Oxidative modification of protein and reserve-adaptive potential in patients with metabolic phenotype of osteoarthritis

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Abstract

Relevance. Oxidative stress, resulting from an imbalance between ROS production and the antioxidant defense system, is a major disruption of chronic inflammation in OA and obesity. It should be noted that the study and understanding of OS and their relationship with the identification of joint tissues is necessary to develop new therapeutic approaches to the occurrence and expediency of the metabolic phenotype of OA.

Aim. To study protein oxidative modification (OMP) and reserve-adaptive potential in patients with the metabolic phenotype of osteoarthritis (OA).

Material and methods. Participants were divided into 2 groups: Control group - patients without articular pathology, metabolic syndrome. The experimental group consisted of patients with the metabolic phenotype of OA. The subjects were collected complaints and anamnesis, as well as general clinical and orthopedic examination. In the blood serum, indicators of OMP and superoxidedismutase (SOD) were determined. Patients were asked to answer the questions of clinical scales of the functional state of the joints and quality of life.

Results. The initial activity of blood serum SOD was somewhat lower in patients with the metabolic phenotype of OA, and the level of OMP showed certain differences in the levels of activity of the processes of spontaneous and metal-catalyzed PMB. The total area under the spontaneous OMP curve was statistically significantly higher (p<0,01), mainly due to the neutral fraction of aldehyde dinitrophenyl hydrozones (ADNFH). The level of reserve-adaptive potential was statistically significantly lower than the control group. An inverse correlation was found between the total area, the area of ADNFH of metal-catalyzed OMP and the level of pain, which indicates higher levels of oxidative stress in patients with severe clinical symptoms.

Сonclusion. In patients with pronounced indicators of clinical manifestations of OA, more active processes of redox changes were observed. There was a decrease in the activity of antioxidant activity and the level of reserve-adaptive potential.

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About the authors

D. R. Shodiev

Ryazan State Medical University

Author for correspondence.
Email: shodiev.dima@yandex.ru
ORCID iD: 0000-0002-4530-2964
SPIN-code: 3556-4398

Post-graduate Student, Department of Biochemistry

Russian Federation, Ryazan

V. I. Zvyagina

Ryazan State Medical University

Email: vizvyagina@yandex.ru
ORCID iD: 0000-0003-2800-5789
SPIN-code: 7553-8641
Scopus Author ID: 57189726173

Ph.D. (Biol), Associated Professor of Department of Biochemistry

Russian Federation, Ryazan

M. N. Ryabova

Ryazan State Medical University

Email: rmn62doc@yandex.ru
ORCID iD: 0000-0002-1707-2567
SPIN-code: 2077-3173

Ph.D. (Med.), Associated Professor of Department of Traumatology, Orthopedics and Sports Medicine

Russian Federation, Ryazan

M. N. Dmitrieva

Ryazan State Medical University

Email: rmn62doc@yandex.ru
ORCID iD: 0000-0003-0915-026X
SPIN-code: 1083-9650

Ph.D. (Ped.), Associated Professor of Department of Mathematics, Physics and Medical Informatics, Deputy Dean of the Faculty for Education of Foreign Students

Russian Federation, Ryazan

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Supplementary files

Supplementary Files
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1. JATS XML
2. Fig. 1. Spontaneous PMB spectrum and areas under the curves of the 1st and 2nd groups: s.r.p. is the unit of optical density; l (nm) is the wavelength; SADNFGn. is the area of the neutral fraction of aldehyde-dinitrophenylhydrozones; SKDNFGn. is the area of the neutral fraction of ketone-dinitrophenylhydrozones; SADNFGo. is the area of the main fraction of aldehyde-dinitrophenylhydrozones; SKDNFGo. is the area of the main fraction of ketone-dinitrophenylhydrozones; Stot. - total area of the OMB

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3. Fig. 2. The ratio of the area under the curve of aldehyde and ketone-dinitrophenylhydrazones during spontaneous oxidation to the area of induced protein oxidation: * – p<0.006, ** – p<0.026

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4. Fig. 3. Correlation analysis of the level of pain (NormP) on the KOOS scale and the total area of metal-dependent PMP in patients of the 2nd group

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5. Fig.4. 4. Correlation analysis of BMI and the total area of spontaneous OMB in patients of the 2nd group

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