Evaluation of cytological alterations in normal-appearing oral mucosal epithelia of smokers and non-smokers via AgNOR counts and nuclear morphometry

Amaç: Sigara içen ve içmeyen kişilerde normal oral mukozaya ait epitel hücrelerindeki proliferatif aktivite AgNOR boyama tekniği ve nükleer morfometri ile değerlendirildi. Hastalar ve Yöntemler: Yaymalar 50-70 yaş arasında sigara içen ve içmeyen, 40’ar hastanın normal görünümlü ağız taban mukozasından elde edildi. İyi tespit edilmiş nükleuslu ilk 50 skuamöz epitel hücresinde AgNOR’lar sayıldı ve bilgisayarlı görüntü analizi ile nükleer alanlar hesaplandı. Bulgular: İstatistiksel olarak sigara içmeyen grupta nukleus başına düşen ortalama AgNOR sayısı (3.47± 0.30) sigara içenlerden daha azdı (4.22±0.39, p

Sigara içen ve içmeyenlerin normal görünümlü oral mukozasındaki sitolojik değişikliklerin AgNOR sayımı ve nükleer morfometri ile değerlendirilmesi

Objectives: We planned this study to evaluate the proliferative activity of the oral mucosal epithelial cells of smokers and non-smokers via nuclear morphometry and AgNOR counts. Patients and Methods: Smears were collected from normal-appearing mouth floor mucosa of 40 non-smokers and 40 smokers between ages of 50 and 70. AgNORs were counted in the first 50 well-fixed, nucleated squamous cells and nuclear areas were calculated via computerized image analyzing system. Results: Statistically mean AgNOR numbers per nucleus in the nonsmoking group (3.47±0.30) was lower than the smoking group (4.22±0.39, p<0.001), and mean nuclear areas of squamous cells of smokers (94.32±10.08) was also significantly higher than non-smokers (87±9.4, p<0.05). The mean number of nuclei having more than 5 AgNORs was 14.6% and 36.8% in non-smokers and smokers, respectively. Conclusion: Our results support that smoking is a severe risk factor for oral mucosal proliferative lesions and exfoliative cytology can be the preferred method for screening of oral mucosal lesions.

___

  • 1) Costa Ade L, de Araújo NS, Pinto Ddos S, de Araújo VC. PCNA/AgNOR and Ki-67/AgNOR double staining in oral squamous cell carcinoma. J Oral Pathol Med 1999;28:438-41.
  • 2) Remmerbach TW, Weidenbach H, Müller C, Hemprich A, Pomjanski N, Buckstegge B, et al. Diagnostic value of nucleolar organizer regions (AgNORs) in brush biopsies of suspicious lesions of the oral cavity. Anal Cell Pathol 2003;25:139-46.
  • 3) Sudbø J, Samuelsson R, Risberg B, Heistein S, Nyhus C, Samuelsson M, et al. Risk markers of oral cancer in clinically normal mucosa as an aid in smoking cessation counseling. J Clin Oncol 2005;23:1927-33.
  • 4) Wu PA, Loh CH, Hsieh LL, Liu TY, Chen CJ, Liou SH. Clastogenic effect for cigarette smoking but not areca quid chewing as measured by micronuclei in exfoliated buccal mucosal cells. Mutat Res 2004; 562:27-38.
  • 5) Sampaio Hde C, Loyola AM, Gomez RS, Mesquita RA. AgNOR count in exfoliative cytology of normal buccal mucosa. Effect of smoking. Acta Cytol 1999;43:117-20.
  • 6) Schwartz JL, Muscat JE, Baker V, Larios E, Stephenson GD, Guo W, et al. Oral cytology assessment by flow cytometry of DNA adducts, aneuploidy, proliferation and apoptosis shows differences between smokers and non-smokers. Oral Oncol 2003;39:842-54.
  • 7) Sciubba JJ. Oral precancer and cancer: etiology, clinical presentation, diagnosis, and management. Compend Contin Educ Dent 2000;21:892-8.
  • 8) Fischer DJ, Epstein JB, Morton TH, Schwartz SM. Interobserver reliability in the histopathologic diagnosis of oral pre-malignant and malignant lesions. J Oral Pathol Med 2004;33:65-70.
  • 9) Paiva RL, Sant’Ana Filho M, Bohrer PL, Lauxen Ida S, Rados PV. AgNOR quantification in cells of normal oral mucosa exposed to smoking and alcohol. A cytopathologic study. Anal Quant Cytol Histol 2004; 26:175-80.
  • 10) Chattopadhyay A, Ray JG, Caplan DJ. AgNOR count as objective marker for dysplastic features in oral leukoplakia. J Oral Pathol Med 2002;31:512-7.
  • 11) Thomas G, Hashibe M, Jacob BJ, Ramadas K, Mathew B, Sankaranarayanan R, et al. Risk factors for multiple oral premalignant lesions. Int J Cancer 2003;107:285-91.
  • 12) Ray JG, Chattopadhyay A, Caplan DJ. Usefulness of AgNOR counts in diagnosing epithelial dysplasia. J Oral Pathol Med 2003;32:71-6.
  • 13) Ahmed HG, Idris AM, Ibrahim SO. Study of oral epithelial atypia among Sudanese tobacco users by exfoliative cytology. Anticancer Res 2003;23:1943-9.
  • 14) Ploton D, Menager M, Jeannesson P, Himber G, Pigeon F, Adnet JJ. Improvement in the staining and in the visualization of the argyrophilic proteins of the nucleolar organizer region at the optical level. Histochem J 1986;18:5-14.
  • 15) Crocker J, Boldy DA, Egan MJ. How should we count AgNORS? Proposals for a standardized approach. J Pathol 1989;158:185-8.
  • 16) Orellana-Bustos AI, Espinoza-Santander IL, Franco- Martínez ME, Lobos-James-Freyre N, Ortega-Pinto AV. Evaluation of keratinization and AgNORs count in exfoliative cytology of normal oral mucosa from smokers and non-smokers. Med Oral 2004;9:197-203.
  • 17) Akhtar GN, Chaudrhy NA, Tayyab M, Khan SA. AgNOR staining in malignant and benign effusions. Pak J Med Sci 2004;20:29-32.
  • 18) Piffkò J, Bànkfalvi A, Ofner D, Rasch D, Joos U, Schmid KW. Standardized demonstration of silverstained nucleolar organizer regions-associated proteins in archival oral squamous cell carcinomas and adjacent non-neoplastic mucosa. Mod Pathol 1997;10:98-104.
  • 19) Ielmini MV, Heber E, Schwint AE, Cabrini RL, Itoiz ME. AgNOR are sensitive markers of radiation lesions in squamous epithelia. J Dent Res 2000;79:850-6.
  • 20) Chattopadhyay A, Chawda JG, Doshi JJ. Silverbinding nucleolar organizing regions: a study of oral leukoplakia and squamous cell carcinoma. Int J Oral Maxillofac Surg 1994;23:374-7.
  • 21) Cançado RP, Yurgel LS, Filho MS. Evaluation of the nucleolar organizer region associated proteins in exfoliative cytology of normal buccal mucosa. Effect of smoking. Oral Oncol 2001;37:446-54.
  • 22) Sethi P, Shah PM. Oral exfoliative cytology of smokers at discrete clinical stages using AgNOR staining. Indian J Dent Res 2003;14:142-5.
  • 23) Einstein TB, Sivapathasundharam B. Cytomorpho metric analysis of the buccal mucosa of tobacco users. Indian J Dent Res 2005;16:42-6.
  • 24) Cowpe JG, Longmore RB, Green MW. Quantitative exfoliative cytology of abnormal oral mucosal smears. J R Soc Med 1988;81:509-13.
  • 25) Caruntu ID, Scutariu MM, Dobrescu G. Computerized morphometric discrimination between normal and tumoral cells in oral smears. J Cell Mol Med 2005;9:160-8.
Trakya Üniversitesi Tıp Fakültesi Dergisi-Cover
  • ISSN: 1301-3149
  • Yayın Aralığı: Yılda 2 Sayı
  • Başlangıç: 2018
  • Yayıncı: -
Sayıdaki Diğer Makaleler

