Correction of protein and lipid spectra of erythrocyte membranes as a pathogenetic supplement to the therapy of coronary heart disease

Authors

DOI:

https://doi.org/10.18413/rrpharmacology.11.718

Abstract

Introduction: Coronary heart disease is currently a pressing problem in the medical and scientific community. The hemic component, which is a disruption of the ability of red blood cells to effectively exchange gases, is of great importance in ischemic myocardial damage. Oxidative stress, through functional and structural changes in red blood cells, can significantly impair the efficiency of oxygen delivery to tissues.

Materials and Methods: In this clinical study, 80 patients suffering from coronary heart disease (stable angina pectoris functional class II-III) were selected. They were divided into two groups, one of which received traditional treatment, and the other – traditional treatment in combination with Mexicor. Before the start of taking the drugs and 11 days after the start of therapy, the clinical condition of the patients, bicycle ergometry indicators and the values of protein and lipid spectra of erythrocyte membranes were assessed.

Results: Addition of Mexicor, a drug with antioxidant and endothelioprotective properties, to the classical approach to therapy resulted in correction of various clinical parameters by values from 11% to 58.82%; bicycle ergometry – from 20.29% to 70.31%; protein spectrum of erythrocyte membranes – from 3.08% to 75.41%; and lipid spectrum – from 8.67% to 35.83%. Moreover, most of the studied parameters statistically significantly differed from those both in the control group and the traditional treatment group.

Conclusion: The combination of traditional treatment with single daily intravenous injections of 5 mL of Mexicor(ethylmethylhydroxypyridine succinate 50 mg/mL), made it possible not only to improve the clinical course and functional indicators, but also to positively influence the pathogenetic causes of ischemia development through significant, statistically reliable correction of the indicators of the protein and lipid spectrum of red blood cell membranes.

Graphical Abstract

Keywords:

oxidative stress, cardiovascular diseases, clinical trial, Mexicor, antioxidant

References

Agienko AS, Strokolskaya IL, Kheraskov VY, Artamonova GV (2022) Epidemiology of risk factors for diseases of the circulatory system and population seeking medical care. Complex Problems of Cardiovascular Diseases [Kompleksnye problemy serdechno-sosudistykh zabolvaniy] 11(4): 79–89. https://doi.org/10.17802/2306-1278-2022-11-4-79-89 [in Russian]

Aleinikova KS, Efremova OA, Kamyshnikova LA, Pogurelskaya EP (2021) The effect of combination therapy on cardiovascular parameters in patients with cardiorespiratory pathology. Bulletin of Surgut State University. Medicine [Vestnik SurGU. Meditsina] 47(1): 36–41. https://doi.org/10.34822/2304-9448-2021-1-36-41 [in Russian]

Cardiovascular Diseases (CVDs) https://www.who.int/en/news-room/fact-sheets/detail/cardiovascular-diseases-(cvds) (Access 15 January 2024).

Demyanov AV, Kotov AY, Simbirtsev AS (2013) Diagnostic value of studying cytokine levels in clinical practice. Cytokines and Inflammation [Tsitokiny i Vospalenie] 2(3): 20–33. [in Russian]

Dorofeeva SG, Konoplya EN, Mansimova OV (2024) Efficacy of various combined treatment regimens in patients with stable effort angina, functional classes II-III. Research Results in Pharmacology 10(3): 17–23 https://doi.org/10.18413/rrpharmacology.10.506

Gavrilyuk V.P (2011) Relationship of clinical and immunological effectiveness of treatment of appendicular peritonitis in children with structural and functional properties and genetic determination of erythrocytes according to the ABO and Rh system. Fundamental Research [Fundamentalnye Issledovaniya] 11(2): 277–280. [in Russian]

Golikov AP, Mikhin VP, Boitsov SA, Bogoslovskaya EN, Veselyeva NV, Lukyanov MM, Rudnev DV, Frolov AA (2004) Efficacy of cytoprotective agent Mexicor in urgent cardiology. Therapeutic Archives [Terapevticheskii arkhiv] 76(4): 60–65. [PubMed]

