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Micronutrients Profile in Oral Lichen Planus: a Review Literature

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Abstract

Oral lichen planus (OLP) is a relatively common chronic inflammatory disease. The micronutrients are critical factors in health of oral mucous and proper function of immune system. There have not been any review articles for evaluating trace element levels before and after standard treatments of OLP. The purpose of this study is to provide complete review of the association of micronutrients with OLP. Databases including PubMed, Google Scholar, Scopus, and Embase (Ovid) with keywords of oral lichen planus, OLP, oral disorder, micronutrients, trace element, nutrient element, antioxidant, oxidative stress, malnutrition, and essential trace elements, without time limitation (1900–2019) were searched to collect data on related articles. Total number of 58 original articles including 12 randomized clinical trials, 41 case-control, 4 case reports, and 1 cell line research were reviewed in this study. Lower levels of iron and its associated markers, such as hemoglobin and ferritin, increased levels of TIBC; reduced levels of zinc, calcium, vitamin D, vitamin B12, folic acid, and antioxidants such as vitamins C and E; and increased levels of oxidants and homocysteine, have been reported in OLP patients.

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References

  1. Bhattacharya PT, Misra SR (2016) Hussain M: Nutritional aspects of essential trace elements in oral health and disease: an extensive review. Scientifica 2016

  2. Wada O: What are trace elements? 2004.

    Google Scholar 

  3. Prashanth L, Kattapagari KK, Chitturi RT, Baddam VRR, Prasad LK (2015) A review on role of essential trace elements in health and disease. J NTR Univ Health Sci 4(2):75

    Google Scholar 

  4. Jolly M, Nobile S (1977) Vitamin status of patients with oral lichen planus. Aust Dent J 22(6):446–450

    CAS  PubMed  Google Scholar 

  5. Gholizadeh N, Sadrzadeh-Afshar M, Mansourian A, Fooladvand S (2018) The relationship between the oral lichen planus and endocrine hormones: a review of literature. Ann Den Spec 6(3):352

    Google Scholar 

  6. Scrobotă I, Mocan T, Cătoi C, Bolfă P, Mureşan A, Băciuţ G (2011) Histopathological aspects and local implications of oxidative stress in patients with oral lichen planus. Rom J Morphol Embryol 52(4):1305–1309

    PubMed  Google Scholar 

  7. Agha Hosseini F, Sadat Moosavi M, Sadat Sadrzadeh Afshar M, Sheykh Bahaei N (2016) Assessment of the relationship between stress and oral lichen planus: a review of literature. J Islam Dent Assoc Iran 28(2):78–85

    Google Scholar 

  8. Agha-Hosseini F, Sheykhbahaei N, SadrZadeh-Afshar M (2016) Evaluation of potential risk factors that contribute to malignant transformation of oral lichen planus: a literature review. J Contemp Dent Pract 17(8):692–701

    PubMed  Google Scholar 

  9. Maggini S, Wintergerst ES, Beveridge S, Hornig DH (2007) Selected vitamins and trace elements support immune function by strengthening epithelial barriers and cellular and humoral immune responses. Br J Nutr 98(S1):S29–S35

    CAS  PubMed  Google Scholar 

  10. Chen H-M, Wang Y-P, Chang JY-F, Wu Y-C, Cheng S-J, Sun A (2015) Significant association of deficiencies of hemoglobin, iron, folic acid, and vitamin B12 and high homocysteine level with oral lichen planus. J Formos Med Assoc 114(2):124–129

    CAS  PubMed  Google Scholar 

  11. Bao Z-X, Yang X-W, Shi J, Liu L-X (2016) Serum zinc levels in 368 patients with oral mucosal diseases: a preliminary study. Med Oral Patol Oral Cir Bucal 21(3):e335

    PubMed  PubMed Central  Google Scholar 

  12. Kleier C, Werkmeister R, Joos U (1998) Zinc and vitamin A deficiency in diseases of the mouth mucosa. MKG-Chirurg 2(6):320–325

    CAS  Google Scholar 

  13. Arora P, Dhillon K, Rajan S, Sayal S, Das A (2002) Serum zinc levels in cutaneous disorders. Med J Armed Forces India 58(4):304–306

    CAS  PubMed  Google Scholar 

  14. Khademi H, Shaikhiany J (2008) Comparisson of serum zing level in recurrent patients and normal individuals. Dent Res J:2(2)

