201 research outputs found
Cytokine profile features in women with reproductive disorders exposed to excessive environmental contamination with hydroxybenzene
Excessive activity of cytokines, as well as their deficiency, promote a regulatory imbalance of immune system, which may cause persistent inflammation and, as a consequence, loss of pregnancy. The purpose of our work was to study the role of cytokine expression in the development of endometriosis in women exposed to excessive environmental contamination with hydroxybenzene. The study involved 106 women of reproductive age, divided into 4 groups according to two criteria: the presence or absence of reproductive disorders (endometriosis), as well as levels of blood contamination with hydroxybenzene compared to the reference ranges. The groups of women were comparable in age, ethnicity, and social status. The level of phenol in blood was measured by gas chromatography, and the cytokine levels were determined by enzyme immunoassay. The use of parametric and nonparametric statistical criteria as well as adjustments for multiple Bonferoni comparisons, allowed us to establish significant differences between the groups, according to the levels of IL-1Ξ², IL-8, IL-10. The expression of interleukin 8 (IL-8) in women with endometriosis was found to be significantly higher than in healthy ones. At the same time, the observed features of IL-8, interleukin 1Ξ² (IL-1Ξ²) expression correlate with the overproduction of interleukin 10 (IL-10) associated with excessive contamination of bio-environments with hydroxybenzene. The results of using non-parametric correlation analysis of the Spearman data revealed a positive correlation between IL-10 production and hydroxybenzene levels in the blood, as well as inverse relationship between IL-10 and IL-8 expression. Thus, evidence has been obtained of the involvement of exogenous estrogen hydroxybenzene in development of reproductive disorders, probably, formed under active participation of increased anti-inflammatory IL-10 cytokine, which, by antagonism to proinflammatory mediators (e.g., IL-8), seems to promote apparent transition from acute phase of endometriosis to chronic disorder, thus reducing the reproductive potential of women. It is known that IL-8 expression significantly correlates with development of endometriosis, but excessive phenol exposure may increase the anti-inflammatory IL-10 expression, thereby suppressing the activity of IL-8. Suppressed activity of proinflammatory cytokines by phenol may lead to chronic inflammation and impaired reproductive functions
Immunological and genetic features of pathogenetic association between psoriasis and colonic dysbiosis
Psoriasis is a multifactorial systemic immune-associated disease. It is assumed that colonic dysbiosis may contribute to its development. In this review we provide the data on colonic dysbiosis in induction and progression of psoriatic inflammation assessing a role for bacterial species: Akkermansia muciniphila, Faecalibacterium prausnitzii and Escherichia coli. On one hand, these bacterial species indicate at state of dysbiotic bacterial communities, whereas on the other hand, they are functionally associated with triggering a chain of events inducing impaired intestinal barrier transforming into chronic inflammation in the colonic mucosa and systemic inflammation. Such a scenario leads to the altered systemic reactivity of innate and adaptive