Acta Scientific Medical Sciences (ASMS)(ISSN: 2582-0931)

Research Article Volume 7 Issue 3

Co-enzyme Q-10 and its Effect on Periodontal Disease and Oral Cancer: A Systematic Review Article

Faraed Dawood Salman1*, Aya Jabbar Hussein2 and Jabbar Hussein Kamel3

1Professor in Department in Dental Assistant, Medical Technical Institute, Erbil Polytechnic University, Erbil/Iraq
2B.Sc. Pharmacy (Iraq), M.Sc. Cosmetic Science Postgraduate Student (USA/OH), M.B.A Student (USA/LA)
3Professor in Conservative Dentistry, Head of Conservative Department, Tishik University, Erbil/Iraq

*Corresponding Author: Faraed Dawood Salman, Professor in Department in Dental Assistant, Medical Technical Institute, Erbil Polytechnic University, Erbil/Iraq.

Received: January 30, 2023; Published: February 14, 2023

Abstract

Background: To combat the excess production of free radicals in periodontal disease, antioxidant medications are employed. Free radicals (FRs) and reactive oxygen species (ROS) are the major contaminants that Co-Q10 primarily effectively removes in order to perform its intercellular antioxidant function, this study is aimed to:

  1. Analyze the results of using perio Q gel (coenzyme Q10) intravenously only.
  2. As an additional step in the treatment of patients with chronic periodontitis in conjunction to scaling and root planning on the periodontal clinical criteria.
  3. Examine which of the various treatment modalities improved clinical periodontal markers more at 3 and 6 weeks.

Materials and Methods: Clinical periodontal markers like the Plaque Index (PI), Gingival Index (GI), Bleeding on Probing (BOP), Probing Pocket Depth (PPD), and Relative Attachment Level (RAL) were evaluated at the first visit, 3 weeks, and 6 weeks.

Results: When compared to the SRP group, the clinical parameters PPD and RAL of the combination group significantly decreased, according to intergroup analysis.

In all groups, the reduction in PI, GI, BOP, PPD, and RAL across the three visits was highly significant when intra-group analysis was performed.

Conclusion: By using the gel in addition to scaling and root planning rather than only scaling and root planning alone, the clinical periodontal parameters improved more significantly.

The ability to employ the gel as the only substance to support common periodontitis treatment methods. In the periodontal treatment phase, the clinical metrics considerably improved, showing that CoQ10 expands treatment possibilities by enhancing the host response to disease activity.

All living things possess the lipid-soluble endogenous antioxidant coenzyme Q10. Coenzyme Q10 may be a therapy for periodontitis, according to the pharmacology of the substance. To establish its precise function in the treatment of periodontitis, including both as an adjuvant and a primary therapeutic agent, as well as the right dosage, efficacy, and bioavailability, more research is required.

