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Drug-Induced Injury of the Gastrointestinal System and Methods for Its Correction (A Review)

https://doi.org/10.33647/2074-5982-16-3-14-34

Abstract

Common complications of pharmacotherapy involve damage to the gastrointestinal tract, development of resistance to traditional therapy, destruction of the intramural nervous system of the intestines, changes in the opportunistic microflora, dysfunctions of the intestinal immune system. According to WHO experts, diseases of the digestive system are expected to become one of the leading causes of disability. This paper reviews current publications on drug-induced injuries of the gastrointestinal tract, including those induced by drugs aimed at preventing such conditions. Side effects of NSAIDs, glucocorticoids, minerals, neuroleptics, antibiotics, cytostatics, saluretics, anticoagulants, contraceptives, as well as enemas, suppositories and other drugs are described. Published review papers paid significant attention to drug-induced injuries of the stomach; however, there is a lack of data on drug-induced lesions of the gastrointestinal tract. This paper aims to brigde this gap. New approaches to correction and organ protection are described. The epigenetic issues related to the pluripotency of stem cells are considered. In the Russian Federation, a regulatory framework was created to regulate all the fundamental processes associated with the production and use of biomedical cell products and biotechnologies.

About the Authors

R. A. Klesov
Scientific Center of Biomedical Technologies of the Federal Medical and Biological Agency of Russia
Russian Federation

Roman A. Klesov

143442, Moscow region, Krasnogorsk district, Svetlye gory village, building 1



N. N. Karkischenko
Scientific Center of Biomedical Technologies of the Federal Medical and Biological Agency of Russia
Russian Federation

Nikolay N. Karkischenko, Dr. Sci. (Med.), Prof., Academician of the Russian Academy of Rocket and Artillery Sciences, Corresponding Member of the Russian Academy of Sciences

143442, Moscow region, Krasnogorsk district, Svetlye gory village, building 1



O. I. Stepanova
Scientific Center of Biomedical Technologies of the Federal Medical and Biological Agency of Russia
Russian Federation

Olga I. Stepanova, Cand. Sci. (Biol.)

143442, Moscow region, Krasnogorsk district, Svetlye gory village, building 1



E. L. Matveyenko
Scientific Center of Biomedical Technologies of the Federal Medical and Biological Agency of Russia
Russian Federation

Elena L. Matveyenko, Cand. Sci. (Econ.)

143442, Moscow region, Krasnogorsk district, Svetlye gory village, building 1



References

1. Askarov M.B. Transplantatsiya autologichnykh kletok kostnogo mozga dlya lecheniya dlitel’no nezazhivayushchikh yazv zheludka [Transplantation of autologous bone marrow cells for the treatment of long-term non-healing stomach ulcers]: Dis. ... Dr. Sci. (Med.). Moscow, 2009. 202 p. (In Russian).

2. Askarov M.B., Trubitsyna I.Ye., Bogatyrev S.R., Onishchenko N.A. Autologichnye stromal’nye kletki kostnogo mozga korregiruyut faktory regulyatsii morfogeneza i uskoryayut regeneratsiyu dlitel’no nezazhivayushchikh yazv zheludka [Autologous bone marrow stromal cells correct morphogenesis regulation factors and accelerate regeneration of long-term non-healing gastric ulcers]. In: Stvolovye kletki i perspektiva ih ispol’zovaniya v zdravoohranenii [Stem cells and the prospect of their use in healthcare]: Annual All-Russian and International Scientific Practical Conference, May 30–31, 2007. Moscow, 2007. P. 55–56. (In Russian).

3. Ashmarin I.P., Yeshchenko N.D., Karazeyeva Ye.P. Neyrokhimiya v tablitsakh i skhemakh [Neurochemistry in tables and schemes]. Moscow: Ekzamen Publ., 2007. (In Russian).

4. Vasil’chenkov A.V. Peptidy donorskoy selezenki v kompleksnom lechenii yazvennoy bolezni zheludka i dvenadtsatiperstnoy kishki [Donor spleen peptides in the complex treatment of gastric ulcer and duodenal ulcer]: Author’s abstr. dis. ... Dr. Sci. (Med.). Moscow, 2006. 38 p. (In Russian).