immune cells, impaired function of regulatory immune cells resulting in expansion of the autoreactive skin T-cells and induction of psoriatic inflammation due to molecular mimicry between persistent Streptococcus pyogenes and cutaneous antigens. The psoriatic process is envisioned as a comorbidity with inflammatory bowel diseases. Since dysbiotic changes in psoriasis and inflammatory bowel diseases (e.g. Crohn's disease) display similar features, these diseases might potentially proceed via a similar pathogenetic chain resulting from dysbiotic changes in intestinal microbiota towards impaired intestinal barrier, chronic systemic inflammation and altered anti-inflammatory immune arm. Therefore, the data on pathogenetic pathways of the diseases comorbid with psoriasis are able to uncover yet-unknown pathogenetic components for the latter. Psoriasis as a genetically-determined disease is currently believed to be associated with single nucleotide polymorphisms (SNP) in more than four hundred genes. A role for diverse SNPs in candidate genes involved in psoriasis pathogenetic chain in antigen processing and presentation, migration of immune cells, pro-inflammatory cytokine ligation and production is discussed. Crohn's disease is associated with single nucleotide polymorphisms of the genes encoding intestinal barrier proteins potentially underlying its functional deficiency. In connection with comorbidity and similarity between microbiota-associated pathogenetic psoriasis chain and inflammatory bowel diseases, it is possible to assume that such SNPs accounting for genetic defects in the intestinal barrier are manifested as dysbiotic changes in colonic bacterial community and contribute to progression not only of inflammatory bowel diseases, but psoriasis as well
Study of apolipoprotein C3 S1/S2 (C3238G, rs5128) polymorphism in Caucasian population of Eastern Siberia
The prevalence of genotypes and alleles of polymorphic marker S1 /S2 Apolipoprotein C3 in healthy adolescent Caucasians (Russians) living in Eastern Siberia was studied. Material for research was the DNA extracted from the venous blood; genotype was determined by PCR-RFLP for each sample. In the studied sample in 88.9 % of cases genotype S1/ S1 was detected, genotype S1/S2 was found in 8.6 %, S2/S2 - in 2.5 %. The share of S2 allele was 6.8 %, which is not significantly different from the previously studied Caucasoid populations
Scientific and research activity of students-geographes under pedagogical practice
UA: Π£ ΠΏΠ΅Π΄Π°Π³ΠΎΠ³ΡΡΠ½ΠΈΡ
Π²ΠΈΡΠΈΡ
Π½Π°Π²ΡΠ°Π»ΡΠ½ΠΈΡ
Π·Π°ΠΊΠ»Π°Π΄Π°Ρ
Π£ΠΊΡΠ°ΡΠ½ΠΈ ΡΠΊΠ»Π°Π²ΡΡ ΠΏΠ΅Π²Π½ΠΈΠΉ Π΄ΠΎΡΠ²ΡΠ΄ Π΄ΠΎΡΠ»ΡΠ΄Π½ΠΈΡΡΠΊΠΎΡ ΠΎΡΠ³Π°Π½ΡΠ·Π°ΡΡΡ Π½Π°ΡΠΊΠΎΠ²ΠΎ-ΠΌΠ΅ΡΠΎΠ΄ΠΈΡΠ½ΠΎΡ ΡΠΎΠ±ΠΎΡΠΈ ΡΡΡΠ΄Π΅Π½ΡΡΠ² Ρ ΠΏΠ΅ΡΡΠΎΠ΄ ΠΏΠ΅Π΄Π°Π³ΠΎΠ³ΡΡΠ½ΠΎΡ ΠΏΡΠ°ΠΊΡΠΈΠΊΠΈ. ΠΡΡΡΠΎΠΌ, ΡΠΊΠΈΠΉ Π²ΠΈΡ
ΠΎΠ΄ΠΈΡΡ Π½Π° ΠΏΠ΅Π΄Π°Π³ΠΎΠ³ΡΡΠ½Ρ ΠΏΡΠ°ΠΊΡΠΈΠΊΡ, ΠΏΡΠΎΠΏΠΎΠ½ΡΡΡΡΡΡ ΠΏΠ΅Π²Π½Π° Π½Π°ΡΠΊΠΎΠ²Π° ΠΏΡΠΎΠ±Π»Π΅ΠΌΠ° Π΄Π»Ρ ΡΠΎΠ·ΡΠΎΠ±ΠΊΠΈ ΡΡ Π² ΠΏΠ΅ΡΡΠΎΠ΄ ΠΏΠ΅Π΄Π°Π³ΠΎΠ³ΡΡΠ½ΠΎΡ ΠΏΡΠ°ΠΊΡΠΈΠΊΠΈ. ΠΡΠΎΠ±Π»Π΅ΠΌΠΈ Ρ ΡΠ΅ΠΌΠΈ (ΡΠΈΡΠ»ΠΎ ΡΠ΅ΠΌ Π²ΡΠ΄ΠΏΠΎΠ²ΡΠ΄Π°Ρ ΠΊΡΠ»ΡΠΊΠΎΡΡΡ ΡΠΊΡΠ», Ρ ΡΠΊΠΈΡ
Π±ΡΠ΄Π΅ ΠΏΡΠΎΡ
ΠΎΠ΄ΠΈΡΠΈ ΠΏΡΠ°ΠΊΡΠΈΠΊΠ°) Π²ΠΈΡΡΠ²Π°ΡΡΡΡΡ, ΡΠΊ ΠΏΡΠ°Π²ΠΈΠ»ΠΎ, ΠΏΡΠΎΠ²ΡΠ΄Π½ΠΈΠΌ ΠΌΠ΅ΡΠΎΠ΄ΠΈΡΡΠΎΠΌ ΡΠ°ΠΊΡΠ»ΡΡΠ΅ΡΡ Π·Π°Π·Π΄Π°Π»Π΅Π³ΡΠ΄Ρ Π·Π°ΡΠ²Π΅ΡΠ΄ΠΆΡΡΡΡΡΡ ΠΊΠ°ΡΠ΅Π΄ΡΠΎΡ. ΠΡΠΆ ΡΠΊΠΎΠ»Π°ΠΌΠΈ Π½Π°ΡΠΊΠΎΠ²Ρ ΡΠ΅ΠΌΠΈ ΡΠΎΠ·ΠΏΠΎΠ΄ΡΠ»ΡΡΡΡΡΡ Π½Π° ΡΡΡΠ°Π½ΠΎΠ²ΡΡΠΉ ΠΊΠΎΠ½ΡΠ΅ΡΠ΅Π½ΡΡΡ Π· ΠΏΠ΅Π΄ΠΏΡΠ°ΠΊΡΠΈΠΊΠΈ. ΠΡΠ΄ Π³ΡΡΠΏΠΎΠ²ΠΈΡ
