Estimation of endogenic intoxication laboratory indexes in case of different pathologies of professional and infectious etiology


DOI: https://dx.doi.org/10.18565/therapy.2021.9.174-182

Kuzmina L.P., Pilat T.L., Bezrukavnikova L.M., Kolyaskina M.M.

1) Academician N.F. Izmerov Scientific-research Institute of Occupational Medicine, Moscow; 2) I.M. Sechenov First Moscow State Medical University of the Ministry of Healthcare of Russia (Sechenov University)
Abstract. Endogenous intoxication in case of various pathologies of occupational and infectious etiology plays an essential role in the healing process and in estimation the severity of the disease. Specifying of endogenous intoxication indexes by means of biochemical markers use will help to control detoxification processes, including through the inclusion of various specialized foods in the complex therapy of dietary therapeutic and dietary preventive nutrition. Use of alimentary factors in the process of reducing the negative impact of toxic substances of endogenous origin at human organism should be aimed at maintaining and preserving the rhythm of the main homeostatic systems functioning. The aim of this review is to assess the informative content of endogenous intoxication indexes in various pathologies having occupational and infectious etiology.

Literature



  1. Пилат Т.Л., Кузьмина Л.П., Измерова Н.И. Детоксикационное питание. М.: ГЭОТАР-Медиа. 2012; 683 с. [Pilat T.L., Kuzmina L.P., Izmerova N.I. Detox nutrition. Moscow: GEOTAR-Media. 2012; 683 pp. (In Russ.)]. ISBN: 978-5-9704-2145-1.

  2. Арчаков А.И. Микросомальное окисление. М.: Наука. 1975; 327 с. [Archakov A.I. Microsomal oxidation. Moscow: Nauka = Science. 1975; 327 pp. (In Russ.)].

  3. Кукес В.Г. Метаболизм лекарственных средств. Научные основы персонализированной медицины. Руководство для врачей. М.: ГЭОТАР-Медиа. 2008; 304 с. [Kukes V.G. Drug metabolism. Scientific foundations of personalized medicine. Guide for doctors. Moscow: GEOTAR-Media. 2008; 304 pp. (In Russ.)]. ISBN: 978-5-9704-0729-5.

  4. Lewis D.F.V., Dickins M., Eddershaw P.J. et al. Cytochrome-P450 substrate specificities, substrate structural templates and enzyme active site geometries. Drug Metabol Drug Interact. 1999; 15(1): 1–49. doi: 10.1515/dmdi.1999.15.1.1.

  5. Nebert D.W., Adesnik M., Coon M.J. et al. The P450 gene superfamily: Recommended nomenclature. DNA. 1987; 6(1): 1–11. doi: 10.1089/dna.1987.6.1.

  6. Guengerich F.P., Liebler D.C. Enzymatic activation of chemicals to toxic metabolites. Crit Rev Toxicol. 1985; 14(3): 259–307. doi: 10.3109/10408448509037460.

  7. Guengerich F.P. Cytochromes P-450. Comp Biochem Physiol C Comp Pharmacol Toxicol. 1988; 89(1): 1–4. doi: 10.1016/0742-8413(88)90137-5.

  8. Келина Н.Ю., Безручко Н.В., Рубцов Г.К. Биохимические проявления эндотоксикоза: методические аспекты изучения и оценки, прогностическая значимость (аналитический обзор). Вестник тюменского государственного университета. Экология и природопользование. 2012; 6: 143–147. [Kelina N.Yu., Bezruchko N.V., Rubtsov G.K. Biochemical manifestations of endotoxicosis: methodological aspects of the study and assessment, prognostic significance (analytical review). Vestnik tyumenskogo gosudarstvennogo universiteta. Ekologiya i prirodopol’zovaniye = Bulletin of the Tyumen State University. Ecology and Nature Management. 2012; 6: 143–147 (In Russ.)].

  9. Кузьмина Л.П., Помыканова Ю.С., Артемова Л.В. с соавт. Выделение фенотипов профессиональной бронхиальной астмы с использованием кластерного анализа. Материалы Всероссийской научно-практической конференции «Актуальные вопросы пульмонологии у работающего населения – инновации и перспективы». Новосибирск: Новосибирский государственный медицинский университет. 2017; 48–53. [Kuzmina L.P., Pomykanova Yu.S., Artemova L.V. et al. Isolation of phenotypes of occupational bronchial asthma using cluster analysis. Materials of the All-Russian Scientific and practical conference «Topical issues of pulmonology in the working population – innovations and prospects». Novosibirsk: Novosibirsk State Medical University. 2017; 48–53 (In Russ.)].

