Роль витаминов, минералов и антиоксидантов в патогенезе, комплексной терапии и профилактике эндометриоза
Роль витаминов, минералов и антиоксидантов в патогенезе, комплексной терапии и профилактике эндометриоза
Унанян А.Л., Аракелов С.Э., Полонская Л.С. и др. Роль витаминов, минералов и антиоксидантов в патогенезе, комплексной терапии и профилактике эндометриоза. Гинекология. 2015; 17 (2): 32–35.
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Unanyan A.L., Arakelov S.E., Polonskaya L.S. et al. The role of vitamins, minerals and antioxidants in the pathogenesis, complex therapy and prevention of endometriosis. Gynecology. 2015; 17 (2): 32–35.
Роль витаминов, минералов и антиоксидантов в патогенезе, комплексной терапии и профилактике эндометриоза
Унанян А.Л., Аракелов С.Э., Полонская Л.С. и др. Роль витаминов, минералов и антиоксидантов в патогенезе, комплексной терапии и профилактике эндометриоза. Гинекология. 2015; 17 (2): 32–35.
________________________________________________
Unanyan A.L., Arakelov S.E., Polonskaya L.S. et al. The role of vitamins, minerals and antioxidants in the pathogenesis, complex therapy and prevention of endometriosis. Gynecology. 2015; 17 (2): 32–35.
Нарушение антиоксидантной защиты в патогенезе эндометриоза является важным фактором прогрессирования патологического процесса. Стимуляция естественных антиоксидантных систем, привнесение экзогенных антиоксидантов, ряда витаминов и минералов – один из ключевых моментов комплексной консервативной терапии и профилактики эндометриоидного процесса. Отсутствие значимых побочных эффектов при приеме большинства антиоксидантов, витаминов и минералов дополнительно аргументирует целесообразность их применения. Ключевые слова: эндометриоз, аденомиоз, витамины, минералы, антиоксиданты, антиоксидантная терапия, железодефицитная анемия.
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Violated antioxidant defenses in the pathogenesis of endometriosis are an important factor in the progression of the pathological process. Stimulation of natural antioxidant systems, the introduction of exogenous antioxidants, a number of vitamins and minerals is one of the key moments in the complex of conservative therapy and prevention of endometrioid process. The absence of significant side effects when using the majority of antioxidants, vitamins and minerals further argues the feasibility of their application. Key words: endometriosis, adenomyosis, vitamins, minerals, antioxidants, antioxidant therapy, iron-deficiency anemia.
1. Унанян А.Л. Эндометриоз тела матки и яичников: новые аспекты патогенеза, клиники и лечения. Автореф. дис. … д-ра мед. наук. М., 2007. / Unanian A.L. Endometrioz tela matki i iaichnikov: novye aspekty patogeneza, kliniki i lecheniia. Avtoref. dis. … d-ra med. nauk. M., 2007 [in Russian]
2. Alleyne M, Horne MK, Miller JL. Individualized treatment for iron deficiency anemia in adults. Am J Med 2008; 121 (11): 943–8.
3. Augoulea A, Mastorakos G, Lambrinoudaki I et al. The role of the oxidative-stress in the endometriosis-related infertility. Gynecol Endocrinol 2009; 25: 75–81.
4. Burdon R. Superoxide and hydrogen peroxide in relation to mammalian cell proliferation. Free Radical Biol Med 1995; 18: 775–94.
5. Buttke TM, Sandstrom PA. Oxidative stress as a mediator of apoptosis. Immunol Today 1994; 15 (1): 7–10.
6. Carvalho LF, Samadder AN, Agarwal A et al. Oxidative stress biomarkers in patients with endometriosis: systematic review. Arch Gynecol Obstet 2012; 286 (4): 1033–40. Doi: 10.1007/s00404-012-2439-7. Epub 2012 Jul 12.
7. Covens AL, Christopher P, Casper RF. The effect of dietary supplementation with fish oil fatty acids on surgically induced endometriosis in the rabbit. Fertil Steril 1988; 49 (4): 698–703.
8. Deutch B. Menstrual pain in Danish women correlated with low n-3 polyunsaturated fatty acid intake. Eur J Clin Nutr 1995; 49 (7): 508–16.
