Русский
The importance of new therapeutic targets for neutrophil inflammation regulation in case of broncho-obstructive pulmonary diseases
DOI: https://dx.doi.org/10.18565/therapy.2024.6.15-22
Kupaev V.I., Shagurov A.S., Limareva L.V., Tkachenko K.M., Kuritsyna A.P.
1) Samara State Medical University of the Ministry of Healthcare of Russia; 2) V.D. Seredavin Samara Regional Clinical Hospital
The aim: to evaluate the importance of P-selectin and siglec-9 in regulation of neutrophilic inflammation taking place in broncho-obstructive pulmonary diseases.
Material and methods. A study of patients suffering from broncho-obstructive diseases was made in 3 groups: group I – patients with BA of mixed genesis (n = 44), group II – patients with COPD (n = 36), control group (n = 30). Clinical, spirometric parameters and immunological markers were assessed using enzyme immunoassay (P-selectin, siglec-9, interleukins 4 and 8, tumor necrosis factor-alpha, interferon gamma).
Results. Median values of P-selectin in case of mixed BA and COPD were at the level of 60.48 (41.48– 147.17) and 91.17 (53.72–135.60) pg/ml, respectively, that had statistically significant differences from the control group, where this index was 47.67 (40.34–65.98) pg/ml. The level of P-selectin in BA and COPD groups did not differ significantly. Siglec-9 value was very low in all groups, but 15 patients were positive for this marker. Mainly they were patients with mixed BA (n = 11). Multivariate cluster analysis, including the main phenotypic signs of diseases (age, smoking status, body mass index) and levels of P-selectin, Siglec-9, interleukin 4, tumor necrosis factor-alpha, interferon gamma, showed that the most consistent features for clustering were smoking, age, body mass index, concentrations of P-selectin, interferon gamma and interleukin 4.
Conclusion. The role of P-selectin and siglec-9 in neutrophilic inflammation regulation in patients with chronic broncho-obstructive pulmonary diseases was ambiguously estimated in the current study. In our opinion, the most convincing promising therapeutic target for controlling neutrophilic inflammation may be P-selectin.
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About the Autors
Vitaly I. Kupaev, MD, Dr. Sci. (Medicine), professor, head of the Department of family medicine with a course of telemedicine technologies, Samara State Medical University of the Ministry of Healthcare of Russia. Address: 443099, Samara, 89 Chapaevskaya St.
E-mail: vk1964sam@rambler.ru
ORCID: https://orcid.org/0000-0003-2639-0003
Alexander S. Shagurov, MD, postgraduate student of the Department of family medicine with a course in telemedicine technologies, Samara State Medical University of the Ministry of Healthcare of Russia. Address: 443099, Samara, 89 Chapaevskaya St.
E-mail: ashagurov@yandex.ru
ORCID: https://orcid.org/0000-0001-6508-3095
Larisa V. Limareva, MD, Dr. Sci. (Biology), associate professor, professor of the Department of general and clinical microbiology, immunology and allergology, Samara State Medical University of the Ministry of Healthcare of Russia. Address: 443099, Samara, 89 Chapaevskaya St.
E-mail: l.v.limareva@samsmu.ru
ORCID: https://orcid.org/0000-0003-4529-5896
Ksenia M. Tkachenko, MD, pulmonologist at V.D. Seredavin Samara Regional Clinical Hospital. Address: 443095, Samara, 159 Tashkentskaya St.
E-mail: Ksenya2009@list.ru
ORCID: https://orcid.org/0009-0006-7433-6609
Anna P. Kuritsyna, MD, specialist at the Department of human metagenomics of Scientific and Educational Professional Center for Genetic and Laboratory Technologies, Samara State Medical University of the Ministry of Healthcare of Russia. Address: 443099, Samara, 89 Chapaevskaya St.
E-mail: a.p.kuricyna@samsmu.ru
ORCID: https://orcid.org/0000-0003-2799-7632
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