uzspbgmuУчёные записки Первого Санкт-Петербургского государственного медицинского университета имени академика И. П. ПавловаThe Scientific Notes of the Pavlov University1607-41812541-8807Academician I.P. Pavlov First St. Petersburg State Medical University10.24884/1607-4181-2018-25-4-64-69uzspbgmu-553Research ArticleОРИГИНАЛЬНЫЕ СТАТЬИORIGINAL PAPERSВЗАИМОСВЯЗЬ МЕДИАТОРА АНГИОГЕНЕЗА VEGF-A С ПАРАМЕТРАМИ МЕТАБОЛИЗМА ГЛУТАТИОНА И КЛИНИЧЕСКИМИ ХАРАКТЕРИСТИКАМИ СИСТЕМНЫХ АУТОИММУННЫХ ЗАБОЛЕВАНИЙ С ПОРАЖЕНИЕМ СУСТАВОВINTERRELATIONSHIP OF THE MEDIATOR OF ANGIOGENESIS OF VEGF-A WITH GLUTATHIONE METABOLISM PARAMETERS AND THE CLINICAL CHARACTERISTICS OF SYSTEMIC AUTOIMMUNE DISEASES WITH JOINT DAMAGEАлександроваЛ. А.AlexandrovaL. A.

Санкт-Петербург.

St. Petersburg .

LAA2004@mail.ruФилипповаН. А.FilippovaN. A.

Санкт-Петербург.

St. Petersburg .

nafil@mail.ruИманА.ImanA.

Санкт-Петербург.

St. Petersburg .

i.amiri1991@yahoo.comCубботинаТ. Ф.SubbotinaT. F.

Санкт-Петербург.

St. Petersburg .

subbotina2002@mail.ruТрофимовВ. И.TrofimovV. I.

Санкт-Петербург.

St. Petersburg .

trofvi@mail.ruФедеральное государственное бюджетное образовательное учреждение высшего образования «Первый Санкт-Петербургский государственный медицинский университет имени академика И. П. Павлова» Министерства здравоохранения Российской Федерации.РоссияPavlov University.Russian Federation2018301220182546469Copyright © Александрова Л.А., Филиппова Н.А., Иман А., Cубботина Т.Ф., Трофимов В.И., 20192019Александрова Л.А., Филиппова Н.А., Иман А., Cубботина Т.Ф., Трофимов В.И.Alexandrova L.A., Filippova N.A., Iman A., Subbotina T.F., Trofimov V.I.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.sci-notes.ru/jour/article/view/553Введение

Введение. При системных аутоиммунных заболеваниях с поражением суставов (САЗПС) происходят нарушения ангиогенеза, играющие ключевую роль в прогрессировании пролиферативного синовита и в развитии поражений внутренних органов. Избыточная продукция фактора роста эндотелия сосудов VEGF-А, основного медиатора ангиогенеза, приводит к усилению воспалительного процесса. Цель работы состояла в изучении взаимосвязи VEGF-A с показателями метаболизма глутатиона, активностью процесса и иммунного статуса при САЗПС.

Материал и методы

Материал и методы. Были обследованы 58 пациентов с САЗПС. Группу сравнения составили 45 здоровых лиц. Анализировали основные клинические показатели и ревматоидный фактор (РФ). Для определения активности процесса рассчитывали индексы DAS28 для больных ревматоидным артритом (РА) и BASDAI для больных анкилозирующим спондилоартритом (АС). В эритроцитах определяли активности ферментов глутатионпероксидазы (ГПО), глутатионредуктазы (ГР), супероксиддисмутазы (СОД) и содержание GSH.

Результаты

Результаты. При САЗПС более чем на 30 % повышен уровень сывороточного VEGF-А, а в эритроцитах в 2 раза снижена концентрация GSH, почти в 2 раза снижена активность ГПО и примерно на 20 % снижена активность ГР по сравнению с донорами. Выявлены корреляция уровня VEGF-A с активностью ГР (R=0,579; P=0,03) у больных РА с умеренной активностью процесса и отсутствие взаимосвязи этих параметров с активностью процесса при АС. Активность как ГПО, так и ГР у больных САЗПС с РФ была ниже более чем в 1,5 раза, а активность СОД – вдвое ниже контроля. Уровень VEGF-A в плазме крови определяли методом твердофазного неконкурентного иммуноферментного анализа.

Выводы

Выводы. Увеличение уровня VEGF-A в плазме крови больных с САЗПС наиболее выражено у больных РА с умеренной активностью процесса и связано с наличием РФ. Взаимосвязь активности ГР и VEGF-А указывает на особую роль этого фермента в регуляции ангиогенеза при РА. 

Introduction

Introduction. In systemic autoimmune diseases with joint damage (SADJD), impaired angiogenesis occurs, which plays a key role in the progression of proliferative synovitis and in the development of lesions of the internal organs. Excessive production of vascular endothelial growth factor VEGF-A, the main mediator of angiogenesis, leads to an increase of the inflammatory process.

The objective of the work was to study the relationship of VEGF-A with glutathione metabolism parameters, activity of the process and immune status in systemic autoimmune diseases with joint damage.

Material and methods

Material and methods. 58 patients with systemic autoimmune diseases with joint damage were examined. The comparison group consisted of 45 healthy individuals. The main clinical parameters and rheumatoid factor (RF) were analyzed. To determine the activity of the process, we calculated the indices DAS28 for patients with rheumatoid arthritis (RA) and BASDAI for patients with ankylosing spondylarthritis (AS). The activities of the enzymes glutathione peroxidase (GPO), glutathione reductase (GR), superoxide dismutase (SOD) and the content of GSH were determined in erythrocytes.

Results

Results. The level of serum VEGF-A in patients with systemic autoimmune diseases with joint damage was increased more than 30 %, in erythrocytes the concentration of GSH and GPO activity were 2 times lower and almost 2 times lower respectively, and GR activity was reduced by about 20 % compared with donors. A correlation was found between the level of VEGF-A and GR activity (R = 0.579; P = 0.03) in RA patients with moderate activity of the process, and absence of relationship between these parameters and the activity of the process in AS. The activity of both GPO and GR in patients with RF was lower by more than 1.5 times, and SOD activity was twice lower than control. The VEGF-A level in the blood plasma was determined by the method of non-competitive enzyme immunoassay.

Conclusion

Conclusion. The increase in VEGF-A level in the blood plasma of patients with systemic autoimmune diseases with joint damage is most pronounced in RA patients with moderate activity of the process and is associated with the presence of RF. The relationship of VEGF-A and GR activity indicates a special role for this enzyme in the regulation of angiogenesis in RA. 

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The authors declare that there are no conflicts of interest present.