Keywords: Co-enzyme Q10; PPD; BOP; SRP; RAL

References

  1. White J. "PDQ® Coenzyme Q10". National Cancer Institute, National Institutes of Health, U.S. Dept. of Health and Human Services (2014).
  2. Ernster L and Dallner G. "Biochemical, physiological and medical aspects of ubiquinone function". Biochimica et Biophysica Acta1 (1995): 195-204.
  3. Dutton PL., et al. “4 Coenzyme Q oxidation reduction reactions in mitochondrial electron transport". In Kagan, V. E.; Quinn, P. J. (eds.). Coenzyme Q: Molecular mechanisms in health and disease. Boca Raton: CRC Press (2000): 65-82.
  4. Okamoto T., et al. “Human serum ubiquinol-10 levels and relationship to serum lipids". International Journal for Vitamin and Nutrition Research. Internationale Zeitschrift Fur Vitamin- und Ernahrungsforschung. Journal International de Vitaminologie et de Nutrition3 (1989): 288-292.
  5. Aberg F., et al. “Distribution and redox state of ubiquinones in rat and human tissues". Archives of Biochemistry and Biophysics2 (1992): 230-234.
  6. Shindo Y., et al. “Enzymic and non-enzymic antioxidants in epidermis and dermis of human skin". The Journal of Investigative Dermatology1 (1994): 122-124.
  7. Pravst I., et al. “Coenzyme Q10 contents in foods and fortification strategies". Critical Reviews in Food Science and Nutrition4 (2010): 269-280.
  8. Weber C., et al. “The coenzyme Q10 content of the average Danish diet". International Journal for Vitamin and Nutrition Research. Internationale Zeitschrift Fur Vitamin- und Ernahrungsforschung. Journal International de Vitaminologie et de Nutrition2 (1997): 123-129.
  9. Qu H., et al. “Effects of Coenzyme Q10 on Statin-Induced Myopathy: An Updated Meta-Analysis of Randomized Controlled Trials". Journal of the American Heart Association19 (2018): e009835.
  10. "Coenzyme Q10". American Cancer Society.
  11. Ozawa Y., et al. “Intestinal absorption enhancement of coenzyme Q10 with a lipid microsphere". Arzneimittel-Forschung4 (1986): 689-690.
  12. US 6197349., et al. “Particles with modified physicochemical properties, their preparation and uses". published (2001).
  13. US 4483873., et al. “Aqueous solution containing ubidecarenone". published (1984).
  14. Zmitek J., et al. “Relative bioavailability of two forms of a novel water-soluble coenzyme Q10". Annals of Nutrition and Metabolism 4 (2008): 281-287.
  15. Kagan Daniel., et al. “A Study on the Bioavailability of a Novel Sustained-Release Coenzyme Q10-β-Cyclodextrin Complex". Integrative Medicine1 (2010).
  16. littarru GP L. “Clinical aspects of coenzyme Q10: an update”. Current Opinion in Clinical Nutrition and Metabolic Care (2005): 641₋646.
  17. Lass A and Sohal RS. “Effect of coenzyme Q (10) and α₋tocopherol content of mitochondria on the production of superoxide anion radicals”. FASEB Journal 14 (2000): 87₋94.
  18. Slots J. “Herpes viruses in periodontal diseases”. Periodontology 2000 38 (2005): 33-62.
  19. Lamster IB and Novak MJ. “Host mediators in gingival crevicular fluid: implications for the pathogenesis of periodontal disease”. Critical Reviews in Oral Biology and Medicine 3 (1992): 31-60.
  20. Battino M., et al. “Newman Oxidative injury and inflammatory periodontal diseases: The challenge of anti-oxidants to free radicals and reactive oxygen species”. Critical Reviews in Oral Biology and Medicine 10 (1999): 458-476.
  21. Nakamura R., et al. “Study of CoQ10 in gingiva from a patients with periodontal disease and evidence for deficiency of Coenzymes Q10”. Proceedings of the National Academy of Sciences of the United States of America 71 (1974): 1456-1460.
  22. Hansen IL., et al. “Bioenergetic in clinical medication IX. Gingival and leukocytic deficiencies of coenzymes Q10 in patients with periodontal disease”. Research Communications in Chemical Pathology and Pharmacology 14 (1976): 729-738.
  23. Nakamura R., et al. “Study of CoQ10 in gingiva from a patients with periodontal disease and evidence for deficiency of Coenzymes Q10”. Proceedings of the National Academy of Sciences of the United States of America 71 (1974): 1456-1460.
  24. Wilkinson EG., et al. “Bioenergetics in clinical medicine. VI. Adjunctive treatment of periodontal disease with coenzyme Q10”. Research Communications in Chemical Pathology and Pharmacology 14 (1976): 715-719.
  25. Wilkinson EG., et al. “Bioenergetics in clinical medicine II. Adjunctive treatment with coenzyme Q in periodontal therapy”. Research Communications in Chemical Pathology and Pharmacology 12 (1975): 111-123.
  26. Shizukuishi S., et al. “Clinical effect of Coenzyme 10 on periodontal disease; evaluation of oxygen utilisation in gingiva by tissue reflectance spectrophotometry”. Amsterdam: Elsevier (1986): 359-368.