  10. Андреев А.Ю., Кушнарева Ю.Е., Старков А.А. Метаболизм активных форм кислорода в митохондриях. Биохимия. 2005; 2: 246–264. [Andreev A.Yu., Kushnareva Yu.E., Starkov A.A. Metabolism of reactive oxygen species in mitochondria. Biokhimiya = Biochemistry. 2005; 2: 246–264 (In Russ.)].

  11. Hoieggen A., Alderman M.H., Kjeldsen S.E. et al. The impact of serum uric acid on cardiovascular outcomes in the LIFE study. Kidney Int. 2004; 65(3): 1041–49. doi: 10.1111/j.1523-1755.2004.00484.x.

  12. Enomoto A., Kimura H., Chairoungdua A. et al. Molecular identification of a renal urate–anion exchanger that regulates blood urate levels. Nature. 2002; 417(6887): 447–52. doi: 10.1038/nature742.

  13. Zimmet P. Non-insulin-dependent (type 2) diabetes mellitus: Does it really exist? Diabet Med. 1989; 6(8): 728–35. doi: 10.1111/j.1464-5491.1989.tb01266.x.

  14. Аршавский В.В., Нотова О.А., Шерстнев М.П. Регуляция энергетического обмена и физиологического состояния. Материалы конференции. Пущино. 1978; 145–147. [Arshavsky V.V., Notova O.A., Sherstnev M.P. Regulation of energy metabolism and physiological state. Conference materials. Pushchino, 1978; 145–147 (In Russ.)].

  15. Соловьева А.В., Ракита Д.Р. Гиперурикемия как компонент метаболического синдрома. Российский медико-биологический вестник имени академика И.П. Павлова. 2009; 4: 87–91. [Solovieva A.V., Rakita D.R. Hyperuricemia as a component of metabolic syndrome. Rossiyskiy mediko-biologicheskiy vestnik imeni akademika I.P. Pavlova = I.P. Pavlov Russian Medical Biological Herald. 2009; 4: 87–91 (In Russ.)].

  16. Хотулева А.Г., Кузьмина Л.П. Биомаркеры системного воспаления в патогенезе синтропии профессиональной бронхиальной астмы и метаболического синдрома. Медицина труда и промышленная экология. 2016; 7: 39–43. [Khotuleva A.G., Kuzmina L.P. Biomarkers of systemic inflammation in pathogenesis of syntropic occupational bronchial asthma and metabolic syndrome. Meditsina truda i promyshlennaya ekologiya = Russian Journal of Occupational Health and Industrial Ecology. 2016; 7: 39–43 (In Russ.)]

  17. Измеров Н.Ф., Тарасова Л.А., Сорокина Н.С., Рудакова И.Е. Применение лечебно-профилактических напитков – диетических киселей «ЛЕОВИТ» у больных профессиональными заболеваниями органов дыхания и у работающих в контакте с соединениями тяжелых металлов. Методическое пособие для врачей. М. 2005; 20 с. [Izmerov N.F., Tarasova L.A., Sorokina N.S., Rudakova I.E. The use of therapeutic and prophylactic drinks – dietary jelly LEOVIT in patients with occupational diseases of the respiratory system and in those working in contact with compounds of heavy metals. Methodological guide for doctors. Moscow. 2005; 20 pp. (In Russ.)].

  18. Fan Z., Chen L., Li J. et al. Clinical features of COVID-19-related liver damage. Clin Gastroenterol Hepatol. 2020; 18(7): 1561–66. doi: 10.1016/j.cgh.2020.04.002.

  19. Hundt M.A., Deng Y., Ciarleglio M.M. et al. Abnormal liver tests in COVID-19: A retrospective observational cohort study of 1827 patients in a Major U.S. Hospital Network. Hepatology. 2020; 72(4): 1169–76. doi: 10.1002/hep.31487.