Huo S, Shi W, Ma H, Yan D, Luo P, Guo J, Li C, Lin J, Zhang C, Li S, Lv J, Lin L (2021) Alleviation of inflammation and oxidative stress in pressure overload-induced cardiac remodeling and heart failure via IL-6/STAT3 inhibition by raloxifene. Oxidative Medicine and Cellular Longevity 2021(1): 6699054. https://doi.org/10.1155/2021/6699054

Kosolapov VP, Yarmonova MV (2021) Analysis of high cardiovascular morbidity and mortality of the adult population as a medical and social problem and the search for ways to solve it. Ural Medical Journal [Uralskiy Meditsinskiy Zhurnal] 20(1): 58–64. https://doi.org/10.52420/2071-5943-2021-20-1-58-64. [in Russian]

Li J, Solus J, Chen Q, Rho YH, Milne G, Stein CM, Darbar D (2010) Role of inflammation and oxidative stress in atrial fibrillation. Hearth Rhythm 7(4): 438–444. https://doi.org/10.1016/j.hrthm.2009.12.009

Rethy L, Shah NS, Paparello JJ, Lloyd-Jones DM, Khan SS (2020) Trends in hypertension-related cardiovascular mortality in the United States, 2000 to 2018. Hypertension 76(3): e23–e25. https://doi.org/10.1161/HYPERTENSIONAHA.120.15153

Shcheblykin DV, Bolgov AA, Pokrovskii MV, Stepenko YM, Tsuverkalova YM, Shcheblykina OV, Golbinskaya PA, Korokina LV (2022) Endothelial dysfunction: developmental mechanisms and therapeutic strategies. Research Results in Pharmacology 8(4): 115–139. https://doi.org/10.3897/rrpharmacology.8.80376

Shilov AV, Mnikhovich MV, Kalinin RE, Suchkov IA, Kakturskiy LV, Rudnitskiy SV, Nechaev LV (2017) Morphological changes in the wall of vessels in endothelial dysfunction. Journal of Anatomy and Histopathology [Zhurnal Anatomii i Gistopatologii] 6(2): 115–121. https://doi.org/10.18499/2225-7357-2017-6-2-115-121 [in Russian]

Suslin SA, Kiryakova OV, Bogatyreva GP, Izmalkov NS, Sadreeva SH, Sheshunova RA (2024) Diseases of the circulatory system as a modern public health problem. Modern Problems of Health Care and Medical Statistics [Sovremennye Problemy Zdravookhraneniya i Meditsinskoy Statistiki] 1(1): 540–560. https://doi.org/10.24412/2312-2935-2024-1-540-560 [in Russian]

Zhang H, Dhalla NS (2024) The role of pro-inflammatory cytokines in the pathogenesis of cardiovascular disease. International Journal of Molecular Sciences 25(2): 1082. http://doi.org/10.3390/ijms25021082

Author Contribution

Svetlana G. Dorofeeva, Kursk State Medical University

Assistant of the Department of Propaedeutics of Internal Diseases, Kursk State Medical University, Kursk, Russia; e-mail: Swet.naumova@yandex.ru; ORCID ID: https://orcid.org/0009-0008-1507-0569. The author had the primary role in the data collection, statistical data processing, analysis, and interpretation of the study results, prepared a draft version of the article, and translated the final version of the article into English.

Eugenia N. Konoplya, русский

Doctor of Medical Sciences, Professor of the Department of Propaedeutics of Internal Diseases, Kursk State Medical University, Kursk, Russia; e-mail: Konopljaen@kursksmu.net; ORCID ID: https://orcid.org/0009-0002-6861-3500. The author was the research program supervisor and contributed to the concept of the study.

Oksana V. Mansimova, русский

Candidate of Medical Sciences, Associate Professor of the Department of Propaedeutics of Internal Diseases, Kursk State Medical University, Kursk, Russia; e-mail: manoks555@mail.ru; ORCID ID: https://orcid.org/0009-0000-6689-4797. The author contributed to the data collection and statistical processing.

Downloads

Published

01-07-2025

How to Cite

Dorofeeva SG, Konoplya EN, Mansimova OV (2025) Correction of protein and lipid spectra of erythrocyte membranes as a pathogenetic supplement to the therapy of coronary heart disease. Research Results in Pharmacology 11(3): 1–9. https://doi.org/10.18413/rrpharmacology.11.718

Issue

Section

Clinical Pharmacology