  27. McRee JT., et al. “Therapy with Coenzyme Q10 for patients with periodontal disease. 1. Effect of Coenzyme Q10 on subgingival microorganisms”. Journal of Dental Health 43 (1993): 659-666.
  28. Srinivasa Tenka Sale., et al. “A comparative evaluation of topical and intrasulcular application of coenzyme Q10 (Perio Q TM) gel in chronic periodontitis patients: A clinical study”. Journal of Indian Society of Periodontology 4 (2014): 461-465.
  29. Salih TM., et al. “An evaluation of the effectiveness of Coenzyme Q10 gel in Management of patients with chronic periodontitis (II intergroup comparison)”. Journal of Bagh College Dentistry1 (2016). and laboratory evaluation. Brzozowska T M, Flisykowska A K . Pharmacological Reports 2007; 59:Suppl 1:257-260.
  30. Salih TM and Mahmood MSh. “Evaluation of the effectiveness of Coenzyme Q10 gel in management of patients with chronic periodontitis (I Intra group comparison)”. Journal of Bagh College Dentistry2 (2015).
  31. Hanioka T., et al. “Effect of topical application of coenzyme Q10 on adult periodontitis”. Molecular Aspects of Medicine 15 (1994): 241-248.
  32. Pendyala G., et al. “The challenge of antioxidants to free radicals in periodontitis”. Journal of Indian Society of Periodontology3 (2008): 79-83.
  33. Kaplish V., et al. “Local drug delivery systems in the treatment of periodontitis: A review”. Pharmacophore2 (2013): 39-49.
  34. Hans M., et al. “Clinical evaluation of topical application of perio-Q gel (Coenzyme Q10) in chronic periodontitis patients”. Journal of Indian Society of Periodontology 2 (2012): 193-199.
  35. Crane FL. “Biochemical functions of coenzyme Q10”. Journal of the American College of Nutrition 20 (2001): 591-598.
  36. Weis M., et al. “Bioavailability of four oral coenzyme Q10 formulations in healthy volunteers”. Molecular Aspects of Medicine 15 (1994): S273-S280.
  37. Joshi SS., et al. “Comparative bioavailability of two novel coenzyme Q10 preparations in humans”. International Journal of Clinical Pharmacology and Therapeutics 41 (2003): 42-48.
  38. Westesen K and Siekmann B. “Particles with modified physicochemical properties, their preparation and uses”. (2001).
  39. Kagan D and Madhavi D. “A study on the bioavailability of a novel sustained-release coenzyme Q10-ßcyclodextrin complex”. Journal of Internal Medicine 11 (2010): 109-113.
  40. Crane FL. “Biochemical functions of coenzyme Q (10)”. Journal of the American College of Nutrition 20 (2001): 591-598.
  41. Folkers K., et al. “Activities of vitamin Q10 in animal models and a serious deficiency in patients with cancer”. Biochemical and Biophysical Research Communications 234 (1997): 296299.
  42. Jolliet P., et al. “Plasma coenzyme Q10 concentrations in breast cancer: Prognosis and therapeutic consequences”. International Journal of Clinical Pharmacology and Therapeutics 36 (1998): 506509.
  43. Kishi T., et al. “Bioenergetics in clinical medicine: Prevention by forms of coenzyme Q of the inhibition by Adriamycin of coenzyme Q10 enzymes in mitochondria of the myocardium”. Proceedings of the National Academy of Sciences of the United States of America 73 (1976): 4653-4656.
  44. Solaini G., et al. “Inhibitory effects of several anthracyclines on mitochondrial respiration and coenzyme Q10 protection”. Drugs Under Experimental and Clinical Research 11 (1985): 533537.
  45. Hussain SP., et al. “Radical causes of cancer”. Nature Reviews Cancer 3 (20035): 276-285.
  46. Pai VB and Nahata MC. “Cardiotoxicity of chemotherapeutic agents: Incidence, treatment and prevention”. Drug Safety 22 (2000): 263-302.
  47. Negri E., et al. “Selected micronutrients and oral and pharyngeal cancer”. International Journal of Cancer1 (2002): 122-127.
  48. Tran MT., et al. “Role of coenzyme Q10 in chronic heart failure, angina, and hypertension”. Pharmacotherapy 21 (2001): 797-806.
  49. Prasad KN and Kumar R. “Effect of individual and multiple antioxidant vitamins on growth and morphology of human nontumorigenic and tumorigenic parotid acinar cells in culture”. Nutrition Cancer 26 (1996): 11-19.
  50. Shklar G., et al. “Carotene,-tocopherol, glutathione, and ascorbic acid for cancer prevention”. Nutrition Cancer 20 (1993): 145 -151.
  51. Waris G and Ahsan H. “Reactive oxygen species: role in the development of cancer and various chronic conditions”. Journal of Carcinogenesis 5 (2006): 14.
  52. Lamm DL., et al. “Megadose vitamins in bladder cancer: a double-blind clinical study”. Journal of Urology 151 (1994): 21-26.
  53. “The Alpha-tocopherol Beta Carotene Cancer Prevention Study Group: The effect of vitamin E and beta carotene on the incidence of lung cancer and other cancers in male smokers”. The New England Journal of Medicine 330 (1994): 1029-1035.
  54. Hennekens CH., et al. “Lack of effect of long-term supplementation with beta carotene on the incidence of malignant neoplasms and cardiovascular disease”. The New England Journal of Medicine 334 (1996): 1145-1149.