9. Flohé L, Brigelius-Flohé R, Saliou C et al. Redox regulation of NF-kappa B activation. Free Radic Biol Med 1997; 22 (6): 1115–26.
10. Gupta S, Agarwal A, Krajcir N, Alvarez JG. Role of oxidative stress in endometriosis. Reprod Biomed Online 2006; 13: 126–34.
11. Hansen SO, Knudsen UB. Endometriosis, dysmenorrhoea and diet. Eur J Obstet Gynecol Reprod Biol 2013; 169 (2): 162–71. Doi: 10.1016/j.ejogrb.2013.03.028. Epub 2013 May 2.
12. Harris HR, Chavarro JE, Malspeis S et al. Dairy-food, calcium, magnesium, and vitamin D intake and endometriosis: a prospective cohort study. Am J Epidemiol 2013; 177 (5): 420–30. Doi: 10.1093/aje/kws247. Epub 2013 Feb 3.
13. Hernandez Guerrero CA, De la Jara Diaz J, Mier Cabrera J, Bouchan Valencia P. Endometriosis and deficient intake of antioxidants molecules related to peripheral and peritoneal oxidative stress. Ginecol Obstet Mex 2009; 74: 20–8.
14. Hopeman MM, Riley JK, Frolova AI et al. Serum Polyunsaturated Fatty Acids and Endometriosis. Reprod Sci 2014; pii: 1933719114565030. [Epub ahead of print].
15. Lee SF, Huang YT, Wu WS, Lin JK. Induction of c-jun protooncogene expression by hydrogen peroxide through hydroxyl radical generation and p60SRC tyrosine kinase activation. Free Radic Biol Med 1996; 21 (4): 437–48.
16. Matsuzaki S, Darcha C. Antifibrotic properties of epigallocatechin-3-gallate inendometriosis. Hum Reprod 2014; 29 (8): 1677–87. Doi: 10.1093/humrep/deu123. Epub 2014 May 29.
17. Mier-Cabrera J, Aburto-Soto T, Burrola-Mendez S et al. Women with endometriosis improved their peripheral antioxidant markers after the application of a high antioxidant diet. Reprod Biol Endocrinol 2009; 7: 54.
18. Mier-Cabrera J, Jimenez-Zamudio L, Garcia-Latorre E et al. Quantitative and qualitative peritoneal immune profiles, T-cell apoptosis and oxidative stress-associated characteristics in women with minimal and mild endometriosis. BJOG Int J Obstet Gynecol 2011; 118: 6–16.
19. Murphy AA, Palinski W, Rankin S et al. Macrophage scavenger receptor(s) and oxidatively modified proteins in endometriosis. Fertil Steril 1998; 69: 1085–91.
20. Murphy AA, Santanam N, Parthasarathy S. Endometriosis: a disease of oxidative stress? Semin Reprod Endocrinol 1998; 16: 263–73.
21. Oberley LW, Oberley TD. Role of antioxidant enzymes in cell immortalization and transformation. Mol Cell Biochem 1988; 84 (2): 147–53.
22. Proctor ML, Murphy PA. Herbal and dietary therapies for primary and secondary dysmenorrhoea. Cochrane Database Syst Rev 2001; (3): CD002124.
23. Ramachandran S, Song M, Murphy AA, Parthasarathy S. Expression of scavenger receptor class B1 in endometrium and endometriosis. J Clin Endocrinol Metab 2001; 86: 3924–8.
24. Ricci AG, Olivares CN, Bilotas MA et al. Natural therapies assessment for the treatment of endometriosis. Hum Reprod 2013; 28 (1): 178–88. Doi: 10.1093/humrep/des369. Epub 2012 Oct 18.
25. Santanam N, Murphy AA, Parthasarathy S. Macrophages, oxidation, and endometriosis. Ann NY Acad Sci. 2002; 955: 183–98. Discussion 19–200, 396–406.
26. Santanam N, Kavtaradze N, Murphy A et al. Antioxidant supplementation reduces endometriosis-related pelvicpain in humans. Transl Res 2013; 161 (3): 189–95. Doi: 10.1016/j.trsl.2012.05.001. Epub 2012 May 31.
