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Dynamics of immunological indices in the exhaled air condensate in patients with bronchial asthma on the background of pathogenetic therapy with the use of l-arginine


International Journal of Radiology & Radiation Therapy
AL Alyavi, SA Bazarov, GS Dzhambekova, GM Kasymov
Republican Specialized Scientific and Practical Medical Center for Therapy and Medical Rehabilitation Tashkent, Uzbekistan
AL Alyavi, Republican Specialized Scientific and Practical Medical Center for Therapy and Medical Rehabilitation Tashkent, Uzbekistan
GS Dzhambekova , Republican Specialized Scientific and Practical Medical Center for Therapy and Medical Rehabilitation Tashkent, Uzbekistan
GM Kasymov, Republican Specialized Scientific and Practical Medical Center for Therapy and Medical Rehabilitation Tashkent, Uzbekistan

Abstract

The aim of the study was to study the effect of L-arginine on the content of certain interleukins in the exhaled air condensate (CVC) in patients with bronchial asthma. 52 patients with a persistent asthma of a moderate course were examined. Two groups were formed. Patients of the main group (26), in addition to the standard basic therapy, received a nitric oxide donor - L-arginine. The comparison group (26) received only basic therapy. In patients of both groups before and after treatment, certain parameters of the immune system (IL-4, TNF-α) were measured in CMV. The initial data in patients of both groups were characterized by an increase in IL-4 and TNF-α in KVV compared with the group of healthy individuals. The content of IL-4 and TNF-α in KVB against the background of L-arginine significantly decreased during the control period. Changes in these parameters in the control group were not so pronounced and were unreliable. The inclusion of L-arginine in the baseline therapy contributed to an earlier and significant decrease in the content of the studied interleukins.

Keywords

Bronchial asthma, L-arginine, Interleukins, Endothelial dysfunction, Exhaled air condensate, IL-4, TNF-?, KVV, CMV, CVC, Air condensate, Baseline therapy, Asthma, Endothelium, Disease

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