The correlation between micronuclei count and smoking behavior: A hospital-based study.

  • Lakshmi Balraj Sri Rajiv Gandhi College of Dental Sciences and Hospital, Bengaluru, Karnataka, India.
  • UnniKrishnan K Manipal Academy of Higher Education, MAHE, Manipal, Karnataka, India.
  • Tejavathi Nagaraj Department of Oral Medicine and Radiology, Sri Rajiv Gandhi College of Dental Sciences and Hospital, Bengaluru, Karnataka, India.

Abstract

Background: Micronucleus is a microscopically visible cyto-plasmic chromatin mass in the extranuclear vicinity, originating from aberrant mitosis, which consists of eccentric chromosomes that have failed to reach spindle poles during mitosis. The present study was designed to evaluate and compare cytogenetic changes in the buccal mucosa of smokers and non-smokers based on the occurrence of micronuclei. The study aimed to determine the correlation between the micronuclei count and the frequency and duration of smoking habit. Materials and Methods: Two groups (smokers and non-smokers) of 34 individuals each were examined. Cytological buccal smears were taken from participants using a moistened wooden spatula and stained with standard Papanicolaou stain. Presence of micronuclei was assessed at 40X magnification using a light microscope and a count per 500 cells was determined. The results of the study were analyzed statistically using Mann-Whitney U test, Spearman's rank correlation coefficient and Student t-test. Result: Smears from smokers showed a significant increase in the total number of micronuclei per 500 cell count compared to non-smokers. There was a strong positive correlation between the occurrence of micronuclei and the frequency and duration of smoking. A age-related increase in older age groups was also observed. Conclusion: The study reveals a strong positive correlation between the occurrence of micronuclei and the frequency and duration of smoking. This observation is vital in the utilization of the micronuclei detection in smears as a prognostic, educational and interventional tool in the management of patients with smoking habits.

References

1. Petersen PE. Strengthening the prevention of oral cancer: the WHO perspective. Community Dentistry Oral Epidemiology 2005;33:397–9.
2. Kumar M, Nanavati R, Modi TG, Dobariya C. Oral cancer: Etiology and risk factors: A review. J Can Res Ther. 2016;12:458-63.
3. Terradas M, Martin M, Tusell L, Genesca A. Genetic acti-vities in micronuclei: is the DNA entrapped in micronuclei lost for the cell? Mutat. Res. 2010;705:60–7.
4. Sellappa S, Balakrishnan M, Raman S, Palanisamy S. Induc-tion of micronuclei in buccal mucosa on chewing a mixture of betel leaf, areca nut and tobacco. J Oral Sci. 2009;51:289‑92.
5. Shashikala R, Indira AP, Manjunath GS, Rao KA, Akshatha BK. Role of micronucleus in oral exfoliative cytology. J Pharm Bioallied Sci. 2015;7(2):409-13.
6. Paula LB, Manoel SF, Ricardo LP, Lauxen SI, Pantelis VR. Assessment of micronucleus frequency in normal oral mucosa of patients exposed to carcinogens. ActaCytol. 2005;49(3):265-72.
7. Tolbert PE, Shy CM, Allen JW. Micronuclei and other nuclear anomalies in buccal smears: methods development. Mutation Research/Environmental Mutagenesis and Related Subjects 1992;271(1):69-77.
8. Casper MJ, Clarke AE. Making the PAP smear into the `Right Tool’ for the Job: Cervical Cancer Screening in the USA, circa 1940-95. Social Studies of Science 1998;28(2):255–90.
9. Messadi DV. Diagnostic aids for detection of oral precancerous conditions. Int J Oral Sci. 2013;5:59‑65.
10. Motgi AA, Chavan MS, Diwan NN, Chowdhery A, Channe PP, Shete MV. Assessment of cytogenic damage in the form of micronuclei in oral epithelial cells in patients using smokeless and smoked form of tobacco and non-tobacco users and its relevance for oral cancer. J Cancer Res Ther. 2014;10(1):165-70.
11. Sherashiya PA, Nagaraj T, Hemavathy S, Yogesh TL, Goswami RD, Bhavana TV. Micronuclei as prognostic marker: A clinicopathologic study. J Med Radiol Pathol Surg. 2016;2:5-8.
12. Kashyap B, Reddy PS. Micronuclei assay of exfoliated oral buccal cells: Means to assess the nuclear abnormalities in different diseases. J Cancer Res Ther. 2012;8:184‑91.
13. Pradeep Mr, Yadavalli Guruprasad, Maji Jose, Kartikay Saxena, Deepa K, Vishnudas Prabhu. Comparative Study of Genotoxicity in Different Tobacco Related Habits using Micronucleus Assay in Exfoliated Buccal Epithelial Cells. Journal of Clinical and Diagnostic Research 2014;8(5):21-4.
14. Kamboj M, Mahajan S. Micronucleus – An upcoming marker of genotoxic damage. Clin Oral Investig. 2007;11:121‑6.
15. Buajeeb W, Kraivaphan P, Amornchat C, Triratana T. Frequency of micronucleated exfoliated cells in oral lichen planus. Mutat Res 2007;627:191‑6.
16. Bonassi S, Neri M, Lando C, Ceppi M, Lin YP, Chang WP. Effect of smoking habit on the frequency of micronuclei in human lymphocytes: results from the Human MicroNucleus project. Mutat Res. 2003;543(2):155-66.
17. Alexandrescu I, Havârneanu D, Popa D. New approaches in biomonitoring human populations exposed to genotoxic agents: Epithelial cell micronucleus assay. J Prev Med. 2006;14:57-65.
18. Naderi NJ, Farhadi S, Sarshar S. Micronucleus assay of buccal mucosa cells in smokers with the history of smoking less and more than 10 years. Indian J Pathol Microbiol. 2012;55:433-8.
19. Kamath VV, Anigol P, Setlur K. Micronuclei as prognostic indicators in oral cytological smears: A comparison between smokers and non-smokers. Clin Cancer Investig J. 2014;3:49-54.
20. Huen K, Gunn L, Duramad P, Jeng M, Scalf R, Holland N. Application of a geographic information system to explore associations between air pollution and micronucleus frequencies in African American children and adults. Environ Mol Mutagen 2006;47(4):236-46.
21. Palaskar S, Jindal C. Evaluation of micronuclei using Papanicolaou and May Grunwald–Giemsa stain in individuals with different tobacco habits: a comparative study. J Clin Diagn Res. 2011;4:3607–13.
22. Jois HS, Kale AD, Kumar KP. Micronucleus as potential, biomarker of oral carcinogenesis. IJDA 2010;2:197‑202.
Published
2020-04-30
How to Cite
BALRAJ, Lakshmi; K, UnniKrishnan; NAGARAJ, Tejavathi. The correlation between micronuclei count and smoking behavior: A hospital-based study.. Journal of Oral Research, [S.l.], v. 9, n. 2, p. 104-110, apr. 2020. ISSN 0719-2479. Available at: <https://www.joralres.com/index.php/JOralRes/article/view/joralres.2020.016>. Date accessed: 25 apr. 2024. doi: https://doi.org/10.17126/joralres.2020.016.
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Articles