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      Evaluation of Salivary Secretor Status of Blood Group Antigens in Patients with Oral Lichen Planus

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          Abstract

          Objective

          To investigate the relationship between secretion or nonsecretion of blood group antigens into the saliva and oral lichen planus (OLP).

          Subjects and Methods

          In this study, 30 patients (women: 22, men: 8) with OLP were examined as the case group and 30 subjects without OLP matched for age and gender as the control group. Diagnosis of OLP was confirmed by clinical and histopathological examinations according to WHO criteria. The control group was randomly selected from healthy individuals without pathological oral changes seeking dental treatment. In both groups, blood group type was determined by hemagglutination, and unstimulated saliva was collected using the Navazesh technique. Establishment of salivary secretor status was carried out using the Wiener agglutination test. The data were analyzed using a χ 2 test, Fisher's exact test, and logistic regression.

          Results

          The patients with OLP (cases), including 22 (36.7s%) women and 8 (13.3s%) men with a mean age of 51 ± 14.16 years, were compared with healthy subjects (controls), comprised of 25 (41.7s%) women and 5 (8.3s%) men with a mean age of 50.7 ± 13.56 years. A large majority of the people examined in both groups were secretors of blood group A. On the other hand, most OLP patients were blood group B. In the case group, 25 subjects (84.4s%) were secretors and 5 (16.6s%) were nonsecretors. In the control group, 24 subjects (80.0s%) were secretors and 6 (20.0s%) were nonsecretors. There was no significant difference between the case and control groups for secretor status (p = 0.73).

          Conclusion

          The present study did not indicate a significant difference in salivary secretor status between OLP patients compared to controls.

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          Most cited references17

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          Non-secretion of blood group antigens and susceptibility to infection by Candida species.

          One of the innate defences against superficial infections by Candida species appears to be the ability of an individual to secrete the water-soluble form of his ABO blood group antigens into body fluids. There was a significantly higher number of non-secretors (48.9%) among 174 patients with either oral or vaginal candida infections compared with the proportion of non-secretors in the local population (26.6%). The protective effect afforded by the secretor gene might be due to the ability of glycocompounds in the body fluids of secretors to inhibit adhesins on the surface of the yeast. In attachment studies, preincubation of blastospores with boiled secretor saliva significantly reduced their ability to bind to epithelial cells. Non-secretor saliva did not reduce the binding and often enhanced the numbers of attached yeasts. Possible host-parasite interactions underlying the susceptibility of non-secretors to candida and other infections are discussed.
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            The relationship between oral Candida carriage and the secretor status of blood group antigens in saliva.

            The aim of the study was to investigate the relationship between oral Candida carriage and the secretor status of blood group antigens. Unstimulated whole saliva and oral rinse samples were obtained from 180 healthy subjects. These samples were plated on Sabouraud's dextrose agar media to determine oral Candida carriage. Sodium dodecylsulfate polyacrylamide gel electrophoresis and immunoblotting were performed on whole saliva samples to determine the secretor status of blood group antigens. The oral Candida carriage rate was found to be 45.0%. The sensitivity of the concentrated rinse culture proved to be superior. Oral Candida carriage was not significantly related to the blood group or secretor status of ABH or Lewis antigens. No significant relationship was found between oral Candida carriage and salivary flow rate. However, smoking affected oral Candida carriage. Oral Candida carriage in healthy individuals is not significantly related to blood group or secretor status.
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              ABO blood groups in oral cancer: a first case-control study in a defined group of Iranian patients.

              The ABO blood group has been recently proposed to influence development of oral cancer. The aim of this study was to evaluate the association between the type of ABO blood group and oral cancer. In a case-control study, 104 patients with oral cancer were compared with 90 blood donors without cancer as controls. Data regarding the patient demographics, blood groups, Rh status, cancer characteristics and oral habits were also compared between two subgroups of squamous and non-squamous oral cancers. For statistical analysis, Chi-square test, t-student Test and Logistic Regression were used to analyze the relationship between ABO blood groups and oral cancer. The frequency of blood group B was significantly higher in oral cancer patients than controls (32% vs 13%) (p value=0.01), but Rh factor did not show significant difference between cases and controls. According to Logistic Regression, people with blood group B and those older than 50 had 3.5 and 19.4 times elevated risk of developing oral cancer, respectively. The frequency of squamous cell cancer was also significantly higher in men and people older than 50. On the other hand, females, people under 50, and those with blood group B were at 5.6, 2.9 and 4.3 times higher risk of developing non-squamous cell oral cancer,respectively. People with blood group B are at a greater risk of developing oral cancer, and female patients under 50 years of age with blood group B have the highest risk to develop non-squamous cell oral cancer.
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                Author and article information

                Journal
                Med Princ Pract
                Med Princ Pract
                MPP
                Medical Principles and Practice
                S. Karger AG (Allschwilerstrasse 10, P.O. Box · Postfach · Case postale, CH–4009, Basel, Switzerland · Schweiz · Suisse, Phone: +41 61 306 11 11, Fax: +41 61 306 12 34, karger@karger.ch )
                1011-7571
                1423-0151
                April 2016
                10 November 2015
                10 November 2015
                : 25
                : 3
                : 266-269
                Affiliations
                [1] aDepartment of Oral Medicine, Dental Faculty, Tehran, Iran
                [2] bDepartment of Dermatology, Shahid Beheshti University of Medical Sciences, Tehran, Iran
                Author notes
                *Mahin Bakhshi, Associate Professor, Department of Oral Medicine, Faculty of Dentistry, Shahid Beheshti University of Medical Sciences, Evin-Daneshjoo Bvld, 1983963113 Tehran (Iran), E-Mail mahinbakhshi@ 123456yahoo.com
                Article
                mpp-0025-0266
                10.1159/000442291
                5588363
                26554378
                3e04432f-43e5-4fd6-aa2f-9533bc1c97f7
                Copyright © 2015 by S. Karger AG, Basel

                This is an Open Access article licensed under the terms of the Creative Commons Attribution-NonCommercial 3.0 Unported license (CC BY-NC) (www.karger.com/OA-license), applicable to the online version of the article only. Distribution permitted for non-commercial purposes only.

                History
                : 19 November 2014
                : 9 November 2015
                Page count
                Tables: 2, References: 18, Pages: 4
                Categories
                Original Paper

                abo blood group,secretor status,oral lichen planus
                abo blood group, secretor status, oral lichen planus

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