Effect of Turmeric on Serum Malondialdehyde levels in Oral Submucous Fibrosis

T. D. Kapgate, Nagpur Maharashtra India Consultant Orofacial Pain Specialist registered De
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Abstract

Background: Aspergillus flavous in betel nut secretes aflatoxin i.e. mycotoxin & tobacco which leads to production of free radicals and reactive oxygen species, thus increasing lipid peroxidation. Biological parameter of Lipid peroxidation is malondialdehyde. Hence present study was conducted to evaluate effect of turmeric on increased lipid peroxidation by using serum malondialdehyde levels & as a surrogate outcome on clinical signs & symptoms of oral submucous fibrosis (OSMF). Methods: In this study 270 subjects of which 30 were suffering from OSMF on turmeric with counseling them about stoppage of habit (group A), 30 subjects suffering from OSMF on turmeric without counseling them about stoppage of habit (group B), 30 subjects suffering from OSMF counseled for stoppage of habit but without turmeric medication (group C), 90 cases which were betel-nut habitual without OSMF (group D), 90 cases healthy control group (group E). Results: Statistically significant reduction in Serum MDA levels post treatment group A patients as compared to group B & group C (p<0.05). Mean difference was observed as 9.00 in group A, 3.81 in group B, 2.62 in group C. Conclusion: Increased serum MDA in OSMF can be used as an important marker in early diagnosis, treatment, prognosis and for prevention and clinical intervention of the disease. The antioxidant properties of turmeric reduce the oxidative stress even with effects of areca alkaloids. Serum MDA level was decreased in subjects taking turmeric medication for the period of 4 weeks
姜黄对口腔黏膜下纤维化患者血清丙二醛水平的影响
背景:槟榔中的黄曲霉分泌黄曲霉毒素,即霉菌毒素和烟草,导致自由基和活性氧的产生,从而增加脂质过氧化。脂质过氧化的生物学参数是丙二醛。因此,本研究通过使用血清丙二醛水平和作为口腔黏膜下纤维化(OSMF)临床体征和症状的替代结果来评估姜黄对脂质过氧化的影响。方法:本研究共270例受试者,其中30例为服用姜黄过量服用并接受戒瘾辅导者(A组),30例服用姜黄过量服用但未接受戒瘾辅导者(B组),30例服用姜黄过量服用并接受戒瘾辅导但未服用姜黄药物者(C组),90例槟榔过量服用但不接受戒瘾辅导者(D组),90例健康对照组(E组)。治疗后A组患者血清MDA水平较B、C组降低,差异有统计学意义(p<0.05)。A组平均差异为9.00,B组平均差异为3.81,c组平均差异为2.62。结论:血清MDA升高可作为OSMF早期诊断、治疗、预后及疾病预防和临床干预的重要指标。姜黄的抗氧化特性可以降低氧化应激,甚至与槟榔生物碱的作用相同。服用姜黄药物4周后,血清丙二醛水平降低
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