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Preventive Maintenance of Bacterial Complications at Newborns with the Respiratory Distress-Syndrome by Human Recombinant granulocyte Colony-Stimulating Factor

Abstract

Purpose: Definition of immunological criteria of purpose of rhGCSF became research aim newborns with respiratory distress syndrome, being on PPV.
Materials and Methods: At 64 newborns determined at receipt: G-CSF, FRF, sFas, IL-6, IL-8, IL-4, IL-1, TNF (IFA), subpopulational structure of lymphocytes and level of lymphocytes in early and late apoptosis (flow cytometry with colouring annexin and propidium iodide; Beckman Coulter Epics, USA).
Summary: Criteria for prescription of rhGCSF are decrease of plasma level of endogenous hr-GCSF low 1556 pg/ml and increase of lymphocytes, being in early and late apoptosis, above 9,5% and 0,56% (accordingly). Realization of randomized studies use rh-GCSF at newborns to development of neutropenic is necessary.

About the Authors

M. G. Puchtinskaya
Rostov Scientific Research Institute of Obstetrics and Pediatrics
Russian Federation
43 Mechnikova st., Rostov-on-Don, 344013


V. V. Estrin
Rostov Scientific Research Institute of Obstetrics and Pediatrics
Russian Federation
43 Mechnikova st., Rostov-on-Don, 344013


References

1. Антонов А.Г., Володин Н.Н., Гребенников В.А. и др. Принципы ведения новорожденных с респираторным дистресс-синдромом: Метод. рекомендации. - М.: Б. и., 2002. - С. 14 -18.

2. Белушкина Н.Н., Хасан Хамад Али, Северин С.Е. Молекулярные основы апоптоза //Вопросы биол. мед. и фарм. Химии. – 1998. - №4. - С.15-23.

3. Бочоришвили В. Г. Новая иммунологическая концепция сепсиса и ее клиническое значение //Междунар. журн. иммунореабилитации. - 1997.- № 6.- C. 42-31.

4. Галактионов В. Г. Иммунология. - М.: Изд-во МГУ, 1998.- 479 с.

5. Дементьева Г. М. Пульмонологические проблемы в неонатологии //Пульмонология. - 2002.- № 12.- C.6 -12.

6. Gillan E.R., Christensen R.D., Yu Suen et al. A randomized, placebo–controlled trial of recombinant human granulocyte colony–stimulating factor administration in newborn infants with presumed sepsis: significant induction of peripheral and bone marrow neutrophilia //Blood. – 1994. –Vol. 84. – P. 1427–1433.

7. Bronchud M. H., Potter M.R., Morgenstern G. et al. In vitro and in vivo analysis of the effects of recombinant human granulocyte colony-stimulating factor in patients //Br. J. Cancer. - 1988. - Vol. 58.- P. 64-69.

8. Cairo M.S., Christensen R., Sender L.S. et al. Results of a phase I/ II trial of recombinant human granulocyte-macrophage colonystimulating factor in very low birthweight neonates: significant induction of circulatory neutrophils, monocytes, platelets, and bone marrow neutrophils //Blood. - 1995. - Vol. 86.- P. 2509-2515.

9. Chang Z.S., Zeng L.B., Chang C.S., Qing W.W. Aggregate formation of hepatitis B virus X protein affects cell cycle and apoptosis //World J. Gastroenterol. - 2003. - V. 9. - P. 1521-1524.

10. Gessler P., Luders R., Konig S. et al. Neonatal neutropenia in low birthweight premature infants //Am. J. Perinatol. - 1995.- Vol.12. - P. 34-38.

11. Gillan E.R., Christensen R.D., Yu Suen et al. A randomized, placebo–controlled trial of recombinant human granulocyte colony–stimulating factor administration in newborn infants with presumed sepsis: significant induction of peripheral and bone marrow neutrophilia //Blood. – 1994. –Vol. 84. – P. 1427–1433.

12. Manroea B.L., Weinberg A.G., Rosenfeld C.R., Browne R. The neonatal blood count in health and disease. I. Reference values for neutrophilic cells //J. Pediatr. – 1979. – Vol. 95.– P. 89–98.

13. Schibler K., Osbome K., Leung L. et al. A randomized, placebo–controlled trial of granulocyte colony–stimulating factor administration to newborn infants with neutropenia and clinical signs of early–onset sepsis // Pediatrics. – 1998. – Vol. 102. – P. 6–13.

14. Эстрин В.В., Ефанова Е.А., Пухтинская М.Г. Профилактика и терапия бактериальных осложнений рекомбинантным гранулоцитарным колониестимулирующим фактором у новорожденных в критических состояниях. – Ростов-на-Дону: Изд. Феникс, 2007. – С. 64-91.

15. Исаков Ю. Ф., Белобородова Н. В. Сепсис у детей.- М.: Изд. Мокеев, 2001. - C. 44-45.


Review

For citations:


Puchtinskaya M.G., Estrin V.V. Preventive Maintenance of Bacterial Complications at Newborns with the Respiratory Distress-Syndrome by Human Recombinant granulocyte Colony-Stimulating Factor. Medical Herald of the South of Russia. 2010;(2):50-53. (In Russ.)

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ISSN 2219-8075 (Print)
ISSN 2618-7876 (Online)