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Objectives: High doses of chemotherapy generate DNA damage in patients undergoing bone marrow transplantation
(BMT), due to the production of reactive oxygen species (ROS). In order to evaluate the local defensive
eff ectiveness of the patient undergoing BMT, the concentrations of the antioxidants superoxide dismutase (SOD)
and uric acid (UA) were measured in saliva.
Study Design: Basal saliva samples were collected from 20 patients undergoing BMT at the Oncology Department,
Sanatorio Allende (Córdoba), in the stages: initial, prior to conditioning therapy (I); middle: 7 to 10 days
after BMT (M) and final stage, 30 days after discharge from isolation (F). SOD levels were determined using a
RANDOX kit (RANSOD superoxide dismutase manual), and for uric acid enzymatic UOD / PAP spectrophotometric
method, ( Trinder Color Kit , Wiener Lab) was used.
Results: 85% of the patients developed oral mucositis. SOD concentration in the M stage was significantly higher
(p<0.01) compared with stage I, and it reversed in stage F. UA concentration was significantly lower (p<0.001) in
stage M compared with stage I, and in stage F it recovered the initial values.
Conclusions: SOD increase in stage M coincided with the appearance of mucositis, which could be interpreted as a
defensive mechanism of saliva against oxidative stress produced by chemotherapy. UA decrease in stage M would
favour the development of high er degrees of mucositis.
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