INDAPAMIDE EFFECTS ON FREE OXYGEN RADICALS PRODUCED BY BLOOD PHAGOCYTES IN PATIENTS WITH HEART FAILURE

Aim. To study the effects of a thiazide-like diuretic indapamide (Ind) on the levels of free oxygen radicals generated by blood phagocytes and isolated neutrophils in patients with heart failure (HF). Material and methods. Using whole blood samples and isolated neutrophils of 16 HF patients (NYHA Fu...

Full description

Bibliographic Details
Main Authors: E. I. Astashkin, M. G. Glezer, E. A. Petrov, I. N. Sokolov
Format: Article
Language:Russian
Published: «FIRMA «SILICEA» LLC 2012-08-01
Series:Российский кардиологический журнал
Subjects:
Online Access:https://russjcardiol.elpub.ru/jour/article/view/1246
_version_ 1797857094815186944
author E. I. Astashkin
M. G. Glezer
E. A. Petrov
I. N. Sokolov
author_facet E. I. Astashkin
M. G. Glezer
E. A. Petrov
I. N. Sokolov
author_sort E. I. Astashkin
collection DOAJ
description Aim. To study the effects of a thiazide-like diuretic indapamide (Ind) on the levels of free oxygen radicals generated by blood phagocytes and isolated neutrophils in patients with heart failure (HF). Material and methods. Using whole blood samples and isolated neutrophils of 16 HF patients (NYHA Functional Class II–III), the generation of free oxygen radicals was examined with a chemiluminometre “Biotox-7”, in the presence of luminophores – lucigenin (30 mkM) and luminol (50 mkM). The standard stimulators of blood phagocytes and neutrophils were bacterial tripeptide (FMLP, 3 mkM) and phorbol ester (PMA, 1 mkM). The generation of superoxide anions (O2-) and hydroxyl radicals was continuously assessed by the number of impulses per second and presented as integral chemiluminescence (summary value for 10 minutes). Inhibiting effects of varied Ind concentrations were assessed by the decrease (%) in the peak stimulated luminescence. Antioxidant activity of Ind was studied in the cell-free medium generating hydroxyl radicals. Statistical analysis of the data was performed with the use of SigmaPlot software. Results. At baseline, the blood of HF patients contained pre-activated (primed) phagocytes, as shown by the “spontaneous” production of superoxide anions due to neutrophil adhesion on cuvette walls. PMA markedly increased the production of oxygen radicals. In the neutrophil suspension, Ind dose-dependently (0,5–2 mkM) reduced the peak PMA response levels of superoxide anions up to the baseline levels. Moreover, Ind demonstrated a similar effect in whole blood samples of HF patients. FMLP increased the production of oxygen radicals and potentiated the subsequent response of phagocytes to PMA. Ind (2 mkM), when added after FMLP and PMA, reduced the post-stimulation levels of superoxide anions up to baseline values. The initial exposure of blood samples to Ind decreased spontaneous generation of oxygen radicals and the magnitude of subsequent response to FMLP and PMA. Antioxidant effects of Ind were also observed in the cell-free medium, which suggests a direct interaction between Ind and oxygen radicals. Conclusion. Low Ind concentrations provided a marked antioxidant effect, which could be clinically significant in the management of HF patients.
first_indexed 2024-04-09T20:51:04Z
format Article
id doaj.art-86539dc25e5f4c928cde38f22335d4ea
institution Directory Open Access Journal
issn 1560-4071
2618-7620
language Russian
last_indexed 2024-04-09T20:51:04Z
publishDate 2012-08-01
publisher «FIRMA «SILICEA» LLC
record_format Article
series Российский кардиологический журнал
