МЕТАБОЛІТОТРОПНА ТЕРАПІЯ В ЛІКУВАННІ ПАЦІЄНТІВ ІЗ ГІПЕРТОНІЧНОЮ ХВОРОБОЮ ІІ СТАДІЇ У ПОЄДНАННІ З СТАБІЛЬНОЮ ІШЕМІЧНОЮ ХВОРОБОЮ СЕРЦЯ

In the treatment of arterial hypertension (AH), stable ischemic heart disease (SIHD), correction of metabolic factors of cardiovascular risk using antioxidants and nitrogen monoxide (NO) donor agents is extremely important.The aim of the study – to investigate the effectiveness of treatment of patients with AH of the II stage in conjunction with SIHD by influencing with Quercetin (Corvitin) and Arginine hydrochloride (Tivortin) upon the lipid and carbohydrate metabolism indices, the intensity of peroxide lipid oxidation (LPO), and the endothelial function.Materials and Methods. The study involved 56 patients with AH of the II stage concomitant with SIHD, which were randomized into two groups. The 1st group consisted of 24 patients, who received a common baseline therapy (BT). Patients of the 2nd group (32 persons) received infusion Corvitin therapy (0.5 g) besides BT during the first 6 days, and 100 ml of intravenous Tivortin solution during the next 6 days, followed by the outpatient oral administration of 10 ml of Tivortin 2 times per day during two weeks.Results and Discussion. The use of Corvitin and Tivortin against the background of BT in patients with AH of the II stage in combination with SIHD has led to a significant improvement of lipidogram indices, decreased plasma glucose concentration, immunoreactive insulin (IRI), HOMA -IR index, plasma malonic aldehyde (MA) and erythrocytes. Reliable increase in the content of reduced glutathione (RG), increased activity of glutathione peroxidase (GP), catalase (CT) has been marked from the side of antioxidant protection (AOP). There was a significant increase in the content of end-metabolites of NO by 22.2 %, of the endothelial vascular growth factor VEG F-A – by 38.2 %. A more significant indices dynamics is observed in patients with the genotype Pro/Ala of the PPAR γ2 gene.

Effect of the Pro12Ala polymorphism of the peroxisome proliferator-activated receptor γ2 gene on lipid profile and adipokines levels in obese subjects

Peroxisome proliferator-activated receptor γ (PPARγ) is a key regulator of metabolism, adipokines production and secretion. The aim of this study was to investigate the association between the PPARγ2 gene Pro12Ala polymorphism in obesity in terms of body mass index (BMI), lipid parameters, homeostasis model assessment of insulin resistance (HOMA-IR), serum lipid, leptin, adiponectin, resistin and chemerin levels. The study included 160 obese and 140 non obese subjects. The Pro12Ala polymorphism was determined by polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP). Serum lipid, leptin, adiponectin, resistin and chemerin levels were measured. No association was found between the Pro12Ala polymorphism and BMI. Strikingly, in the study group, obese subjects with the AA genotype had significantly higher triglycerides (p = 0.046) and resistin (p <0.001) levels than those with the wild-type PP and heterozygous PA genotypes. Serum leptin and chemerin levels were significantly associated with Pro-12Ala poymorphism in the obese and non obese groups (p <0.01). In the obese group, subjects with the homozygous AA genotype had significantly lower adiponectin (p = 0.010) activity than the PP genotype. Our results suggest that the PPARγ2 gene Pro12Ala polymorphism has no direct association with obesity but does have significant influences on lipid profiles and adipokines levels.