27. Santulli P, Chouzenoux S, Fiorese M et al. Protein oxidative stress markers in peritoneal fluids of women withdeep infiltrating endometriosis are increased. Hum Reprod 2015; 30 (1): 49–60.
28. Seifert B, Wagler P, Dartsch S et al. Magnesium – a new therapeutic alternative in primarydysmenorrhea. Zentralbl Gynakol 1989; 111 (11): 755–60.
29. Sesti F, Capozzolo T, Pietropolli A et al. Recurrence rate of endometrioma after laparoscopic cystectomy: a comparative randomized trial between post-operative hormonal suppression treatment or dietary therapy vs. placebo. Eur J Obstet Gynecol Reprod Biol 2009; 147: 72–7.
30. Sesti F, Pietropolli A, Capozzolo T et al. Hormonal suppression treatment or dietary therapy versus placebo in the control of painful symptoms after conservative surgery for endometriosis stage III–IV. A randomized comparative trial. Fertil Steril 2007; 88: 1541–7.
31. Shigetomi H, Higashiura Y, Kajihara H et al. A potential link of oxidative stress and cell cycle regulation for development of endometriosis. Gynecol Endocrinol 2012; 28 (11): 897–902.
32. Spätling L. Magnesium in obstetrics and gynecology. Gynakol Geburtshilfliche Rundsch 1993; 33 (2): 85–91.
33. Szczepanska M, Kozlik J, Skrzypczak J, Mikolajczyk M. Oxidative stress may be a piece in the endometriosis puzzle. Fertil Steril 2003; 79: 1288–93.
34. Van Langendonckt A, Casanas-Roux F, Donnez J. Oxidative stress and peritoneal endometriosis. Fertil Steril 2002; 77: 861–70.
35. Wang CC, Xu H, Man GC et al. Prodrug of green tea epigallocatechin-3-gallate (Pro-EGCG) as a potent anti-angiogenesis agent for endometriosis in mice. Angiogenesis 2013; 16 (1): 59–69. Doi: 10.1007/s10456-012-9299-4. Epub 2012 Sep 5.
36. Weiss G, Goodnough LT. Anemia of Chronic Disease. N Engl J Med 2005; 352: 1011–23.
37. WHO/NHD. Iron Deficiency Anaemia. Assessment, Prevention and Control: A guide for programme managers, 2001.
38. Ziaei S, Zakeri M, Kazemnejad A. A randomised controlled trial of vitamin E in the treatment of primary dysmenorrhoea. BJOG 2005; 112 (4): 466–9.
39. McCord JM. Superoxide radical: controversies, contradictions, and paradoxes. Proc Soc Exp Biol Med 1995; 209 (2): 112–7.
________________________________________________
1. Unanian A.L. Endometrioz tela matki i iaichnikov: novye aspekty patogeneza, kliniki i lecheniia. Avtoref. dis. … d-ra med. nauk. M., 2007 [in Russian]
2. Alleyne M, Horne MK, Miller JL. Individualized treatment for iron deficiency anemia in adults. Am J Med 2008; 121 (11): 943–8.
3. Augoulea A, Mastorakos G, Lambrinoudaki I et al. The role of the oxidative-stress in the endometriosis-related infertility. Gynecol Endocrinol 2009; 25: 75–81.
4. Burdon R. Superoxide and hydrogen peroxide in relation to mammalian cell proliferation. Free Radical Biol Med 1995; 18: 775–94.
5. Buttke TM, Sandstrom PA. Oxidative stress as a mediator of apoptosis. Immunol Today 1994; 15 (1): 7–10.
6. Carvalho LF, Samadder AN, Agarwal A et al. Oxidative stress biomarkers in patients with endometriosis: systematic review. Arch Gynecol Obstet 2012; 286 (4): 1033–40. Doi: 10.1007/s00404-012-2439-7. Epub 2012 Jul 12.
7. Covens AL, Christopher P, Casper RF. The effect of dietary supplementation with fish oil fatty acids on surgically induced endometriosis in the rabbit. Fertil Steril 1988; 49 (4): 698–703.