ΠΊΠ΅ΡΡΠ²Π½ΠΈΠΊΡΠ² ΡΡΡΠ΄Π΅Π½ΡΠΈ ΠΎΡΡΠΈΠΌΡΡΡΡ ΡΠ½Π΄ΠΈΠ²ΡΠ΄ΡΠ°Π»ΡΠ½Ρ Π·Π°Π²Π΄Π°Π½Π½Ρ ΡΠ° ΡΠ½ΡΡΡΡΠΊΡΡΡ ΡΠΎΠ΄ΠΎ Π²ΠΈΠΊΠΎΠ½Π°Π½Π½Ρ Π½Π°ΡΠΊΠΎΠ²ΠΎ -ΠΌΠ΅ΡΠΎΠ΄ΠΈΡΠ½ΠΎΡ ΡΠΎΠ±ΠΎΡΠΈ: Π·Π½Π°ΠΉΠΎΠΌΠ»ΡΡΡΡΡ Π·Ρ Π·ΠΌΡΡΡΠΎΠΌ ΡΠ΅ΠΌΠΈ, Π· ΠΌΠ΅ΡΠΎΡ Π΄ΠΎΡΠ»ΡΠ΄ΠΆΠ΅Π½Π½Ρ, Π· ΡΠ΅Π·ΡΠ»ΡΡΠ°ΡΠ°ΠΌΠΈ, ΡΠΊΡ ΠΏΠΎΠ²ΠΈΠ½Π½Ρ Π±ΡΡΠΈ ΠΎΡΡΠΈΠΌΠ°Π½Ρ Π² ΡΠ΅Π·ΡΠ»ΡΡΠ°ΡΡ ΡΠΎΠ±ΠΎΡΠΈ Π½Π°Π΄ ΡΠ΅ΠΌΠΎΡ, Π· ΠΎΡΠ½ΠΎΠ²Π½ΠΈΠΌΠΈ ΠΌΠ΅ΡΠΎΠ΄Π°ΠΌΠΈ ΠΏΠ΅Π΄Π°Π³ΠΎΠ³ΡΡΠ½ΠΎΠ³ΠΎ Π΄ΠΎΡΠ»ΡΠ΄ΠΆΠ΅Π½Π½Ρ (Π²ΠΈΠ²ΡΠ΅Π½Π½Ρ Π½Π°ΡΠΊΠΎΠ²ΠΎ-ΠΌΠ΅ΡΠΎΠ΄ΠΈΡΠ½ΠΎΡ Π»ΡΡΠ΅ΡΠ°ΡΡΡΠΈ, ΡΠΏΠΎΡΡΠ΅ΡΠ΅ΠΆΠ΅Π½Π½Ρ, Π΄ΠΎΡΠ»ΡΠ΄Π½Π΅ Π½Π°Π²ΡΠ°Π½Π½Ρ, ΡΠ·Π°Π³Π°Π»ΡΠ½Π΅Π½Π½Ρ Π΄ΠΎΡΠ²ΡΠ΄Ρ). EN: In the pedagogical higher educational establishments of Ukraine there has developed a certain experience of the research organization of scientific and methodical work of students in the period of pedagogical practice. The course, which goes to pedagogical practice, proposes a certain scientific problem for its development during the period of pedagogical practice. From group leaders, students receive individual tasks and instructions for the implementation of
scientific and methodological work: get acquainted with the content of the topic, for the purpose of research, with the results that should be obtained as a result of work on the topic, with the basic methods of pedagogical research (study of scientific and methodological literature, observation, experimental learning, generalization of experience)
ΠΠ»Π΅ΠΊΡΡΠΎΠΊΠ°ΡΠ΄ΠΈΠΎΠ³ΡΠ°ΡΠΈΡΠ΅ΡΠΊΠΈΠ΅ Π½Π°ΡΡΡΠ΅Π½ΠΈΡ ΠΏΡΠΈ ΡΡΠΈΠ±Π΅ ΡΠ΅ΡΠ΄ΡΠ° (ΡΠΊΡΠΏΠ΅ΡΠΈΠΌΠ΅Π½ΡΠ°Π»ΡΠ½ΠΎΠ΅ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΠ΅)
Objective: to study the incidence and pattern of cardiac arrhythmias and other abnormalities in the early posttraumatic period of experimental cardiac contusion and to assess their contribution to death and the development of posttraumat-ic myocardial dysfunction.Materials and methods: experiments were carried out on non-inbred albino male rats anesthetized with sodium thiopental. An electrocardiogram, respiration rate, and left carotid blood pressure were recorded in the direct fashion. Cardiac contusion was reproduced by an original device that imitated a blow of the steering wheel to the anterior chest, as that observed when a moving car clashed against an obstacle. Some animals were traumatized after preadministration of atropine sulfate.Results: sinus bradycardia accompanied by bradypnoea or short-term apnoea and lowered blood pressure is a compulsory and persistent ECG abnormality. Preinjection of atropine significantly prevents the occurrence of these changes and points to the likely reflectory mechanism of their development. Other ECG abnormalities (heterotopic rhythms, premature beats, conduction blockade, terminal ventricular complex changes, etc.) are encountered in a variety of combinations, including those among which typical changes that are undetectable, are diverse, short-term, and labile. Among them, there are virtually no hemodynamic and potentially fatal arrhythmias.Conclusion: in experimental isolated cardiac contusion, the pattern of cardiac arrhythmias differs from that observed in the inpatient setting. Cardiac arrhythmias and other ECG abnormalities do not make a considerable contribution to a mortality rate under the conditions of this experiment since there are no hemodynamic ones.Β Π¦Π΅Π»Ρ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΡ : ΠΈΠ·ΡΡΠΈΡΡ ΡΠ°ΡΡΠΎΡΡ ΡΠ°Π·Π²ΠΈΡΠΈΡ ΠΈ ΡΡΡΡΠΊΡΡΡΡ Π½Π°ΡΡΡΠ΅Π½ΠΈΠΉ ΡΠ΅ΡΠ΄Π΅ΡΠ½ΠΎΠ³ΠΎ ΡΠΈΡΠΌΠ° ΠΈ Π΄ΡΡΠ³ΠΈΡ
