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Stres Altındaki Genç Yetişkinlerin Tükürük Örneklerinde cfDNA Düzeylerinin Değerlendirilmesi: Ön Çalışma

Year 2025, Volume: 9 Issue: 1, 12 - 16, 21.04.2025
https://doi.org/10.46332/aemj.1524197

Abstract

Amaç: Bu pilot çalışmada, ikinci sınıf tıp öğrencilerinin sınav öncesi ve sonrasında tükürük örneklerindeki hücre dışı DNA (hdDNA, cfDNA) düzeylerinin incelenmesi amaçlanmıştır.

Araçlar ve Yöntem: Stres profilleri DASS-21 ölçeği ile değerlendirilen 20 öğrencinin sınav öncesi ve sonrası tükürük örnekleri alınarak hücre dışı DNA izole edilmiştir. İzole edilen DNA'lar spektrofotometre ve otomatik elektroforez sistemi ile ölçülmüştür.

Bulgular: Spektrofotometre analizleri, sınav sonrası öğrencilerden alınan cfDNA miktarlarında anlamlı bir azalma göstermiştir (p≤0.05). Bu fark otomatik elektroforez sistemi ile doğrulanmış ve özellikle 40-200 bp aralığındaki cfDNA miktarlarının stresin azalmasıyla birlikte azaldığı tespit edilmiştir (p≤0.05).

Sonuç: Psikososyal stres hdDNA salınımını etkilemektedir. Bu çalışmada, tükürük örneklerinde bulunan hdDNA miktarlarının stresle ilişkili olarak anlamlı değişiklikler gösterdiği raporlanmıştır. Bu ön çalışma, tükürük numunelerindeki hdDNA'nın sağlıklı bireylerde stresin potansiyel biyolojik bir belirteci olarak değerlendirilebileceğini ortaya koymuştur.

References

  • 1. Bronkhorst AJ, Ungerer V, Diehl F, et al. Towards systematic nomenclature for cell-free DNA. Human Genetics. 2021;140(4):565-578.
  • 2. Zhao X, Zhao H, Liu Y, Guo Z. Methods, bioinformatics tools and databases in ecDNA research: An overview. Comput. Biol. Med. 2023;167:107680.
  • 3. Du S, Cao K, Yan Y, Wang Y, Wang Z, Lin D. Developments and current status of cell-free DNA in the early detection and management of hepatocellular carcinoma. J Gastroenterol Hepatol. 2024;39(2):231-244.
  • 4. Huang J, Hong W, Wan M, Zheng L. Molecular mechanisms and therapeutic target of NETosis in diseases. MedComm. 2022;3(3):162.
  • 5. Van der Meer AJ, Kroeze A, Hoogendijk AJ, et al. Systemic inflammation induces release of cell-free DNA from hematopoietic and parenchymal cells in mice and humans. Blood Advances. 2019;3(5):724-728.
  • 6. Hummel EM, Hessas E, Müller S, et al. Cell-free DNA release under psychosocial and physical stress conditions. Transl. Psychiatry. 2018;8(1):236.
  • 7. Jarmuzek P, Kozlowska K, Defort P, Kot M, Zembron-Lacny A. Prognostic Values of Systemic Inflammatory Immunological Markers in Glioblastoma: A Systematic Review and Meta-Analysis. Cancers. 2023;15(13):3339.
  • 8. Noushad S, Ahmed S, Ansari B, Mustafa UH, Saleem Y, Hazrat H. Physiological biomarkers of chronic stress: A systematic review. Int J Health Sci (Qassim). 2021;15(5):46-59.
  • 9. Herhaus B, Neuberger E, Juškevičiūtė E, Simon P, Petrowski K. Kinetics of Plasma Cell-Free DNA under a Highly Standardized and Controlled Stress Induction. Cells. 2023;12(4):564.
  • 10. Czamanski-Cohen J, Sarid O, Cwikel J, et al. Cell-free DNA and telomere length among women undergoing in vitro fertilization treatment. J Assist Reprod Genet. 2015;32(11):1697-1703.
  • 11. Czamanski-Cohen J, Sarid O, Cwikel J, et al. Decrease in cell free DNA levels following participation in stress reduction techniques among women undergoing infertility treatment. Arch Womens Ment Health. 2014;17(3):251-253.
  • 12. Shan MA, Ishtiaq W, Kanwal S, Khan MU, Iftikhar A, Khan S. Cell-free DNA as a potential diagnostic biomarker in academic stress: A case-control study in young adults. Saudi J Biol Sci. 2024;31(3):103933.
  • 13. Lovibond PF, Lovibond SH. The structure of negative emotional states: Comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behav. Res. Ther. 1995;33(3):335-343.
  • 14. Szabo M, Lovibond PF. Development and Psychometric Properties of the DASS-Youth (DASS-Y): An Extension of the Depression Anxiety Stress Scales (DASS) to Adolescents and Children. Front Psychol. 2022;13:766890.
  • 15. Ferrier ST, Tsering T, Sadeghi N, Zeitouni A, Burnier JV. Blood and saliva-derived ctDNA is a marker of residual disease after treatment and correlates with recurrence in human papillomavirus-associated head and neck cancer. Cancer Med. 2023;12(15):15777-15787.
  • 16. Czeiger D, Shaked G, Eini H, et al. Measurement of Circulating Cell-Free DNA Levels by a New Simple Fluorescent Test in Patients With Primary Colorectal Cancer. Am. J. Clin. Pathol. 2011;135(2):264-270.
  • 17. Polatoglou E, Mayer Z, Ungerer V, Bronkhorst AJ, Holdenrieder S. Isolation and Quantification of Plasma Cell-Free DNA Using Different Manual and Automated Methods. Diagnostics. 2022;12(10):2550.
  • 18. Rapado-González Ó, López-Cedrún JL, Lago-Lestón RM, et al. Integrity and quantity of salivary cell-free DNA as a potential molecular biomarker in oral cancer: A preliminary study. J Oral Pathol Med. 2022;51(5): 429-435.