8. Deutch B. Menstrual pain in Danish women correlated with low n-3 polyunsaturated fatty acid intake. Eur J Clin Nutr 1995; 49 (7): 508–16.
9. Flohé L, Brigelius-Flohé R, Saliou C et al. Redox regulation of NF-kappa B activation. Free Radic Biol Med 1997; 22 (6): 1115–26.
10. Gupta S, Agarwal A, Krajcir N, Alvarez JG. Role of oxidative stress in endometriosis. Reprod Biomed Online 2006; 13: 126–34.
11. Hansen SO, Knudsen UB. Endometriosis, dysmenorrhoea and diet. Eur J Obstet Gynecol Reprod Biol 2013; 169 (2): 162–71. Doi: 10.1016/j.ejogrb.2013.03.028. Epub 2013 May 2.
12. Harris HR, Chavarro JE, Malspeis S et al. Dairy-food, calcium, magnesium, and vitamin D intake and endometriosis: a prospective cohort study. Am J Epidemiol 2013; 177 (5): 420–30. Doi: 10.1093/aje/kws247. Epub 2013 Feb 3.
13. Hernandez Guerrero CA, De la Jara Diaz J, Mier Cabrera J, Bouchan Valencia P. Endometriosis and deficient intake of antioxidants molecules related to peripheral and peritoneal oxidative stress. Ginecol Obstet Mex 2009; 74: 20–8.
14. Hopeman MM, Riley JK, Frolova AI et al. Serum Polyunsaturated Fatty Acids and Endometriosis. Reprod Sci 2014; pii: 1933719114565030. [Epub ahead of print].
15. Lee SF, Huang YT, Wu WS, Lin JK. Induction of c-jun protooncogene expression by hydrogen peroxide through hydroxyl radical generation and p60SRC tyrosine kinase activation. Free Radic Biol Med 1996; 21 (4): 437–48.
16. Matsuzaki S, Darcha C. Antifibrotic properties of epigallocatechin-3-gallate inendometriosis. Hum Reprod 2014; 29 (8): 1677–87. Doi: 10.1093/humrep/deu123. Epub 2014 May 29.
17. Mier-Cabrera J, Aburto-Soto T, Burrola-Mendez S et al. Women with endometriosis improved their peripheral antioxidant markers after the application of a high antioxidant diet. Reprod Biol Endocrinol 2009; 7: 54.
18. Mier-Cabrera J, Jimenez-Zamudio L, Garcia-Latorre E et al. Quantitative and qualitative peritoneal immune profiles, T-cell apoptosis and oxidative stress-associated characteristics in women with minimal and mild endometriosis. BJOG Int J Obstet Gynecol 2011; 118: 6–16.
19. Murphy AA, Palinski W, Rankin S et al. Macrophage scavenger receptor(s) and oxidatively modified proteins in endometriosis. Fertil Steril 1998; 69: 1085–91.
20. Murphy AA, Santanam N, Parthasarathy S. Endometriosis: a disease of oxidative stress? Semin Reprod Endocrinol 1998; 16: 263–73.
21. Oberley LW, Oberley TD. Role of antioxidant enzymes in cell immortalization and transformation. Mol Cell Biochem 1988; 84 (2): 147–53.
22. Proctor ML, Murphy PA. Herbal and dietary therapies for primary and secondary dysmenorrhoea. Cochrane Database Syst Rev 2001; (3): CD002124.
23. Ramachandran S, Song M, Murphy AA, Parthasarathy S. Expression of scavenger receptor class B1 in endometrium and endometriosis. J Clin Endocrinol Metab 2001; 86: 3924–8.
24. Ricci AG, Olivares CN, Bilotas MA et al. Natural therapies assessment for the treatment of endometriosis. Hum Reprod 2013; 28 (1): 178–88. Doi: 10.1093/humrep/des369. Epub 2012 Oct 18.
25. Santanam N, Murphy AA, Parthasarathy S. Macrophages, oxidation, and endometriosis. Ann NY Acad Sci. 2002; 955: 183–98. Discussion 19–200, 396–406.