  15. Planus OL: Evaluation of serum zinc level in oral lichen planus, a case control study. 2015.

    Google Scholar 

  16. Ayinampudi BK, Narsimhan M (2012) Salivary copper and zinc levels in oral pre-malignant and malignant lesions. J Oral Maxillofac Pathol JOMFP 16(2):178

    PubMed  Google Scholar 

  17. Rezazadeh F, Salehi S, Rezaee M (2019) Salivary level of trace element in oral lichen planus, a premalignant condition. Asian Pac J Cancer Prev APJCP 20(7):2009

    CAS  PubMed  Google Scholar 

  18. Mehdipour M, Zenouz AT, Bahramian A, Yazdani J, Pouralibaba F, Sadr K (2010) Comparison of the effect of mouthwashes with and without zinc and fluocinolone on the healing process of erosive oral lichen planus. J Dent Res Dent Clin Dent Prospect 4(1):25

    PubMed Central  Google Scholar 

  19. Chaitanya NC, Chintada S, Kandi P, Kanikella S, Kammari A, Waghamare RS (2019) Zinc therapy in treatment of symptomatic oral lichen planus. Indian Dermatol Online J 10(2):174

    PubMed  PubMed Central  Google Scholar 

  20. da Silva PC, de Almeida PV, Machado M, de Lima A, Gregio A, Trevilatto PC, Azevedo-Alanis LR (2008) Oral manifestations of celiac disease. A case report and review of the literature. Med Oral Patol Oral Cir Bucal 13(9):E559–E562

    PubMed  Google Scholar 

  21. Ma J-M, Wang R, Xu J-Y, Fan Y (2016) Intracellular Ca 2+ and related proteins in patients with oral lichen planus. Immunol Res 64(2):531–539

    CAS  PubMed  Google Scholar 

  22. Wu Y-C, Wang Y-P, Chang JY-F, Cheng S-J, Chen H-M, Sun A (2014) Oral manifestations and blood profile in patients with iron deficiency anemia. J Formos Med Assoc 113(2):83–87

    CAS  PubMed  Google Scholar 

  23. Chang JY-F, Wang Y-P, Wu Y-C, Wu Y-H, Tseng C-H, Sun A (2016) Hematinic deficiencies and anemia statuses in antigastric parietal cell antibody-positive erosive oral lichen planus patients with desquamative gingivitis. J Formos Med Assoc 115(10):860–866

    PubMed  Google Scholar 

  24. Chang JY-F, Wang Y-P, Wu Y-H, Su Y-X, Tu Y-K, Sun A (2018) Hematinic deficiencies and anemia statuses in anti-gastric parietal cell antibody-positive or all autoantibodies-negative erosive oral lichen planus patients. J Formos Med Assoc 117(3):227–234

    PubMed  Google Scholar 

  25. Chang JY-F, Chen I-C, Wang Y-P, Wu Y-H, Chen H-M, Sun A (2016) Anemia and hematinic deficiencies in gastric parietal cell antibody-positive and antibody-negative erosive oral lichen planus patients with thyroid antibody positivity. J Formos Med Assoc 115(11):1004–1011

    CAS  PubMed  Google Scholar 

  26. Tiwari R, David CM, Mahesh DR, Sambargi U, Rashmi KJ, Benakanal P (2016) Assessment of serum copper, iron and immune complexes in potentially malignant disorders and oral cancer. Brazil Oral Res 30(1)

  27. Chuykin SV, Akmalova GM, Chuykin OS, Makusheva NV, Akatyeva GG (2016) The role of mineral elements in the pathogenesis of lichen planus of the oral mucosa. Res J Pharm, Biol Chem Sci 7(6):704–710

    CAS  Google Scholar 

  28. Rayman MP (2012) Selenium and human health. Lancet 379(9822):1256–1268

    CAS  PubMed  Google Scholar 

  29. Belal MH (2015) Management of symptomatic erosive-ulcerative lesions of oral lichen planus in an adult Egyptian population using selenium-ACE combined with topical corticosteroids plus antifungal agent. Contemp Clinical Dent 6(4):454

    CAS  Google Scholar 

  30. Wu H, Jiang J, Huang Z, Xiao W, Li Y (2013) Preliminary report of selenium in treatment of oral lichen planus. Stomatology 6:14

    Google Scholar 

  31. SAHEB JM, BEYT EJ, Mansourian A, Shahsavari N, BASIR SS: Assessment of serum vitamin B12 and folic acid in patients with oral lichen planus: a case control study. 2010.

