<?xml version="1.0" encoding="UTF-8"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD JATS (Z39.96) Journal Publishing DTD v1.3 20210610//EN" "JATS-journalpublishing1-3.dtd">
<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">medsovet</journal-id><journal-title-group><journal-title xml:lang="ru">Медицинский Совет</journal-title><trans-title-group xml:lang="en"><trans-title>Meditsinskiy sovet = Medical Council</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2079-701X</issn><issn pub-type="epub">2658-5790</issn><publisher><publisher-name>REMEDIUM GROUP Ltd.</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.21518/2079-701X-2015-7-68-71</article-id><article-id custom-type="elpub" pub-id-type="custom">medsovet-215</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>НЕФРОЛОГИЯ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>NEPHROLOGY</subject></subj-group></article-categories><title-group><article-title>Сулодексид. Нефропротективные свойства и горизонты применения в нефрологии</article-title><trans-title-group xml:lang="en"><trans-title>Sulodexide. Nephroprotective properties and horizons for use in nephrology</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Батюшин</surname><given-names>М. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Batyushin</surname><given-names>M. M.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Ростовский государственный медицинский университет Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Rostov State Medical University, Russia's Ministry of Health</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2015</year></pub-date><pub-date pub-type="epub"><day>30</day><month>12</month><year>2015</year></pub-date><volume>0</volume><issue>7</issue><fpage>68</fpage><lpage>71</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Батюшин М.М., 2015</copyright-statement><copyright-year>2015</copyright-year><copyright-holder xml:lang="ru">Батюшин М.М.</copyright-holder><copyright-holder xml:lang="en">Batyushin M.M.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.med-sovet.pro/jour/article/view/215">https://www.med-sovet.pro/jour/article/view/215</self-uri><abstract><p>Сулодексид относится к классу препаратов гликозаминогликанов (ГАГ) или мукополисахаридов. ГАГ обнаруживаются в тканях млекопитающих и регулируют активность целого ряда белков (хемокины, цитокины, факторы роста, ферменты, морфогены, молекулы адгезии). ГАГ представляют собой длинные линейные, обычно сульфатированные отрицательно заряженные полисахариды с молекулярной массой от 1 до 2 000 кДа. Они организованы в виде повторяющихся дисахаридных фрагментов уроновых кислот (D-глюкуроновой и L-идуроновой кислоты) и ацетилированного аминосахарида (N-ацетилгалактозамин и N-ацетилглюкозамин), сульфатированного или несульфатированного [<xref ref-type="bibr" rid="cit5">5</xref>]. Зона сульфатирования ГАГ вариабельна и зависит от локализации на клетке или в ткани. ГАГ существуют в составе протеогликанов, а также в свободном виде. К несульфатированным ГАГ относится гиалуроновая кислота, к сульфатирован-ным - хондроитин сульфат, дерматан сульфат, кератан сульфат, гепарин и гепаран сульфат.