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Medicо-Biological and Socio-Psychological Problems of Safety in Emergency Situations

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SYSTEMIC INFLAMMATION AND PULMONARY ARTERIAL HYPERTENSION IN CHERNOBYL CLEAN UP WORKERS WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASE

https://doi.org/10.25016/2541-7487-2013-0-1-42-47

Abstract

Mechanisms of diffuse pneumosclerosis and endotheliitis of the pulmonary arteries were assessed in the Chernobyl clean up workers. Radiation (inhalation) lung lesions additionally contributed to systemic inflammation. We investigated the degree of systemic inflammation reflected by circulating levels of C reactive protein (CRP), tumor necrosis factor alpha (TNF  ) and interleukin 6 (IL 6) in Chernobyl accident liquidators with chronic obstructive pulmonary disease (COPD) with/without pulmonary arterial hypertension. Increased systolic pulmonary artery pressure (SPPA), which was detected inChernobylclean up  workers with COPD  more frequently, correlated with higher levels of CRP and TNF  . This may indicate a pathogenic role of systemic inflammation in the pathogenesis of pulmonary arterial hypertension in patients with COPD.

About the Authors

I. A. Markova
Nikiforov Russian Center of Emergency and Radiation Medicine, EMERCOM of Russia, St. Petersburg
Russian Federation


A. D. Komlev
Nikiforov Russian Center of Emergency and Radiation Medicine, EMERCOM of Russia, St. Petersburg
Russian Federation


A. I. Kuzyaev
Nikiforov Russian Center of Emergency and Radiation Medicine, EMERCOM of Russia, St. Petersburg
Russian Federation


M. V. Kolosova
Nikiforov Russian Center of Emergency and Radiation Medicine, EMERCOM of Russia, St. Petersburg
Russian Federation


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For citations:


Markova I.A., Komlev A.D., Kuzyaev A.I., Kolosova M.V. SYSTEMIC INFLAMMATION AND PULMONARY ARTERIAL HYPERTENSION IN CHERNOBYL CLEAN UP WORKERS WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASE. Medicо-Biological and Socio-Psychological Problems of Safety in Emergency Situations. 2013;(1):19-23. (In Russ.) https://doi.org/10.25016/2541-7487-2013-0-1-42-47

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ISSN 1995-4441 (Print)
ISSN 2541-7487 (Online)