Candida
Albicans as a promoter of oral mucosal neoplasia:
JF
O'Grady and PC Reade - Section of Oral Medicine and Oral
Surgery, School of Dental Science, University of Melbourne, Victoria,
Australia.
A model of oral mucosal carcinogenesis using the water-soluble
carcinogen 4-nitroquinoline-1-oxide (4NQO) was combined with
a model of oral mucosal candidosis to examine the ability of
Candida albicans to promote the development of neoplasia in
suitably initiated epithelium.
Sprague-Dawley rats were initiated by the application of 4NQO
to their palatal and tongue mucosa 3 times weekly for 4 weeks.
The animals then received either application of a phorbol
ester to act as a promoter, induction of experimental oral
mucosal infection with C. albicans, or no further procedures.
Animals were killed at 34 or 52 weeks and the tongues and palates
sectioned for light-microscopic examination.
Control groups with no treatment, mucosal infection only,
phorbol ester application only, 4NQO with the tetracycline or
vehicle application only were also used.
The development of carcinoma in the experimental groups was
similar to that in the positive control groups, indicating
that the particular strain of Candida used had a similar
ability to promote neoplastic changes as the known promoter
phorbol-12,13- didecanoate and caused neoplastic changes to occur
by week 34 with no additional lesions occurring by week 52.
This indicated that the speculation that strains of C.
albicans may participate in causing neoplastic transformation
in humans was well founded.
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Oral Premalignancies
Oral cancer is associated with significant morbidity, pain and death.
Thus, prevention and early diagnosis is imperative. Recognition and
control of pre-malignant oral lesions is an effective way to reduce the
occurrence and thus, the morbidity and mortality of oral cancer. Oral
pre-maglinancies are lesions with risk of uncontrolled cellular growth
and transformation into cancer. Such lesions can occur in entire oral
cavity and oropharynx. In the mouth, there are two main pre-cancerous
lesions: leukoplakia and erythroplakia.
Leukoplakia is a white plaque that cannot be scraped off the mucosa.
Those that are white, smooth and lack irregularities are homogeneous
leukoplakias. Others show a rough corrugated surface and are referred to
as verrucous leukoplakia. When these verrucous white lesions are diffuse
or multifocal, they are termed proliferative verrucous leukoplakia. This
form of leukoplakia is commonly found in elderly females, smoking habits
are often absent, and they exhibit a high risk for malignant change.
Leukoplakia of the lips are associated with exposure to ultra-violet
radiations. These white lesions are usually smooth, covering all or part
of the vermilion lip border. Occasionally, they are crusted or thickened.
When ulceration or induration is present, suspicion of dysplasia and
early malignant change should be high.
Leukoplakia of the floor of mouth and ventral surface of the tongue (also
known as sublingual keratosis) exhibit a high incidence of malignant
transformation. Kramer et al reported up to 25% of malignant
transformation in these lesions.
Another high-risk lesion is the red-appearing patch (Erythroplakia).
Erythroplakia typically presents as a homogeneous velvety red diffuse
macule and may also be associated with white lesions. Erythroplakia with
multiple small white spots are referred to as speckled leukoplakia.
These lesions are more likely to progress to carcinoma compared to the
homogeneous leukoplakia.
Oral squamous cell carcinoma (OSCC) may arise in the site of pre-existing
leukoplakia and erythroplakia or may arise de novo. Clinically, early
carcinoma have the appearance of the aforementioned pre-cancerous
lesions. Once there is substantial invasion of the submucosa by
carcinoma cells, OSCC appear as indurated swellings or non-healing
ulcers with raised borders.
The diagnosis of pre-malignant lesions depends upon clinical suspicion
and biopsy followed by histological diagnosis. Visual inspection is
largely inaccurate. Cellular markers and imaging modalities are being
developed and tested to improve the accuracy of identifying malignant
transformation in these lesions.
Risks factors for oral cancer and pre-malignancy are similarly. These
include smoking, alcohol consumption, betel-nut chewing, etc. Smoking
has been associated with hyperkeratosis and leukoplakia.
The long-term usage of smokeless tobacco is associated with an increased
risk for development of carcinoma. Alcohol consumption alone or in
conjunction with tobacco usage increases the risk for carcinogenesis.
Candida species is also associated with leukoplakia, since candidal
hyphae are often seen in microscopic sections from oral leukoplakia.
Candida is capable of producing carcinogenic nitrosamines through
biochemical tissue reaction. Although the association with
carcinogenesis is not clear, the presence of Candida must be considered
to be a potential risk factor.
Frequently, biopsy is delayed because of patient of
clinician’s decision to institute other treatment to rule out
infection or local irritation. However, a definitive histological
diagnosis should not be delayed until novel molecular markers or imaging
modalities emerge. Pre-malignant lesions could be excised or treated
with laser therapy.
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Dr Raymond Peck
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Dr Sandeep Rajan
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Department Director &
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Senior Consultant
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Senior Consultant
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Medical Oncology
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National Dental Centre
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Tratto da
http://www.nccs.com.sg/epub/CU/vol3_04/p5.htm
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Phagocytosis
of Candida albicans by metastatic and non metastatic human breast cancer
cell lines in vitro
Mamdooh Ghoneum, PhDa, Sastry Gollapudi, PhDb
aDepartment of Otolaryngology, Drew University of Medicine and Science,
1621 E. 120th Street, Los Angeles, CA 90059, USA bDivision
of Basic and Clinical Immunology, University California, Irvine, CA
92718, USA
KEY
WORDS:
Phagocytosis,
Candida,
Tumor
cell line.
Experiments were carried out to investigate the kinetic characteristics
of phagocytosis of candida by metastatic (MCF-7 and ZR-75-1) and
nonmetastatic (HCC70) breast cancer cell (BCC) lines. Cancer cells were
mixed with candida at a ratio of 1:10 and attachment/phagocytosis were
examined using cytospin preparations stained with either Giemsa or
tannic acid and May-Grünwald Geimsa and by using flow cytometry. A
high attachment of candida to cancer cells (29Â39%) was detected as
early as 10 min. Following attachment, cancer cells phagocytized yeast.
The phagocytic activity of MCF-7 and ZR-75 cells was significantly
higher (58Â61%) than that of HCC70 cells (26%). A similar trend was
observed with respect to the phagocytic index. Phagocytosis of candida
by tumor cells was inhibited significantly by both cytochalasin B (50%)
and by lowering temperature to 4 C (66%). Phagocytosis was not
associated with oxidative burst in any cell lines used. In conclusion,
metastatic breast cancer cells possess phagocytic activity which may
explain their invasive property.
Tratto
da:
http://www.cancerprev.org/Journal/Issues/28/1/4855
pag.1
pag.2
pag.3
pag.4
pag.5
pag.6
pag.7
L'Acqua
BASICA svolge una DUPLICE funzione:
1- Quella di riordinare il
pH di
cellule, tessuti, organi, corpo.
2- Quella di eliminare i
funghi (Candida
e sua varianti) ed eventuali batteri (es.:
Sarcina ventriculis)
sempre presenti in un canceroso, nella zona del
tumore.
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