{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T17:18:53Z","timestamp":1788542333214,"version":"build-2803163510"},"reference-count":37,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Exposure of a cell to carcinogens leads to an increase in the chromosomal aberrations, while such karyotypic anomalies and elevated deoxyribonucleic acid content have been observed in a plethora of oral precancerous lesions and conditions, and are expressed in the form of micronuclei. The aim of the present study was to correlate the frequency of these micronucleated cells (MNCs) with the severity of the disease process in oral submucous fibrosis (OSMF) and oral squamous cell carcinoma (OSCC) patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>The present cross-sectional, hospital-based study consisted of 150 subjects in an age range from 15 to 80 years including patients who were clinically diagnosed and histopathologically proven as OSMF and OSCC patients, along with age and sex matched, normal, healthy controls. Also, cytological analysis was carried out using the oral exfoliative cytology procedure, while the frequency of MNCs was calculated using a differential counter.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      The mean MNC% in the control group was calculated as 0.3% \u00b1 0.35% in the present study as against the mean MNC% of 1.22% \u00b1 0.37% in the OSMF, and 2.0% \u00b1 0.60% in the OSCC groups, while the difference was statistically significant (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001). Also, the mean MNC% was calculated to be 0.71% \u00b1 0.08% in Stage I OSMF as against 1.31% \u00b1 0.18% and 1.59% \u00b1 0.17% in Stage II and Stage III OSMF, respectively, with the difference being statistically significant (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001). Similarly, the difference in the mean MNC% when calculated between the different stages of OSCC was, also, statistically significant (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001) with the mean MNC% in Stage I OSCC being 1.15% \u00b1 0.11% as against 1.59% \u00b1 0.25% in Stage II, and 2.23% \u00b1 0.30% in Stage III and 2.68% \u00b1 0.19% in Stage IV OSCC, respectively.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Based on the results obtained in the present study, it can, thus, be concluded that the mean MNC% increased significantly in OSCC patients when compared with the control and OSMF groups, and in the OSMF group in comparison with control group, thus, suggesting micronuclei assay as a useful diagnostic adjunct for screening populations which are at high risk for developing various oral precancerous lesions and conditions, and frank oral cancers.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ijc.ijc_1006_23","type":"journal-article","created":{"date-parts":[[2026,6,10]],"date-time":"2026-06-10T06:00:22Z","timestamp":1781071222000},"page":"41-51","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Correlation of the frequency of micronucleated cells with the severity of disease process in oral submucous fibrosis and oral squamous cell carcinoma patients: A descriptive, cross-sectional study"],"prefix":"10.4103","volume":"63","author":[{"given":"Naga","family":"Bhushanam","sequence":"first","affiliation":[{"name":"Department of Oral Medicine and Radiology, Tirumala Institute of Dental Sciences and Research Centre, Nizamabad, Telangana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shaik Farha","family":"Sultana","sequence":"additional","affiliation":[{"name":"Former Intern, Rajiv Gandhi Institute of Medical Sciences, Srikakulam, Andhra Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Praveena","family":"Raman","sequence":"additional","affiliation":[{"name":"Lemon Dental, Chennai, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammed Thamer","family":"Alqahtani","sequence":"additional","affiliation":[{"name":"Department of Restorative Dentistry, Armed Forces Hospital- Southern Region, Khamis Mushayt, Kingdom of Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saeed Mohammed","family":"Alqahtani","sequence":"additional","affiliation":[{"name":"Department of Restorative Dentistry, Armed