Structural and functional modification of hollow organs (urinary bladder and stomach) in vibration syndrome.

Exposure to total and local vibration leads to the formation of specific forms of hollow organ diseases: vibration cystopathy and gastropathy. Their characteristic signs are organ dysfunction, thinned wall, atrophy of the mucosa, reduction of the capillary bed, and degenerative atrophic changes in the epithelium, associated with reduction of the protein-producing function and focal metaplasia. Vibration cysto- and gastropathies are systemic manifestations of microangio- and visceropathies of vibration origin.

Ultrastructural and immunohistochemical study of hepatic stellate cells over the course of infectious viral fibrosis and cirrhosis of the liver.

The dynamics of structural and functional changes in stellate cells in liver biopsy specimens (from lipid-containing to fibrogenous phenotype) was studied during the development of infectious viral fibrosis and cirrhosis of the liver using ultrastructural, immunohistochemical, and morphometric methods. The priority role of stellate cells in the synthesis of extracellular matrix components is emphasized. Resorption of perihepatocellular collagen fibrils is associated with parenchymatous liver cells.

Structural reactions of the buccal mucosa in diabetic parodontopathy.

Pronounced changes in the capillaries, hemodynamic disorders, epitheliocyte degeneration and atrophy develop in the buccal mucosa of patients with types I and II diabetes mellitus in the absence of inflammatory cellular infiltration or with facultative infiltration. The morphogenesis of pathological changes can be regarded as primary diabetic microangiopathy causing metabolic disorders with the development of degenerative and atrophic changes in all structural components of the buccal mucosa and development of diabetic parodontopathy, a primary degenerative process.

Morphological and immunological analysis of the oral mucosa in tobacco smoking and odontopreparation.

Tobacco smoking causes pronounced structural reorganization of the gingival mucosa and its atrophic changes. Odontopreparation stimulates destructive processes in the gingival mucosa promoting activation of local immunity (stimulation of immunoglobulin synthesis). Significant differences in the local humoral immunity (IgG dysimmunoglobulinemia) and cytokine spectrum in nonsmoking and tobacco-smoking patients were detected.

Morphogenesis and variants of remodeling of atherosclerotic heart.

Morphogenesis of atherosclerotic heart is presented on the basis of complex pathomorphological analysis of 1000 autopsies. Special attention was paid to the dilatation and hypertrophic variants and to structural mechanisms of heart and coronary vessel remodeling under conditions of atherosclerotic process. Predominant remodeling of atherosclerotic heart and coronary arteries by the dilatation variant determines unfavorable prognosis of heart failure.

Structural reorganization of the rat liver under cytotoxic effect of doxorubicin.

We studied structural reorganization of the liver after toxic injury caused by a single injection of doxorubicin in a sublethal dose (10 mg/kg). The morphogenesis of doxorubicin injury to the liver is determined by two main pathogenetic factors: cytotoxic effect of doxorubicin and its metabolites on liver cell populations (primarily hepatocytes) and pronounced hemodynamic disorders in the greater circulation resulting from the development of chronic cardiac insufficiency. Changes in hepatocyte caused by doxorubicin manifest by fatty degeneration in the periportal zones and by pronounced lytic changes in the pericentral zones, most pronounced by day 30 of the experiment.

Effect of low-choline diet and ethanol on electroconductivity of tissues in CBA mice.

We studied electrophysiological parameters and morphological changes in the adrenal glands and spleen of CBA mice feeding a low-choline diet and/or ethanol-containing diet. The polarization coefficient underwent similar changes in the adrenal glands and spleen, which was associated with different contribution of impedance frequency components. Morphological changes in the adrenal glands were more pronounced than in the spleen and consisted in delipidation of the adrenocortical cell cytoplasm in the zona fasciculata and increase in cell heterogeneity in the zona reticularis of animals of different groups.

Morphogenesis of adaptation and compensatory reactions in mouse adrenals during restitution after thermal exposure.

Single hyperthermia session causes an appreciable decrease in adrenocorticocyte count in the adrenal cortex in mice on day 3 of postthermal restitution. Morphological changes in the adrenals under conditions of developing stress reaction manifested in increased structural and functional heterogeneity of adrenocorticocytes in all cortical layers, exhaustion of lipid incorporations in the zona fasciculata cells, pronounced shrinkage of zona reticularis, developing against the background of hemodynamic disorders. Recovery of the total count of adrenocorticocyte population was associated with the appearance of small accumulations of immature cells in the subcapsular area of zona glomerulosa.

Variants of cardiomyopathic heart pathomorphogenesis. comparison of echocardiographic and endomyocardial biopsy findings.