    Google Scholar 

  32. Chang JYF, Chiang CP, Hsiao CK, Sun A (2009) Significantly higher frequencies of presence of serum autoantibodies in Chinese patients with oral lichen planus. J Oral Pathol Med 38(1):48–54

    PubMed  Google Scholar 

  33. Lin HP, Wang YP, Chia JS, Chiang CP, Sun A (2011) Modulation of serum gastric parietal cell antibody level by levamisole and vitamin B12 in oral lichen planus. Oral Dis 17(1):95–101

    PubMed  Google Scholar 

  34. Thongprasom K, Youngnak P, Aneksuk V (2001) Folate and vitamin B12 levels in patients with oral lichen planus, stomatitis or glossitis. Southeast Asian J Trop Med Public Health 32(3):643–647

    CAS  PubMed  Google Scholar 

  35. Tulchinsky TH (2010) Micronutrient deficiency conditions: global health issues. Public Health Rev 32(1):243

    Google Scholar 

  36. Nosratzehi T, Ansari MA, Arbabi KF, Maleki L, Amiriyan A: Effect of the serum vitamin B12 and folic acid levels in oral lichen planus. 2013.

  37. Mirzaie A, Hashemi Shahzadeh M, Barzegari M, Azizi A (2018) Comparison of serum folic acid level in oral lichen planus patients and healthy subjects. J Res Dent Maxillofac Sci 3(1):12–15

    Google Scholar 

  38. Lai WKC, Kan MY (2015) Homocysteine-induced endothelial dysfunction. Ann Nutr Metab 67(1):1–12

    CAS  PubMed  Google Scholar 

  39. Clarke R, Smith AD, Jobst KA, Refsum H, Sutton L, Ueland PM (1998) Folate, vitamin B12, and serum total homocysteine levels in confirmed Alzheimer disease. Arch Neurol 55(11):1449–1455

    CAS  PubMed  Google Scholar 

  40. Balkarli A (2016) Relationship between plasma levels of homocysteine and pro-inflammatory cytokines in patients with rheumatoid arthritis. J Clin Exp Investig 7(2):163–167

    Google Scholar 

  41. Arias-Santiago S, Buendía-Eisman A, Aneiros-Fernández J, Girón-Prieto M, Gutiérrez-Salmerón M, García-Mellado V, Cutando A, Naranjo-Sintes R (2011) Lipid levels in patients with lichen planus: a case–control study. J Eur Acad Dermatol Venereol 25(12):1398–1401

    CAS  PubMed  Google Scholar 

  42. Kujundzic B, Zeljic K, Supic G, Magic M, Stanimirovic D, Ilic V, Jovanovic B, Magic Z (2016) Association of vdr, cyp27b1, cyp24a1 and mthfr gene polymorphisms with oral lichen planus risk. Clin Oral Investig 20(4):781–789

    PubMed  Google Scholar 

  43. Zhao B, Xu N, Li R, Yu F, Zhang F, Yang F, Ge X, Li YC, Du J (2018) Vitamin D/VDR signaling suppresses microRNA-802–induced apoptosis of keratinocytes in oral lichen planus. FASEB J 33(1):1042–1050

    PubMed  Google Scholar 

  44. Mowry EM, Azevedo CJ, McCulloch CE, Okuda DT, Lincoln RR, Waubant E, Hauser SL, Pelletier D (2018) Body mass index, but not vitamin D status, is associated with brain volume change in MS. Neurology 91(24):e2256–e2264

    CAS  PubMed  PubMed Central  Google Scholar 

  45. Gupta A, Mohan RPS, Kamarthi N, Malik S, Goel S, Gupta S (2017) Serum vitamin D level in oral lichen planus patients of North India-a case-control study. J Dermatol Res Ther 1(2):19

    Google Scholar 

  46. Zhao B, Li R, Yang F, Yu F, Xu N, Zhang F, Ge X, Du J (2018) LPS-induced vitamin D receptor decrease in oral keratinocytes is associated with oral lichen planus. Sci Rep 8(1):763

