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10.1016/j.fct.2020.111694

http://scihub22266oqcxt.onion/10.1016/j.fct.2020.111694
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32822775!7434461!32822775
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suck abstract from ncbi


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pmid32822775      Food+Chem+Toxicol 2020 ; 145 (ä): 111694
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  • Tocilizumab improves oxidative stress and endothelial glycocalyx: A mechanism that may explain the effects of biological treatment on COVID-19 #MMPMID32822775
  • Ikonomidis I; Pavlidis G; Katsimbri P; Lambadiari V; Parissis J; Andreadou I; Tsoumani M; Boumpas D; Kouretas D; Iliodromitis E
  • Food Chem Toxicol 2020[Nov]; 145 (ä): 111694 PMID32822775show ga
  • We investigated the effects of tocilizumab on endothelial glycocalyx, a determinant of vascular permeability, and myocardial function in rheumatoid arthritis (RA). Eighty RA patients were randomized to tocilizumab (n = 40) or conventional synthetic disease-modifying antirheumatic drugs (csDMARDs) and glucocorticoids (GC) (n = 40) for 3 months. Forty healthy subjects with similar age and sex served as controls. We measured: (a)perfused boundary region (PBR) of the sublingual arterial microvessels (increased PBR indicates reduced glycocalyx thickness), (b)pulse wave velocity (PWV), (c)global LV longitudinal strain (GLS), (d)global work index (GWI) using speckle tracking echocardiography and e)C-reactive protein (CRP), malondialdehyde (MDA) and protein carbonyls (PCs) as oxidative stress markers at baseline and post-treatment. Compared to controls, RA patients had impaired glycocalyx and myocardial deformation markers (P < 0.05). Compared with baseline, tocilizumab reduced PBR(2.14 +/- 0.2 versus 1.97 +/- 0.2 mum; P < 0.05) while no significant differences were observed post-csDMARDs + GC(P > 0.05). Compared with csDMARDs + GC, tocilizumab achieved a greater increase of GLS, GWI and reduction of MDA, PCs and CRP(P < 0.05). The percent improvement of glycocalyx thickness (PBR) was associated with the percent decrease of PWV, MDA, PCs and the percent improvement of GLS and GWI(P < 0.05). Tocilizumab improves endothelial function leading to a greater increase of effective myocardial work than csDMARDs + GC through a profound reduction of inflammatory burden and oxidative stress. This mechanism may explain the effects of tocilizumab on COVID-19. CLINICAL TRIAL REGISTRATION: url: https://www.clinicaltrials.gov. Unique identifier: NCT03288584.
  • |Aged[MESH]
  • |Antibodies, Monoclonal, Humanized/*therapeutic use[MESH]
  • |Arthritis, Rheumatoid/*drug therapy[MESH]
  • |Betacoronavirus[MESH]
  • |COVID-19[MESH]
  • |Capillary Permeability/drug effects[MESH]
  • |Coronavirus Infections/drug therapy[MESH]
  • |Endothelium/*drug effects[MESH]
  • |Female[MESH]
  • |Glycocalyx/*drug effects[MESH]
  • |Heart/drug effects[MESH]
  • |Humans[MESH]
  • |Inflammation/drug therapy[MESH]
  • |Interleukin-6/antagonists & inhibitors[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Oxidative Stress/*drug effects[MESH]
  • |Pandemics[MESH]
  • |Pneumonia, Viral/drug therapy[MESH]
  • |Pulse Wave Analysis[MESH]


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