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Are the oxidative stress levels in the tumor center and tumor boundary different from those in healthy tissue?

  • Head and Neck
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European Archives of Oto-Rhino-Laryngology Aims and scope Submit manuscript

Abstract

Purpose

This study aimed to investigate the relationship between oxidative stress levels in the tumor center, tumor edge, and healthy tissue.

Methods

This study included a total of 53 patients with head and neck cancer. Samples of 5 × 5 × 5 mm were collected from the tumor center, tumor edge, and the healthy tissue. Total antioxidant status (TAS), total oxidant status (TOS), and oxidative stress index (OSI) values were evaluated. (1) Oxidative stress values in the center and edge of all tumors and in healthy tissues were compared according to localization. (2) Tumors were divided into two groups as malignant (Group 1 [n = 28]: Laryngeal and tongue squamous cell cancers) and benign (Group 2 [n = 25]: Pleomorphic adenoma and Warthin tumors). The groups were compared according to the localization of the tissues.

Results

The TOS value in the tumor edge was significantly higher than those in the tumor center and the healthy tissue. The TAS value in tissue located in the tumor edge was significantly higher than in the healthy tissue. The OSI value in the tumor edge was significantly higher than those in the tumor center and the healthy tissue.

In all three localizations (tumor center, tumor edge, and healthy tissue), TOS and OSI values in Group 1 were significantly higher than Group 2.

Conclusion

Oxidative stress values in the tumor edge are significantly higher than the center of the tumor and healthy tissue. In malignant tumors, oxidative stress values are significantly higher in all localizations compared to benign tumors.

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References

  1. Yang J, Lam EW, Hammad HM et al (2002) Antioxidant enzyme levels in oral squamous cell carcinoma and normal human oral epithelium. J Oral Pathol Med 31:71–77

    Article  CAS  Google Scholar 

  2. Kubica K, Rogoziński P, Bruliński K (2019) Activity of Antioxidant Enzymes in the Tumor and Adjacent Noncancerous Tissues of Non-Small-Cell Lung Cancer. Oxid Med Cell Longev 2019:2901840. https://doi.org/10.1155/2019/2901840

  3. Reuter S, Gupta SC, Chaturvedi MM, Aggarwal BB (2010) Oxidative stress, inflammation, and cancer: how are they linked? Free Radic Biol Med 49(11):1603–1616

    Article  CAS  Google Scholar 

  4. Gaya-Bover A, Hernández-López R, Alorda-Clara M et al (2020) Antioxidant enzymes change in different non-metastatic stages in tumoral and peritumoral tissues of colorectal cancer. Int J Biochem Cell Biol 120:105698

    Article  CAS  Google Scholar 

  5. Dogan R, Meriç Hafiz A, Tugrul S, Ozturan O, Keskin S, Kocyigit A (2016) Can oxidative stress parameters be used as biomarkers for the discrimination of malignant head and neck tumors. J Craniofac Surg 27(3):316–320

    Article  Google Scholar 

  6. Gokul S, Patil VS, Jailkhani R et al (2010) Oxidant-antioxidant status in blood and tumor tissue of oral squamous cell carcinoma patients. Oral Dis 16:29–33

    Article  CAS  Google Scholar 

  7. Corsi MM, Pagani D, Iorio EL, Dogliotti G, Verna R, Sambataro G (2006) Blood reactive oxygen metabolites (ROMs) and total antioxidant status (TAS) in patients with laryngeal squamous cell carcinoma after surgical treatment. Clin Chem Lab Med 44(8):1047–1048

    Article  CAS  Google Scholar 

  8. Hartree EF (1972) Determination of protein: a modification of the Lowry method that gives a linear photometric response. Anal Biochem 48(2):422–427

    Article  CAS  Google Scholar 

  9. Erel O (2005) A new automated colorimetric method for measuring total oxidant status. Clin Biochem 38(12):1103–1111

    Article  CAS  Google Scholar 

  10. Erel O (2004) A novel automated method to measure total antioxidant response against potent free radical reactions. Clin Biochem 37(2):112–119

    Article  CAS  Google Scholar 

  11. Mantovani G, Macciò A, Lai P, Massa M, Ghiani M, Santona MC (1998) Cytokine activity in cancer-related anorexia/ cachexia: role of megestrol acetate and medroxyprogesterone acetate. Semin Oncol 25:45–52

    CAS  PubMed  Google Scholar 

  12. Pelicano H, Carney D, Huang P (2004) ROS stress in cancer cells and therapeutic implications. Drug Resist Update 7:97–110

    Article  CAS  Google Scholar 

  13. Mantovani G, Macciò A, Madeddu C, Mura L, Massa E, Gramignano G et al (2002) Reactive oxygen species, antioxidant mechanisms and serum cytokine levels in cancer patients: impact of an antioxidant treatment. J Cell Mol Med 6:570–582

    Article  CAS  Google Scholar 

  14. Egeblad M, Nakasone ES, Werb Z (2010) Tumors as organs: complex tissues that interface with the entire organism. Dev Cell 18:884–901