Trakeal stenoz sonrası trakea rezeksiyonu: Olgu sunumu

MEHMET TURAN İNAL, SEVTAP HEKİMOĞLU ŞAHİN, Gaye KAYA, Işıl GÜNDAY

Evaluation of cytological alterations in normal-appearing oral mucosal epithelia of smokers and non-smokers via AgNOR counts and nuclear morphometry

Ufuk USTA, UFUK BERBEROĞLU, Ercüment HELVACI, Şemsi ALTANER, NECDET SÜT, Çiğdem ÖZDEMİR

Türkiye'de reküren iskemik inme üzerine etkili risk faktörleri

Galip EKUKLU, Esra YALÇIN, Murat YALÇIN, Yahya ÇELİK

Glutaraldehyde fixation of autologous pericardial patches

Selçuk Nazmiye KAPISIZ, Hasan Fahri KAPISIZ, ORHAN VELİ DOĞAN, Alp DOLGUN, Ertan YÜCEL

Benign pnömoperiton: Olgu sunumu

DOĞAN ALBAYRAK, Ahmet Rahmi HATİPOĞLU, Abdil Cem İBİŞ, Nihat POLAT, İrfan COŞKUN

Fibröz kapsülle çevrili ve cerrahi rezeksiyon gerektiren seroma olgusu: Olgu sunumu

Haluk ULUCANLAR, Aybala AĞAÇ, SUAT KUTUN, ABDULLAH DEMİR, Ardış Füsun YÜRKÜK, Abdullah ÇETİN

Ulna cisim kırıklı bir olguda infraklaviküler brakiyal pleksus bloğu

MEHMET TURAN İNAL, Canan İNAL, SERMET İNAL

Dekompanse kalp yetmezliği bulguları ile başvuran bir primer efüzyon lenfoma olgusu

Demirel Naciye YILDIRIM, Ercan BIÇAKCI, Tuğrul ELVERDİ, Mustafa Nuri YENEREL, Düz Reyhan KÜÇÜKKAYA, Öner DOĞAN, Meliha NALÇACI

Akut iskemik inmede ortalama trombosit hacmi ve periferik kan hücre sayısı yanıtı

Babürhan GÜLDİKEN, Hülya ÖZKAN, Levent KARAYEL

Do dietary calcium ıntake and hormone replacement therapy affect bone mineral density in women?

Ferda ÖZDEMİR, Demirbağ Derya KABAYEL, MEVLÜT TÜRE