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GC-MS and GC-MS/MS measurement of malondialdehyde (MDA) in clinical studies: Pre-analytical and clinical considerations.

J Mass Spectrom Adv Clin Lab

November 2023

Hannover Medical School, Institute of Toxicology, Core Unit Proteomics, 30623 Hannover, Germany.

Malondialdehyde (MDA; 1,3-propanedial, OHC-CH-CHO) is one of the most frequently measured biomarkers of oxidative stress in plasma and serum. L-Arginine (Arg) is the substrate of nitric oxide synthases (NOS), which convert L-arginine to nitric oxide (NO) and L-citrulline. The Arg/NO pathway comprises several members, including the endogenous NOS-activity inhibitor asymmetric dimethylarginine (ADMA) and its major metabolite dimethyl amine (DMA), and nitrite and nitrate, the major NO metabolites.

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N-Acetyl-L-cysteine (NAC) is an endogenous cysteine metabolite. The drug is widely used in chronic obstructive pulmonary disease (COPD) and as antidote in acetaminophen (paracetamol) intoxication. Currently, the utility of NAC is investigated in rheumatoid arthritis (RA), which is generally considered associated with inflammation and oxidative stress.

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  • Hydroxychloroquine has been considered as a potential drug for preventing COVID-19 due to its ability to inhibit SARS-CoV-2 in lab settings, but evidence from animal studies and clinical trials shows mixed results on its effectiveness.
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[Clinico-Pharmacological and Clinical Basis of Multiplicity of Intake of Novel Oral Anticoagulants].

Kardiologiia

November 2017

State Budgetary Educational Institution of Advanced Professional Education, "Russian Medical Academy of Postgraduate Education" of the Ministry of Health of the Russian Federation.

In this review we present comparison of pharmacokinetics of novel oral anticoagulants (NOAC) dabigatran, rivaroxaban, apixaban, and edoxaban, principles of selection of a regimen of their dosing for phase III clinical trials in patients with atrial fibrillation. Multiplicity of administration of NOAC depends on required level of anticoagulation, ability to maintain anticoagulation for 24 hours, relationship between minimal and maximal levels of equilibrium concentrations, efficacy and safety. Once a day administration of some drugs of this group is reasonable from positions of clinical pharmacology.

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