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<article article-type="research-article" dtd-version="1.2" xml:lang="ru" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink"><front><journal-meta><journal-id journal-id-type="issn">2658-6533</journal-id><journal-title-group><journal-title>Research Results in Biomedicine</journal-title></journal-title-group><issn pub-type="epub">2658-6533</issn></journal-meta><article-meta><article-id pub-id-type="doi">10.18413/2313-8955-2015-1-4-5-12</article-id><article-id pub-id-type="publisher-id">488</article-id><article-categories><subj-group subj-group-type="heading"><subject>Medicine (miscellaneous)</subject></subj-group></article-categories><title-group><article-title>THE THERAPY OF MULTIPLE SCLEROSIS WITH NUKLEO-СMF FORTE  AND PK-MERZ MULTIDIRECTIONAL DRUGS</article-title><trans-title-group xml:lang="en"><trans-title>THE THERAPY OF MULTIPLE SCLEROSIS WITH NUKLEO-СMF FORTE  AND PK-MERZ MULTIDIRECTIONAL DRUGS</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author"><name-alternatives><name xml:lang="ru"><surname>Gubarev</surname><given-names>Yuri D.</given-names></name><name xml:lang="en"><surname>Gubarev</surname><given-names>Yuri D.</given-names></name></name-alternatives><email>gubarev@bsu.edu.ru</email></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="ru"><surname>Yatsenko</surname><given-names>Eugene A.</given-names></name><name xml:lang="en"><surname>Yatsenko</surname><given-names>Eugene A.</given-names></name></name-alternatives><email>yatsenko_ea@bsu.edu.ru</email></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="ru"><surname>Chefranova</surname><given-names>Zhanna Yu.</given-names></name><name xml:lang="en"><surname>Chefranova</surname><given-names>Zhanna Yu.</given-names></name></name-alternatives></contrib></contrib-group><pub-date pub-type="epub"><year>2015</year></pub-date><volume>1</volume><issue>4</issue><fpage>0</fpage><lpage>0</lpage><self-uri content-type="pdf" xlink:href="/media/medicine/2015/4/med2.pdf" /><abstract xml:lang="ru"><p>Multiple sclerosis &amp;minus; the multifactorial autoimmune disease affecting the head and spinal cord, demanding application in therapy of medicines of multidirectional action. In the group of patients, we used the drug &amp;laquo;Nucleo-CMP Forte&amp;raquo;, which provides phosphate groups needed to combine with sugars to form ceramides and cerebrosides phosphatidic acids, which form the basis of glycerophospholipids and sphingomyelin. The second drug of choice was the &amp;laquo;PK-Merz&amp;raquo; blocking NMDA-glutamate receptors which are leading in the pathogenesis of axonal degeneration. This choice is due to the direct impact on the process of demyelination on the one hand, and indirect exposure to the drug &amp;laquo;PC-Merz&amp;raquo; aimed at reducing the degenerative processes in the glial tissue involved in the synthesis of myelin, on the other hand. Clinical studies have been conducted in 15 patients suffering from a secondary-progressive course of MS. The patients were divided into two groups. The 1st group included 8 people receiving conventional therapy (hormones, vitamins B antiplatelet agents). The second group included 7 persons. The scheme of conventional treatment included drugs &amp;laquo;PC-Merz&amp;raquo; in a single dose of 100mg. (a daily dose of 300 mg.) &amp;minus;30 days &amp;laquo;Nucleo-CMP forte&amp;raquo; &amp;minus; 2 capsules a day, for 30 days. We suggest that the one-way action in one system of different groups of drugs, affecting the process of demyelination and axonal degeneration in multiple sclerosis, may have a better chance to improve the effectiveness of therapy.