ΠΠΠ-ΠΎΡΠΊΠ»ΠΎΠ½Π΅Π½ΠΈΠΉ Π² ΡΠ°Π½Π½Π΅ΠΌ ΠΏΠΎΡΡΡΡΠ°Π²ΠΌΠ°ΡΠΈΡΠ΅ΡΠΊΠΎΠΌ ΠΏΠ΅ΡΠΈΠΎΠ΄Π΅ ΡΠΊΡΠΏΠ΅ΡΠΈΠΌΠ΅Π½ΡΠ°Π»ΡΠ½ΠΎΠ³ΠΎ ΡΡΠΈΠ±Π° ΡΠ΅ΡΠ΄ΡΠ°, Π° ΡΠ°ΠΊΠΆΠ΅ ΠΈΡ
Π²ΠΊΠ»Π°Π΄ Π² Π»Π΅ΡΠ°Π»ΡΠ½ΠΎΡΡΡ ΠΈ ΡΠΎΡΠΌΠΈΡΠΎΠ²Π°Π½ΠΈΠ΅ ΠΏΠΎΡΡΡΡΠ°Π²ΠΌΠ°ΡΠΈΡΠ΅ΡΠΊΠΎΠΉ ΠΌΠΈΠΎΠΊΠ°ΡΠ΄ΠΈΠ°Π»ΡΠ½ΠΎΠΉ Π΄ΠΈΡΡΡΠ½ΠΊΡΠΈΠΈ.ΠΠ°ΡΠ΅ΡΠΈΠ°Π»Ρ ΠΈ ΠΌΠ΅ΡΠΎΠ΄Ρ: ΡΠΊΡΠΏΠ΅ΡΠΈΠΌΠ΅Π½ΡΡ Π²ΡΠΏΠΎΠ»Π½Π΅Π½Ρ Π½Π° Π±Π΅Π»ΡΡ
Π±Π΅ΡΠΏΠΎΡΠΎΠ΄Π½ΡΡ
ΠΊΡΡΡΠ°Ρ
-ΡΠ°ΠΌΡΠ°Ρ
, Π½Π°ΡΠΊΠΎΡΠΈΠ·ΠΈΡΠΎΠ²Π°Π½Π½ΡΡ
ΡΠΈΠΎΠΏΠ΅Π½ΡΠ°Π»ΠΎΠΌ Π½Π°ΡΡΠΈΡ. Π Π΅Π³ΠΈΡΡΡΠΈΡΠΎΠ²Π°Π»ΠΈ ΡΠ»Π΅ΠΊΡΡΠΎΠΊΠ°ΡΠ΄ΠΈΠΎΠ³ΡΠ°ΠΌΠΌΡ, ΡΠ°ΡΡΠΎΡΡ Π΄ΡΡ
Π°Π½ΠΈΡ ΠΈ ΠΠ Π² Π»Π΅Π²ΠΎΠΉ ΡΠΎΠ½Π½ΠΎΠΉ Π°ΡΡΠ΅ΡΠΈΠΈ ΠΏΡΡΠΌΡΠΌ ΠΌΠ΅ΡΠΎΠ΄ΠΎΠΌ. Π£ΡΠΈΠ± ΡΠ΅ΡΠ΄ΡΠ° Π²ΠΎΡΠΏΡΠΎΠΈΠ·Π²ΠΎΠ΄ΠΈΠ»ΠΈ Ρ ΠΏΠΎΠΌΠΎΡΡΡ ΠΎΡΠΈΠ³ΠΈΠ½Π°Π»ΡΠ½ΠΎΠ³ΠΎ ΡΡΡΡΠΎΠΉΡΡΠ²Π°, ΠΈΠΌΠΈΡΠΈΡΡΡΡΠ΅Π³ΠΎ ΡΠ΄Π°Ρ ΠΏΠ΅ΡΠ΅Π΄Π½Π΅ΠΉ Π³ΡΡΠ΄Π½ΠΎΠΉ ΡΡΠ΅Π½ΠΊΠΈ ΠΎ ΡΡΠΎΠΉΠΊΡ ΡΡΠ»Ρ ΠΏΡΠΈ ΡΡΠΎΠ»ΠΊΠ½ΠΎΠ²Π΅Π½ΠΈΠΈ Π΄Π²ΠΈΠΆΡΡΠ΅Π³ΠΎΡΡ Π°Π²ΡΠΎΠΌΠΎΠ±ΠΈΠ»Ρ Ρ ΠΏΡΠ΅ΠΏΡΡΡΡΠ²ΠΈΠ΅ΠΌ. Π£ ΡΠ°ΡΡΠΈ ΠΆΠΈΠ²ΠΎΡΠ½ΡΡ
ΡΡΠ°Π²ΠΌΠ° Π½Π°Π½ΠΎΡΠΈΠ»Π°ΡΡ ΠΏΠΎΡΠ»Π΅ ΠΏΡΠ΅Π΄Π²Π°ΡΠΈΡΠ΅Π»ΡΠ½ΠΎΠ³ΠΎ Π²Π²Π΅Π΄Π΅Π½ΠΈΡ Π°ΡΡΠΎΠΏΠΈΠ½Π° ΡΡΠ»ΡΡΠ°ΡΠ°.Π Π΅Π·ΡΠ»ΡΡΠ°ΡΡ: ΠΎΠ±ΡΠ·Π°ΡΠ΅Π»ΡΠ½ΡΠΌ ΠΈ ΡΡΠΎΠΉΠΊΠΈΠΌ ΠΠΠ-ΠΎΡΠΊΠ»ΠΎΠ½Π΅Π½ΠΈΠ΅ΠΌ Π² ΡΠ°Π½Π½Π΅ΠΌ ΠΏΠΎΡΡΡΡΠ°Π²ΠΌΠ°ΡΠΈΡΠ΅ΡΠΊΠΎΠΌ ΠΏΠ΅ΡΠΈΠΎΠ΄Π΅ ΠΈΠ·ΠΎΠ»ΠΈΡΠΎΠ²Π°Π½Π½ΠΎΠ³ΠΎ ΡΠΊΡΠΏΠ΅ΡΠΈΠΌΠ΅Π½ΡΠ°Π»ΡΠ½ΠΎΠ³ΠΎ ΡΡΠΈΠ±Π° ΡΠ΅ΡΠ΄ΡΠ° ΡΠ²Π»ΡΠ΅ΡΡΡ ΡΠΈΠ½ΡΡΠΎΠ²Π°Ρ Π±ΡΠ°Π΄ΠΈΠΊΠ°ΡΠ΄ΠΈΡ, ΡΠΎΠΏΡΠΎΠ²ΠΎΠΆΠ΄Π°ΡΡΠ°ΡΡΡ ΡΡΠ΅ΠΆΠ΅Π½ΠΈΠ΅ΠΌ ΠΈΠ»ΠΈ ΠΊΡΠ°ΡΠΊΠΎΠ²ΡΠ΅ΠΌΠ΅Π½Π½ΠΎΠΉ ΠΎΡΡΠ°Π½ΠΎΠ²ΠΊΠΎΠΉ Π΄ΡΡ
Π°Π½ΠΈΡ ΠΈ ΡΠ½ΠΈΠΆΠ΅Π½ΠΈΠ΅ΠΌ Π°ΡΡΠ΅ΡΠΈΠ°Π»ΡΠ½ΠΎΠ³ΠΎ Π΄Π°Π²Π»Π΅Π½ΠΈΡ. ΠΡΠ΅Π΄Π²Π°ΡΠΈΡΠ΅Π»ΡΠ½ΠΎΠ΅ Π²Π²Π΅Π΄Π΅Π½ΠΈΠ΅ Π°ΡΡΠΎΠΏΠΈΠ½Π° Π² Π·Π½Π°ΡΠΈΡΠ΅Π»ΡΠ½ΠΎΠΉ ΡΡΠ΅ΠΏΠ΅Π½ΠΈ ΠΏΡΠ΅Π΄ΠΎΡΠ²ΡΠ°ΡΠ°Π΅Ρ Π²ΠΎΠ·Π½ΠΈΠΊΠ½ΠΎΠ²Π΅Π½ΠΈΠ΅ Π΄Π°Π½Π½ΡΡ
ΠΈΠ·ΠΌΠ΅Π½Π΅Π½ΠΈΠΉ ΠΈ ΡΠΊΠ°Π·ΡΠ²Π°Π΅Ρ Π½Π° Π²Π΅ΡΠΎΡΡΠ½ΡΠΉ ΡΠ΅ΡΠ»Π΅ΠΊΡΠΎΡΠ½ΡΠΉ ΠΌΠ΅Ρ
Π°Π½ΠΈΠ·ΠΌ ΠΈΡ
ΡΠ°Π·Π²ΠΈΡΠΈΡ. ΠΡΡΠ³ΠΈΠ΅ ΠΠΠ-ΠΎΡΠΊΠ»ΠΎΠ½Π΅Π½ΠΈΡ (Π³Π΅ΡΠ΅ΡΠΎΡΠΎΠΏΠ½ΡΠ΅ ΡΠΈΡΠΌΡ, ΡΠΊΡΡΡΠ°ΡΠΈΡΡΠΎΠ»ΠΈΡ, Π±Π»ΠΎΠΊΠ°Π΄Ρ ΠΏΡΠΎΠ²Π΅Π΄Π΅Π½ΠΈΡ, ΠΈΠ·ΠΌΠ΅Π½Π΅Π½ΠΈΡ ΠΊΠΎΠ½Π΅ΡΠ½ΠΎΠΉ ΡΠ°ΡΡΠΈ ΠΆΠ΅Π»ΡΠ΄ΠΎΡΠΊΠΎΠ²ΠΎΠ³ΠΎ ΠΊΠΎΠΌΠΏΠ»Π΅ΠΊΡΠ° ΠΈ Π΄Ρ.) Π²ΡΡΡΠ΅ΡΠ°ΡΡΡΡ Π² ΡΠ°ΠΌΡΡ
ΡΠ°Π·Π½ΠΎΠΎΠ±ΡΠ°Π·Π½ΡΡ
ΡΠΎΡΠ΅ΡΠ°Π½ΠΈΡΡ
, Π² ΡΠΈΡΠ»Π΅ ΠΊΠΎΡΠΎΡΡΡ
Π½Π΅ ΡΠ΄Π°Π»ΠΎΡΡ Π²ΡΡΠ²ΠΈΡΡ ΡΠΈΠΏΠΈΡΠ½ΡΡ
, Π½ΠΎΡΡΡ ΡΠ°Π·Π½ΠΎΠΎΠ±ΡΠ°Π·Π½ΡΠΉ, ΠΊΡΠ°ΡΠΊΠΎΠ²ΡΠ΅ΠΌΠ΅Π½Π½ΡΠΉ ΠΈ Π»Π°Π±ΠΈΠ»ΡΠ½ΡΠΉ Ρ
Π°ΡΠ°ΠΊΡΠ΅Ρ. Π‘ΡΠ΅Π΄ΠΈ Π½ΠΈΡ
ΠΏΡΠ°ΠΊΡΠΈΡΠ΅ΡΠΊΠΈ ΠΎΡΡΡΡΡΡΠ²ΡΡΡ Π³Π΅ΠΌΠΎΠ΄ΠΈΠ½Π°ΠΌΠΈΡΠ΅ΡΠΊΠΈ Π·Π½Π°ΡΠΈΠΌΡΠ΅ ΠΈ ΠΏΠΎΡΠ΅Π½ΡΠΈΠ°Π»ΡΠ½ΠΎ Π»Π΅ΡΠ°Π»ΡΠ½ΡΠ΅ Π½Π°ΡΡΡΠ΅Π½ΠΈΡ ΡΠΈΡΠΌΠ°.ΠΠ°ΠΊΠ»ΡΡΠ΅Π½ΠΈΠ΅: ΡΡΡΡΠΊΡΡΡΠ° Π½Π°ΡΡΡΠ΅Π½ΠΈΠΉ ΡΠ΅ΡΠ΄Π΅ΡΠ½ΠΎΠ³ΠΎ ΡΠΈΡΠΌΠ° ΠΏΡΠΈ ΡΠΊΡΠΏΠ΅ΡΠΈΠΌΠ΅Π½ΡΠ°Π»ΡΠ½ΠΎΠΌ ΠΈΠ·ΠΎΠ»ΠΈΡΠΎΠ²Π°Π½Π½ΠΎΠΌ ΡΡΠΈΠ±Π΅ ΡΠ΅ΡΠ΄ΡΠ° ΠΎΡΠ»ΠΈΡΠ°Π΅ΡΡΡ ΠΎΡ ΡΠ°ΠΊΠΎΠ²ΠΎΠΉ Π² ΡΡΠ»ΠΎΠ²ΠΈΡΡ
ΠΊΠ»ΠΈΠ½ΠΈΠΊΠΈ. ΠΠ°ΡΡΡΠ΅Π½ΠΈΡ ΡΠ΅ΡΠ΄Π΅ΡΠ½ΠΎΠ³ΠΎ ΡΠΈΡΠΌΠ° ΠΈ Π΄ΡΡΠ³ΠΈΠ΅ ΠΠΠ-ΠΎΡΠΊΠ»ΠΎΠ½Π΅Π½ΠΈΡ Π½Π΅ Π²Π½ΠΎΡΡΡ ΡΡΡΠ΅ΡΡΠ²Π΅Π½Π½ΠΎΠ³ΠΎ Π²ΠΊΠ»Π°Π΄Π° Π² ΠΏΠΎΠΊΠ°Π·Π°ΡΠ΅Π»Ρ Π»Π΅ΡΠ°Π»ΡΠ½ΠΎΡΡΠΈ Π² ΡΡΠ»ΠΎΠ²ΠΈΡΡ
Π΄Π°Π½Π½ΠΎΠ³ΠΎ ΡΠΊΡΠΏΠ΅ΡΠΈΠΌΠ΅Π½ΡΠ°, ΠΏΠΎΡΠΊΠΎΠ»ΡΠΊΡ ΡΡΠ΅Π΄ΠΈ Π½ΠΈΡ
Π½Π΅Ρ Π³Π΅ΠΌΠΎΠ΄ΠΈΠ½Π°ΠΌΠΈΡΠ΅ΡΠΊΠΈ Π·Π½Π°ΡΠΈΠΌΡΡ
.
NUTRITCIOGENETICS AND RISK FACTORS OF CARDIOVASCULAR DISEASE: ASSOCIATED RESEARCH IN EASTERN SIBERIA POPULATIONS
