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Expression of tumor necrosis factor α and its correlation with severity of oral submucous fibrosis: a case-control study.

[oral submucous fibrosis]

The objective of this case-control study was to evaluate the plasma tumor necrosis factor α (TNF) levels in patients with oral submucous fibrosis and to determine the relation of plasma TNF levels with the severity of oral submucous fibrosis.Blood samples were collected from 25 patients who were diagnosed with oral submucous fibrosis and from 25 age- and sex-matched control participants. The plasma was isolated by centrifugation of blood samples. The levels of plasma TNF were estimated using enzyme-linked immunosorbent assay.A total of 19 out of 25 patients had detectable plasma TNF levels ranging from 0.1 to 106.4 pg/mL (mean, 23.46 pg/mL), whereas only 12 out of 25 control participants had detectable plasma TNF levels ranging from 0.1 to 33.3 pg/mL (mean, 6.93 pg/mL). The difference between the TNF levels of patients and controls was statistically significant (P = .015) according to the Mann-Whitney test.Patients with oral submucous fibrosis had significantly increased TNF levels compared with controls.