  20. Бухтияров И.В., Кузьмина Л.П., Пфаф В.Ф., Цидильковская Э.С. Опыт лечения больных новой коронавирусной инфекцией в клинике ФГБНУ «Научно-исследовательский институт медицины труда имени академика Н.Ф. Измерова». Медицина труда и промышленная экология. 2021; 1: 27–33. [Bukhtiyarov I.V., Kuzmina L.P., Pfaf V.F., Tsidilkovskaya E.S. Treating patients with a new coronavirus infection in the clinic of Izmerov Research Institute of Occupational Health. Meditsina truda i promyshlennaya ekologiya = Russian Journal of Occupational Health and Industrial Ecology. 2021; 1: 27–33 (In Russ.)]. https://doi.org/10.31089/1026-9428-2021-61-1-27-33.

  21. Boettler T., Newsome P.N., Mondelli M.U. et al. Care of patients with liver disease during the COVID-19 pandemic: EASL–ESCMID position paper. JHEP Rep. 2020; 2(3): 100113. doi: 10.1016/j.jhepr.2020.100113.

  22. Пилат Т.Л., Лашина Е.Л., Коляскина М.М. с соавт. Эффективность «ЛЕОВИТ GASTRO» при заболеваниях желудочно-кишечного тракта. Ремедиум Приволжье. 2020; 2: 20–21. [Pilat T.L., Lashina E.L., Kolyaskina M.M. et al. The effectiveness of LEOVIT GASTRO in diseases of the gastrointestinal tract. Remedium Privolzh’ye = Remedium Volga Region Journal. 2020; 2: 20–21 (In Russ.)].

  23. Пасечник И.Н. Механизмы повреждающего действия активированных форм кислорода на биологические структуры у больных в критических состояниях. Вестник интенсивной терапии. 2001; 4: 3–9. [Pasechnik I.N. Mechanisms of the damaging effect of activated oxygen forms on biological structures in critically ill patients. Vestnik intensivnoy terapii = Bulletin of Intensive Care. 2001; 4: 3–9 (In Russ.)].

  24. Кузьмина Л.П., Измерова Н.И., Коляскина М.М. Роль полиморфных генов системы биотрансформации ксенобиотиков в патогенезе профессиональных аллергодерматозов. Медицина труда и промышленная экология. 2011; 7: 17–23. [Kuzmina L.P., Izmerova N.I., Kolyaskina M.M. The role of polymorphic genes of the xenobiotic biotransformation system in the pathogenesis of occupational allergic dermatoses. Meditsina truda i promyshlennaya ekologiya = Russian Journal of Occupational Health and Industrial Ecology. 2011; 7: 17–23 (In Russ.)].


About the Autors


Lyudmila P. Kuzmina, doctor of biological sciences, professor, deputy director for research work of Academician N.F. Izmerov Scientific-research institute of Occupational Medicine, professor of the Department of occupational medicine, aviation, space and diving medicine, I.M. Sechenov First Moscow State Medical University of the Ministry of Healthcare of Russia (Sechenov University). Address: 105275, Moscow, 31 Budennogo Avenue. E-mail: lpkuzmina@mail.ru. ORCID: 0000-0003-3186-8024
Tatiana L. Pilat, MD, leading researcher of Academician N.F. Izmerov Scientific-research Institute of Occupational Medicine. Address: 105275, Moscow, 31 Budennogo Avenue. Tel.: +7 (495) 366-06-09; +7 (495) 663-35-96. E-mail: tpilat@leovit.ru. ORCID: 0000-0002-5930-8849
Lyudmila M. Bezrukavnikova, PhD, leading researcher of the Laboratory of biomedical research, Academician N.F. Izmerov Scientific-research Institute of Occupational Medicine. Address: 105275, Moscow, 31 Budennogo Avenue. Tel.: +7 (495) 365-59-41. E-mail: bezrukavnikovalm@mail.ru. ORCID: 0000-0002-0430-4154
Maria M. Kolyaskina, PhD, senior researcher of the Laboratory of biomedical research, Academician N.F. Izmerov Scientific-research Institute of Occupational Medicine, lecturer at the Department of occupational medicine, aviation, space and diving medicine, I.M. Sechenov First Moscow State Medical University of the Ministry of Healthcare of Russia (Sechenov University). Address: 105275, Moscow, 31 Budennogo Avenue. Tel.: +7 (495) 365-59-41. E-mail: koliaskina.mm@irioh.ru. ORCID: 0000-0001-5356-1598


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