Protective role of N-acetylcysteine and Sulodexide on endothelial cells exposed on patients’ serum after SARS-CoV-2 infection

Severe acute respiratory syndrome coronavirus-2 causes hyperinflammation and activation of coagulation cascade and, as a result, aggravates endothelial cell dysfunction. N-acetylcysteine and Sulodexide have been found to mitigate endothelial damage. The influence on coronary artery endothelial cells...

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Main Authors: Justyna Rajewska-Tabor, Patrycja Sosińska-Zawierucha, Malgorzata Pyda, Maciej Lesiak, Andrzej Bręborowicz
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-12-01
Series:Frontiers in Cellular and Infection Microbiology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fcimb.2023.1268016/full
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author Justyna Rajewska-Tabor
Patrycja Sosińska-Zawierucha
Malgorzata Pyda
Maciej Lesiak
Andrzej Bręborowicz
Andrzej Bręborowicz
author_facet Justyna Rajewska-Tabor
Patrycja Sosińska-Zawierucha
Malgorzata Pyda
Maciej Lesiak
Andrzej Bręborowicz
Andrzej Bręborowicz
author_sort Justyna Rajewska-Tabor
collection DOAJ
description Severe acute respiratory syndrome coronavirus-2 causes hyperinflammation and activation of coagulation cascade and, as a result, aggravates endothelial cell dysfunction. N-acetylcysteine and Sulodexide have been found to mitigate endothelial damage. The influence on coronary artery endothelial cells of serum collected after 4 ± 1 months from coronavirus infection was studied. The concentrations of serum samples of interleukin 6, von Willebrand Factor, tissue Plasminogen Activator, and Plasminogen Activator Inhibitor-1 were studied. The cultures with serum of patients after coronavirus infection were incubated with N-acetylcysteine and Sulodexide to estimate their potential protective role. The blood inflammatory parameters were increased in the group of cultures incubated with serum from patients after coronavirus infection. Supplementation of the serum from patients after coronavirus infection with N-acetylcysteine or Sulodexide reduced the synthesis of interleukin 6 and von Willebrand Factor. No changes in the synthesis of tissue Plasminogen Activator were observed. N-acetylcysteine reduced the synthesis of Plasminogen Activator Inhibitor-1. N-acetylcysteine and Sulodexide increased the tPA/PAI-1 ratio. N-acetylcysteine may have a role in reducing the myocardial injury occurring in the post-COVID-19 syndrome. Sulodexide can also play a protective role in post-COVID-19 patients.
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spelling doaj.art-089ebe5d4be24be9846f9c10f862439e2023-12-21T04:46:17ZengFrontiers Media S.A.Frontiers in Cellular and Infection Microbiology2235-29882023-12-011310.3389/fcimb.2023.12680161268016Protective role of N-acetylcysteine and Sulodexide on endothelial cells exposed on patients’ serum after SARS-CoV-2 infectionJustyna Rajewska-Tabor0Patrycja Sosińska-Zawierucha1Malgorzata Pyda2Maciej Lesiak3Andrzej Bręborowicz4Andrzej Bręborowicz5I Clinic of Cardiology, Unit of Magnetic Resonance, Poznan University of Medical Sciences, Poznan, PolandDepartment of Pathophysiology, Poznan University of Medical Sciences, Poznan, PolandI Clinic of Cardiology, Unit of Magnetic Resonance, Poznan University of Medical Sciences, Poznan, PolandI Clinic of Cardiology, Unit of Magnetic Resonance, Poznan University of Medical Sciences, Poznan, PolandDepartment of Pathophysiology, Poznan University of Medical Sciences, Poznan, PolandCollegium Medicum, Zielona Góra, PolandSevere acute respiratory syndrome coronavirus-2 causes hyperinflammation and activation of coagulation cascade and, as a result, aggravates endothelial cell dysfunction. N-acetylcysteine and Sulodexide have been found to mitigate endothelial damage. The influence on coronary artery endothelial cells of serum collected after 4 ± 1 months from coronavirus infection was studied. The concentrations of serum samples of interleukin 6, von Willebrand Factor, tissue Plasminogen Activator, and Plasminogen Activator Inhibitor-1 were studied. The cultures with serum of patients after coronavirus infection were incubated with N-acetylcysteine and Sulodexide to estimate their potential protective role. The blood inflammatory parameters were increased in the group of cultures incubated with serum from patients after coronavirus infection. Supplementation of the serum from patients after coronavirus infection with N-acetylcysteine or Sulodexide reduced the synthesis of interleukin 6 and von Willebrand Factor. No changes in the synthesis of tissue Plasminogen Activator were observed. N-acetylcysteine reduced the synthesis of Plasminogen Activator Inhibitor-1. N-acetylcysteine and Sulodexide increased the tPA/PAI-1 ratio. N-acetylcysteine may have a role in reducing the myocardial injury occurring in the post-COVID-19 syndrome. Sulodexide can also play a protective role in post-COVID-19 patients.https://www.frontiersin.org/articles/10.3389/fcimb.2023.1268016/fullCOVID-19endothelial cellsN-acetylcysteineSulodexideendotheliitis
spellingShingle Justyna Rajewska-Tabor
Patrycja Sosińska-Zawierucha
Malgorzata Pyda
Maciej Lesiak
Andrzej Bręborowicz
Andrzej Bręborowicz
Protective role of N-acetylcysteine and Sulodexide on endothelial cells exposed on patients’ serum after SARS-CoV-2 infection
Frontiers in Cellular and Infection Microbiology
COVID-19
endothelial cells
N-acetylcysteine
Sulodexide
endotheliitis
title Protective role of N-acetylcysteine and Sulodexide on endothelial cells exposed on patients’ serum after SARS-CoV-2 infection
title_full Protective role of N-acetylcysteine and Sulodexide on endothelial cells exposed on patients’ serum after SARS-CoV-2 infection
title_fullStr Protective role of N-acetylcysteine and Sulodexide on endothelial cells exposed on patients’ serum after SARS-CoV-2 infection
title_full_unstemmed Protective role of N-acetylcysteine and Sulodexide on endothelial cells exposed on patients’ serum after SARS-CoV-2 infection
title_short Protective role of N-acetylcysteine and Sulodexide on endothelial cells exposed on patients’ serum after SARS-CoV-2 infection
title_sort protective role of n acetylcysteine and sulodexide on endothelial cells exposed on patients serum after sars cov 2 infection
topic COVID-19
endothelial cells
N-acetylcysteine
Sulodexide
endotheliitis
url https://www.frontiersin.org/articles/10.3389/fcimb.2023.1268016/full
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