Efficacy and safety of the combined metabolic medication, containing inosine, nicotinamide, riboflavin and succinic acid, for the treatment of diabetic neuropathy: a multicenter randomized, double-blind, placebo-controlled parallel group clinical trial (CYLINDER).

Introduction: Antioxidants may have positive impact on diabetic polyneuropathy (DPN), presumably due to alleviation of oxidative stress. We aimed to evaluate the efficacy and safety of combination of antioxidants: succinic acid, inosine, nicotinamide, and riboflavin (SINR) in the treatment of DPN.

Research Design And Methods: In a double-blind, placebo-controlled clinical trial, men and women aged 45-74 years with type 2 diabetes and symptomatic DPN, with initial Total Symptom Score (TSS) ˃5, were randomized into experimental (n=109) or placebo (n=107) group.

Effect of lactate on functional activity of macrophages under normal conditions and during tumor growth.

Lactate modulated functional activity of macrophages from intact mice and animals with transplantable syngeneic hepatoma 22a. Sodium lactate in a concentration of 6.5 mM in vitro increased functional activity of resident peritoneal macrophages from intact mice.

Effect of hyperlipoproteinemia on functional activity of peritoneal macrophages during tumor growth.

The role of hypercholesterolemia as a factor modulating functional activity of macrophages during the growth of syngeneic transplanted 22a hepatoma in mice was studied. Starting from day 21 after inoculation of tumor cells we observed the development of hyperlipoproteinemia paralleled by an increase in macrophage activity parameters. The total serum cholesterol content and production of nitroxide anions by macrophages were in positive correlation on days 14-35 of tumor growth.

Effect of hyperlipidemia on functional activity of peritoneal macrophages in CBA and C57Bl/6 mice.

The effect of experimental hyperlipidemia on functional activity of macrophages was studied in CBA and C57Bl/6 mice resistant and sensitive to the formation of aorta lesions, respectively. Two-month atherogenic diet increased the content of cholesterol in the serum and cells of peritoneal exudate in mice of both strains. In parallel, production of nitrites and 5'-nucleotidase activity in peritoneal macrophages increased, while parameters of phagocytosis, pinocytosis, and NBT test remained unchanged.