Purpose: to study nutritional habits as a risk factor of cardiovascular pathology as so as a role of apolipoprotein A1 gene in metabolism in native and alien population of Eastern Siberia. Methods: we used Kiselev questionnaire (1998) for estimation of "nutritional risk". Totally 863 adolescents were evaluated, including 445 (51,6 %) persons of the alien ethnogroup (Russian) and 418 (48,4 %) persons of the native ethnogroup (Buriat). We evaluated clinically, functionally and genetically healthy and hypertensive (having essential arterial hypertension) adolescents and compared the results. Out of 226 adolescents with essential arterial hypertension, 144 persons were from the alien ethnogroup (mean age is 16,22 Β± 1,14 years) and 82 adolescents from the native ethnogroup (mean age is 16,57 Β± 1,62 years). Out of 173 healthy adolescents (mean age is 15,12 Β± 2,71 years), 79 (45,7 %) persons were buriats and 94 (54,3 %) persons were Russian. Ethnic data were gotten by questionnaire, which included information about nationality back to the third generation of ancestors. We studied a total genomic DNA, which was extracted from blood serum by non-enzymatic method. An amplification of DNA loci was performed by polymerase-chain reaction using an automatic thermocycler Β«BiometraΒ» with Β«SNP-ΡΠΊΡΠΏΡΠ΅ΡΡΒ», Β«LitexΒ» reagents. The results of our research indicated an imbalance of nutritional habits with domination of protein-lipid dietary compounds in adolescents of native and alien population ofEastern Siberia. We found differentiated contributions ofinsertion-deletional polymorphism of apolipoprotein A1 gene. We did no found differences of frequency response of alleles and genotypes. We found a positive linkofapolipoprotein Al gene deletion with increased level ofcholesterine, very low density lipoproteins, triglycerides as so as with elevation ofnumbers ofblood pressure indexes in the adolescents ofthe alien ethnogroup. We did not found such kind of links in adolescents of the native ethnogroup that, as we suppose, may be a reflection of the evolutionary developed nutritional stereotype with some predominance oflipid-protein dietary component. Developed through the millennia such kind ofdiet in the indigenous population of the North and Siberia is a response to cold stress and underlies formation ofthe genotype, which aimed to developing a biochemical phenotype with ability to compensate this nutritional atherogenic imbalance
ΠΠ°ΡΠ΄ΠΈΠΎΠΏΡΠΎΡΠ΅ΠΊΡΠΎΡΠ½ΠΎΠ΅ Π΄Π΅ΠΉΡΡΠ²ΠΈΠ΅ ΡΡΠΈΠΌΠ΅ΡΠ°Π·ΠΈΠ΄ΠΈΠ½Π° ΠΏΡΠΈ ΡΡΠΈΠ±Π΅ ΡΠ΅ΡΠ΄ΡΠ° (ΡΠΊΡΠΏΠ΅ΡΠΈΠΌΠ΅Π½ΡΠ°Π»ΡΠ½ΠΎΠ΅ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΠ΅)
Objective: to study the efficiency of pre-administration of trimetazidine in experimental cardiac contusion in order to lower the degree of posttraumatic myocardial dysfunction. Materials and methods: experiments were carried out on non-inbred albino male rats anesthetized with sodium thiopental. Cardiac contusion was reproduced by an original device that imitated a blow of the steering wheel to the anterior chest, as that observed when a moving car clashes against an obstacle. Some animals were traumatized after preadministration of trimetazidine (25 mg/kg intraperi-toneally). An electrocardiogram, left carotid blood pressure, an integral rheogram, and the first derivative of a differential rheogram were recorded in the direct fashion prior to cardiac contusion simulation and in different posttraumatic periods. Stroke volume, cardiac output, and total peripheral vascular resistance were calculated. Results. Preinjection of trimetazidine significantly prevented the development of arrhythmias in the early posttraumatic period and improved systemic hemodynamic parameters: stroke volume, cardiac output, blood pressure, and total peripheral vascular resistance. No death case within the first hour of a posttraumatic period was an integral criterion for the efficiency of preventive use of trimetazidine in cardiac contusion. Conclusion: trimetazidine produces a cardioprotective effect in experimental cardiac contusion, which shows it possible to clinically use the agent and provides indirect evidence that the ischemically hypoxic mechanism is involved in cardiac traumatic lesion. Key words: experimental cardiac contusion, central hemodynamics, arrhythmias, trimetazidine.