    PubMed  PubMed Central  Google Scholar 

  47. Du J, Li R, Yu F, Yang F, Wang J, Chen Q, Wang X, Zhao B, Zhang F (2017) Experimental study on 1, 25 (OH) 2D3 amelioration of oral lichen planus through regulating NF-κB signaling pathway. Oral Dis 23(6):770–778

    CAS  PubMed  Google Scholar 

  48. Tanumihardjo SA (2011) Vitamin A: biomarkers of nutrition for development. Am J Clin Nutr 94(2):658S–665S

    PubMed  PubMed Central  Google Scholar 

  49. BARUA MDR, RABHA KC, Dutta N (2014) Eefects of vitamin A deficeincy on the cytomorphology of hepatopancreas of Paratelphusa spinigera WOODMASON. Bioscan 9(3):1047–1051

    Google Scholar 

  50. Hairu L, Weiyi Y, Jian Z (1999) Effect of retinoic acid on serum IL-2, sIL-2R, TNF_α levels in patients with oral lichen planus [J]. Label Immunass Clin Med 1

  51. H-r LI, H-o ZHAO, S-j YUAN (2004) Effect of retinoic acid on apoptosis in patients with oral lichen planus [J]. Stomatology 1:8

    Google Scholar 

  52. Buajeeb W, Kraivaphan P, Pobrurksa C (1997) Efficacy of topical retinoic acid compared with topical fluocinolone acetonide in the treatment of oral lichen planus. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 83(1):21–25

    CAS  PubMed  Google Scholar 

  53. Dalirsani Z, Zenouz AT, Mehdipour M, Alavi F, Javadzadeh Y (2010) Comparison of the effect of combination of triamcinolone acetonide and vitamin A mouthwash with triamcinolone mouthwash alone on oral lichen planus. J Dent Res Dent Clin Dent Prospects 4(1):21

    PubMed  PubMed Central  Google Scholar 

  54. Cahen P, Kirby A, Porter S, Olsen I (2000) Regulation of LFA-3 (CD58) by dexamethasone and retinoic acids in vitro. Inflamm Res 49(7):338–344

    CAS  PubMed  Google Scholar 

  55. Nagao T, Warnakulasuriya S, Ikeda N, Fukano H, Yamamoto S, Yano M, Miyazaki H, Ito Y (2001) Serum antioxidant micronutrient levels in oral lichen planus. J Oral Pathol Med 30(5):264–267

    CAS  PubMed  Google Scholar 

  56. Kaur J, Politis C, Jacobs R (2016) Salivary 8-hydroxy-2-deoxyguanosine, malondialdehyde, vitamin C, and vitamin E in oral pre-cancer and cancer: diagnostic value and free radical mechanism of action. Clin Oral Investig 20(2):315–319

    PubMed  Google Scholar 

  57. Rai B, Kaur J, Jacobs R, Singh J (2010) Possible action mechanism for curcumin in pre-cancerous lesions based on serum and salivary markers of oxidative stress. J Oral Sci 52(2):251–256

    CAS  PubMed  Google Scholar 

  58. Buajeeb W, Kraivaphan P, Amornchat C, Suthamajariya K (2008) Reduction of micronuclei in oral lichen planus supplemented with beta-carotene. J Oral Sci 50(4):461–467

    PubMed  Google Scholar 

  59. Jones DA (2005) The potential immunomodulatory effects of topical retinoids. Dermatol Online J:11(1)

  60. Miricescu D, Greabu M, Totan A, Didilescu A, Rădulescu R The antioxidant potential of saliva: clinical significance in oral diseases. Molecules 2011, 4(5)

  61. Lopez-Jornet P, Martinez-Canovas A, Pons-Fuster A (2014) Salivary biomarkers of oxidative stress and quality of life in patients with oral lichen planus. Geriatr Gerontol Int 14(3):654–659

    PubMed  Google Scholar 

  62. Agha-Hosseini F, Mirzaii-Dizgah I, Farmanbar N, Abdollahi M (2012) Oxidative stress status and DNA damage in saliva of human subjects with oral lichen planus and oral squamous cell carcinoma. J Oral Pathol Med 41(10):736–740

    CAS  PubMed  Google Scholar 

  63. Gholizadeh N, Mehdipour M, Najafi S, Bahramian A, Garjani S, Poorfar HK (2014) Evaluation of the serum zinc level in erosive and non-erosive oral lichen planus. J Dent 15(2):52