Forces Hospital- Southern Region, Khamis Mushayt, Kingdom of Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammed Abdullah","family":"Alshareef","sequence":"additional","affiliation":[{"name":"Department of Restorative Dentistry, Armed Forces Hospital- Southern Region, Khamis Mushayt, Kingdom of Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. Suresh","family":"Babu","sequence":"additional","affiliation":[{"name":"Department of Preventive Dental Sciences, Division of Periodontology, College of Dentistry, University of Ha\u2019il, Ha\u2019il, Kingdom of Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.","family":"Swarnalatha","sequence":"additional","affiliation":[{"name":"Department of Preventive Dental Sciences, Division of Periodontology, College of Dentistry, University of Ha\u2019il, Ha\u2019il, Kingdom of Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7107-7564","authenticated-orcid":false,"given":"Abhishek Singh","family":"Nayyar","sequence":"additional","affiliation":[{"name":"Department of Oral Medicine and Radiology, Saraswati Dhanwantari Dental College and Hospital and Post-Graduate Research Institute, Parbhani, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,6,9]]},"reference":[{"key":"R1-20260904","first-page":"3355","article-title":"Acomparative study of oral epithelium in tobacco and alcohol consumers in central Rajasthan population","volume":"4","author":"Sharma","year":"2013","journal-title":"Int J Biol Med Res"},{"key":"R2-20260904","doi-asserted-by":"crossref","first-page":"257","DOI":"10.1080\/09723757.2004.11885903","article-title":"Comparative study of exfoliated oral mucosal cell micronuclei frequency in normal, precancerous and malignant epithelium","volume":"4","author":"Halder","year":"2004","journal-title":"Int J Hum Genet"},{"key":"R3-20260904","doi-asserted-by":"crossref","first-page":"546","DOI":"10.1177\/00220345660450031701","article-title":"Oral submucous fibrosis as a precancerous condition","volume":"45","author":"Pindborg","year":"1966","journal-title":"J Dent Res"},{"key":"R4-20260904","first-page":"21","article-title":"Oral submucous fibrosis: Correlation of clinical grading to various habit factors","volume":"3","author":"Reddy","year":"2011","journal-title":"Int J Dent Clin"},{"key":"R5-20260904","doi-asserted-by":"crossref","first-page":"251","DOI":"10.1093\/mutage\/geh036","article-title":"Alert for an epidemic of oral cancer due to use of the betel quid substitutes gutkha and pan masala: A review of agents and causative mechanisms","volume":"19","author":"Nair","year":"2004","journal-title":"Mutagenesis"},{"key":"R6-20260904","first-page":"8","article-title":"Micronucleus index: An early diagnosis in oral carcinoma","volume":"57","author":"Pratheepa Sivasankari","year":"2008","journal-title":"JAnat Soc India"},{"key":"R7-20260904","doi-asserted-by":"crossref","first-page":"574","DOI":"10.4103\/0970-9290.107329","article-title":"Analysis of micronuclei in buccal epithelial cells in patients subjected to panoramic radiography","volume":"23","author":"Waingade","year":"2012","journal-title":"Indian J Dent Res"},{"key":"R8-20260904","doi-asserted-by":"crossref","first-page":"2","DOI":"10.4103\/0973-029X.42189","article-title":"Clinico-pathological correlations of micronuclei in oral squamous cell carcinoma by exfoliative cytology","volume":"12","author":"Palve","year":"2008","journal-title":"J Oral Maxillofac Pathol"},{"key":"R9-20260904","doi-asserted-by":"crossref","first-page":"277","DOI":"10.1089\/dna.2009.0996","article-title":"Assessment of genetic damage in buccal epithelium cells of painters: Micronucleus, nuclear changes and repair index","volume":"29","author":"Celik","year":"2010","journal-title":"DNA Cell Biol"},{"key":"R10-20260904","doi-asserted-by":"crossref","first-page":"72","DOI":"10.1016\/j.mrgentox.2009.05.007","article-title":"Micronucleus and other nuclear abnormalities among betel quid chewers with or without sadagura, a unique smokeless tobacco preparation, in a population from North-East India","volume":"677","author":"Kausar","year":"2009","journal-title":"Mutat