  55. Liu M., et al. “Antioxidant action via p53-mediated apoptosis”. Cancer Research 58 (1998): 1723-1729.
  56. Shklar G. “Mechanisms of cancer inhibition by anti-oxidant nutrients”. Oral Oncology 34 (1998): 24- 29.
  57. Rayman MP. “Selenium in cancer prevention: a review of the evidence and mechanism of action”. Proceedings of the Nutrition Society 64 (2005): 527-542.
  58. Sachdanandam P. “Antiangiogenic and hypolipidemic activity of coenzyme Q10supplementation to breast cancer patients undergoing Tamoxifen therapy”. Biofactors 32 (2008): 151-159.
  59. Nakopoulou L., et al. “MMP-2 protein in invasive breast cancer and the impact of MMP-TIMP-2 phenotype on overall survival”. Breast Cancer Research Treatment 77 (2003): 145-155.
  60. Nillson UW., et al. “MMP-2 and MMP-9 activity is regulated by estradiol and tamoxifen in cultured human breast cancer cells”. Breast Cancer Research Treatment 102 (2007): 253-261.
  61. Turunen M., et al. “Metabolism and function of coenzyme Q”. Biochimica et Biophysica Acta 1660 (2004): 171-199.
  62. Maroz A., et al. “Reactivity of ubiquinone and ubiquinol with superoxide and the hydroperoxyl radical: implications for in vivo antioxidant activity”. Free Radical Biology and Medicine 46 (2009): 105-109.
  63. Brea-Calvo G., et al. “Chemotherapy induces an increase in coenzyme Q 10 levels in cancer cell lines”. Free Radical Biology and Medicine 40 (2006): 1293-1302.
  64. Esposito LA., et al. “Mitochondrial oxidative stress in mice lacking the glutathione peroxidase-1 gene”. Free Radical Biology and Medicine 28 (2000): 754-766.
  65. Reddy SP. “The antioxidant response element and oxidative stress modifiers in airway diseases”. Current Molecular Medicine 8 (2008): 376-383.
  66. Avti PK., et al. “Low dose gammairradiation differentially modulates antioxidant defense in liver and lungs of Balb/c mice”. International Journal of Radiation Biology 81 (2005): 901-910.
  67. Turunen M., et al. “Metabolism and function of coenzyme Q”. Biochimica et Biophysica Acta 1660 (2004): 171-199.
  68. Pepping J. “Coenzyme Q10”. American Journal of Health-System Pharmacy 6 (1999): 519-521.
  69. Crane FL., et al. “The essential functions of coenzyme Q”. Clinical Investigation8 (1994): S55-59.
  70. Folkers K and Wolaniuk A. “Research on coenzyme Q10 in clinical medicine and in immunomodulation”. Drugs Under Experimental and Clinical Research 8 (1985): 539-545.
  71. Folkers K. “The potential of coenzyme Q 10 (NSC-140865) in cancer treatment”. Cancer Chemotherapy Report 2 4.4 (1974): 19-22.
  72. Folkers K., et al. “Increase in levels of IgG in serum of patients treated with coenzyme Q10”. Research Communications in Chemical Pathology and Pharmacology 2 (1982): 335-338.
  73. Ernster L and Forsmark-Andrée P. “Ubiquinol: an endogenous antioxidant in aerobic organisms”. Clinical Investigation8 (1993): S60-65.
  74. Beyer RE., et al. “The role of coenzyme Q as a mitochondrial antioxidant: a short review”. In: Folkers K, Yamamura Y, eds.: Biomedical and Clinical Aspects of Coenzyme Q. Vol 5. Amsterdam, The Netherlands: Elsevier Science Publishers B V (Biomedical Division), (1986): 17-24.
  75. Ernster L and Dallner G. “Biochemical, physiological and medical aspects of ubiquinone function”. Biochimica et Biophysica Acta1 (1995): 195-204.
  76. Picardo M., et al. “Imbalance in the antioxidant pool in melanoma cells and normal melanocytes from patients with melanoma”. Journal of Investigative Dermatology 3 (1996): 322-326.
  77. Yamamoto Y., et al. “Oxidative stress in patients with hepatitis, cirrhosis, and hepatoma evaluated by plasma antioxidants”. Biochemical and Biophysical Research Communications 1 (1998): 166-170.
  78. Gordon M. “Dietary antioxidants in disease prevention”. Natural Product Reports4 (1996): 265-73.
  79. Aust AE., et al. “Mechanisms of DNA oxidation”. Proceedings of the Society for Experimental Biology and Medicine 3 (1999): 246-252.
  80. Dreher D and Junod AF. “Role of oxygen free radicals in cancer development”. European Journal of Cancer 1 (1996): 30-38.
  81. Overvad K., et al. “Coenzyme Q10 in health and disease”. European Journal of Clinical Nutrition 10 (1999): 764-770.
  82. Burcham PC. “Internal hazards: baseline DNA damage by endogenous products of normal metabolism”. Mutation Research1-2 (1999): 11-36.

Citation

Citation: Faraed Dawood Salman., et al. “Co-enzyme Q-10 and its Effect on Periodontal Disease and Oral Cancer: A Systematic Review Article”.Acta Scientific Medical Sciences 7.3 (2023): 92-103.

Copyright

Copyright: © 2022 Faraed Dawood Salman., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




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