</p></abstract><trans-abstract xml:lang="en"><p>Sulodexide belongs to the class of glycosaminoglycans (GAGs) or mucopolysaccharides. Found in mammalian tissuesm, GAGs regulate the activity of a wide range of proteins (including chemokines, cytokines, growth factors, enzymes, morphogens, and adhesion molecules). GAGs are large, linear, frequently sulfated, negatively charged polysaccharides with a molecular weight ranging 1-2,000 kDa. They are organized as repetitions of disaccharide units of an uronic acid (D-glucuronic acid or L-iduronic acid) and an acetylated amino sugar (N-acetylgalactosamine or N-acetylglucosamine) either sulfated or non-sulfated. [<xref ref-type="bibr" rid="cit5">5</xref>] The position of sulfation of GAGs is widely variable depending on their cell and tissue localization. GAGs exist both as part of proteoglycans and as free chains.  Non-sulfated GAGs include hyaluronic acid and sulfated GAGs include chondroitin sulfate, dermatan sulfate, keratan sulfate, heparin, and heparan sulfate.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>сулодексид</kwd><kwd>гепараназа-1 протеинурия</kwd><kwd>диабетическая нефропатия</kwd><kwd>sulodexide</kwd><kwd>heparanase-1</kwd><kwd>proteinuria</kwd><kwd>diabetic nephropathy</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Батюшин М.М., Галушкин А.А., Литвинов А.С. и соавт. Место сулодексида в ренопротективной терапии больных с хронической болезнью почек. Медицинский вестник Юга России. 2012; 1: 72-73.</mixed-citation><mixed-citation xml:lang="en">Батюшин М.М., Галушкин А.А., Литвинов А.С. и соавт. Место сулодексида в ренопротективной терапии больных с хронической болезнью почек. Медицинский вестник Юга России. 2012; 1: 72-73.</mixed-citation></citation-alternatives></ref><ref id="cit2"><label>2</label><citation-alternatives><mixed-citation xml:lang="ru">Батюшин М.М., Галушкин А.А., Асрумян Э.Г. и соавт. Сулодексид - новые перспективы в нефропротективной терапии. Клиническая нефрология. 2012; 3: 56-61.</mixed-citation><mixed-citation xml:lang="en">Батюшин М.М., Галушкин А.А., Асрумян Э.Г. и соавт. Сулодексид - новые перспективы в нефропротективной терапии. Клиническая нефрология. 2012; 3: 56-61.</mixed-citation></citation-alternatives></ref><ref id="cit3"><label>3</label><citation-alternatives><mixed-citation xml:lang="ru">Батюшин М.М., Пасечник Д.Г. Выявление виментина, панцитокератина, гладкомышеч-ного актина, е-катгерина и антител к CD-10 -маркеров эпителиально-мезенхимального перехода при хроническом гломерулонефрите. Нефрология. 2014; 5: 52-58.</mixed-citation><mixed-citation xml:lang="en">Батюшин М.М., Пасечник Д.Г. Выявление виментина, панцитокератина, гладкомышеч-ного актина, е-катгерина и антител к CD-10 -маркеров эпителиально-мезенхимального перехода при хроническом гломерулонефрите. Нефрология. 2014; 5: 52-58.</mixed-citation></citation-alternatives></ref><ref id="cit4"><label>4</label><citation-alternatives><mixed-citation xml:lang="ru">ALicic RZ, TuttLe KR. Novel Therapies for Diabetic Kidney Disease. Advances in Chronic Kidney Disease. 2014; 21(2): 121-133.</mixed-citation><mixed-citation xml:lang="en">ALicic RZ, TuttLe KR. Novel Therapies for Diabetic Kidney Disease. Advances in Chronic Kidney Disease. 2014; 21(2): 121-133.</mixed-citation></citation-alternatives></ref><ref id="cit5"><label>5</label><citation-alternatives><mixed-citation xml:lang="ru">Coccheri S, ManneLLo F. Development and use of suLodexide in vascuLar diseases: impLications for treatment. Drug Design, Development and Therapy. 2014; 8: 49-65.</mixed-citation><mixed-citation xml:lang="en">Coccheri S, ManneLLo F. Development and use of suLodexide in vascuLar diseases: impLications for treatment. Drug Design, Development and Therapy. 