    CAS  Google Scholar 

  64. Mehdipour M, Zenooz AT, Bahramian A, Attaran R, Gholizadeh N, Navard MK (2015) Evaluation of serum calcium level in patients with oral lichen planus. Oral Surg Oral Med Oral Pathol Oral Radiol 119(3):e219

    Google Scholar 

  65. Iijima S, Sugiyama Y, Matsumoto N, Kumagai A, Ishibashi S, Sera K (2015) PIXE analysis of trace elements included in oral lichen planus-affected mucosa. Int J PIXE 25(01n02):85–92

    CAS  Google Scholar 

  66. Challacombe S (1986) Haematological abnormalities in oral lichen planus, candidiasis, leukoplakia and nonspecific stomatitis. Int J Oral Maxillofac Surg 15(1):72–80

    CAS  PubMed  Google Scholar 

  67. Patel S, Yeoman C, Murphy R (2005) Oral lichen planus in childhood: a report of three cases. Int J Paediatr Dent 15(2):118–122

    CAS  PubMed  Google Scholar 

  68. Rashed L, Abdel Hay R, AlKaffas M, Ali S, Kadry D, Abdallah S (2017) Studying the association between methylenetetrahydrofolate reductase (MTHFR) 677 gene polymorphism, cardiovascular risk and lichen planus. J Oral Pathol Med 46(10):1023–1029

    CAS  PubMed  Google Scholar 

  69. Bahramian A, Bahramian M, Mehdipour M, Falsafi P, Khodadadi S, Tabriz FD, Deljavanghodrati M (2018) Comparing vitamin D serum levels in patients with oral lichen planus and healthy subjects. J Dent 19(3):212

    Google Scholar 

  70. Ergun S, Troşala ŞC, Warnakulasuriya S, Özel S, Önal AE, Ofluoğlu D, Güven Y, Tanyeri H (2011) Evaluation of oxidative stress and antioxidant profile in patients with oral lichen planus. J Oral Pathol Med 40(4):286–293

    CAS  PubMed  Google Scholar 

  71. Nicolae I, Mitran CI, Mitran MI, Ene CD, Tampa M, Georgescu SR (2017) Ascorbic acid deficiency in patients with lichen planus. J Immunoass Immunochem 38(4):430–437

    CAS  Google Scholar 

  72. Helms AE, Brodell RT (2002) Scurvy in a patient with presumptive oral lichen planus. Nutr Clin Pract 17(4):237–239

    PubMed  Google Scholar 

  73. Abdolsamadi H, Rafieian N, Goodarzi MT, Feradmal J, Davoodi P, Jazayeri M, Taghavi Z, Hoseyni S-M, Ahmadi-Motamayel F (2014) Levels of salivary antioxidant vitamins and lipid peroxidation in patients with oral lichen planus and healthy individuals. Chonnam Med J 50(2):58–62

    CAS  PubMed  PubMed Central  Google Scholar 

  74. Petruzzi M, De Benedittis M, Grassi R, Cassano N, Vena G, Serpico R (2002) Oral lichen planus: a preliminary clinical study on treatment with tazarotene. Oral Dis 8(6):291–295

    CAS  PubMed  Google Scholar 

  75. Kunz M, Urosevic-Maiwald M, Goldinger S, Frauchiger A, Dreier J, Belloni B, Mangana J, Jenni D, Dippel M, Cozzio A (2016) Efficacy and safety of oral alitretinoin in severe oral lichen planus–results of a prospective pilot study. J Eur Acad Dermatol Venereol 30(2):293–298

    CAS  PubMed  Google Scholar 

  76. Kolios AG, Maggio EM, Gubler C, Cozzio A, Dummer R, French LE, Navarini AA (2013) Oral, esophageal and cutaneous lichen ruber planus controlled with alitretinoin: case report and review of the literature. Dermatology 226(4):302–310

    PubMed  Google Scholar 

  77. Boisnic S, Licu D, Ben LS, Branchet-Gumila M, Szpirglas H, Dupuy P (2002) Topical retinaldehyde treatment in oral lichen planus and leukoplakia. Int J Tissue React 24(4):123–130

    CAS  PubMed  Google Scholar 

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Gholizadeh, N., Sheykhbahaei, N. Micronutrients Profile in Oral Lichen Planus: a Review Literature. Biol Trace Elem Res 199, 912–924 (2021). https://doi.org/10.1007/s12011-020-02221-9

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