Res"},{"key":"R11-20260904","doi-asserted-by":"crossref","first-page":"63","DOI":"10.1016\/j.archoralbio.2010.08.012","article-title":"Cytogenetic alterations in buccal mucosa cells of chewers of areca nut and tobacco","volume":"56","author":"Joshi","year":"2011","journal-title":"Arch Oral Biol"},{"key":"R12-20260904","doi-asserted-by":"crossref","first-page":"956835","DOI":"10.1155\/2014\/956835","article-title":"Potential uses, limitations and basic procedures of micronuclei and nuclear abnormalities in buccal cells","volume":"2014","author":"Torres-Bugar\u00edn","year":"2014","journal-title":"Dis Markers"},{"key":"R13-20260904","doi-asserted-by":"crossref","first-page":"101","DOI":"10.1002\/cyto.990070116","article-title":"A protocol for Papanicolaou staining of cytologic specimens following flow analysis","volume":"7","author":"Berkan","year":"1986","journal-title":"Cytometry"},{"key":"R14-20260904","doi-asserted-by":"crossref","first-page":"69","DOI":"10.1016\/0165-1161(92)90033-I","article-title":"Micronuclei and other nuclear anomalies in buccal smears: Methods development","volume":"271","author":"Tolbert","year":"1992","journal-title":"Mutat Res"},{"key":"R15-20260904","doi-asserted-by":"crossref","first-page":"49","DOI":"10.4103\/2278-0513.125794","article-title":"Micronuclei as prognostic indicators in oral cytological smears: A comparison between smokers and non-smokers","volume":"3","author":"Kamath","year":"2014","journal-title":"Clin Cancer Investig J"},{"key":"R16-20260904","doi-asserted-by":"crossref","first-page":"39","DOI":"10.1016\/0165-1161(94)90007-8","article-title":"Measurement and characterization of micronuclei in exfoliated human cells by fluorescence in situ hybridization with a centromeric probe","volume":"312","author":"Titenko-Holland","year":"1994","journal-title":"Mutat Res"},{"key":"R17-20260904","first-page":"47","article-title":"Micronuclei assay of exfoliated oral mucosal cells: A review","volume":"2","author":"Agarwal","year":"2014","journal-title":"Ann Dent Spec"},{"key":"R18-20260904","first-page":"197","article-title":"Micronucleus as potential biomarker of oral carcinogenesis","volume":"2","author":"Jois","year":"2010","journal-title":"Indian J Dent Adv"},{"key":"R19-20260904","doi-asserted-by":"crossref","first-page":"84","DOI":"10.1002\/dc.21592","article-title":"Micronucleus and its applications","volume":"40","author":"Samanta","year":"2012","journal-title":"Diagn Cytopathol"},{"key":"R20-20260904","first-page":"101","article-title":"Micronuclei in oral squamous cell carcinoma: A marker of genotoxic damage","volume":"11","author":"Kumar","year":"2000","journal-title":"Indian J Dent Res"},{"key":"R21-20260904","first-page":"3607","article-title":"Evaluation of micronuclei using Papanicolaou and Grunwald\u2013Giemsa stain in individuals with different tobacco habits: A comparative study","volume":"4","author":"Palaskar","year":"2011","journal-title":"J Clin Diagn Res"},{"key":"R22-20260904","doi-asserted-by":"crossref","first-page":"230","DOI":"10.4103\/0970-9371.103940","article-title":"A comparative study for selectivity of micronuclei in oral exfoliated epithelial cells","volume":"29","author":"Grover","year":"2012","journal-title":"J Cytol"},{"key":"R23-20260904","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1016\/S0304-3835(96)04390-X","article-title":"Cytogenetic damage in exfoliated oral mucosal cells and circulating lymphocytes of patients suffering from precancerous oral lesions","volume":"109","author":"Desai","year":"1996","journal-title":"Cancer Lett"},{"key":"R24-20260904","doi-asserted-by":"crossref","first-page":"121","DOI":"10.1007\/s00784-006-0075-y","article-title":"Micronucleus: An upcoming marker of genotoxic damage","volume":"11","author":"Kamboj","year":"2007","journal-title":"Clin Oral Investig"},{"key":"R25-20260904","doi-asserted-by":"crossref","first-page":"354","DOI":"10.1016\/j.oraloncology.2007.05.002","article-title":"Risk assessment of oral cancer in patients with pre-cancerous states of the oral cavity using micronucleus test and challenge assay","volume":"44","author":"Saran","year":"2008","journal-title":"Oral Oncol"},{"key":"R26-20260904","first-page":"486","article-title":"Micronucleus frequencies in exfoliated