Медицинский совет (Dec 2015)
Sulodexide. Nephroprotective properties and horizons for use in nephrology
Abstract
Sulodexide belongs to the class of glycosaminoglycans (GAGs) or mucopolysaccharides. Found in mammalian tissuesm, GAGs regulate the activity of a wide range of proteins (including chemokines, cytokines, growth factors, enzymes, morphogens, and adhesion molecules). GAGs are large, linear, frequently sulfated, negatively charged polysaccharides with a molecular weight ranging 1-2,000 kDa. They are organized as repetitions of disaccharide units of an uronic acid (D-glucuronic acid or L-iduronic acid) and an acetylated amino sugar (N-acetylgalactosamine or N-acetylglucosamine) either sulfated or non-sulfated. [5] The position of sulfation of GAGs is widely variable depending on their cell and tissue localization. GAGs exist both as part of proteoglycans and as free chains. Non-sulfated GAGs include hyaluronic acid and sulfated GAGs include chondroitin sulfate, dermatan sulfate, keratan sulfate, heparin, and heparan sulfate.
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