spelling doaj.art-86539dc25e5f4c928cde38f22335d4ea2023-03-29T21:23:19Zrus«FIRMA «SILICEA» LLCРоссийский кардиологический журнал1560-40712618-76202012-08-010443471046INDAPAMIDE EFFECTS ON FREE OXYGEN RADICALS PRODUCED BY BLOOD PHAGOCYTES IN PATIENTS WITH HEART FAILUREE. I. Astashkin0M. G. Glezer1E. A. Petrov2I. N. Sokolov3I. M. Sechenov First Moscow State Medical University, MoscowI. M. Sechenov First Moscow State Medical University, MoscowI. M. Sechenov First Moscow State Medical University, MoscowI. M. Sechenov First Moscow State Medical University, MoscowAim. To study the effects of a thiazide-like diuretic indapamide (Ind) on the levels of free oxygen radicals generated by blood phagocytes and isolated neutrophils in patients with heart failure (HF). Material and methods. Using whole blood samples and isolated neutrophils of 16 HF patients (NYHA Functional Class II–III), the generation of free oxygen radicals was examined with a chemiluminometre “Biotox-7”, in the presence of luminophores – lucigenin (30 mkM) and luminol (50 mkM). The standard stimulators of blood phagocytes and neutrophils were bacterial tripeptide (FMLP, 3 mkM) and phorbol ester (PMA, 1 mkM). The generation of superoxide anions (O2-) and hydroxyl radicals was continuously assessed by the number of impulses per second and presented as integral chemiluminescence (summary value for 10 minutes). Inhibiting effects of varied Ind concentrations were assessed by the decrease (%) in the peak stimulated luminescence. Antioxidant activity of Ind was studied in the cell-free medium generating hydroxyl radicals. Statistical analysis of the data was performed with the use of SigmaPlot software. Results. At baseline, the blood of HF patients contained pre-activated (primed) phagocytes, as shown by the “spontaneous” production of superoxide anions due to neutrophil adhesion on cuvette walls. PMA markedly increased the production of oxygen radicals. In the neutrophil suspension, Ind dose-dependently (0,5–2 mkM) reduced the peak PMA response levels of superoxide anions up to the baseline levels. Moreover, Ind demonstrated a similar effect in whole blood samples of HF patients. FMLP increased the production of oxygen radicals and potentiated the subsequent response of phagocytes to PMA. Ind (2 mkM), when added after FMLP and PMA, reduced the post-stimulation levels of superoxide anions up to baseline values. The initial exposure of blood samples to Ind decreased spontaneous generation of oxygen radicals and the magnitude of subsequent response to FMLP and PMA. Antioxidant effects of Ind were also observed in the cell-free medium, which suggests a direct interaction between Ind and oxygen radicals. Conclusion. Low Ind concentrations provided a marked antioxidant effect, which could be clinically significant in the management of HF patients.https://russjcardiol.elpub.ru/jour/article/view/1246heart failureblood phagocytesneutrophilsindapamideantioxidant effect
spellingShingle E. I. Astashkin
M. G. Glezer
E. A. Petrov
I. N. Sokolov
INDAPAMIDE EFFECTS ON FREE OXYGEN RADICALS PRODUCED BY BLOOD PHAGOCYTES IN PATIENTS WITH HEART FAILURE
Российский кардиологический журнал
heart failure
blood phagocytes
neutrophils
indapamide
antioxidant effect
title INDAPAMIDE EFFECTS ON FREE OXYGEN RADICALS PRODUCED BY BLOOD PHAGOCYTES IN PATIENTS WITH HEART FAILURE
title_full INDAPAMIDE EFFECTS ON FREE OXYGEN RADICALS PRODUCED BY BLOOD PHAGOCYTES IN PATIENTS WITH HEART FAILURE
title_fullStr INDAPAMIDE EFFECTS ON FREE OXYGEN RADICALS PRODUCED BY BLOOD PHAGOCYTES IN PATIENTS WITH HEART FAILURE
title_full_unstemmed INDAPAMIDE EFFECTS ON FREE OXYGEN RADICALS PRODUCED BY BLOOD PHAGOCYTES IN PATIENTS WITH HEART FAILURE
title_short INDAPAMIDE EFFECTS ON FREE OXYGEN RADICALS PRODUCED BY BLOOD PHAGOCYTES IN PATIENTS WITH HEART FAILURE
title_sort indapamide effects on free oxygen radicals produced by blood phagocytes in patients with heart failure
topic heart failure
blood phagocytes
neutrophils
indapamide
antioxidant effect
url https://russjcardiol.elpub.ru/jour/article/view/1246
work_keys_str_mv AT eiastashkin indapamideeffectsonfreeoxygenradicalsproducedbybloodphagocytesinpatientswithheartfailure
AT mgglezer indapamideeffectsonfreeoxygenradicalsproducedbybloodphagocytesinpatientswithheartfailure
AT eapetrov indapamideeffectsonfreeoxygenradicalsproducedbybloodphagocytesinpatientswithheartfailure
AT insokolov indapamideeffectsonfreeoxygenradicalsproducedbybloodphagocytesinpatientswithheartfailure