Effects of alcohol on the morphological and structural changes in oral mucosa

被引:20
作者
Feng, Lin [1 ,2 ]
Wang, Lili [2 ]
机构
[1] Chinese Peoples Liberat Army Gen Hosp, Oral Med Res Ctr, Beijing 100853, Peoples R China
[2] LMU, Affiliated Stomatol Hosp, Dept Prosthodont, Jinzhou 121000, Peoples R China
关键词
Alcoholism; Morphology; Oral mucosa; ACETALDEHYDE-LEVELS; CANCER; CONSUMPTION;
D O I
10.12669/pjms.294.3696
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Objective: To investigate the morphological and structural changes of oral mucosa under the influence of alcohol. Methods: Sixty male and female specimens (42 males and 18 females) who died of chronic alcoholism were selected in this study. The specimens (5-7 mm) were sliced by the morphological-histological detection method, and stained by the HE and Spielmeyer (myelin staining) protocols respectively. Then five immune peroxidase chemical reaction tests were performed. Results: 10% of the tissue sections had epithelial hyperplasia points with hyperkeratosis and acanthosis. 90% of the sections had epithelial atrophy points with different degrees of damage, and had moderate infiltration of lymphocytes-macrophages in the basal oral mucosa simultaneously. For the tissue sections of patients who died of cardiovascular diseases with a history of alcoholism, about a half showed that extensive necrotic points were observed in different parts of oral mucosa, accompanied by a secondary infection. Approximately 15% of the sections had more dense and homogeneous necrotic tissues with microbial colonization, and the necrotic focus of 5% of the sections was located above the epithelial tissue, which was not distinctively different from other tissues. 48% of the sections were subjected to small nerve bundles with jeopardized deep oral mucosa, accompanied by necrosis of neuron axon and its myelin membrane. Conclusion: The findings of this study show that drinking alcohol over an extended time may lead to carcinogenic changes in oral mucosa.
引用
收藏
页码:1046 / 1049
页数:4
相关论文
共 15 条
[1]   CELL-PROLIFERATION IN CARCINOGENESIS [J].
COHEN, SM ;
ELLWEIN, LB .
SCIENCE, 1990, 249 (4972) :1007-1011
[2]   QUANTITATIVE EXFOLIATIVE CYTOLOGY OF ABNORMAL ORAL MUCOSAL SMEARS [J].
COWPE, JG ;
LONGMORE, RB ;
GREEN, MW .
JOURNAL OF THE ROYAL SOCIETY OF MEDICINE, 1988, 81 (09) :509-513
[3]   Risk factors for oral and pharyngeal cancer in never smokers [J].
Fioretti, F ;
Bosetti, C ;
Tavani, A ;
Franceschi, S ;
La Vecchia, C .
ORAL ONCOLOGY, 1999, 35 (04) :375-378
[4]   Increased salivary acetaldehyde levels in heavy drinkers and smokers:: a microbiological approach to oral cavity cancer [J].
Homann, N ;
Tillonen, J ;
Meurman, JH ;
Rintamäki, H ;
Lindqvist, C ;
Rautio, M ;
Jousimies-Somer, H ;
Salaspuro, M .
CARCINOGENESIS, 2000, 21 (04) :663-668
[5]   High acetaldehyde levels in saliva after ethanol consumption: Methodological aspects and pathogenetic implications [J].
Homann, N ;
JousimiesSomer, H ;
Jokelainen, K ;
Heine, R ;
Salaspuro, M .
CARCINOGENESIS, 1997, 18 (09) :1739-1743
[6]   TYPE OF ALCOHOLIC BEVERAGE AND ORAL-CANCER [J].
KABAT, GC ;
WYNDER, EL .
INTERNATIONAL JOURNAL OF CANCER, 1989, 43 (02) :190-194
[7]   HERMAN AWARD LECTURE, 1993 - A PERSONAL PERSPECTIVE ON ALCOHOL, NUTRITION, AND THE LIVER [J].
LIEBER, CS .
AMERICAN JOURNAL OF CLINICAL NUTRITION, 1993, 58 (03) :430-442
[8]   Increasing incidence of oral cancer amongst young persons: what is the aetiology? [J].
Mackenzie, J ;
Ah-See, K ;
Thakker, N ;
Sloan, P ;
Maran, AG ;
Birch, J ;
Macfarlane, GJ .
ORAL ONCOLOGY, 2000, 36 (04) :387-389
[9]   EFFECT OF CHRONIC ALCOHOL-CONSUMPTION ON THE MORPHOLOGY OF THE ORAL-MUCOSA [J].
MAIER, H ;
WEIDAUER, H ;
ZOLLER, J ;
SEITZ, HK ;
FLENTJE, M ;
MALL, G ;
BORN, IA .
ALCOHOLISM-CLINICAL AND EXPERIMENTAL RESEARCH, 1994, 18 (02) :387-391
[10]  
MULLER P, 1983, EXP PATHOL-JENA, V24, P171