5. Vyalov S.S. Vosstanovlenie slizistoy zheludochno-kishechnogo trakta ili snizhenie kislotnosti zheludka? — Prioritety v lechenii [Recovery of gastrointestinal mucosa or reduction of gastric acidity? — Priorities in treatment]. Effective pharmacotherapy. 2016;1:1–9. (In Russian).

6. Drozdov V.N. Gastropatii, vyzvannye NPVP: patogenez, profilaktika i lechenie [Gastropathies caused by NPVP: pathogenesis, prevention and treatment]. Consilium medicum. 2005;1(Appl.):3–6. (In Russian).

7. Zlatkina A.R. Hronicheskiy kolit. [Chronic colitis]. Clinical Medicine. 1999;7:59–62. (In Russian).

8. Karateev A.E., Nasonova V.A. Rasprostranennost’, struktura i faktory riska razvitiya gastropatiy, indutsirovanyh nesteroidnymi protivovospalitelnymi preparatami [Prevalence, structure and risk factors for the development of gastropathies induced by non-steroidal anti-inflammatory drugs]. Russian Journal of Gastroenterology, Hepatology, Coloproctology. 2000;4:34–38. (In Russian).

9. Karkischenko V.N., Karkischenko N.N., Shustov E.B. Farmakologicheskie osnovy terapii. Tezaurus: Ruk-vo dlya vrachey i studentov [Pharmacological basis of therapy. Thesaurus: Manual for doctors and students]. 3rd ed., new ed. Moscow, Saint Petersburg: Ajsing Publ., 2018. 288 p. (In Russian).

10. Klesov R.A., Karkischenko V.N., Stepanova O.I., Baranova O.V. Comparative Experimental Biomodelling of NSAIDinduced Enterocolitis. Journal Biomed. 2020;16(1):65–81. (In Russian). DOI: 10.33647/2074-5982-16-165-81.

11. Kotelnitskaya L.I., Galiusova S.A., Luzhetskaya I.V., et al. Lekarstvennye gastropatii [Medicinal gastropathy]. Russian Journal of Gastroenterology, Hepatology, Coloproctology. 1995;3(Appl. 1):112–113. (In Russian).

12. Krayer B., Bilharts L.I. Nesteroidnye protivovospalitelnye preparaty i porazheniya zheludochno-kishechnogo trakta [Nonsteroidal anti-inflammatory drugs and gastrointestinal lesions]. Russian Journal of Gastroenterology, Hepatology, Coloproctology. 1999;5:77–88. (In Russian).

13. Lazebnik L.B., Knyazev O.V., Parfenov A.I., Ruchkina I.N., Yefremov L.I. Uspeshnoye primeneniye allogennykh mezenkhimal’nykh stvolovykh kletok u bol’nogo s yazvennym kolitom [Successful use of allogeneic mesenchymal stem cells in a patient with ulcerative colitis]. Eksperimental’naya i klinicheskaya gastroenterologiya [Experimental and Clinical Gastroenterology]. 2009;4:112–115. (In Russian).

14. Lazebnik L.B., Knyazev O.V., Parfenov A.I., Ruchkina I.N., Rogozina V.A., Konoplyannikov A.G. Transplantatsiya allogennykh mezenkhimal’nykh stvolovykh kletok kostnogo mozga uvelichivayet prodolzhitel’nost’ remissii i snizhayet risk razvitiya retsidiva yazvennogo kolita [Transplantation of allogeneic mesenchymal bone marrow stem cells increases the duration of remission and reduces the risk of recurrence of ulcerative colitis]. Eksperimental’naya i klinicheskaya gastroenterologiya [Experimental and Clinical Gastroenterology]. 2010;3:5–10. (In Russian).