2014; 8: 49-65.</mixed-citation></citation-alternatives></ref><ref id="cit6"><label>6</label><citation-alternatives><mixed-citation xml:lang="ru">Chen S, Wassenhove-McCarthy DJ, Yamaguchi Y et aL. Loss of heparin suLfate gLycosaminogLy-can assembLy in podocytes does not Lead to proteinuria. Kidney Int. 2008; 74(3): 289-299.</mixed-citation><mixed-citation xml:lang="en">Chen S, Wassenhove-McCarthy DJ, Yamaguchi Y et aL. Loss of heparin suLfate gLycosaminogLy-can assembLy in podocytes does not Lead to proteinuria. Kidney Int. 2008; 74(3): 289-299.</mixed-citation></citation-alternatives></ref><ref id="cit7"><label>7</label><citation-alternatives><mixed-citation xml:lang="ru">Wijnhoven TJ, Lensen JF, Rops AL et aL. Anti-proteinuric effects of gLycosaminogLycan-based drugs. Curr Opin Mol Ther. 2007; 9(4): 364-377.</mixed-citation><mixed-citation xml:lang="en">Wijnhoven TJ, Lensen JF, Rops AL et aL. Anti-proteinuric effects of gLycosaminogLycan-based drugs. Curr Opin Mol Ther. 2007; 9(4): 364-377.</mixed-citation></citation-alternatives></ref><ref id="cit8"><label>8</label><citation-alternatives><mixed-citation xml:lang="ru">CeLie JW, Reijmers RM, SLot EM et aL. TubuLointerstitiaL heparan suLfate proteogLycan changes in human renaL diseases correLate with Leukocyte infLux and proteinuria. Am J Physiol Renal Physiol. 2008; 294(1): 253-263.</mixed-citation><mixed-citation xml:lang="en">CeLie JW, Reijmers RM, SLot EM et aL. TubuLointerstitiaL heparan suLfate proteogLycan changes in human renaL diseases correLate with Leukocyte infLux and proteinuria. Am J Physiol Renal Physiol. 2008; 294(1): 253-263.</mixed-citation></citation-alternatives></ref><ref id="cit9"><label>9</label><citation-alternatives><mixed-citation xml:lang="ru">Benck U, HaeckeL S, CLorius JH, van der Woude FJ. Proteinuria- Lowering effect of heparin therapy in diabetic nephropathy without affecting the renin-angiotensin-aLdosterone system. Clin J Am Soc Nephrol. 2007; 2(1): 58-67.</mixed-citation><mixed-citation xml:lang="en">Benck U, HaeckeL S, CLorius JH, van der Woude FJ. Proteinuria- Lowering effect of heparin therapy in diabetic nephropathy without affecting the renin-angiotensin-aLdosterone system. Clin J Am Soc Nephrol. 2007; 2(1): 58-67.</mixed-citation></citation-alternatives></ref><ref id="cit10"><label>10</label><citation-alternatives><mixed-citation xml:lang="ru">Ruggeri A, Guizzardi S, Franchi M et aL. Pharmacokinetics and distribution of a fLuores-ceinated gLycosaminogLycan, suLodexide, in rats. Part II: Organ distribution in rats. Arzneimittelforschung. 1985; 35(10): 1517-1519.</mixed-citation><mixed-citation xml:lang="en">Ruggeri A, Guizzardi S, Franchi M et aL. Pharmacokinetics and distribution of a fLuores-ceinated gLycosaminogLycan, suLodexide, in rats. Part II: Organ distribution in rats. Arzneimittelforschung. 1985; 35(10): 1517-1519.</mixed-citation></citation-alternatives></ref><ref id="cit11"><label>11</label><citation-alternatives><mixed-citation xml:lang="ru">Lewis EJ, Xu X. AbnormaL gLomeruLar permeabiLity characteristics in diabetic nephropathy: impLications for the therapeutic use of Low-moLecuLar weight heparin. Diabetes Care. 2008; 31 SuppL 2: S202-S207.</mixed-citation><mixed-citation xml:lang="en">Lewis EJ, Xu X. AbnormaL gLomeruLar permeabiLity characteristics in diabetic nephropathy: impLications for the therapeutic use of Low-moLecuLar weight heparin. Diabetes Care. 2008; 31 SuppL 2: S202-S207.