Chronic obstructive pulmonary disease (COPD): influence of clinic-anamnestic, anthropometric and functional characteristics on serum α-1-anitrypsin (AAT) in stable patients.

Authors

DOI:

https://doi.org/10.26641/2307-0404.2018.3(part1).142334

Keywords:

COPD, exacerbation, α-1-antitrypsin

Abstract

Aim of the study – to enhance the diagnostic and treatment  tactics of stable COPD patients management at out patient stage by studying the serum AAT. Data of 45 outpatients with COPD (GOLD I-IV) and 20 healthy persons were included into analysis. Sex, age, height, weight, body mass index (BMI), smoking status were assessed. Lung function and serum AAT were measured. These results suggest that sex, age, height, weight, BMI do not influence on serum AAT both in stable COPD patients and healthy persons. Serum AAT statistically significant negatively correlate with airways obstruction degree in stable COPD patients. Significant moderate negative correlation between serum AAT and number of exacerbation during last year was found in stable COPD patients. This finding allows to suggest that serum AAT could be used as an indicator for COPD prognosis.

Author Biography

K. Yu. Gashynova

SE «Dnipropetrovsk medical academy of Health Ministry of Ukraine»
Department of occupational diseases and clinical immunology
V. Vernadsky str., 9, Dnipro, 49044, Ukraine

References

Averyanov AV. [The role of neutrophil elastase in the pathogenesis of chronic obstructive pulmonary di­sease]. Tsitokinyi i vospalenie. 2007;4:3-8. Russian.

Kovalenko OM, RodIonova VV, Voronina NO. [Fea­tures of thrombocyte linkage of hemostasis in pa­tients with chronic obstructive pulmonary disease in combination with hypertension]. Medicni perspektivi. 2017;3:28-33. Ukainian.

Kononovich OS, Plehanova OV, Dmytrychen­ko VV, Bratus EV. [Infectious exacerbation of chronic ob­structive pulmonary disease: features of the spectrum of pathogens in the Pridneprovia region] Ukr. pulmonol. zhurn. 2008;3:181-182. Russian.

Lapach CN, Gubenko AV, Babich PN. [Statistical methods in biomedical research using Excel]. Kyiv, Morion. 2000;320. Russian.

Mostovoy YuM, Demchuk AV. [COPD. Syste­mic effects and their prevention]. Ukr. pulmonol. zhurn. 2011;2:22-23. Russian.

Ostrovskiy MM, Gerich PR. [On the issue of polymorbidity and comorbidity in patients with COPD]. Ukr. pulmonol. zhurn. 2011;4:19-24. Ukainian.

Pertseva TA, Liholat EA, Gurzhiy EV. [As­sessment of mucociliary clearance in patients with chro­nic obstructive pulmonary disease]. Ukr. pulmonol. zhurn. 2007;3:16-18. Russian.

Pertseva TA, Konopkina LI, Boguslavskaya EV. [Assessment of the functional state of respiratory muscles in patients with chronic obstructive pulmonary diseases in the formation of individual rehabilitation programs]. Ukr. pulmonol. zhurn. 2004;3:31-32. Russian.

Pertseva TO, Fesenko OV. [Peculiarities of the course of violations of cardiac rhythm and conduction in patients with a combination of coronary heart disease, arterial hypertension and chronic obstructive pulmonary disease]. Medicni perspektivi. 2009;XIV(3):28-33. Ukrainian.

Pertseva TO, Gashynova KYu, Viklienko YuI. [α1-antitrypsin (AAT) level in patients with chronic obstructive pulmonary disease]. Medicni perspektivi. 2011;XVI(2):98-104. Ukainian.

Pertseva TO, Gashynova KYu, Viklienko YuI. [COPD: α1-antitrypsin (AAT) level and exacerbation frequency]. Medicni perspektivi. 2011;XVI(4):21-24. Ukainian.

[On approval and implementation of medical-technological documents on standardization of medical care in chronic obstructive pulmonary disease: Order of the Ministry of Health of Ukraine No. 555 dated June 27, 2013]. Kyiv, Official publication. 2013;3. Ukainian.

Rebrova OYu. [Statistical analysis of medical data. Application of the STATISTICA application package]. Moskva, Mediasphera. 2002;312. Russian.

Vida R et al. [Recommendations for the diagnosis and management of patients with a deficiency of α1-antitrypsin in the Spanish Society of Pulmonology and Thoracic Surgery]. Pulmonologia. 2008;1:14-28. Russian.

Feschenko YuI. [COPD in Ukraine: problems and solutions]. Zdorov’ya Ukrainy. 27.03.2015. Available from: http://health-ua.com/article/3876.html. Russian.

Chapman H, Shi G. Protease Injury in the Deve­lopment of COPD. Chest. 2000;117(5):295S-8S.

DeMeo D. Alpha1-Antitrypsin deficiency: Gene­tic aspects of Alpha1-antitrypsin deficiency: phenotypes and genetic modifiers of emphysema risk. Thorax. 2004;59(3):259-64.

Global Initiative for Chronic Obstructive Lung Diseases (GOLD). Global strategy for diagnosis, mana­gement, and prevention of chronic obstructive pulmonary disease. [Internet]. Updated 2016. Available from: http://goldcopd.org/global-strategy-diagnosis-manage­ment-prevention-copd-2016.

Global Initiative for Chronic Obstructive Lung Diseases (GOLD). Global strategy for diagnosis, mana­gement, and prevention of chronic obstructive pulmonary disease. [Internet]. Revised; 2011. Available from: http://www.goldcopd.org/uploads/users/files/GOLD_Report_2011_Feb21.pdf.

Global Initiative for Chronic Obstructive Lung Diseases (GOLD). Global strategy for diagnosis, ma­nagement, and prevention of chronic obstructive pulmo­nary disease. [Internet]. GOLD; 2013. Available from: http://www.goldcopd.it/gruppi_lavoro/2013/GOLD%20EXECUTIVE%20SUMMARY.pdf.

Laurell C, Eriksson S. The Electrophoretic α;1-Globulin Pattern of Serum in α;1-Antitrypsin Deficiency. Scandinavian Journal of Clinical and Laboratory In­vestigation. 1963;15(2):132-40.

Stoller J. Clinical Features and Natural History of Se­vere α1-Antitrypsin Deficiency. Chest. 1997;111(6):123-8.

Survival and FEV1Decline in Individuals with Severe Deficiency of α1-Antitrypsin. American Journal of Re­spiratory and Critical Care Medicine. 1998;158(1):49-59.

Vidal R. American Thoracic Society/European Re­spiratory Society Statement. American Journal of Respi­ratory and Critical Care Medicine. 2003;168(7):818-900.

How to Cite

1.
Gashynova KY. Chronic obstructive pulmonary disease (COPD): influence of clinic-anamnestic, anthropometric and functional characteristics on serum α-1-anitrypsin (AAT) in stable patients. Med. perspekt. [Internet]. 2018Oct.26 [cited 2024Apr.23];23(3(part1):52-60. Available from: https://journals.uran.ua/index.php/2307-0404/article/view/142334

Issue

Section

THEORETICAL MEDICINE