    Article  CAS  Google Scholar 

  15. Chung-man Ho J, Zheng S, Comhair SA, Farver C, Erzurum SC (2001) Differential expression of manganese superoxide dismutase and catalase in lung cancer. Cancer Res 61(23):8578–8585

    CAS  PubMed  Google Scholar 

  16. Santandreu FM, Brell M, Gene AH et al (2008) Differences in mitochondrial function and antioxidant systems between regions of human glioma. Cell Physiol Biochem 22(5–6):757–768

    Article  CAS  Google Scholar 

  17. Chowdhury FN, Reisinger J, Gomez KE, Chimed TS, Thomas CM, Le PN (2019) Leading edge or tumor core: intratumor cancer stem cell niches in oral cavity squamous cell carcinoma and their association with stem cell function. Oral Oncol 98:118–124

    Article  CAS  Google Scholar 

  18. Mantovani A, Allavena P, Sica A, Balkwill F (2008) Cancer-related inflammation. Nature 454(7203):436–444

    Article  CAS  Google Scholar 

  19. Grivennikov SI, Greten FR, Karin M (2010) Immunity, inflammation, and cancer. Cell 140(6):883–899

    Article  CAS  Google Scholar 

  20. Hinni ML, Ferlito A, Brandwein-Gensler MS, Takes RP, Silver CE, Westra WH et al (2012) Surgical margins in head and neck cancer: a contemporary review. Head Neck 35:1362–1370

    Article  Google Scholar 

  21. Melo SA, Sugimoto H, O’Connell JT et al (2014) Cancer exosomes perform cell-independent microRNA biogenesis and promote tumorigenesis. Cancer Cell 26(5):707–721

    Article  CAS  Google Scholar 

  22. Guo W, Gao Y, Li N et al (2017) Exosomes: new players in cancer (review). Oncol Rep 38(2):665–675

    Article  Google Scholar 

  23. Srivastava KC, Austin RD, Shrivastava D, Sethupathy S, Rajesh S (2012) A case control study to evaluate oxidative stress in plasma samples of oral malignancy. Contemp Clin Dent 3(3):271–276

    Article  CAS  Google Scholar 

  24. Yun M, Choi AJ, Lee YC, Kong M, Sung JY, Kim SS et al (2018) Carbonyl reductase 1 is a new target to improve the effect of radiotherapy on head and neck squamous cell carcinoma. J Exp Clin Cancer Res 37(1):264

    Article  CAS  Google Scholar 

  25. Conklin KA (2004) Chemotherapy-associated oxidative stress: impact on chemotherapeutic effectiveness. Integr Cancer Ther 3(4):294–300

    Article  CAS  Google Scholar 

  26. Kotamraju S, Chitambar CR, Kalivendi SV, Joseph J, Kalyanaraman B (2002) Transferrin receptor-dependent iron uptake is responsible for doxorubicin-mediated apoptosis in endothelial cells role of oxidant-induced iron signaling in apoptosis. J Biol Chem 277(19):17179–17187

    Article  CAS  Google Scholar 

  27. Zou Z, Chang H, Li H, Wang S (2017) Induction of reactive oxygen species: an emerging approach for cancer therapy. Apoptosis 22(11):1–15

    Article  Google Scholar 

  28. Li S, Chou AP, Chen W, Chen R, Deng Y, Phillips HS et al (2012) Overexpression of isocitrate dehydrogenase mutant proteins renders glioma cells more sensitive to radiation. Neuro Oncol 15(1):57–68

    Article  CAS  Google Scholar 

  29. Pacor S, Zorzet S, Cocchietto M, Bacac M, Vadori M, Turrin C (2004) Intratumoral NAMI-A treatment triggers metastasis reduction, which correlates to CD44 regulation and tumor infiltrating lymphocyte recruitment. J Pharmacol Exp Ther 310(2):737–744

    Article  CAS  Google Scholar 

  30. Gillberg L, Ørskov AD, Liu M, Harsløf LBS, Jones PA, Grønbæk K (2018) Vitamin C—a new player in regulation of the cancer epigenome. Semin Cancer Biol 51:59–67

    Article  CAS  Google Scholar 

  31. Voth BL, Pelargos PE, Barnette NE et al (2020) Intratumor injection of CCL21-coupled vault nanoparticles is associated with reduction in tumor volume in an in vivo model of glioma. J Neurooncol 147(3):599–605

    Article  CAS  Google Scholar 

  32. Singh P, Anil G (2013) Yttrium-90 radioembolization of liver tumors: what do the images tell us? Cancer Imaging 13(4):645–657

    Article  Google Scholar 

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Correspondence to Remzi Dogan.

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All authors declare that they have no conflict of interest.

Ethical approval

Clinical research for this study was approved by the local ethics committee.

Research involving human participants and/or animals

This is a study involving human subjects.

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Informed consent was obtained from all study participants.

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Dogan, R., Guler, E.M., Kocyigit, A. et al. Are the oxidative stress levels in the tumor center and tumor boundary different from those in healthy tissue?. Eur Arch Otorhinolaryngol 278, 5013–5020 (2021). https://doi.org/10.1007/s00405-021-06749-x

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  • DOI: https://doi.org/10.1007/s00405-021-06749-x

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