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<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" article-type="research-article" dtd-version="1.1d1" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher">Молодежный инновационный вестник</journal-id><journal-title-group><journal-title>Молодежный инновационный вестник</journal-title></journal-title-group><issn publication-format="print">2415-7805</issn><publisher><publisher-name>Федеральное государственное бюджетное образовательное учреждение высшего образования "Воронежский государственный медицинский университет имени Н.Н. Бурденко" Министерства здравоохранения Российской Федерации</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">11276</article-id><article-categories><subj-group subj-group-type="heading"><subject>Conference Proceedings</subject></subj-group></article-categories><title-group><article-title>Comparative assessment of NSAID gastrotoxicity and new heterocyclic derivatives in a chronic experiment</article-title></title-group><contrib-group><contrib contrib-type="author"><name name-style="western"><surname>Ivanova</surname><given-names>Elina Ruslanovna</given-names></name><email>ivanovaelina03@mail.ru</email><uri content-type="orcid">https://orcid.org/0009-0003-1437-6498</uri><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author"><name name-style="western"><surname>Bibik</surname><given-names>Elena Yurievna</given-names></name><email>helen_bibik@mail.ru</email><uri content-type="orcid">https://orcid.org/0000-0001-7470-608X</uri><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff id="aff-1">St. Luke's Lugansk State Medical University</aff><pub-date date-type="epub" iso-8601-date="2026-10-01" publication-format="electronic"><day>01</day><month>10</month><year>2026</year></pub-date><volume>15</volume><issue>S1</issue><fpage>198</fpage><lpage>199</lpage><history><pub-date date-type="received" iso-8601-date="2026-02-25"><day>25</day><month>02</month><year>2026</year></pub-date><pub-date date-type="accepted" iso-8601-date="2026-04-05"><day>05</day><month>04</month><year>2026</year></pub-date></history><permissions><copyright-statement>Copyright © 2026, Ivanova E.R., Bibik E.Y.</copyright-statement><copyright-year>2026</copyright-year></permissions><abstract>&lt;p style="text-align: justify;"&gt;Non-steroidal anti-inflammatory drugs (NSAIDs) are widely used in clinical practice; however, their long-term administration is limited by the development of gastropathies  from erosions to perforated ulcers. The search for new compounds with anti-inflammatory activity devoid of ulcerogenic effects is a priority in pharmacology. The aim of the study was to compare the gastrotoxicity of classical NSAIDs (indomethacin, nimesulide) and two novel alpha-cyanothioacetamide derivatives (TD-0331 and AS-144) following a 14-day intragastric administration in rats. The experiment was performed on 50 outbred male rats divided into 5 groups (n=10): intact (NaCl); comparison group 1 (indomethacin, 7 mg/kg); comparison group 2 (nimesulide, 16 mg/kg); experimental groups (TD-0331 and AS-144, 5 mg/kg each). Compounds were administered daily by oral gavage. On day 15, gastric mucosa was macroscopically assessed using a 5-point scale, and the ulcer index was calculated. Indomethacin caused 100% mortality by day 7 and severe ulcerative lesions (ulcer index 1.13). Nimesulide did not induce ulceration but produced diffuse mucosal hyperemia in all animals. Both TD-0331 and AS-144 caused no visible damage to the gastric mucosa (score 0, ulcer index 0), matching the intact group parameters. The novel alpha-cyanothioacetamide derivatives TD-0331 and AS-144 demonstrate complete gastroprotection and surpass traditional NSAIDs in safety profile, positioning them as promising candidates for the development of next-generation anti-inflammatory drugs.&lt;/p&gt;</abstract><kwd-group xml:lang="ru"><kwd>индометацин</kwd><kwd>нимесулид</kwd><kwd>альфа-цианотиоацетамид</kwd><kwd>ульцерогенное действие</kwd><kwd>гастропатия</kwd></kwd-group></article-meta></front><body></body><back><ref-list><ref id="B1"><label>1.</label><mixed-citation>Mazumder, S. Induction of mitochondrial toxicity by non-steroidal anti-inflammatory drugs (NSAIDs): The ultimate trade-off governing the therapeutic merits and demerits of these wonder drugs / S. Mazumder, S. Bindu, S. 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