CORRECTION OF IMMUNE DISTURBANCES IN CHRONIC CEREBRAL ISCHEMIA

The aim of the study was to determine efficiency of Glutoxim, aimed for correction of immune disorders. The drug was administered to the patients with chronic cerebral ischemia (CCI, Stage I and II) complicated by arterial hypertension. Increased contents of pro- and anti-inflammatory cytokines, IFN...

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Autores principales: A. A. Shulginova, A. I. Konoplya, N. A. Bystrova, V. P. Gavriliuk, A. V. Karaulov
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Publicado: SPb RAACI 2018
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spelling oai:doaj.org-article:5c43671e252d4288a5b4d1f3a21fa8282021-11-18T08:03:47ZCORRECTION OF IMMUNE DISTURBANCES IN CHRONIC CEREBRAL ISCHEMIA1563-06252313-741X10.15789/1563-0625-2018-3-401-410https://doaj.org/article/5c43671e252d4288a5b4d1f3a21fa8282018-06-01T00:00:00Zhttps://www.mimmun.ru/mimmun/article/view/1540https://doaj.org/toc/1563-0625https://doaj.org/toc/2313-741XThe aim of the study was to determine efficiency of Glutoxim, aimed for correction of immune disorders. The drug was administered to the patients with chronic cerebral ischemia (CCI, Stage I and II) complicated by arterial hypertension. Increased contents of pro- and anti-inflammatory cytokines, IFNγ, IL- 2, G-CSF, and activation of the complement system have been revealed for these conditions, at both functional stages of the disease. The patients with stage II CCI showed elevated markers of oxygen-dependent activity in polymorphonuclear leukocytes (increased levels of spontaneous and stimulated nitroblue tetrazolium (NBT) reduction tests, phagocytic capacity and stimulation index of neutrophils). Stage I of chronic cerebral ischemia was characterized by normal values of NBT reduction tests and functional reserve of neutrophils, along with decreased stimulation index of neutrophils. Among 26 parameters of immune status, 73.1% and 80.8% of indices proved to be changed, respectively, in the patients with stage I and II CCI. 66.7% of immune indices appeared similar in magnitude and direction of changes, whereas the resting 33% are identical in orientation. Usage of Cereton and Actovegin in treatment of the stage I CCI caused normalization of 5.3% immune parameters, with partial normalization of 26.3% tests, and 68.4% of the indexes remaining unchanged or increased posttreatment. Inclusion of Glutoxim into the combined pharmacotherapy proved to be more effective since it totally normalized 52.6% of the indexes, along with partial normalization of 21.1%, while 26.3% of the indicators were not affected by the therapy. Administration of Cereton and Actovegin at the second stage of chronic brain ischemia was followed by partial normalization for 47,6% of the tests, while leaving unchanged or increased 52.4% of the indicators. Glutoxim Use fully normalize 19.0% and partially normalizes 57.1% of immune parameters.A. A. ShulginovaA. I. KonoplyaN. A. BystrovaV. P. GavriliukA. V. KaraulovSPb RAACIarticleсhronic cerebral ischemiaimmune disordersglutoximcytokinescomplement componentsImmunologic diseases. AllergyRC581-607RUMedicinskaâ Immunologiâ, Vol 20, Iss 3, Pp 401-410 (2018)
institution DOAJ
collection DOAJ
language RU
topic сhronic cerebral ischemia
immune disorders
glutoxim
cytokines
complement components
Immunologic diseases. Allergy
RC581-607
spellingShingle сhronic cerebral ischemia
immune disorders
glutoxim
cytokines
complement components
Immunologic diseases. Allergy
RC581-607
A. A. Shulginova
A. I. Konoplya
N. A. Bystrova
V. P. Gavriliuk
A. V. Karaulov
CORRECTION OF IMMUNE DISTURBANCES IN CHRONIC CEREBRAL ISCHEMIA
description The aim of the study was to determine efficiency of Glutoxim, aimed for correction of immune disorders. The drug was administered to the patients with chronic cerebral ischemia (CCI, Stage I and II) complicated by arterial hypertension. Increased contents of pro- and anti-inflammatory cytokines, IFNγ, IL- 2, G-CSF, and activation of the complement system have been revealed for these conditions, at both functional stages of the disease. The patients with stage II CCI showed elevated markers of oxygen-dependent activity in polymorphonuclear leukocytes (increased levels of spontaneous and stimulated nitroblue tetrazolium (NBT) reduction tests, phagocytic capacity and stimulation index of neutrophils). Stage I of chronic cerebral ischemia was characterized by normal values of NBT reduction tests and functional reserve of neutrophils, along with decreased stimulation index of neutrophils. Among 26 parameters of immune status, 73.1% and 80.8% of indices proved to be changed, respectively, in the patients with stage I and II CCI. 66.7% of immune indices appeared similar in magnitude and direction of changes, whereas the resting 33% are identical in orientation. Usage of Cereton and Actovegin in treatment of the stage I CCI caused normalization of 5.3% immune parameters, with partial normalization of 26.3% tests, and 68.4% of the indexes remaining unchanged or increased posttreatment. Inclusion of Glutoxim into the combined pharmacotherapy proved to be more effective since it totally normalized 52.6% of the indexes, along with partial normalization of 21.1%, while 26.3% of the indicators were not affected by the therapy. Administration of Cereton and Actovegin at the second stage of chronic brain ischemia was followed by partial normalization for 47,6% of the tests, while leaving unchanged or increased 52.4% of the indicators. Glutoxim Use fully normalize 19.0% and partially normalizes 57.1% of immune parameters.
format article
author A. A. Shulginova
A. I. Konoplya
N. A. Bystrova
V. P. Gavriliuk
A. V. Karaulov
author_facet A. A. Shulginova
A. I. Konoplya
N. A. Bystrova
V. P. Gavriliuk
A. V. Karaulov
author_sort A. A. Shulginova
title CORRECTION OF IMMUNE DISTURBANCES IN CHRONIC CEREBRAL ISCHEMIA
title_short CORRECTION OF IMMUNE DISTURBANCES IN CHRONIC CEREBRAL ISCHEMIA
title_full CORRECTION OF IMMUNE DISTURBANCES IN CHRONIC CEREBRAL ISCHEMIA
title_fullStr CORRECTION OF IMMUNE DISTURBANCES IN CHRONIC CEREBRAL ISCHEMIA
title_full_unstemmed CORRECTION OF IMMUNE DISTURBANCES IN CHRONIC CEREBRAL ISCHEMIA
title_sort correction of immune disturbances in chronic cerebral ischemia
publisher SPb RAACI
publishDate 2018
url https://doaj.org/article/5c43671e252d4288a5b4d1f3a21fa828
work_keys_str_mv AT aashulginova correctionofimmunedisturbancesinchroniccerebralischemia
AT aikonoplya correctionofimmunedisturbancesinchroniccerebralischemia
AT nabystrova correctionofimmunedisturbancesinchroniccerebralischemia
AT vpgavriliuk correctionofimmunedisturbancesinchroniccerebralischemia
AT avkaraulov correctionofimmunedisturbancesinchroniccerebralischemia
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