buccal cells in normal mucosa, precancerous lesions and squamous cell carcinoma","volume":"22","author":"Casartelli","year":"2000","journal-title":"Anal Quant Cytol Histol"},{"key":"R27-20260904","doi-asserted-by":"crossref","first-page":"427","DOI":"10.1080\/15376510903127530","article-title":"Cytogenetic monitoring in human oral cancers and other oral pathology: The micronucleus test in exfoliated buccal cells","volume":"19","author":"Chatterjee","year":"2009","journal-title":"Toxicol Mech Methods"},{"key":"R28-20260904","doi-asserted-by":"crossref","first-page":"457054","DOI":"10.1155\/2012\/457054","article-title":"Chromosomal damage and apoptosis in exfoliated buccal cells from individuals with oral cancer","volume":"2012","author":"D\u00f3rea","year":"2012","journal-title":"Int J Dent"},{"key":"R29-20260904","first-page":"ZC21","article-title":"Comparative study of genotoxicity in different tobacco related habits using micronucleus assay in exfoliated buccal epithelial cells","volume":"8","author":"Pradeep","year":"2014","journal-title":"J Clin Diagn Res"},{"key":"R30-20260904","doi-asserted-by":"crossref","first-page":"27","DOI":"10.1016\/j.mrgentox.2004.05.004","article-title":"Clastogenic effect for cigarette smoking but not areca quid chewing as measured by micronuclei in exfoliated buccal mucosal cells","volume":"562","author":"Wu","year":"2004","journal-title":"Mutat Res"},{"key":"R31-20260904","doi-asserted-by":"crossref","first-page":"11","DOI":"10.1093\/mutage\/2.1.11","article-title":"The micronucleus assay in exfoliated cells of the human buccal mucosa","volume":"2","author":"Sarto","year":"1987","journal-title":"Mutagenesis"},{"key":"R32-20260904","first-page":"380","article-title":"Effect of smoking and aging on micronucleus frequencies in human exfoliated buccal cells","volume":"50","author":"Konopacka","year":"2003","journal-title":"Neoplasma"},{"key":"R33-20260904","doi-asserted-by":"crossref","first-page":"285","DOI":"10.1093\/mutage\/12.4.285","article-title":"Induction of micronuclei by smokeless tobacco on buccal mucosa cells of habitual users","volume":"12","author":"Ozkul","year":"1997","journal-title":"Mutagenesis"},{"key":"R34-20260904","doi-asserted-by":"crossref","first-page":"289","DOI":"10.2334\/josnusd.51.289","article-title":"Induction of micronuclei in buccal mucosa on chewing a mixture of betel leaf, areca nut and tobacco","volume":"51","author":"Sellappa","year":"2009","journal-title":"J Oral Sci"},{"key":"R35-20260904","doi-asserted-by":"crossref","first-page":"136","DOI":"10.1002\/em.2850150304","article-title":"Induction of nuclear aberrations by smokeless tobacco in epithelial cells of human oral mucosa","volume":"15","author":"Livingston","year":"1990","journal-title":"Environ Mol Mutagen"},{"key":"R36-20260904","doi-asserted-by":"crossref","first-page":"125","DOI":"10.1016\/0304-3835(82)90024-6","article-title":"Elevated frequency of micronucleated cells in the buccal mucosa of individuals at high risk for oral cancer: Betel quid chewers","volume":"17","author":"Stich","year":"1982","journal-title":"Cancer Lett"},{"key":"R37-20260904","doi-asserted-by":"crossref","first-page":"93","DOI":"10.1016\/j.mrrev.2008.03.007","article-title":"The micronucleus assay in human buccal cells as a tool for biomonitoring DNA damage: The HUMN project perspective on current status and knowledge gaps","volume":"659","author":"Holland","year":"2008","journal-title":"Mutat Res"}],"container-title":["Indian Journal of Cancer"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/ijc.ijc_1006_23","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T17:02:37Z","timestamp":1788541357000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/ijc.ijc_1006_23"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":37,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.4103\/ijc.ijc_1006_23","relation":{},"ISSN":["0019-509X","1998-4774"],"issn-type":[{"value":"0019-509X","type":"print"},{"value":"1998-4774","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]},"assertion":[{"value":"2023-12-02","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-04-03","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}