Assessment of cfDNA Levels in Saliva Samples of Stressed Young Adults: Preliminary Study

Year 2025, Volume: 9 Issue: 1, 12 - 16, 21.04.2025
https://doi.org/10.46332/aemj.1524197

Abstract

Purpose: The aim of this pilot study was to examine the levels of cell-free DNA (cfDNA) in the saliva samples of second-year medical students before and after a stress-inducing event, exams.

Materials and Methods: Saliva samples were collected from 20 students, whose stress profiles were assessed using the DASS-21 scale, both before and after the exams. Cell-free DNA was isolated from these samples, and measured using spectrophotometry and automated electrophoresis system.

Results: Spectrophotometric analysis revealed a significant decrease in cfDNA levels in the saliva samples collected after the exams (p≤0.05). This difference was confirmed by the automated electrophoresis system, particularly showing a reduction in cfDNA amounts in the 40-200 bp range with the reduction of stress (p≤0.05).

Conclusion: Psychosocial stress affects the release of cell-free DNA. This study reports that the amount of cfDNA found in saliva samples significantly changes in relation to stress. This preliminary study suggests that cfDNA in saliva samples could potentially serve as a biological marker for stress in healthy individuals.

References

  • 1. Bronkhorst AJ, Ungerer V, Diehl F, et al. Towards systematic nomenclature for cell-free DNA. Human Genetics. 2021;140(4):565-578.
  • 2. Zhao X, Zhao H, Liu Y, Guo Z. Methods, bioinformatics tools and databases in ecDNA research: An overview. Comput. Biol. Med. 2023;167:107680.
  • 3. Du S, Cao K, Yan Y, Wang Y, Wang Z, Lin D. Developments and current status of cell-free DNA in the early detection and management of hepatocellular carcinoma. J Gastroenterol Hepatol. 2024;39(2):231-244.
  • 4. Huang J, Hong W, Wan M, Zheng L. Molecular mechanisms and therapeutic target of NETosis in diseases. MedComm. 2022;3(3):162.
  • 5. Van der Meer AJ, Kroeze A, Hoogendijk AJ, et al. Systemic inflammation induces release of cell-free DNA from hematopoietic and parenchymal cells in mice and humans. Blood Advances. 2019;3(5):724-728.
  • 6. Hummel EM, Hessas E, Müller S, et al. Cell-free DNA release under psychosocial and physical stress conditions. Transl. Psychiatry. 2018;8(1):236.
  • 7. Jarmuzek P, Kozlowska K, Defort P, Kot M, Zembron-Lacny A. Prognostic Values of Systemic Inflammatory Immunological Markers in Glioblastoma: A Systematic Review and Meta-Analysis. Cancers. 2023;15(13):3339.
  • 8. Noushad S, Ahmed S, Ansari B, Mustafa UH, Saleem Y, Hazrat H. Physiological biomarkers of chronic stress: A systematic review. Int J Health Sci (Qassim). 2021;15(5):46-59.
  • 9. Herhaus B, Neuberger E, Juškevičiūtė E, Simon P, Petrowski K. Kinetics of Plasma Cell-Free DNA under a Highly Standardized and Controlled Stress Induction. Cells. 2023;12(4):564.
  • 10. Czamanski-Cohen J, Sarid O, Cwikel J, et al. Cell-free DNA and telomere length among women undergoing in vitro fertilization treatment. J Assist Reprod Genet. 2015;32(11):1697-1703.
  • 11. Czamanski-Cohen J, Sarid O, Cwikel J, et al. Decrease in cell free DNA levels following participation in stress reduction techniques among women undergoing infertility treatment. Arch Womens Ment Health. 2014;17(3):251-253.
  • 12. Shan MA, Ishtiaq W, Kanwal S, Khan MU, Iftikhar A, Khan S. Cell-free DNA as a potential diagnostic biomarker in academic stress: A case-control study in young adults. Saudi J Biol Sci. 2024;31(3):103933.
  • 13. Lovibond PF, Lovibond SH. The structure of negative emotional states: Comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behav. Res. Ther. 1995;33(3):335-343.
  • 14. Szabo M, Lovibond PF. Development and Psychometric Properties of the DASS-Youth (DASS-Y): An Extension of the Depression Anxiety Stress Scales (DASS) to Adolescents and Children. Front Psychol. 2022;13:766890.
  • 15. Ferrier ST, Tsering T, Sadeghi N, Zeitouni A, Burnier JV. Blood and saliva-derived ctDNA is a marker of residual disease after treatment and correlates with recurrence in human papillomavirus-associated head and neck cancer. Cancer Med. 2023;12(15):15777-15787.
  • 16. Czeiger D, Shaked G, Eini H, et al. Measurement of Circulating Cell-Free DNA Levels by a New Simple Fluorescent Test in Patients With Primary Colorectal Cancer. Am. J. Clin. Pathol. 2011;135(2):264-270.
  • 17. Polatoglou E, Mayer Z, Ungerer V, Bronkhorst AJ, Holdenrieder S. Isolation and Quantification of Plasma Cell-Free DNA Using Different Manual and Automated Methods. Diagnostics. 2022;12(10):2550.
  • 18. Rapado-González Ó, López-Cedrún JL, Lago-Lestón RM, et al. Integrity and quantity of salivary cell-free DNA as a potential molecular biomarker in oral cancer: A preliminary study. J Oral Pathol Med. 2022;51(5): 429-435.
There are 18 citations in total.