26. Santanam N, Kavtaradze N, Murphy A et al. Antioxidant supplementation reduces endometriosis-related pelvicpain in humans. Transl Res 2013; 161 (3): 189–95. Doi: 10.1016/j.trsl.2012.05.001. Epub 2012 May 31.
27. Santulli P, Chouzenoux S, Fiorese M et al. Protein oxidative stress markers in peritoneal fluids of women withdeep infiltrating endometriosis are increased. Hum Reprod 2015; 30 (1): 49–60.
28. Seifert B, Wagler P, Dartsch S et al. Magnesium – a new therapeutic alternative in primarydysmenorrhea. Zentralbl Gynakol 1989; 111 (11): 755–60.
29. Sesti F, Capozzolo T, Pietropolli A et al. Recurrence rate of endometrioma after laparoscopic cystectomy: a comparative randomized trial between post-operative hormonal suppression treatment or dietary therapy vs. placebo. Eur J Obstet Gynecol Reprod Biol 2009; 147: 72–7.
30. Sesti F, Pietropolli A, Capozzolo T et al. Hormonal suppression treatment or dietary therapy versus placebo in the control of painful symptoms after conservative surgery for endometriosis stage III–IV. A randomized comparative trial. Fertil Steril 2007; 88: 1541–7.
31. Shigetomi H, Higashiura Y, Kajihara H et al. A potential link of oxidative stress and cell cycle regulation for development of endometriosis. Gynecol Endocrinol 2012; 28 (11): 897–902.
32. Spätling L. Magnesium in obstetrics and gynecology. Gynakol Geburtshilfliche Rundsch 1993; 33 (2): 85–91.
33. Szczepanska M, Kozlik J, Skrzypczak J, Mikolajczyk M. Oxidative stress may be a piece in the endometriosis puzzle. Fertil Steril 2003; 79: 1288–93.
34. Van Langendonckt A, Casanas-Roux F, Donnez J. Oxidative stress and peritoneal endometriosis. Fertil Steril 2002; 77: 861–70.
35. Wang CC, Xu H, Man GC et al. Prodrug of green tea epigallocatechin-3-gallate (Pro-EGCG) as a potent anti-angiogenesis agent for endometriosis in mice. Angiogenesis 2013; 16 (1): 59–69. Doi: 10.1007/s10456-012-9299-4. Epub 2012 Sep 5.
36. Weiss G, Goodnough LT. Anemia of Chronic Disease. N Engl J Med 2005; 352: 1011–23.
37. WHO/NHD. Iron Deficiency Anaemia. Assessment, Prevention and Control: A guide for programme managers, 2001.
38. Ziaei S, Zakeri M, Kazemnejad A. A randomised controlled trial of vitamin E in the treatment of primary dysmenorrhoea. BJOG 2005; 112 (4): 466–9.
39. McCord JM. Superoxide radical: controversies, contradictions, and paradoxes. Proc Soc Exp Biol Med 1995; 209 (2): 112–7.
1. ГБОУ ВПО Первый Московский государственный медицинский университет им. И.М.Сеченова Минздрава России. 119991, Россия, Москва, ул. Трубецкая, д. 8, стр. 2; 2. ГБУЗ Городская поликлиника №68 Департамента здравоохранения г. Москвы. 119180, Россия, Москва, ул. Малая Якиманка, д. 22, стр.1;
3. ФГАОУ ВО Российский университет дружбы народов. 117198, Россия, Москва, ул. Миклухо-Маклая, д. 6;
4. ГБОУ ВПО Российский национальный исследовательский медицинский университет им. Н.И.Пирогова Минздрава России. 117997, Россия, Москва, ул. Островитянова, д. 1
*9603526@mail.ru
1. I.M.Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation. 119991, Russian Federation, Moscow, ul. Trubetskaia, d. 8, str. 2;
2. Ambulance unit of Polyclinic №68. 119180, Russian Federation, Moscow, ul. Malaia Iakimanka, d. 22, str.1;
3. 2.People´s Friendship University of Russia. 117918, Russian Federation, Moscow, ul. Miklukho-Maklaia, d. 6;
4. N.I.Pirogov Russian National Research Medical University of the Ministry of Health of the Russian Federation. 117997, Russian Federation, Moscow, ul. Ostrovitianova, d. 1
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