Π¦Π΅Π»Ρ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΡ . ΠΠ·ΡΡΠΈΡΡ ΡΡΡΠ΅ΠΊΡΠΈΠ²Π½ΠΎΡΡΡ ΠΏΡΠ΅Π΄Π²Π°ΡΠΈΡΠ΅Π»ΡΠ½ΠΎΠ³ΠΎ Π²Π²Π΅Π΄Π΅Π½ΠΈΡ ΡΡΠΈΠΌΠ΅ΡΠ°Π·ΠΈΠ΄ΠΈΠ½Π° ΠΏΡΠΈ ΡΠΊΡΠΏΠ΅ΡΠΈΠΌΠ΅Π½ΡΠ°Π»ΡΠ½ΠΎΠΌ ΡΡΠΈΠ±Π΅ ΡΠ΅ΡΠ΄ΡΠ° Ρ ΡΠ΅Π»ΡΡ ΡΠΌΠ΅Π½ΡΡΠ΅Π½ΠΈΡ Π²ΡΡΠ°ΠΆΠ΅Π½Π½ΠΎΡΡΠΈ ΠΏΠΎΡΡΡΡΠ°Π²ΠΌΠ°ΡΠΈΡΠ΅ΡΠΊΠΎΠΉ ΠΌΠΈΠΎΠΊΠ°ΡΠ΄ΠΈΠ°Π»ΡΠ½ΠΎΠΉ Π΄ΠΈΡΡΡΠ½ΠΊΡΠΈΠΈ. ΠΠ°ΡΠ΅ΡΠΈΠ°Π» ΠΈ ΠΌΠ΅ΡΠΎΠ΄Ρ. ΠΠΊΡΠΏΠ΅ΡΠΈΠΌΠ΅Π½ΡΡ Π²ΡΠΏΠΎΠ»Π½Π΅Π½Ρ Π½Π° Π±Π΅Π»ΡΡ
Π±Π΅ΡΠΏΠΎΡΠΎΠ΄Π½ΡΡ
ΠΊΡΡΡΠ°Ρ
-ΡΠ°ΠΌΡΠ°Ρ
, Π½Π°ΡΠΊΠΎΡΠΈΠ·ΠΈΡΠΎΠ²Π°Π½Π½ΡΡ
ΡΠΈΠΎΠΏΠ΅Π½ΡΠ°Π»ΠΎΠΌ Π½Π°ΡΡΠΈΡ. Π£ΡΠΈΠ± ΡΠ΅ΡΠ΄ΡΠ° Π²ΠΎΡΠΏΡΠΎΠΈΠ·Π²ΠΎΠ΄ΠΈΠ»ΠΈ Ρ ΠΏΠΎΠΌΠΎΡΡΡ ΠΎΡΠΈΠ³ΠΈΠ½Π°Π»ΡΠ½ΠΎΠ³ΠΎ ΡΡΡΡΠΎΠΉΡΡΠ²Π°, ΠΈΠΌΠΈΡΠΈΡΡΡΡΠ΅Π³ΠΎ ΡΠ΄Π°Ρ ΠΏΠ΅ΡΠ΅Π΄Π½Π΅ΠΉ Π³ΡΡΠ΄Π½ΠΎΠΉ ΡΡΠ΅Π½ΠΊΠΈ ΠΎ ΡΡΠΎΠΉΠΊΡ ΡΡΠ»Ρ ΠΏΡΠΈ ΡΡΠΎΠ»ΠΊΠ½ΠΎΠ²Π΅Π½ΠΈΠΈ Π΄Π²ΠΈΠΆΡΡΠ΅Π³ΠΎΡΡ Π°Π²ΡΠΎΠΌΠΎΠ±ΠΈΠ»Ρ Ρ ΠΏΡΠ΅ΠΏΡΡΡΡΠ²ΠΈΠ΅ΠΌ. Π£ ΡΠ°ΡΡΠΈ ΠΆΠΈΠ²ΠΎΡΠ½ΡΡ
ΡΡΠ°Π²ΠΌΠ° Π½Π°Π½ΠΎΡΠΈΠ»Π°ΡΡ ΠΏΠΎΡΠ»Π΅ ΠΏΡΠ΅Π΄Π²Π°ΡΠΈΡΠ΅Π»ΡΠ½ΠΎΠ³ΠΎ Π²Π²Π΅Π΄Π΅Π½ΠΈΡ ΡΡΠΈΠΌΠ΅ΡΠ°Π·ΠΈΠ΄ΠΈΠ½Π° (25 ΠΌΠ³/ΠΊΠ³ ΠΌΠ°ΡΡΡ Π²Π½ΡΡΡΠΈΠ±ΡΡΡΠΈΠ½Π½ΠΎ). ΠΠΎ ΠΌΠΎΠ΄Π΅Π»ΠΈΡΠΎΠ²Π°Π½ΠΈΡ ΡΡΠΈΠ±Π° ΡΠ΅ΡΠ΄ΡΠ°, Π° ΡΠ°ΠΊΠΆΠ΅ Π² ΡΠ°Π·Π»ΠΈΡΠ½ΡΠ΅ ΡΡΠΎΠΊΠΈ ΠΏΠΎΡΡΡΡΠ°Π²ΠΌΠ°ΡΠΈΡΠ΅ΡΠΊΠΎΠ³ΠΎ ΠΏΠ΅ΡΠΈΠΎΠ΄Π° ΡΠ΅Π³ΠΈΡΡΡΠΈΡΠΎΠ²Π°Π»ΠΈ ΡΠ»Π΅ΠΊΡΡΠΎΠΊΠ°ΡΠ΄ΠΈΠΎΠ³ΡΠ°ΠΌΠΌΡ, ΠΠ Π² Π»Π΅Π²ΠΎΠΉ ΡΠΎΠ½Π½ΠΎΠΉ Π°ΡΡΠ΅ΡΠΈΠΈ ΠΏΡΡΠΌΡΠΌ ΠΌΠ΅ΡΠΎΠ΄ΠΎΠΌ, ΠΈΠ½ΡΠ΅Π³ΡΠ°Π»ΡΠ½ΡΡ ΡΠ΅ΠΎΠ³ΡΠ°ΠΌΠΌΡ ΠΈ ΠΏΠ΅ΡΠ²ΡΡ ΠΏΡΠΎΠΈΠ·Π²ΠΎΠ΄Π½ΡΡ Π΄ΠΈΡΡΠ΅ΡΠ΅Π½ΡΠΈΠ°Π»ΡΠ½ΠΎΠΉ ΡΠ΅ΠΎΠ³ΡΠ°ΠΌΠΌΡ. Π Π°ΡΡΡΠΈΡΡΠ²Π°Π»ΠΈ ΡΠ΄Π°ΡΠ½ΡΠΉ ΠΎΠ±ΡΠ΅ΠΌ ΡΠ΅ΡΠ΄ΡΠ°, ΠΌΠΈΠ½ΡΡΠ½ΡΠΉ ΠΎΠ±ΡΠ΅ΠΌ ΡΠ΅ΡΠ΄ΡΠ°, ΠΎΠ±ΡΠ΅Π΅ ΠΏΠ΅ΡΠΈΡΠ΅ΡΠΈΡΠ΅ΡΠΊΠΎΠ΅ ΡΠΎΠΏΡΠΎΡΠΈΠ²Π»Π΅Π½ΠΈΠ΅ ΡΠΎΡΡΠ΄ΠΎΠ². Π Π΅Π·ΡΠ»ΡΡΠ°ΡΡ ΠΈ ΠΎΠ±ΡΡΠΆΠ΄Π΅Π½ΠΈΠ΅. ΠΡΠ΅Π΄Π²Π°ΡΠΈΡΠ΅Π»ΡΠ½ΠΎΠ΅ Π²Π²Π΅Π΄Π΅Π½ΠΈΠ΅ ΡΡΠΈΠΌΠ΅ΡΠ°Π·ΠΈΠ΄ΠΈΠ½Π° Π² Π·Π½Π°ΡΠΈΡΠ΅Π»ΡΠ½ΠΎΠΉ ΡΡΠ΅ΠΏΠ΅Π½ΠΈ ΠΏΡΠ΅Π΄ΠΎΡΠ²ΡΠ°ΡΠ°Π»ΠΎ ΡΠ°Π·Π²ΠΈΡΠΈΠ΅ Π°ΡΠΈΡΠΌΠΈΠΉ Π² ΡΠ°Π½Π½Π΅ΠΌ ΠΏΠΎΡΡΡΡΠ°Π²ΠΌΠ°ΡΠΈΡΠ΅ΡΠΊΠΎΠΌ ΠΏΠ΅ΡΠΈΠΎΠ΄Π΅, Π° ΡΠ°ΠΊΠΆΠ΅ ΡΠ»ΡΡΡΠ°Π»ΠΎ ΠΏΠΎΠΊΠ°Π·Π°ΡΠ΅Π»ΠΈ ΡΠΈΡΡΠ΅ΠΌΠ½ΠΎΠΉ Π³Π΅ΠΌΠΎΠ΄ΠΈΠ½Π°ΠΌΠΈΠΊΠΈ: ΡΠ΄Π°ΡΠ½ΡΠΉ ΠΎΠ±ΡΠ΅ΠΌ, ΠΌΠΈΠ½ΡΡΠ½ΡΠΉ ΠΎΠ±ΡΠ΅ΠΌ ΡΠ΅ΡΠ΄ΡΠ°, Π°ΡΡΠ΅ΡΠΈΠ°Π»ΡΠ½ΠΎΠ΅ Π΄Π°Π²Π»Π΅Π½ΠΈΠ΅, ΠΎΠ±ΡΠ΅Π΅ ΠΏΠ΅ΡΠΈΡΠ΅ΡΠΈΡΠ΅ΡΠΊΠΎΠ΅ ΡΠΎΠΏΡΠΎΡΠΈΠ²Π»Π΅Π½ΠΈΠ΅ ΡΠΎΡΡΠ΄ΠΎΠ². ΠΠ½ΡΠ΅Π³ΡΠ°Π»ΡΠ½ΡΠΌ ΠΊΡΠΈΡΠ΅ΡΠΈΠ΅ΠΌ ΡΡΡΠ΅ΠΊΡΠΈΠ²Π½ΠΎΡΡΠΈ ΠΏΡΠΎΡΠΈΠ»Π°ΠΊΡΠΈΡΠ΅ΡΠΊΠΎΠ³ΠΎ ΠΈΡΠΏΠΎΠ»ΡΠ·ΠΎΠ²Π°Π½ΠΈΡ ΡΡΠΈΠΌΠ΅ΡΠ°Π·ΠΈΠ΄ΠΈΠ½Π° ΠΏΡΠΈ ΡΡΠΈΠ±Π΅ ΡΠ΅ΡΠ΄ΡΠ° ΡΠ²ΠΈΠ»ΠΎΡΡ ΠΎΡΡΡΡΡΡΠ²ΠΈΠ΅ Π»Π΅ΡΠ°Π»ΡΠ½ΠΎΡΡΠΈ Π² ΡΠ΅ΡΠ΅Π½ΠΈΠ΅ ΠΏΠ΅ΡΠ²ΠΎΠ³ΠΎ ΡΠ°ΡΠ° ΠΏΠΎΡΡΡΡΠ°Π²ΠΌΠ°ΡΠΈΡΠ΅ΡΠΊΠΎΠ³ΠΎ ΠΏΠ΅ΡΠΈΠΎΠ΄Π°. ΠΠ°ΠΊΠ»ΡΡΠ΅Π½ΠΈΠ΅: ΡΡΠΈΠΌΠ΅ΡΠ°Π·ΠΈΠ΄ΠΈΠ½ ΠΎΠΊΠ°Π·ΡΠ²Π°Π΅Ρ ΠΊΠ°ΡΠ΄ΠΈΠΎΠΏΡΠΎΡΠ΅ΠΊΡΠΎΡΠ½ΠΎΠ΅ Π΄Π΅ΠΉΡΡΠ²ΠΈΠ΅ ΠΏΡΠΈ ΡΠΊΡΠΏΠ΅ΡΠΈΠΌΠ΅Π½ΡΠ°Π»ΡΠ½ΠΎΠΌ ΡΡΠΈΠ±Π΅ ΡΠ΅ΡΠ΄ΡΠ°, ΡΡΠΎ ΠΎΠ±ΠΎΡΠ½ΠΎΠ²ΡΠ²Π°Π΅Ρ Π²ΠΎΠ·ΠΌΠΎΠΆΠ½ΠΎΡΡΡ ΠΊΠ»ΠΈΠ½ΠΈΡΠ΅ΡΠΊΠΎΠ³ΠΎ ΠΏΡΠΈΠΌΠ΅Π½Π΅Π½ΠΈΡ ΠΏΡΠ΅ΠΏΠ°ΡΠ°ΡΠ°, Π° ΡΠ°ΠΊΠΆΠ΅ ΠΊΠΎΡΠ²Π΅Π½Π½ΠΎ ΡΠ²ΠΈΠ΄Π΅ΡΠ΅Π»ΡΡΡΠ²ΡΠ΅Ρ ΠΎΠ± ΡΡΠ°ΡΡΠΈΠΈ ΠΈΡΠ΅ΠΌΠΈΡΠ΅ΡΠΊΠΈ-Π³ΠΈΠΏΠΎΠΊΡΠΈΡΠ΅ΡΠΊΠΎΠ³ΠΎ ΠΌΠ΅Ρ
Π°Π½ΠΈΠ·ΠΌΠ° Π² ΡΡΠ°Π²ΠΌΠ°ΡΠΈΡΠ΅ΡΠΊΠΎΠΌ ΠΏΠΎΠ²ΡΠ΅ΠΆΠ΄Π΅Π½ΠΈΠΈ ΡΠ΅ΡΠ΄ΡΠ°. ΠΠ»ΡΡΠ΅Π²ΡΠ΅ ΡΠ»ΠΎΠ²Π°: ΡΠΊΡΠΏΠ΅ΡΠΈΠΌΠ΅Π½ΡΠ°Π»ΡΠ½ΡΠΉ ΡΡΠΈΠ± ΡΠ΅ΡΠ΄ΡΠ°, ΡΠ΅Π½ΡΡΠ°Π»ΡΠ½Π°Ρ Π³Π΅ΠΌΠΎΠ΄ΠΈΠ½Π°ΠΌΠΈΠΊΠ°, Π°ΡΠΈΡΠΌΠΈΠΈ, ΡΡΠΈΠΌΠ΅ΡΠ°Π·ΠΈΠ΄ΠΈΠ½
COMPARATIVE CHARACTERISTICS OF REGIONAL FEATURES OF AVERAGE VALUES OF SP AND DP IN AGE AND ETHNOSEXUAL ASPECT