</p></abstract><trans-abstract xml:lang="en"><p>Multiple sclerosis &amp;minus; the multifactorial autoimmune disease affecting the head and spinal cord, demanding application in therapy of medicines of multidirectional action. In the group of patients, we used the drug &amp;laquo;Nucleo-CMP Forte&amp;raquo;, which provides phosphate groups needed to combine with sugars to form ceramides and cerebrosides phosphatidic acids, which form the basis of glycerophospholipids and sphingomyelin. The second drug of choice was the &amp;laquo;PK-Merz&amp;raquo; blocking NMDA-glutamate receptors which are leading in the pathogenesis of axonal degeneration. This choice is due to the direct impact on the process of demyelination on the one hand, and indirect exposure to the drug &amp;laquo;PC-Merz&amp;raquo; aimed at reducing the degenerative processes in the glial tissue involved in the synthesis of myelin, on the other hand. Clinical studies have been conducted in 15 patients suffering from a secondary-progressive course of MS. The patients were divided into two groups. The 1st group included 8 people receiving conventional therapy (hormones, vitamins B antiplatelet agents). The second group included 7 persons. The scheme of conventional treatment included drugs &amp;laquo;PC-Merz&amp;raquo; in a single dose of 100mg. (a daily dose of 300 mg.) &amp;minus;30 days &amp;laquo;Nucleo-CMP forte&amp;raquo; &amp;minus; 2 capsules a day, for 30 days. We suggest that the one-way action in one system of different groups of drugs, affecting the process of demyelination and axonal degeneration in multiple sclerosis, may have a better chance to improve the effectiveness of therapy.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>multiple sclerosis</kwd><kwd>therapy</kwd><kwd>multidirectional action</kwd></kwd-group><kwd-group xml:lang="en"><kwd>multiple sclerosis</kwd><kwd>therapy</kwd><kwd>multidirectional action</kwd></kwd-group></article-meta></front><back><ref-list><title>Список литературы</title><ref id="B1"><mixed-citation>Zvartau, M. E. Clinical and Radiological Parallels in Multiple Sclerosis: Avtoref.dis.kand.med.nauk / ME Zvartau. &amp;ndash; St. Petersburg, 2003.&amp;nbsp; 23 p.</mixed-citation></ref><ref id="B2"><mixed-citation>Reese, T. Multiple Sclerosis: Clinical Aspects and Issues / T. Reese / Ed. A. Thompson et al .: Transl. from Engl. St. Petersburg Polytechnic .: 2001&amp;nbsp; Рp. 12-26.</mixed-citation></ref><ref id="B3"><mixed-citation>Stolyarov, I.D. Multiple Sclerosis / I. D. Stolyarov, B.A. Osetrov. SPb .: Hippocrates, 2002. Р. 176</mixed-citation></ref><ref id="B4"><mixed-citation>Trinitatsky, Y.V. The Value of MRI in the Early Diagnosis of Multiple Sclerosis / Yu. Trinitatsky,</mixed-citation></ref><ref id="B5"><mixed-citation>L.V. Araslanova, A.V. Shepelev // Materials of Scientific Conference &amp;laquo;Nevsky Radiological Forum: from the Past to the Future. St. Petersburg. 2003. Pp 71-72.</mixed-citation></ref><ref id="B6"><mixed-citation>Vorobyov, N.L. Features of Antiviral Immunity in Patients with Multiple Sclerosis/ N.L. Vorobyov,</mixed-citation></ref><ref id="B7"><mixed-citation>V.A. Demkina, V.B. Gervazieva // Neuroimmunology. Volume 3, №1. 2005. Pp. 28-32.</mixed-citation></ref><ref id="B8"><mixed-citation>Gusev E.I. Multiple Sclerosis. / E.I. Gusev,</mixed-citation></ref><ref id="B9"><mixed-citation>Ilves A.G., Prakhova L.N., Kataeva G.V. et al. Changes in Glucose Metabolism of the Brain in Patients with Multiple Sclerosis and their Role in Shaping the Clinical Development and Progression of the Disease. / A.G. Ilves, L.N. Prahova, G.V. Kataeva // S.S. Korsakov Journal of Neurology and Psychiatry. 2003. Spec. release. Multiple Sclerosis, №2. Рp. 53-60.</mixed-citation></ref><ref id="B10"><mixed-citation>Balashov, K.E. Defective Regulation</mixed-citation></ref><ref id="B11"><mixed-citation>of IFNgamma and IL-12 by endogenous IL-10 in progressive MS / KE Balashov, M. Comabella, T. Ohashi et al. // Neurology.2000. Vol.55, N2. P. 192-198.</mixed-citation></ref><ref id="B12"><mixed-citation>Hillert, J. Cytokine network analysis in multiple sclerosis. Journal of neurological sciences / J. Hillert, W. &amp;ndash; X. Huang, Y. - P. Jin // Abstr. of the XVII world congress of neurology.- London,&amp;nbsp; 2001. -Vol. 187; Suppl. 1. P. 269.</mixed-citation></ref><ref id="B13"><mixed-citation>&amp;nbsp;</mixed-citation></ref></ref-list></back></article>