15. Lazebnik L.B., Konoplyannikov A.G., Knyazev O.V., Parfenov A.I., Tsaregorodtseva T.M., Ruchkina I.N., et al. Ispol’zovaniye allogennykh mezenkhimal’nykh stromal’nykh kletok kostnomozgovogo proiskhozhdeniya v lechenii vospalitel’nykh zabolevaniy kishechnika [The use of allogeneic mesenchymal stromal cells of bone marrow origin in the treatment of inflammatory bowel diseases]. Terapevticheskiy arkhiv [Therapeutic Archive]. 2010;2(82):38–43. (In Russian).

16. Lazebnik L.B., Tsaregorodtseva T.M., Parfenov A.I. Immunnaya sistema i bolezni organov pishchevareniya [The immune system and diseases of the digestive system]. Terapevticheskiy arkhiv [Therapeutic Archive]. 2004;12:5–8. (In Russian).

17. Lapina T.L. Gastropatii, indutsirovannye NPVP: klinicheskoe znachenie, lechenie, profilaktika [Gastropathies, induced non-steroidal anti-inflammatory agents: clinical significance, treatment, prevention]. Consilium medicum. 2001;9:438–442. (In Russian).

18. Lin’kova N.S., Tarnovskaya S.I., Kostylev A.V., Yelashkina Ye.V., Nichik T.Ye., Morozova Ye.A., et al. Stvolovye kletki i korotkiye peptidy: perspektivy primeneniya v gerontologii [Stem cells and short peptides: prospects for application in gerontology]. Gerontologiya [Gerontology]. 2013;2. (In Russian).

19. Maev I.V., Andreev D.N., Dicheva D.T. Gastropatii, inducirovannye nesteroidnymi protivovospalitel’nymi sredstvami: patogeneticheski obuslovlennye podhody k profilaktike i terapii [NSAID-induced Gastropathies: Pathogenetically Substantiated Approaches to Prevention and Therapy]. Pharmateka. 2016;2:49–54. (In Russian).

20. Muravev Yu.V., Dydykina I.S., Novoselova T.M. Nezhelatelnye lekarstvennye reaktsii u statsionarnykh bolnykh s revmaticheskimi zabolevaniyami [Unwanted drug responses in inpatient patients with rheumatic diseases]. Klinicheskaya farmakologiya i terapiya. 2004;13(2):68–70. (In Russian).

21. Nasonov E.L., Karateev A.E. Porazheniya zheludka, svyazannye s priemom nesteroidnykh protivovospalitelnykh preparatov. Chast 1 [Gastric lesions associated with the administration of nonsteroidal anti-inflammatory drugs. Part 1]. Clinical Medicine (Russian Journal). 2000;3:4–10. (In Russian).

22. Ovchinnikova E.A., Ovchinnikova L.K., Ushkalova A.V. O razvitii tyazhelyh toksiko-allergicheskih reaktsiy lekarstvennogo proishozhdeniya [On the development of severe toxic-allergic reactions of drug origin]. Pharmateka. 2002;2/3:46–54. (In Russian).

23. Onishchenko N.A., Klimenko Ye.D., Pozdnyakov O.M. Kletochnaya terapiya kak sposob korrektsii patogeneticheskikh narusheniy pri dislipidemii i na rannikh stadiyakh aterogeneza [Cell therapy as a way to correct pathogenetic disorders in dyslipidemia and in the early stages of atherogenesis]. Vestnik Rossiiskoi akademii meditsinskikh nauk [Annals of the Russian Academy of Medical Sciences]. 2006;910:88–95. (In Russian).

24. Pal’tsev M.A. Stvolovye kletki i kletochnye tekhnologii: nastoyashcheye i budushcheye [Stem cells and cell technologies: present and future]. Remedium. 2006;8:6–13. (In Russian).

25. Polonskiy V.M., Yarygin K.N., Krivosheyev O.G., et al. Mesto prilozheniya (tsentral’noye ili perifericheskoye) pro-tivoyazvennogo deystviya sinteticheskogo analoga endo-gennykh opioidov dalargina v eksperimental’noy modeli tsisteaminovykh duodenal’nykh yazv u krys [The site of application (central or peripheral) of the antiulcer action of a synthetic analogue of endogenous opioids dalargin in an experimental model of cysteamine duodenal ulcers in rats]. Byulleten’ eksperimental’noy biologii i meditsiny. 1987;103(4):433–434. (In Russian).