4615 children have been screened: 2410 [52.2 %] are Russians, and 2205 [47.8 %] are Buryats; 2159 [46,8 %] of them are boys, and2454 [53,2 %] are girls. The widely spread risk factors of arterial hypertension development are heritable heart diseases, smoking (including passive smoking), overweight, as well as a sedentary way of life in different sex, age and ethnic groups. The results of the screening showed that the hypodynamia are more typical for city-dwellers, than for villagers. It is proved that high blood pressure prevalence is dependent on the phase of sexual development of girls belonging to both ethnic groups
Π’Π΅ΡΠ΅Π½ΠΈΠ΅ ΠΏΠΎΡΡΡΡΠ°Π²ΠΌΠ°ΡΠΈΡΠ΅ΡΠΊΠΎΠ³ΠΎ ΠΏΠ΅ΡΠΈΠΎΠ΄Π° ΠΏΡΠΈ ΡΡΠΈΠ±Π΅ ΡΠ΅ΡΠ΄ΡΠ° (ΡΠΊΡΠΏΠ΅ΡΠΈΠΌΠ΅Π½ΡΠ°Π»ΡΠ½ΠΎΠ΅ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΠ΅)
Objective: to study the efficiency of pre-administration of hypoxen in experimental cardiac contusion in order to lower the degree of posttraumatic myocardial dysfunction. Materials and methods: experiments were carried out on non-inbred albino male rats anesthetized with sodium thiopental. Cardiac contusion was reproduced by an original device that imitated a blow of the steering wheel to the anterior chest, as that observed when a moving car clashes against an obstacle. Some animals were traumatized after pre-administration of hypoxen. An electrocardiogram, left carotid blood pressure (BP), an integral rheogram, and the first derivative of a differential rheogram were recorded prior to cardiac contusion simulation and in different posttraumatic periods. Stroke volume (SV), cardiac output (CO), and total peripheral vascular resistance were calculated. Results. Preinjection of hypoxen completely prevented the development of sinus arrhythmia, paroxysmal ventricular tachycardia, and intraatrial and intraventricular conduction disturbances, irrespective of the baseline BP. In a subgroup of animals with a baseline low BP, the agent reduced the incidence of bradycardia by 1.5 times, heterotopic rhythms by 5.3 times, ventricular premature contractions by 6 times, atrioventricular (AV) block by 5.3 times and diminished the changes in the terminal of a ventricular complex by 6.3 times. In a subgroup of animals with baseline normal BP, bradycardia and heterotopic rhythms were recorded 2 and 7 times more infrequently recorded; ventricular premature beats, AV block, and ST-segment displacement were present in none case. Preinjection of hypoxen improved myocardial contractility, as evidenced by 17β25% SV increases within an hour posttraumatically. However, significant arterial hypotension and lowered CO due to bradycardia in most experimental animals during the preinjection of hypoxen before injury and throughout the posttraumatic period caused a ten-fold increase in mortality rates as compared with the non-hypoxen group. Conclusion. The hemodynamic effects of hypoxen can substantially limit the possibility of using the agent to diminish the degree of posttraumatic cardiac dysfunction. Key words: experimental cardiac contusion, central hemodynamics, hypoxen.Π¦Π΅Π»Ρ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΡ β ΠΈΠ·ΡΡΠΈΡΡ ΡΡΡΠ΅ΠΊΡΠΈΠ²Π½ΠΎΡΡΡ ΠΏΡΠ΅Π΄Π²Π°ΡΠΈΡΠ΅Π»ΡΠ½ΠΎΠ³ΠΎ Π²Π²Π΅Π΄Π΅Π½ΠΈΡ Π³ΠΈΠΏΠΎΠΊΡΠ΅Π½Π° ΠΏΡΠΈ ΡΠΊΡΠΏΠ΅ΡΠΈΠΌΠ΅Π½ΡΠ°Π»ΡΠ½ΠΎΠΌ ΡΡΠΈΠ±Π΅ ΡΠ΅ΡΠ΄ΡΠ° Ρ ΡΠ΅Π»ΡΡ ΡΠΌΠ΅Π½ΡΡΠ΅Π½ΠΈΡ Π²ΡΡΠ°ΠΆΠ΅Π½Π½ΠΎΡΡΠΈ ΠΏΠΎΡΡΡΡΠ°Π²ΠΌΠ°ΡΠΈΡΠ΅ΡΠΊΠΎΠΉ ΠΌΠΈΠΎΠΊΠ°ΡΠ΄ΠΈΠ°Π»ΡΠ½ΠΎΠΉ Π΄ΠΈΡΡΡΠ½ΠΊΡΠΈΠΈ. ΠΠ°ΡΠ΅ΡΠΈΠ°Π» ΠΈ ΠΌΠ΅ΡΠΎΠ΄Ρ. ΠΠΊΡΠΏΠ΅ΡΠΈΠΌΠ΅Π½ΡΡ Π²ΡΠΏΠΎΠ»Π½Π΅Π½Ρ Π½Π° Π±Π΅Π»ΡΡ
