanalysis
AT safaldhungel assessmentofglutathioneperoxidaseenzymeresponseandtotalantioxidantstatusinoralcancersystematicreviewandmetaanalysis
AT snehashishghosh assessmentofglutathioneperoxidaseenzymeresponseandtotalantioxidantstatusinoralcancersystematicreviewandmetaanalysis