</mixed-citation></citation-alternatives></ref><ref id="cit12"><label>12</label><citation-alternatives><mixed-citation xml:lang="ru">Gouverneur M, Broekhuizen L, Meuwese M et aL. SuLfated gLycosaminogLycans restore gLyco-caLyx barrier properties of cuLtured endotheLiaL ceLLs in hypergLycemia. FASEB J. 2008; 22: Lb83.</mixed-citation><mixed-citation xml:lang="en">Gouverneur M, Broekhuizen L, Meuwese M et aL. SuLfated gLycosaminogLycans restore gLyco-caLyx barrier properties of cuLtured endotheLiaL ceLLs in hypergLycemia. FASEB J. 2008; 22: Lb83.</mixed-citation></citation-alternatives></ref><ref id="cit13"><label>13</label><citation-alternatives><mixed-citation xml:lang="ru">Karon J, Potubinska A, Antoniewicz AA. et aL. Anti-infLammatory effect of suLodexide during acute peritonitis in rats. Blood Purif. 2007; 25(5-6): 510-514.</mixed-citation><mixed-citation xml:lang="en">Karon J, Potubinska A, Antoniewicz AA. et aL. Anti-infLammatory effect of suLodexide during acute peritonitis in rats. Blood Purif. 2007; 25(5-6): 510-514.</mixed-citation></citation-alternatives></ref><ref id="cit14"><label>14</label><citation-alternatives><mixed-citation xml:lang="ru">Ciszewicz M, PoLubinska A, Antoniewicz A. et aL. SuLodexide suppresses infLammation in human endotheLiaL ceLLs and prevents gLucose cytotox-icity. Transl Res. 2009; 153(3): 118-123.</mixed-citation><mixed-citation xml:lang="en">Ciszewicz M, PoLubinska A, Antoniewicz A. et aL. SuLodexide suppresses infLammation in human endotheLiaL ceLLs and prevents gLucose cytotox-icity. Transl Res. 2009; 153(3): 118-123.</mixed-citation></citation-alternatives></ref><ref id="cit15"><label>15</label><citation-alternatives><mixed-citation xml:lang="ru">Shestakova M.V., Chugunova L.A., Vorontsov A.V., Dedov I.I. The efficacy of suLodexide - a Low-moLecuLar heparin - in the therapy of diabetic nephropathy. Ter Arkh. 1997; 69(6): 34-37.</mixed-citation><mixed-citation xml:lang="en">Shestakova M.V., Chugunova L.A., Vorontsov A.V., Dedov I.I. The efficacy of suLodexide - a Low-moLecuLar heparin - in the therapy of diabetic nephropathy. Ter Arkh. 1997; 69(6): 34-37.</mixed-citation></citation-alternatives></ref><ref id="cit16"><label>16</label><citation-alternatives><mixed-citation xml:lang="ru">SzeLachowska M., PopLawska A., TopoLska J. et aL. A piLot study of the effect of the gLycosami-nogLycan suLodexide on microaLbuminuria in type I diabetic patients. Curr Med Res Opin. 1997; 13(9): 539-545.</mixed-citation><mixed-citation xml:lang="en">SzeLachowska M., PopLawska A., TopoLska J. et aL. A piLot study of the effect of the gLycosami-nogLycan suLodexide on microaLbuminuria in type I diabetic patients. Curr Med Res Opin. 1997; 13(9): 539-545.</mixed-citation></citation-alternatives></ref><ref id="cit17"><label>17</label><citation-alternatives><mixed-citation xml:lang="ru">Sorrenti G., GrimaLdi M., Canova N. et aL. GLycosaminogLycans as a possibLe tooL for micro- and macroaLbuminuria in diabetic patients. A piLot study. J Int Med Res. 1997; 25(2): 81-86.</mixed-citation><mixed-citation xml:lang="en">Sorrenti G., GrimaLdi M., Canova N. et aL. GLycosaminogLycans as a possibLe tooL for micro- and macroaLbuminuria in diabetic patients. A piLot study. J Int Med Res. 1997; 25(2): 81-86.