Evaluation of the Effectiveness of Immunomodulatory Therapy in Chronic Obstructive Pulmonary Disease

The purpose of our study was to evaluate the effectiveness of sodium deoxyribonucleate (Derinat, solution for intramuscular injection) in combination with standard therapy in the treatment of COPD Group C patients in outpatient settings. Materials and Methods: The study included 80 patients (43 me...

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Main Authors: Anna Zuikova, Olga Krasnorutskaya, Julia Kotova, Daniil Bugrimov, Natalia Strahova, Elena Esina, Olga Kashaeva, Olga Paevskaya
Format: Article
Language:English
Published: International Medical Research and Development Corporation 2019-12-01
Series:International Journal of Biomedicine
Subjects:
Online Access:http://ijbm.org/articles/i36/ijbm_9(4)_oa5.pdf
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author Anna Zuikova
Olga Krasnorutskaya
Julia Kotova
Daniil Bugrimov
Natalia Strahova
Elena Esina
Olga Kashaeva
Olga Paevskaya
author_facet Anna Zuikova
Olga Krasnorutskaya
Julia Kotova
Daniil Bugrimov
Natalia Strahova
Elena Esina
Olga Kashaeva
Olga Paevskaya
author_sort Anna Zuikova
collection DOAJ
description The purpose of our study was to evaluate the effectiveness of sodium deoxyribonucleate (Derinat, solution for intramuscular injection) in combination with standard therapy in the treatment of COPD Group C patients in outpatient settings. Materials and Methods: The study included 80 patients (43 men and 37 women) with COPD (Group C), mean age of 51.7±1.4 years. Blood sampling for the study was carried out 3 times—before the start of therapy, and on days 5 and 15. Using monoclonal antibodies, we determined the number of lyphocytes carrying markers CD3+, CD+, CD8+, and CD72+. The quality of life (QL) indicators were evaluated using the St. George’s Respiratory Questionnaire (SGRQ). For at least 15 days, patients received standard COPD therapy. All patients were divided into 2 groups: Group 1 included 41 patients who received Derinat 75 mg intramuscularly once daily for 5 days; then - 5 injections with an interval of 48 hours against the background of standard therapy. Group 2 included 39 patients who continued to receive standard COPD therapy. Results: The inclusion of Derinat in the complex therapy of COPD contributed to the normalization of the T-cell to B-cell ratio, an increase in the number of T suppressors. Assessing the clinical effects of combination therapy with the inclusion of the studied drug, a marked decrease in shortness of breath, cough, and the amount of sputum excreted can be noted in comparison with standard therapy. The improvement of the immunological status and clinical indicators against the background of complex therapy was accompanied by an increase in QL.
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spelling doaj.art-757781501a6e4cf88821acb0b9bbd9962022-12-22T00:12:19ZengInternational Medical Research and Development CorporationInternational Journal of Biomedicine2158-05102158-05292019-12-019430030310.21103/Article9(4)_OA5Evaluation of the Effectiveness of Immunomodulatory Therapy in Chronic Obstructive Pulmonary DiseaseAnna Zuikova0Olga Krasnorutskaya1Julia Kotova2Daniil Bugrimov3Natalia Strahova4Elena Esina5Olga Kashaeva6Olga Paevskaya7Voronezh State Medical University named after N.N. Burdenko; Voronezh, RussiaVoronezh State Medical University named after N.N. Burdenko; Voronezh, RussiaVoronezh State Medical University named after N.N. Burdenko; Voronezh, RussiaVoronezh State Medical University named after N.N. Burdenko; Voronezh, RussiaVoronezh State Medical University named after N.N. Burdenko; Voronezh, RussiaVoronezh State Medical University named after N.N. Burdenko; Voronezh, RussiaMoscow State University of Medicine and Dentistry named after A. I. Evdokimov; Moscow, RussiaI.M. Sechenov First Moscow State Medical University (Sechenov University;, Moscow, RussiaThe purpose of our study was to evaluate the effectiveness of sodium deoxyribonucleate (Derinat, solution for intramuscular injection) in combination with standard therapy in the treatment of COPD Group C patients in outpatient settings. Materials and Methods: The study included 80 patients (43 men and 37 women) with COPD (Group C), mean age of 51.7±1.4 years. Blood sampling for the study was carried out 3 times—before the start of therapy, and on days 5 and 15. Using monoclonal antibodies, we determined the number of lyphocytes carrying markers CD3+, CD+, CD8+, and CD72+. The quality of life (QL) indicators were evaluated using the St. George’s Respiratory Questionnaire (SGRQ). For at least 15 days, patients received standard COPD therapy. All patients were divided into 2 groups: Group 1 included 41 patients who received Derinat 75 mg intramuscularly once daily for 5 days; then - 5 injections with an interval of 48 hours against the background of standard therapy. Group 2 included 39 patients who continued to receive standard COPD therapy. Results: The inclusion of Derinat in the complex therapy of COPD contributed to the normalization of the T-cell to B-cell ratio, an increase in the number of T suppressors. Assessing the clinical effects of combination therapy with the inclusion of the studied drug, a marked decrease in shortness of breath, cough, and the amount of sputum excreted can be noted in comparison with standard therapy. The improvement of the immunological status and clinical indicators against the background of complex therapy was accompanied by an increase in QL.http://ijbm.org/articles/i36/ijbm_9(4)_oa5.pdfsodium deoxyribonucleatepro-inflammatory mediatorsimmunomodulatory therapy
spellingShingle Anna Zuikova
Olga Krasnorutskaya
Julia Kotova
Daniil Bugrimov
Natalia Strahova
Elena Esina
Olga Kashaeva
Olga Paevskaya
Evaluation of the Effectiveness of Immunomodulatory Therapy in Chronic Obstructive Pulmonary Disease
International Journal of Biomedicine
sodium deoxyribonucleate
pro-inflammatory mediators
immunomodulatory therapy
title Evaluation of the Effectiveness of Immunomodulatory Therapy in Chronic Obstructive Pulmonary Disease
title_full Evaluation of the Effectiveness of Immunomodulatory Therapy in Chronic Obstructive Pulmonary Disease
title_fullStr Evaluation of the Effectiveness of Immunomodulatory Therapy in Chronic Obstructive Pulmonary Disease
title_full_unstemmed Evaluation of the Effectiveness of Immunomodulatory Therapy in Chronic Obstructive Pulmonary Disease
title_short Evaluation of the Effectiveness of Immunomodulatory Therapy in Chronic Obstructive Pulmonary Disease
title_sort evaluation of the effectiveness of immunomodulatory therapy in chronic obstructive pulmonary disease
topic sodium deoxyribonucleate
pro-inflammatory mediators
immunomodulatory therapy
url http://ijbm.org/articles/i36/ijbm_9(4)_oa5.pdf
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