Details

Primary Language English
Subjects Medical Genetics (Excl. Cancer Genetics)
Journal Section Original Articles
Authors

Ekin Çelik 0000-0003-1966-3907

Miraç Berkay Köksal This is me 0009-0002-2113-6372

Hacı Mehmet Akbulut This is me 0009-0007-8543-9977

Selahattin Ata Aydın This is me 0009-0009-5525-6015

Yiğit Emre Kurt This is me 0009-0009-9477-8676

Can Okan This is me 0009-0006-2499-6502

Simay Çetinkaya This is me 0000-0002-1182-7754

Early Pub Date April 16, 2025
Publication Date April 21, 2025
Submission Date July 29, 2024
Acceptance Date August 19, 2024
Published in Issue Year 2025 Volume: 9 Issue: 1

Cite

APA Çelik, E., Köksal, M. B., Akbulut, H. M., Aydın, S. A., et al. (2025). Assessment of cfDNA Levels in Saliva Samples of Stressed Young Adults: Preliminary Study. Ahi Evran Medical Journal, 9(1), 12-16. https://doi.org/10.46332/aemj.1524197
AMA Çelik E, Köksal MB, Akbulut HM, Aydın SA, Kurt YE, Okan C, Çetinkaya S. Assessment of cfDNA Levels in Saliva Samples of Stressed Young Adults: Preliminary Study. Ahi Evran Med J. April 2025;9(1):12-16. doi:10.46332/aemj.1524197
Chicago Çelik, Ekin, Miraç Berkay Köksal, Hacı Mehmet Akbulut, Selahattin Ata Aydın, Yiğit Emre Kurt, Can Okan, and Simay Çetinkaya. “Assessment of CfDNA Levels in Saliva Samples of Stressed Young Adults: Preliminary Study”. Ahi Evran Medical Journal 9, no. 1 (April 2025): 12-16. https://doi.org/10.46332/aemj.1524197.
EndNote Çelik E, Köksal MB, Akbulut HM, Aydın SA, Kurt YE, Okan C, Çetinkaya S (April 1, 2025) Assessment of cfDNA Levels in Saliva Samples of Stressed Young Adults: Preliminary Study. Ahi Evran Medical Journal 9 1 12–16.
IEEE E. Çelik, M. B. Köksal, H. M. Akbulut, S. A. Aydın, Y. E. Kurt, C. Okan, and S. Çetinkaya, “Assessment of cfDNA Levels in Saliva Samples of Stressed Young Adults: Preliminary Study”, Ahi Evran Med J, vol. 9, no. 1, pp. 12–16, 2025, doi: 10.46332/aemj.1524197.
ISNAD Çelik, Ekin et al. “Assessment of CfDNA Levels in Saliva Samples of Stressed Young Adults: Preliminary Study”. Ahi Evran Medical Journal 9/1 (April 2025), 12-16. https://doi.org/10.46332/aemj.1524197.
JAMA Çelik E, Köksal MB, Akbulut HM, Aydın SA, Kurt YE, Okan C, Çetinkaya S. Assessment of cfDNA Levels in Saliva Samples of Stressed Young Adults: Preliminary Study. Ahi Evran Med J. 2025;9:12–16.
MLA Çelik, Ekin et al. “Assessment of CfDNA Levels in Saliva Samples of Stressed Young Adults: Preliminary Study”. Ahi Evran Medical Journal, vol. 9, no. 1, 2025, pp. 12-16, doi:10.46332/aemj.1524197.
Vancouver Çelik E, Köksal MB, Akbulut HM, Aydın SA, Kurt YE, Okan C, Çetinkaya S. Assessment of cfDNA Levels in Saliva Samples of Stressed Young Adults: Preliminary Study. Ahi Evran Med J. 2025;9(1):12-6.

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