</mixed-citation></citation-alternatives></ref><ref id="cit18"><label>18</label><citation-alternatives><mixed-citation xml:lang="ru">SoLini A., Vergnani L., Ricci F., CrepaLdi G. GLycosaminogLycans deLay the progression of nephropathy in NIDDM. Diabetes Care. 1997; 20(5): 819-823.</mixed-citation><mixed-citation xml:lang="en">SoLini A., Vergnani L., Ricci F., CrepaLdi G. GLycosaminogLycans deLay the progression of nephropathy in NIDDM. Diabetes Care. 1997; 20(5): 819-823.</mixed-citation></citation-alternatives></ref><ref id="cit19"><label>19</label><citation-alternatives><mixed-citation xml:lang="ru">Dedov I., Shestakova M., Vorontzov A., PaLazzini E. A randomized, controLLed study of suLodexide therapy for the treatment of diabetic nephrop-athy. NephroL DiaL TranspLant. 1997; 12(11): 2295-2300.</mixed-citation><mixed-citation xml:lang="en">Dedov I., Shestakova M., Vorontzov A., PaLazzini E. A randomized, controLLed study of suLodexide therapy for the treatment of diabetic nephrop-athy. NephroL DiaL TranspLant. 1997; 12(11): 2295-2300.</mixed-citation></citation-alternatives></ref><ref id="cit20"><label>20</label><citation-alternatives><mixed-citation xml:lang="ru">Gambaro G., KinaLska I., Oksa A. et aL. OraL suLo-dexide reduces aLbuminuria in microaLbuminu-ric and macroaLbuminuric type 1 and type 2 diabetic patients: the Di.N.A.S. randomized triaL. J Am Soc NephroL. 2002; 13: 1615-1625.</mixed-citation><mixed-citation xml:lang="en">Gambaro G., KinaLska I., Oksa A. et aL. OraL suLo-dexide reduces aLbuminuria in microaLbuminu-ric and macroaLbuminuric type 1 and type 2 diabetic patients: the Di.N.A.S. randomized triaL. J Am Soc NephroL. 2002; 13: 1615-1625.</mixed-citation></citation-alternatives></ref><ref id="cit21"><label>21</label><citation-alternatives><mixed-citation xml:lang="ru">Heerspink H.L., Greene T., Lewis J.B. et aL. CoLLaborative Study Group. Effects of suLodex-ide in patients with type 2 diabetes and persistent aLbuminuria. NephroL DiaL TranspLant. 2008; 23(6): 1946-1954.</mixed-citation><mixed-citation xml:lang="en">Heerspink H.L., Greene T., Lewis J.B. et aL. CoLLaborative Study Group. Effects of suLodex-ide in patients with type 2 diabetes and persistent aLbuminuria. NephroL DiaL TranspLant. 2008; 23(6): 1946-1954.</mixed-citation></citation-alternatives></ref><ref id="cit22"><label>22</label><citation-alternatives><mixed-citation xml:lang="ru">Achour A., Kacem M., Dibej K. et aL. One year course of oraL suLodexide in the management of diabetic nephropathy. J NephroL. 2005; 18(5): 568-574.</mixed-citation><mixed-citation xml:lang="en">Achour A., Kacem M., Dibej K. et aL. One year course of oraL suLodexide in the management of diabetic nephropathy. J NephroL. 2005; 18(5): 568-574.</mixed-citation></citation-alternatives></ref><ref id="cit23"><label>23</label><citation-alternatives><mixed-citation xml:lang="ru">SuLikowska B., OLejniczak H., Muszynska M. et aL. Effect of suLodexide on aLbuminuria, NAG excretion and gLomeruLar fiLtration response to dopamine in diabetic patients. Am J NephroL. 2006; 26(6): 621-628.</mixed-citation><mixed-citation xml:lang="en">SuLikowska B., OLejniczak H., Muszynska M. et aL. Effect of suLodexide on aLbuminuria, NAG excretion and gLomeruLar fiLtration response to dopamine in diabetic patients. Am J NephroL. 2006; 26(6): 621-628.</mixed-citation></citation-alternatives></ref></ref-list><fn-group><fn fn-type="conflict"><p>The authors declare that there are no conflicts of interest present.</p></fn></fn-group></back></article>
