Evaluation of salivary oxidate stress biomarkers, nitric oxide and C-reactive protein in patients with oral lichen planus and burning mouth syndrome

J Oral Pathol Med. 2017 May;46(5):387-392. doi: 10.1111/jop.12522. Epub 2016 Dec 11.

Abstract

Objectives: The aim of this study was to evaluate oxidative stress factors and C-reactive protein in the saliva of patients with oral lichen planus (OLP) and burning mouth syndrome (BMS).

Methods: This consecutive, cross-sectional study included 20 patients with OLP, 19 with burning mouth syndrome (BMS), and 31 control subjects. The oral cavity of each patient was examined and patients responded to a quality of life questionnaire (OHIP-14) and the xerostomia inventory. The following parameters were measured in whole non-stimulated saliva: trolox equivalent antioxidant capacity (TEAC); total antioxidant capacity (TAC); cupric reducing antioxidant capacity (CUPRAC); ferric reducing ability of plasma (FRAP); C-reactive protein (CRP); nitric oxide; nitrates; and nitrites.

Results: The OLP group presented statistically significant differences in reactive oxygen species (ROS) (29 600 cps) in comparison with the control group (39 679 cps) (P < 0.05). In the BMS group, ROS was 29 707 cps with significant difference in comparison with the control group (P < 0.05). Significantly higher salivary nitric oxide (145.7 μmol) and nitrite (141.0 μmol) levels were found in OLP patients in comparison with control group (P < 0.05).

Conclusion: Increases in nitric oxide and C-reactive protein were found in the saliva of OLP patients in comparison with BMS and control patients. Further studies are required to confirm these findings.

Keywords: antioxidant capacity; burning mouth syndrome; markers of oxidative stress; oral lichen planus; saliva.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Biomarkers / analysis
  • Burning Mouth Syndrome / metabolism*
  • C-Reactive Protein / analysis*
  • Case-Control Studies
  • Cross-Sectional Studies
  • Female
  • Humans
  • Lichen Planus, Oral / metabolism*
  • Male
  • Middle Aged
  • Nitric Oxide / analysis*
  • Oxidative Stress
  • Reactive Oxygen Species / analysis
  • Saliva / chemistry*
  • Young Adult

Substances

  • Biomarkers
  • Reactive Oxygen Species
  • Nitric Oxide
  • C-Reactive Protein