The Effect of Cardiac Rehabilitation on Oxidative DNA Damage and Inflammation in Patients With Coronary Artery Disease

NCT ID: NCT06867926

Last Updated: 2025-05-02

Basic Information

• Recruitment Status: RECRUITING
• Clinical Phase: NA
• Total Enrollment: 70 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2025-05-15
• Study Completion Date: 2025-12-01

Brief Summary

The objective of this study was to determine the levels of 8-hydroxy-2'-deoxyguanosine (8-OHdG), an indicator of oxidative stress, and to demonstrate oxidative DNA damage in cardiac rehabilitation treatment in patients with coronary artery disease. Additionally, proinflammatory cytokines TNFα, IL-1β, and IL-6 levels were measured to evaluate the significance of cardiac rehabilitation treatment in patients with coronary artery disease and to assess the correlation between cytokine levels and 8-OHdG levels.

Detailed Description

Coronary artery disease (CAD) is a significant global health issue and the leading cause of cardiovascular mortality.

Recent research has focused on the impact of oxidative stress, genetic damage, and inflammation in CAD development. Chronic inflammation and oxidative stress can cause cellular damage by increasing the formation of free oxygen radicals. Oxidative stress leads to endothelial dysfunction, inflammation of the vessel wall, and the formation of atherosclerotic plaques. Atherosclerosis is the most common pathological process associated with cardiovascular diseases, and the disease is characterized by a high oxidative stress state, which causes lipid and protein oxidation. Oxidative stress and an imbalance between oxidants and antioxidants can damage important biomolecules such as DNA, lipids, and proteins.

Cardiac rehabilitation (CR) programmes are a recommended therapy with demonstrated efficacy in the treatment of patients with CAD. CR is a holistic approach that combines medical and exercise interventions to improve patients' cardiovascular health and general well-being. Exercise is the foundation of CR. While the literature describes it extensively, there is still some controversy surrounding oxidative stress and exercise. It has been suggested that exercise may increase the production of reactive oxygen molecules associated with oxidative stress, which is a factor in the pathogenesis of CAD. Regular and moderate exercise can have a positive impact on the body by balancing the production of antioxidants, reducing inflammation and oxidative stress. However, it is important to note that exercise should be approached in moderation to avoid any negative effects on the body. Previous studies have focused on risk factors associated with physical fitness, the fibrinolytic system, or lipid profile in cardiac patients. However, there have been relatively few investigations of induced changes in blood.

This study aims to investigate the role of oxidative stress and inflammation in the pathogenesis of CAD and the effects of KR on these pathophysiological processes.

Conditions

Coronary Arterial Disease (CAD)

Study Design

• Allocation Method: NON_RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: NONE

Study Groups

Study group for cardiac rehabilitation with coronary artery disease

Individuals diagnosed with coronary artery disease will engage in a programme of cardiac rehabilitation.

Group Type: EXPERIMENTAL

Cardiac rehabilitation

Intervention Type: OTHER

Individuals diagnosed with coronary artery disease will engage in a programme of cardiac rehabilitation.

Healthy control group

Group Type: NO_INTERVENTION

No interventions assigned to this group

Interventions

Cardiac rehabilitation

Individuals diagnosed with coronary artery disease will engage in a programme of cardiac rehabilitation.

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

1. Patients aged 18-65 years with a diagnosis of coronary artery disease and no contraindications to cardiac rehabilitation and exercise testing

2. Patients who will undergo cardiopulmonary exercise testing before cardiac rehabilitation

3. Patients whose cognitive status is sufficient to complete the study and who can cooperate

1. 18 years of age or older

2. Not having a chronic disease (such as uncontrolled diabetes mellitus, hypertension, heart and kidney failure)

3. Not taking regular medication

Exclusion Criteria

1. Having heart failure

2. Unstable Angina Pectoris

3. Complex ventricular arrhythmia

4. Having a pacemaker

5. Having orthopedic or neurological diseases that prevent exercise

6. Having kidney-liver disease

7. Exercise is contraindicated

8. History of inflammatory diseases

9. Having a history of cancer-immunologic disease

1. Having a history of chronic diseases such as diabetes mellitus, hypertension, heart and kidney failure

2. Being on regular medication for the last 6 months

3. being under 18 years of age

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 65 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

TC Erciyes University

OTHER

Sponsor Role: lead

Responsible Party

Hasan Kara

Professor Assistant Medical Doctor

Responsibility Role: PRINCIPAL_INVESTIGATOR

Locations

Erciyes University Faculty of Medicine

Kayseri, , Turkey (Türkiye)

Site Status: RECRUITING

Countries

Turkey (Türkiye)

Central Contacts

Hasan KARA, M.D.

Role: CONTACT

drhasankara@yandex.com

+905552592665

Facility Contacts

Hasan Kara, M.D.

Role: primary

drhasankara@yandex.com

+905552592665

Other Identifiers

HKara3

Identifier Type: -

Identifier Source: org_study_id