[Effect of carvedilol on antioxidative enzymatic defence in patients with stable angina]

Jan Kowalski1, Jan Błaszczyk, Tomasz Cegliński

  • 1Katedra Rehabilitacji z Klinika Chorób Wewnetrznych i Rehabilitacji Kardiologicznej UM w Łodzi.

Insights

Carvedilol therapy improved antioxidant defenses in patients with stable angina. The drug increased superoxide dismutase (SOD-1), glutathione peroxidase (GSH-Px), and catalase (CAT) enzyme activities, aiding recovery.

Area of Science:

  • Cardiology
  • Biochemistry
  • Pharmacology

Background:

  • Stable angina patients exhibit diminished antioxidative enzymatic defense.
  • This reduction impacts the body's ability to combat oxidative stress.

Purpose of the Study:

  • To investigate the effect of carvedilol on antioxidative enzymatic defense in stable angina patients.
  • To assess changes in superoxide dismutase (SOD-1), glutathione peroxidase (GSH-Px), and catalase (CAT) activities.

Main Methods:

  • 27 stable angina patients received escalating doses of carvedilol (12.5-50 mg/day).
  • Erythrocyte SOD-1, GSH-Px, and CAT activities were measured pre-therapy and at 4, 8, and 12 weeks.
  • A control group of 12 healthy subjects was included for comparison.

Main Results:

  • Patients with stable angina showed significantly lower SOD-1, GSH-Px, and CAT activities compared to healthy controls.
  • Carvedilol treatment led to a notable increase in all three enzyme activities.
  • GSH-Px levels in patients approached those of healthy subjects after 8 and 12 weeks of therapy.

Conclusions:

  • Carvedilol significantly enhances the antioxidative enzymatic defense system in patients with stable angina.
  • The drug's ability to boost SOD-1, GSH-Px, and CAT suggests a protective role against oxidative stress in this patient group.

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