Biomedical Chemistry: Research and Methods 2019, 2(1), e00061

Antioxidant Protection System in the Saliva of Patients with Non-Small Cell Lung Cancer

L.V. Bel’skaya1*, V.K. Kosenok2, G. Massard3

1Omsk State Pedagogical University, 14 Tukhachevsky str., Omsk, 644043 Russia; *e-mail: Ludab2005@mail.ru
2Omsk State Medical University, 12 Lenina str., Omsk, 644099, Russian Federation
3Strasbourg University Hospital, Strasbourg, 67091 France

Keywords: saliva; non-small cell lung cancer; antioxidant protection

DOI:10.18097/BMCRM00061

The whole version of this paper is available in Russian.

The purpose of the study was to study parameters of the antioxidant protection system in saliva for non-small cell lung cancer. In the case-control study, included 683 volunteers, which were divided into 3 groups: primary (lung cancer patients, n = 290), comparison group (patients with non-malignant pulmonary pathologies, n = 178) and control (conditionally healthy individuals, n = 215). Biochemical examination of saliva, histological verification of the diagnosis were carried out for all participants. The parameters of the antioxidant defense was determined spectrophotometrically. Intergroup differences were estimated by a nonparametric criterion. Saliva of lung cancer patients was characterized by imbalance in the antioxidant defense. It is shown that the activity of the enzymes of the first link of antioxidant protection (catalase, SOD) was significantly reduced (p ˂ 0.0001), whereas activity of salivary peroxidases increase (p = 0.0037). The parameters of non-enzymatic protection varied in opposite directions: the level of uric acid in lung pathologies decreases (p = 0.0399), whereas albumin concentration increased, under these conditions, it begins to exhibit pro-oxidant properties. Differences between adenocarcinoma and squamous cell lung cancer have been found in terms of the mode of the dynamics of antioxidant protection parameters. Probably, against the background of squamous cell lung cancer, an enzymatic link (catalase, SOD) contributes to the antioxidant protection system, whereas against adenocarcinoma - nonenzymatic (uric acid, albumin).

Figure 1. Dynamics of indicators of antioxidant protection of saliva depending on the size of the tumor (A – uric acid, B – albumin, C – catalase, D – superoxide dismutase, E – antioxidant activity,
F – peroxidase).
Figure 2. Dynamics of uric acid concentration depending on the presence/absence of distant and regional metastasis.
Figure 3. Dynamics of albumin concentration depending on the presence/absence of distant and regional metastasis.
Figure 4. Dynamics of catalase activity depending on the presence/absence of distant and regional metastasis.

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Table 1. Indicators of antioxidant protection in the saliva.

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Table 2. System of antioxidant protection of saliva in lung cancer of different histological types.

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Table 3. Indicators of antioxidant protection in the presence/absence of distant metastasis.

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