Changes in the concentrations of biomarkers of inflammation, endothelial dysfunction, and oxidative stress in menstrual discharge during bacteriophage and laser therapy for chronic nonspecific endometrial inflammation
The paper considers the treatment of chronic nonspecific endometritis and related reproductive dysfunctions.Motovilova T.M., Kachalina T.S., Borovkova L.V., Grechkanev G.O., Zinovyeva O.S., Ponomareva I.V., Martyantseva I.V., Gagaeva Yu.A., Banykina E.V., Razikova Sh.B., Anikeeva O.V.
Objective. To study the effect of the combined use of a bacteriophage and infrared laser treatment on a number of menstrual discharge parameters in patients with a history of chronic endometritis and infertility.
Subjects and methods. A total of 333 patients were examined; 88 patients with a history of chronic endometritis and infertility were treated. Fifty-eight patients in a study group received bacteriophage and laser therapy according to the proposed original procedure. Thirty patients in a control group had conventional anti-inflammatory therapy. Before and 2.5–3 months after treatment, tests for interleukin-6, glutathione-peroxidase-1, and soluble E-selectin were carried out to estimate a number of menstrual discharge biomarkers reflecting different pathogenetic aspects of endometrial dysfunction during the inflammatory process.
Results. The study group patients receiving combined bacteriophage and laser therapy showed a substantial improvement in menstrual blood parameters, which was evidence of an effective local immune response of the uterine mucosa, by leveling inflammation, oxidative stress, and endothelial dysfunction. Such clear positive changes could not be achieved in patients receiving conventional treatment.
Conclusion. The combination of bacteriophage therapy and low-intensity infrared laser radiation sessions according to the proposed procedure is an etiopathogenetically justified and effective way of treating chronic nonspecific endometrial inflammation in infertile women.
Keywords
chronic endometritis
non-invasive diagnosis
menstrual blood
bacteriophage therapy
infrared laser
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Received 21.01.2021
Accepted 02.06.2021
About the Authors
Tatyana M. Motovilova, Ph.D., Associate Professor at the Department of Obstetrics and Gynecology, Volga Region Research Medical University, Ministry of Health of Russia. Tel.: +7(951)908-89-37. E-mail: tmshka@mail.ru; tatyana.m.motovilova@gmail.com. ORCID: 0000-0002-3795-2852.603005, Russia, Nizhny Novgorod, Minin & Pozharsky sqr., 10/1.
Tatyana S. Kachalina, Dr. Med. Sci., Professor of the Department of Obstetrics and Gynecology, Volga Region Research Medical University, Ministry of Health of Russia. E-mail: yander24@bk.ru. ORCID: 0000-0002-3459-5335. 603005, Russia, Nizhny Novgorod, Minin & Pozharsky sqr., 10/1.
Lyudmila V. Borovkova, Dr. Med. Sci., Professor, Head of the Department of Obstetrics and Gynecology, Volga Region Research Medical University,
Ministry of Health of Russia. E-mail: borovkovalv@yandex.ru. ORCID: 0000-0002-7643-3019. 603005, Russia, Nizhny Novgorod, Minin & Pozharsky sqr., 10/1.
Gennady O. Grechkanev, Dr. Med. Sci., Professor of the Department of Obstetrics and Gynecology, Volga Region Research Medical University,
Ministry of Health of Russia. E-mail: ggrechkanev@mail.ru. ORCID: 0000-0003-0021-030X. 603005, Russia, Nizhny Novgorod, Minin & Pozharsky sqr., 10/1.
Olga S. Zinovyeva, Assistant of the Department of Obstetrics and Gynecology, Volga Region Research Medical University, Ministry of Health of Russia.
E-mail: zamashkina87@mail.ru. ORCID: 0000-0002-2514-6204. 03005, Russia, Nizhny Novgorod, Minin & Pozharsky sqr., 10/1.
Irina V. Ponomareva, obstetrician-gynecologist, chief physician of the network of clinics „Sadko”, „Clinic of modern technologies” Sadko” LLC.
E-mail: ponomareva_irina_70@mail.ru. ORCID: 0000-0001-9527-1476. 603057, Russia, Nizhny Novgorod, Beketov str., 13.
Irina V. Martyantseva, Head of the Laboratory Diagnostics Service of the network of clinics „Sadko”, LLC „Clinic of modern technologies „Sadko”.
E-mail: martyantseva1989@mail.ru. ORCID: 0000-0003-4909-5250. 603057, Russia, Nizhny Novgorod, Beketov str., 13.
Yulia A. Gagaeva, clinical intern at the Department of Obstetrics and Gynecology, Volga Region Research Medical University, Ministry of Health of Russia. E-mail: ya.gagaeva-julia@yandex.ru. ORCID: 0000-0003-0866-8972. 603005, Russia, Nizhny Novgorod, Minin & Pozharsky sqr., 10/1.
Ekaterina V. Banykina, 6th year student of the General Medicine Faculty, Volga Region Research Medical University, Ministry of Health of Russia.
E-mail: ekaterinabanykina@gmail.com. ORCID: 0000-0003-4279-4913. 603005, Russia, Nizhny Novgorod, Minin & Pozharsky sqr., 10/1.
Shakhzoda B. Razikova, 6th year student of the General Medicine Faculty, Volga Region Research Medical University, Ministry of Health of Russia.
ORCID: 0000-0002-3555-1086. 603005, Russia, Nizhny Novgorod, Minin & Pozharsky sqr., 10/1.
Olga V. Anikeeva, 4th year student of the General Medicine Faculty, Volga Region Research Medical University, Ministry of Health of Russia.
ORCID: 0000-0003-4390-3536. 603005, Russia, Nizhny Novgorod, Minin & Pozharsky sqr., 10/1.
For citation: Motovilova T.M., Kachalina T.S., Borovkova L.V., Grechkanev G.O., Zinovyeva O.S., Ponomareva I.V., Martyantseva I.V., Gagaeva Yu.A., Banykina E.V., Razikova Sh.B., Anikeeva O.V. Changes in the concentrations of biomarkers of inflammation, endothelial dysfunction, and oxidative stress in menstrual discharge during bacteriophage and laser therapy for chronic nonspecific endometrial inflammation.
Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2021; 7: 188-194 (in Russian)
https://dx.doi.org/10.18565/aig.2021.7.188-194