26. Potapov I.V., Il’inskiy I.M., Kurenkova L.G., et al. Plenochnye sistemy Elasto POB s immobilizirovannymi stromal’nymi kletkami kostnogo mozga optimiziruyut usloviya regeneratsii povrezhdennykh tkaney [Film systems Elasto PHB with immobilized stromal cells of the bone marrow optimize the conditions for the regeneration of damaged tissues]. Kletochnye tekhnologii v biologii i meditsine [Cell Technologies in Biology and Medicine]. 2005;51(3):151–157. (In Russian).

27. ПProfilaktika i lechenie porazheniy slizistoy obolochki zheludka, obuslovlennyh priemom nesteroidnyh protivovospalitelnyh sredstv (NPVSgastropatii). Klinicheskie rekomendatsii [Prevention and treatment of gastric mucosa lesions caused by the administration of nonsteroidal anti-inflammatory agents. Clinical recommendations]. Klinicheskaya farmakologiya i terapiya. 2000;9(1):42–44. (In Russian).

28. Rasulov M.F. Transplantatsiya mezenkhimal’nykh stromal’nykh kletok kostnogo mozga dlya lecheniya termicheskikh ozhogov kozhi [Transplantation of mesenchymal stromal cells of the bone marrow for the treatment of thermal burns of the skin]: Author’s abstr. dis. ... Dr. Sci. (Med.). Moscow, 2007. 48 p. (In Russian).

29. Rozen V.B. Osnovy endokrinologii [Fundamentals of endocrinology]: Textbook. Moscow: Publishing House of Moscow State University, 1994. (In Russian).

30. Roytberg G.E., Polunina T.E. Lekarstvennye porazheniya gastroduodenalnoy zony [Medicinal lesions of the gastroduodenal zone]. Eksperimentalnaya i klinicheskaya gastroenterologiya. 2002;3:9–15. (In Russian).

31. Rudin I.V. Vliyaniye dalargina na zhelcheotdelitel’nuyu funktsiyu pecheni [Influence of dalargin on secretory function of liver]. Byulleten’ sibirskoy meditsiny [Bulletin of Siberian Medicine]. 2006;1:21–25. (In Russian).

32. Rudin I.V., Medvedev M.A. Opioidnye peptidy moduliruyut sekretsiyu osnovnykh determinant zhelchetoka [Opioid peptides modulate the secretion of the main determinants of the bile]. Byulleten’ eksperimental’noy biologii i meditsiny. 1997;123(5):498–500. (In Russian).

33. Ryzhak G.A., Sevostianova N.N., Kvetnaya T.V., Trofimov A.V., Linkova N.S., Guselnikova E.A., et al. Reparative effect of peptide vesugen on duodenal structure in accelerated ageing. Nauchnye vedomosti Belgorodskogo gosudarstvennogo universiteta. Seriya “Medicina. Farmaciya” [Belgorod State University Scientific Bulletin. “Medicine. Pharmacy”]. 2010;221:53–56. (In Russian).

34. Sagynbayeva V.E., Lazebnik L.B. Syvorotochnyy kal’protektin yavlyayetsya markerom dlya opredeleniya aktivnosti vospalitel’nogo protsessa i effektivnosti terapii pri vospalitel’nykh zabolevaniyakh kishechnika [Serum calprotectin is a marker for determining the activity of the inflammatory process and the effectiveness of therapy in inflammatory bowel diseases]. Eksperimental’naya i klinicheskaya gastroenterologiya [Experimental and Clinical Gastroenterology]. 2014;107(7):25–31. (In Russian).

35. Samsygina G.A. Tsefalosporiny v pediatrii [Tsefalosporina in pediatrics]. V mire lekarstv. 2000;1:18–21. (In Russian).