Π±Π΅ΡΠΏΠΎΡΠΎΠ΄Π½ΡΡ
ΠΊΡΡΡΠ°Ρ
-ΡΠ°ΠΌΡΠ°Ρ
, Π½Π°ΡΠΊΠΎΡΠΈΠ·ΠΈΡΠΎΠ²Π°Π½Π½ΡΡ
ΡΠΈΠΎΠΏΠ΅Π½ΡΠ°Π»ΠΎΠΌ Π½Π°ΡΡΠΈΡ. Π£ΡΠΈΠ± ΡΠ΅ΡΠ΄ΡΠ° Π²ΠΎΡΠΏΡΠΎΠΈΠ·Π²ΠΎΠ΄ΠΈΠ»ΠΈ Ρ ΠΏΠΎΠΌΠΎΡΡΡ ΠΎΡΠΈΠ³ΠΈΠ½Π°Π»ΡΠ½ΠΎΠ³ΠΎ ΡΡΡΡΠΎΠΉΡΡΠ²Π°, ΠΈΠΌΠΈΡΠΈΡΡΡΡΠ΅Π³ΠΎ ΡΠ΄Π°Ρ ΠΏΠ΅ΡΠ΅Π΄Π½Π΅ΠΉ Π³ΡΡΠ΄Π½ΠΎΠΉ ΡΡΠ΅Π½ΠΊΠΈ ΠΎ ΡΡΠΎΠΉΠΊΡ ΡΡΠ»Ρ ΠΏΡΠΈ ΡΡΠΎΠ»ΠΊΠ½ΠΎΠ²Π΅Π½ΠΈΠΈ Π΄Π²ΠΈΠΆΡΡΠ΅Π³ΠΎΡΡ Π°Π²ΡΠΎΠΌΠΎΠ±ΠΈΠ»Ρ Ρ ΠΏΡΠ΅ΠΏΡΡΡΡΠ²ΠΈΠ΅ΠΌ. Π£ ΡΠ°ΡΡΠΈ ΠΆΠΈΠ²ΠΎΡΠ½ΡΡ
ΡΡΠ°Π²ΠΌΡ Π½Π°Π½ΠΎΡΠΈΠ»ΠΈ ΠΏΠΎΡΠ»Π΅ ΠΏΡΠ΅Π΄Π²Π°ΡΠΈΡΠ΅Π»ΡΠ½ΠΎΠ³ΠΎ Π²Π²Π΅Π΄Π΅Π½ΠΈΡ Π³ΠΈΠΏΠΎΠΊΡΠ΅Π½Π°. ΠΠΎ ΠΌΠΎΠ΄Π΅Π»ΠΈΡΠΎΠ²Π°Π½ΠΈΡ ΡΡΠΈΠ±Π° ΡΠ΅ΡΠ΄ΡΠ°, Π° ΡΠ°ΠΊΠΆΠ΅ Π² ΡΠ°Π·Π»ΠΈΡΠ½ΡΠ΅ ΡΡΠΎΠΊΠΈ ΠΏΠΎΡΡΡΡΠ°Π²ΠΌΠ°ΡΠΈΡΠ΅ΡΠΊΠΎΠ³ΠΎ ΠΏΠ΅ΡΠΈΠΎΠ΄Π° ΡΠ΅Π³ΠΈΡΡΡΠΈΡΠΎΠ²Π°Π»ΠΈ ΡΠ»Π΅ΠΊΡΡΠΎΠΊΠ°ΡΠ΄ΠΈΠΎΠ³ΡΠ°ΠΌΠΌΡ, ΠΠ Π² Π»Π΅Π²ΠΎΠΉ ΡΠΎΠ½Π½ΠΎΠΉ Π°ΡΡΠ΅ΡΠΈΠΈ ΠΏΡΡΠΌΡΠΌ ΠΌΠ΅ΡΠΎΠ΄ΠΎΠΌ, ΠΈΠ½ΡΠ΅Π³ΡΠ°Π»ΡΠ½ΡΡ ΡΠ΅ΠΎΠ³ΡΠ°ΠΌΠΌΡ ΠΈ ΠΏΠ΅ΡΠ²ΡΡ ΠΏΡΠΎΠΈΠ·Π²ΠΎΠ΄Π½ΡΡ Π΄ΠΈΡΡΠ΅ΡΠ΅Π½ΡΠΈΠ°Π»ΡΠ½ΠΎΠΉ ΡΠ΅ΠΎΠ³ΡΠ°ΠΌΠΌΡ. Π Π°ΡΡΡΠΈΡΡΠ²Π°Π»ΠΈ ΡΠ΄Π°ΡΠ½ΡΠΉ ΠΎΠ±ΡΠ΅ΠΌ (Π£Π) ΠΈ ΠΌΠΈΠ½ΡΡΠ½ΡΠΉ ΠΎΠ±ΡΠ΅ΠΌ ΡΠ΅ΡΠ΄ΡΠ° (ΠΠΠ‘), ΠΎΠ±ΡΠ΅Π΅ ΠΏΠ΅ΡΠΈΡΠ΅ΡΠΈΡΠ΅ΡΠΊΠΎΠ΅ ΡΠΎΠΏΡΠΎΡΠΈΠ²Π»Π΅Π½ΠΈΠ΅ ΡΠΎΡΡΠ΄ΠΎΠ² (ΠΠΠ‘Π‘). Π Π΅Π·ΡΠ»ΡΡΠ°ΡΡ. ΠΡΠ΅Π΄Π²Π°ΡΠΈΡΠ΅Π»ΡΠ½ΠΎΠ΅ Π²Π²Π΅Π΄Π΅Π½ΠΈΠ΅ Π³ΠΈΠΏΠΎΠΊΡΠ΅Π½Π° ΠΏΠΎΠ»Π½ΠΎΡΡΡΡ ΠΏΡΠ΅Π΄ΠΎΡΠ²ΡΠ°ΡΠ°Π»ΠΎ ΡΠ°Π·Π²ΠΈΡΠΈΠ΅ ΡΠΈΠ½ΡΡΠΎΠ²ΠΎΠΉ Π°ΡΠΈΡΠΌΠΈΠΈ, ΠΏΠ°ΡΠΎΠΊΡΠΈΠ·ΠΌΠ°Π»ΡΠ½ΠΎΠΉ ΠΆΠ΅Π»ΡΠ΄ΠΎΡΠΊΠΎΠ²ΠΎΠΉ ΡΠ°Ρ
ΠΈΠΊΠ°ΡΠ΄ΠΈΠΈ, Π½Π°ΡΡΡΠ΅Π½ΠΈΠΉ Π²Π½ΡΡΡΠΈΠΏΡΠ΅Π΄ΡΠ΅ΡΠ΄Π½ΠΎΠΉ ΠΈ Π²Π½ΡΡΡΠΈΠΆΠ΅Π»ΡΠ΄ΠΎΡΠΊΠΎΠ²ΠΎΠΉ ΠΏΡΠΎΠ²ΠΎΠ΄ΠΈΠΌΠΎΡΡΠΈ Π½Π΅Π·Π°Π²ΠΈΡΠΈΠΌΠΎ ΠΎΡ ΠΈΡΡ
ΠΎΠ΄Π½ΠΎΠ³ΠΎ ΡΡΠΎΠ²Π½Ρ ΠΠ. Π ΠΏΠΎΠ΄Π³ΡΡΠΏΠΏΠ΅ ΠΆΠΈΠ²ΠΎΡΠ½ΡΡ
Ρ ΠΈΡΡ
ΠΎΠ΄Π½ΠΎ Π½ΠΈΠ·ΠΊΠΈΠΌ ΡΡΠΎΠ²Π½Π΅ΠΌ ΠΠ ΠΏΡΠ΅ΠΏΠ°ΡΠ°Ρ ΡΠΌΠ΅Π½ΡΡΠ°Π» ΡΠ°ΡΡΠΎΡΡ Π²ΠΎΠ·Π½ΠΈΠΊΠ½ΠΎΠ²Π΅Π½ΠΈΡ Π±ΡΠ°Π΄ΠΈΠΊΠ°ΡΠ΄ΠΈΠΈ Π² 1,5 ΡΠ°Π·Π°, Π³Π΅ΡΠ΅ΡΠΎΡΠΎΠΏΠ½ΡΡ
ΡΠΈΡΠΌΠΎΠ² β Π² 5,3 ΡΠ°Π·Π°, ΡΠΊΡΡΡΠ°ΡΠΈΡΡΠΎΠ»ΠΈΠΈ β Π² 6 ΡΠ°Π·, ΠΠ-Π±Π»ΠΎΠΊΠ°Π΄ β Π² 5,3 ΡΠ°Π·Π°, ΠΈΠ·ΠΌΠ΅Π½Π΅Π½ΠΈΡ ΠΊΠΎΠ½Π΅ΡΠ½ΠΎΠΉ ΡΠ°ΡΡΠΈ ΠΆΠ΅Π»ΡΠ΄ΠΎΡΠΊΠΎΠ²ΠΎΠ³ΠΎ ΠΊΠΎΠΌΠΏΠ»Π΅ΠΊΡΠ° β Π² 6,3 ΡΠ°Π·Π°. Π ΠΏΠΎΠ΄Π³ΡΡΠΏΠΏΠ΅ Ρ ΠΈΡΡ
ΠΎΠ΄Π½ΠΎ Π½ΠΎΡΠΌΠ°Π»ΡΠ½ΡΠΌ ΡΡΠΎΠ²Π½Π΅ΠΌ ΠΠ Π±ΡΠ°Π΄ΠΈΠΊΠ°ΡΠ΄ΠΈΡ ΡΠ΅Π³ΠΈΡΡΡΠΈΡΠΎΠ²Π°Π»Π°ΡΡ Π² 2 ΡΠ°Π·Π° ΡΠ΅ΠΆΠ΅, Π³Π΅ΡΠ΅ΡΠΎΡΠΎΠΏΠ½ΡΠ΅ ΡΠΈΡΠΌΡ β Π² 7 ΡΠ°Π· ΡΠ΅ΠΆΠ΅, Π½ΠΈ Π² ΠΎΠ΄Π½ΠΎΠΌ ΡΠ»ΡΡΠ°Π΅ Π½Π΅ ΡΠ΅Π³ΠΈΡΡΡΠΈΡΠΎΠ²Π°Π»ΠΈΡΡ ΡΠΊΡΡΡΠ°ΡΠΈΡΡΠΎ-Π»ΠΈΡ, ΠΠ-Π±Π»ΠΎΠΊΠ°Π΄Ρ ΠΈ ΡΠΌΠ΅ΡΠ΅Π½ΠΈΠ΅ ΡΠ΅Π³ΠΌΠ΅Π½ΡΠ° ST. ΠΡΠ΅Π΄Π²Π°ΡΠΈΡΠ΅Π»ΡΠ½ΠΎΠ΅ Π²Π²Π΅Π΄Π΅Π½ΠΈΠ΅ Π³ΠΈΠΏΠΎΠΊΡΠ΅Π½Π° ΡΠ»ΡΡΡΠ°Π»ΠΎ ΡΠΎΠΊΡΠ°ΡΠΈΡΠ΅Π»ΡΠ½ΡΡ ΡΡΠ½ΠΊΡΠΈΡ ΠΌΠΈΠΎΠΊΠ°ΡΠ΄Π°, ΠΎ ΡΠ΅ΠΌ ΡΠ²ΠΈΠ΄Π΅ΡΠ΅Π»ΡΡΡΠ²ΠΎΠ²Π°Π»ΠΎ ΡΠ²Π΅Π»ΠΈΡΠ΅Π½ΠΈΠ΅ Π£Π Π½Π° 17β25% Π² ΡΠ΅ΡΠ΅Π½ΠΈΠ΅ 1 Ρ ΠΏΠΎΡΡΡΡΠ°Π²ΠΌΠ°ΡΠΈΡΠ΅ΡΠΊΠΎΠ³ΠΎ ΠΏΠ΅ΡΠΈΠΎΠ΄Π°. ΠΠ΄Π½Π°ΠΊΠΎ Π²ΡΡΠ°ΠΆΠ΅Π½Π½Π°Ρ Π°ΡΡΠ΅ΡΠΈΠ°Π»ΡΠ½Π°Ρ Π³ΠΈΠΏΠΎΡΠ΅Π½Π·ΠΈΡ ΠΈ ΡΠ½ΠΈΠΆΠ΅Π½ΠΈΠ΅ ΠΠΠ‘ Π·Π° ΡΡΠ΅Ρ Π±ΡΠ°Π΄ΠΈΠΊΠ°ΡΠ΄ΠΈΠΈ Ρ Π±ΠΎΠ»ΡΡΠ΅ΠΉ ΡΠ°ΡΡΠΈ ΡΠΊΡΠΏΠ΅ΡΠΈΠΌΠ΅Π½ΡΠ°Π»ΡΠ½ΡΡ
ΠΆΠΈΠ²ΠΎΡΠ½ΡΡ
Π½Π° ΡΠΎΠ½Π΅ ΠΏΡΠ΅Π΄Π²Π°ΡΠΈΡΠ΅Π»ΡΠ½ΠΎΠ³ΠΎ Π²Π²Π΅Π΄Π΅Π½ΠΈΡ Π³ΠΈΠΏΠΎΠΊΡΠ΅Π½Π° ΠΊΠ°ΠΊ Π΄ΠΎ ΡΡΠ°Π²ΠΌΡ, ΡΠ°ΠΊ ΠΈ Π² ΡΠ΅ΡΠ΅Π½ΠΈΠ΅ Π²ΡΠ΅Π³ΠΎ ΠΏΠΎΡΡΡΡΠ°Π²ΠΌΠ°ΡΠΈΡΠ΅ΡΠΊΠΎΠ³ΠΎ ΠΏΠ΅ΡΠΈΠΎΠ΄Π° ΠΏΡΠΈΠ²Π΅Π»ΠΈ ΠΊ Π΄Π΅ΡΡΡΠΈΠΊΡΠ°ΡΠ½ΠΎΠΌΡ ΡΠ²Π΅Π»ΠΈΡΠ΅Π½ΠΈΡ ΠΏΠΎΠΊΠ°Π·Π°ΡΠ΅Π»Ρ Π»Π΅ΡΠ°Π»ΡΠ½ΠΎΡΡΠΈ ΠΏΠΎ ΡΡΠ°Π²Π½Π΅Π½ΠΈΡ Ρ Π³ΡΡΠΏΠΏΠΎΠΉ Π±Π΅Π· ΠΈΡΠΏΠΎΠ»ΡΠ·ΠΎΠ²Π°Π½ΠΈΡ Π³ΠΈΠΏΠΎΠΊΡΠ΅Π½Π°. ΠΠ°ΠΊΠ»ΡΡΠ΅Π½ΠΈΠ΅. ΠΠ΅ΠΌΠΎΠ΄ΠΈΠ½Π°ΠΌΠΈΡΠ΅ΡΠΊΠΈΠ΅ ΡΡΡΠ΅ΠΊΡΡ Π³ΠΈΠΏΠΎΠΊΡΠ΅Π½Π° ΠΌΠΎΠ³ΡΡ ΡΡΡΠ΅ΡΡΠ²Π΅Π½Π½ΠΎ ΠΎΠ³ΡΠ°Π½ΠΈΡΠΈΠ²Π°ΡΡ Π²ΠΎΠ·ΠΌΠΎΠΆΠ½ΠΎΡΡΡ ΠΈΡΠΏΠΎΠ»ΡΠ·ΠΎΠ²Π°Π½ΠΈΡ ΠΏΡΠ΅ΠΏΠ°ΡΠ°ΡΠ° Ρ ΡΠ΅Π»ΡΡ ΡΠΌΠ΅Π½ΡΡΠ΅Π½ΠΈΡ Π²ΡΡΠ°ΠΆΠ΅Π½Π½ΠΎΡΡΠΈ ΠΏΠΎΡΡΡΡΠ°Π²ΠΌΠ°ΡΠΈΡΠ΅ΡΠΊΠΎΠΉ Π΄ΠΈΡΡΡΠ½ΠΊΡΠΈΠΈ ΡΠ΅ΡΠ΄ΡΠ°. ΠΠ»ΡΡΠ΅Π²ΡΠ΅ ΡΠ»ΠΎΠ²Π°: ΡΠΊΡΠΏΠ΅ΡΠΈΠΌΠ΅Π½ΡΠ°Π»ΡΠ½ΡΠΉ ΡΡΠΈΠ± ΡΠ΅ΡΠ΄ΡΠ°, ΡΠ΅Π½ΡΡΠ°Π»ΡΠ½Π°Ρ Π³Π΅ΠΌΠΎΠ΄ΠΈΠ½Π°ΠΌΠΈΠΊΠ°, Π³ΠΈΠΏΠΎΠΊΡΠ΅Π½
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