LIPID PEROXIDATION AND OXIDATIVE MODIFICATION OF PROTEINS IN THE PATHOGENESIS OF TICK-BORNE ENCEPHALITIS AND IXODIC TICK-BORNE BORRELIOSIS
Ixodic tick-borne borreliosis occupies a leading place among natural focal vector-borne infections in the Chelyabinsk region, and tick-borne encephalitis is less common. In the pathogenesis of the vast majority of diseases known to date, non-specific pathochemical processes are of the greatest importance. One of the most significant metabolic processes of this kind is free radical oxidation. Objective: to study the etiological structure and clinical features of tick-borne encephalitis and ixodic tick-borne borreliosis in comparison with the characteristics of the manifestations of oxidative stress in various clinical forms of tick-borne infections in the endemic region (for example, the Chelyabinsk region). Methods: Clinical studies were conducted on the basis of the Department of Infectious Diseases of the city Center of Neuroinfections, the 1st and 4th infectious departments of the MAUZ OZP GKB No. 8 in Chelyabinsk. The diagnosis of CE, ICB was established after a comprehensive clinical and laboratory study. The content of carbonyl products of oxidative modification of proteins was evaluated by their reaction with 2,4-dinitrophenylhydrazine (2,4-DNPH). In determining the content of primary and secondary products of lipid peroxidation, a method based on the phenomenon of rearrangement of double bonds into diene conjugates was used. Conclusions: The leading place among natural-focal vector-borne infections in the Chelyabinsk region is occupied by ICB, and CE is less common. The revealed changes in the study of oxidative stress in patients with CE and ICB not only indicate the prospects for developing new approaches to the pathogenetic therapy of tick-borne infections, involving the use of antioxidants in complex therapy, but also suggest a greater effectiveness of direct-acting lipophilic antioxidants that limit diene conjugation, and thereby prevent the accumulation of secondary cytotoxic products of lipid peroxidation.