36. Strunkin D.N., Samarin D.M., Sidorov S.V. Transplantatsiya krovetvornykh fetal’nykh kletok v lechenii yazvennoy bolezni zheludka i dvenadtsatiperstnoy kishki [Transplantation of hematopoietic fetal cells in the treatment of gastric ulcer and duodenal ulcer]. In: Klinicheskiye aspekty kletochnoy i tkanevoy terapii [Clinical aspects of cell and tissue therapy]: Proceedings of the Interregional Scientific and Practical Conference. Omsk, 2002. (In Russian).

37. Tyurenkov I.N. Lekarstvennye porazheniya kishechnika [Medicinal injuries of the intestine]. Lekarstvennyy vestnik. 2002;1:21–26. (In Russian).

38. Khavinson V.Kh. Peptidnaya regulyatsiya stareniya [Peptide regulation of aging]. Saint Peterberg: Nauka Publ., 2009. 50 p. (In Russian).

39. Khavinson V.Kh., Anisimov V.N. Peptidnaya regulyatsiya stareniya: 35-letniy opyt issledovaniy [Peptide regulation of aging: 35 years of research experience]. Byulleten’ eksperimental’noy biologii i meditsiny. 2009;148(7):108–113. (In Russian).

40. Tsimmerman Ya.S. Maastrihtskiy konsensus-4 (2010): osnovnye polozheniya i kommentarii k nim [Maastricht Consensus-4 (2010): Basic provisions and commentaries thereto]. Clinical Medicine (Russian Journal). 2012;9:28–34. (In Russian).

41. Tsimmerman Ya.S. Nereshennye i spornye problemy sovremennoy gastroenterologii [Unsolved and Debatable Issues of Modern Gastroenterology]. Moscow: MEDpress-inform Publ., 2013. 224 p. (In Russian).

42. Tsimmerman Ya.S. Hronicheskiy gastrit i yazvennaya bolezn’. Ocherki klinicheskoy gastroenterologii [Chronic gastritis and ulcerative disease. Sketches wedge. Gastroenterologies]: Monograph. Perm: Permskaya gosudarstvennaya meditsinskaya akademiya Publ., 2000. 254 p. (In Russian).

43. Sheptulin A.A., Ivashkin V.T. Nenarkoticheskie analgetiki i porazhenie slizistoy obolochki zheludka i dvenadtsatiperstnoy kishki. [Non-arcotic analgesics and damage to the mucosa of the stomach and duodenum]. Klinicheskaya farmakologiya i terapiya. 2000;9(5):54–55. (In Russian).

44. Shumakov V.I., Onishchenko N.A. Kletochnaya transplantatsiya v sovremennoy meditsine [Cell transplantation in modern medicine]. Patologicheskaya fiziologiya i eksperimental’naya meditsina [Pathological physiology and experimental medicine]. 2004;4:23–25. (In Russian).

45. Shumakov V.I., Onishchenko N.A., Rasulov M.F., Krasheninnikov M.Ye., Zaydenov V.A. Ispol’zovaniye preddiferentsirovannykh mezenkhimal’nykh stvolovykh kletok kostnogo mozga dlya lecheniya glubokikh ozhogovykh ran [The use of pre-differentiated mesenchymal bone marrow stem cells for the treatment of deep burn wounds]. Vestnik khirurgii imeni I.I. Grekova [Grekov’s Bulletin of Surgery]. 2003;4:38–42. (In Russian).

46. Aggarwal S., Pittinger M.F. Human mesenchymal progenitor allogenic immune cell responses. Blood. 2005;105(4):1815–1822.

47. Anisimov V.N., Khavinson V.Kh. Peptide bioregulation of aging: results and prospects. Biogerontology. 2010;11:139–149.

48. Assmus B., Schachinger V., Teupe C., et al. Transplantation of progenitor cells and regeneration enchancement in acute myocardial infarction. Circulation. 2002;206:3009–3017.

49. Borlongan C.V., Wang Y., Su T.P. Delta opioid peptide (D-Ala2, D-Leu5) enkephalin: linking hibernation and neuroprotection. Front. Biosci. 2004;9:3392–3398.

