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Aortic acid

Background

  • Interest in aortic acid began in the 1960s and focused on atherosclerosis (hardening of the artieries). This was a logical place to begin research, as aortic extract is usually manufactured from the hearts of animals, usually sheep, cows, or pigs. In this extract are many substances, including aortic acid, which is a broad term encompassing several constituents. Mesoglycan, a preparation of glycosaminoglycans, is the most studied of these constituents.
  • Although mesoglycan is found in great quantities in the heart, it is found throughout the body, primarily in the cardiovascular system. It is in all three layers of blood vessels, and is responsible for maintaining vessel structure and flexibility. One of the glycosaminoglycans in mesoglycan is heparin sulfate, which may explain why mesoglycan has shown anticoagulation effects in some clinical studies.
  • Because mesoglycan and aortic acid are extracted from the heart, preliminary studies have focused on cardiovascular disorders, such as atherosclerosis, deep vein thrombosis, lower limb ischemia, and cutaneous necrotizing venulitis. Mesoglycan has shown the most promise in treating chronic venous ulcers and intermittent claudication. Other areas of future interest may be hypercholesterolemia (high cholesterol), impaired fibrinolytic activity, and general wound healing. However, more high quality research is needed in all of these areas.

References

  • Ambrosio LA, Marchese G, Filippo A, et al. The effect of mesoglycan in patients with cerebrovascular disease: a psychometric evaluation. J Int Med Res 1993;21(3):138-146.
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  • Arosio E, Ferrari G, Santoro L, et al. A placebo-controlled, double-blind study of mesoglycan in the treatment of chronic venous ulcers. Eur J Vasc Endovasc Surg 2001;22(4):365-372.
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  • Bettini R, Maino C, Gorini M. [Effectiveness of mesoglycan in the prevention of cerebral ischemia]. Clin Ter 2003;154(1):13-16.
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  • Blardi P, Messa G, Puccetti L, et al. [Effects on the coagulation-fibrinolysis system of a single oral dose of mesoglycan at the beginning and at the end of a prolonged treatment in man]. Recenti Prog.Med. 1995;86(7-8):282-289.
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  • Giorgetti PL, Marenghi MC, Bianciardi P. [Heparan sulfate in the therapy of postphlebitic syndrome. Evaluation of the efficacy and tolerability as compared to mesoglycan]. Minerva Cardioangiol. 1997;45(6):279-284.
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  • Kobayashi T, Osakabe T, Seyama Y. Comparison of elastolytic activity between experimental aneurysm and experimental diabetes mellitus. Biol Pharm Bull. 1998;21(7):775-777.
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  • La Marca G, Pumilia G, Martino A. [Effectiveness of mesoglycan topical treatment of leg ulcers in subjects with chronic venous insufficiency]. Minerva Cardioangiol. 1999;47(9):315-319.
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  • Laurora G, Ambrosoli L, Cesarone MR, et al. Treatment of intermittent claudication with defibrotide or mesoglycan. A double blind study. Panminerva Med. 1994;36(2):83-86.
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  • Maehira F, Zaha F, Miyagi I, et al. Effects of passive smoking on the regulation of rat aortic cholesteryl ester hydrolases by signal transduction. Lipids 2000;35(5):503-511.
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  • Messa G, Blardi P, La Placa G, et al. [Effects of 2 single oral doses of mesoglycan on the coagulation-fibrinolysis system in man. A pharmacodynamic study]. Recenti Prog.Med. 1995;86(7-8):272-281.
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  • Nenci GG, Gresele P, Ferrari G, et al. Treatment of intermittent claudication with mesoglycan--a placebo-controlled, double-blind study. Thromb.Haemost. 2001;86(5):1181-1187.
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  • Raso AM, Maggio D, Trogolo M, et al. [Effectiveness of mesoglycan therapy in patients with ischemia of the lower limbs. Preliminary results of a new therapeutic protocol]. Minerva Cardioangiol. 1997;45(7-8):383-392.
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  • Scondotto G, Catena G, Aloisi D. [Use of mesoglycan in venous pathology]. Minerva Med. 1997;88(12):537-541.
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  • Tardieu M, Bourin MC, Desgranges P, et al. Mesoglycan and sulodexide act as stabilizers and protectors of fibroblast growth factors (FGFs). Growth Factors 1994;11(4):291-300.
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  • Tovar AM, Cesar DC, Leta GC, et al. Age-related changes in populations of aortic glycosaminoglycans: species with low affinity for plasma low-density lipoproteins, and not species with high affinity, are preferentially affected. Arterioscler.Thromb.Vasc.Biol. 1998;18(4):604-614.
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