50. Caplan A.I. The mesengenic process. Clin. Plast. Surg. 1994;21:429–435.

51. Coxam V. Current data with inulin-type fructans and calcium, targeting bone health in adults. The Journal of Nutrition. 2007;137(11):2527S–2533S.

52. Fallarino F., Grohmann U., Vacca C., et al. T cell apoptosis by tryptophan catabolism. Cell Death Differ. 2002;9:1069–1077.

53. Gillen D., McColl K.E. Problems associated with the clinical use of proton pump inhibitors. Pharmacol. Toxicol. 2001;89(6):281–286.

54. Hallman F. Toxicity of commonly used laxatives. Med. Sci. Monit. 2000;6(3):618–628.

55. http://www.ispms.ru/files/Publications/sharkeev_2013/pdf/4_16.pdf Osnovy vzaimodejstviya biologicheskih tkanej s iskusstvennymi materialami [An Introduction to Tissue-Biomaterial Interactions] (In Russian).

56. Lai K., Lau C., Ip W., et al. Effect of treatment of Helicobacter pylori has no beneficial effect for prevention of peptic ulcers in patients with long-term NSAID treatment: A randomized double-blind, placebo-controlled trial. Aliment. Pharmacol. Ther. 2003;17:799–805.

57. Lamsal B.P. Production, health aspects and potential food uses of dairy prebiotic galactooligosaccharides. Journal of the Science of Food and Agriculture. 2012;92(10):2020–2028.

58. Laporte J.-R., Ibanez L., Vidal X., et al. Upper gastrointestinal bleeding associated with the use of NSAIDS. Newer versus older agents. Drug Safety. 2004;27:411–420.

59. Leest de H., Steen K., Lems W., et al. Eradication of Helicobacter pylori has no beneficial effect for prevention of peptic ulcer in patient with long-term NSAIDS treatment: A randomized double-blind placebo-controlled trial. Gastroenterology. 2004;126:611–614.

60. Parekkadan B., van Poll D., Suganuma K., et al. Mesenchymal Stem Cell-Derived Molecules Reverse Fulminant Hepatic Failure. Biochem. Biophys. Res. Commun. 2007;9:941–947. (In Press).

61. Pokusaeva K., Fitzgerald G.F., van Sinderen D. Carbohydrate metabolism in Bifidobacteria. Genes & Nutrition. 2011;6(3):285–306.

62. Pokusaeva K., Fitzgerald G.F., van Sinderen D. Carbohydrate metabolism in Bifidobacteria. Genes & Nutrition. 2011;6(3):285–306.

63. Seifert S., Watzl B. Inulin and oligofructose: review of experimental data on immune modulation. The Journal of Nutrition. 2007;137(11 Suppl.):2563S–2567S.

64. Siegers C.P., Von Hertzberg-Lottin E., Otte M., Schneider B. Antranoid laxative abuse risk for colorectal cancer? Gut. 1993;34:1099–1101.

65. Sigano K., Tack J., Kuipers E.J., et al. Kyoto global consensus report of Helicobacter pylori gastritis. Gut. 2015;64:1–15.

66. Slavin J. Fiber and Prebiotics: Mechanisms and Health Benefits. Nutrients. 2013;5(4):1417–1435.

67. Vuland J. Coliteaigue hemorragiqie apres administration de senno-side AetB. La Press Medicale. 1985;14:104–105.

68. Yossepowitch O., Amir G., Safadi R., Lossos I. Ischemic hepatitis associated with toxic epidermal necrolysis in a cirrhotic patient treated with cefuroxime. Eur. J. Med. Res. 1997;2:182–184.

69. Zachariae C.O., Fogh K. Toxic epidermal necrolysis after treatment with lamotrigine. Ugesskr Laeger. 1998;160:6656–6657.


Review

For citations:


Klesov R.A., Karkischenko N.N., Stepanova O.I., Matveyenko E.L. Drug-Induced Injury of the Gastrointestinal System and Methods for Its Correction (A Review). Journal Biomed. 2020;16(3):14-34. (In Russ.) https://doi.org/10.33647/2074-5982-16-3-14-34

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