The main variants of cardiomyopathies (undifferentiated, dilatational, hypertrophic, and restrictive) were distinguished using a complex pathomorphological analysis of 600 cardiomyopathic hearts detected in 5000 autopsies after cardiovascular death. The main pathomorphological diagnostic criteria for each variant were defined. High diagnostic value of lifetime echocardiographic diagnosis in comparison with myocardial biopsy was shown.

Hemogram and myelogram in progressing non-Hodgkin's lymphomas.

Parameters of hemogram and myelogram were studied in patients with aggressive and indolent non-Hodgkin's lymphomas: the relationships between the parameters recorded before treatment and during remission or progress 6 months after chemotherapy were studied by multifactorial analysis. The progress of indolent non-Hodgkin's lymphomas was associated with changes caused by tumor infiltration of the bone marrow; lymphocytosis in the myelogram or hemogram was associated with a relative decrease in the count of granulocytic hemopoietic stem cells. A sign associated with the absence of remission in aggressive non-Hodgkin's lymphomas was decreased level of hemoglobin and erythroid cells.

Tissue and intracellular reorganization of rat liver during total body hypothermia.

We studied tissue and intracellular reorganization of the liver during total body hypothermia and evaluated regeneration strategies at different levels of structural organization. Hypothermia results in morphofunctional changes in the liver (degeneration, lysis, necrobiosis, and focal necrosis of hepatocytes developing against the background of disorders in blood and lymph circulation). Decreased sinusoid/hepatocyte volume ratio is the key factor in tissue reorganization of the liver.

Progressive toxemia with acetaldehyde in a reactive form of alcohol withdrawal syndrome.

We carried out a complex clinical and laboratory examination of 169 patients with reactive form of alcohol withdrawal syndrome. Progressive toxemia with acetaldehyde (key pathogenetic stage) and volemic changes were followed by homeostasis disorders and gradual decompensation of the natural detoxification system. The patients with this form of alcohol withdrawal syndrome did not exhibit physical and psychic dependence on alcohol.

Pathomorphology of atherosclerotic coronary artery aneurysms and heart architectonics.

We evaluated pathognomonic incidence of atherosclerotic aneurysms in the anterior interventricular branch of the left coronary artery and proved greatest vulnerability of its first proximal segments. Positive correlations between the incidence of aneurysms in major coronary arteries and their size and bag-like shape were revealed. The characteristic aneurysm-dependent alterations of cardiac angioarchitectonics were found, which underlie pronounced shifts in coronary hemodynamics.

Morphological manifestations of heart remodeling in anthracycline-induced dilated cardiomyopathy.

The morphogenesis of anthracycline-induced dilated cardiomyopathy was studied after single sublethal dose of doxorubicin. Cardiomyocyte depopulation (up to 27%) and decrease in their regeneratory plastic reactions were the main mechanisms of cardiac failure development after anthracycline (doxorubicin) treatment, determining the type of heart remodeling by the dilatation variant. Cardiomyocyte elimination and atrophy during the development of anthracycline-induced regeneratory plastic cardiac insufficiency were paralleled by hypertrophy of remaining cardiomyocytes and diffuse and small focal sclerosis of the myocardium, which could be regarded as a correlated compensatory reaction of the connective tissue to the decrease in the number of muscle fibers.

Structural manifestations of mitochondrial dysfunction in skeletal muscles of early aging OXYS rats.

Changes in the mitochondrial compartment are the central element in the morphogenesis of musculoskeletal abnormalities in early aging OXYS rats. Compensatory hyperplasia and hypertrophy with enlargement of the working surface area are seen in these organelles at the age of 2 months. The mitochondria are characterized by polymorphism, compact packing of cristae.

Erythropoiesis in patients with aggressive and indolent non-Hodgkin's lymphomas.

Parameters of the erythroid, granulocytic, and megakaryocytic hemopoietic stems were compared in 87 patients with aggressive and indolent non-Hodgkin's lymphomas before and 6 months after the start cytostatic therapy. Before chemotherapy anemia was detected in 46% patients with aggressive and 49% patients with indolent lymphomas. Hemoglobin content, peripheral blood erythrocyte count, and total count of erythroid cells in the bone marrow increased during chemotherapy in the indolent lymphoma group.

Whether modern cell technologies can break down biological limitations of tissue-specific regeneration of the myocardium.

The paper reviews modern concepts of physiological and reparative regeneration of the myocardium as a highly specific and highly differentiated tissue system. Special attention was given to evaluation of the proliferative potential of cardiomyocytes, in particular, to the existence of a population of resident cardiac stem cells in the myocardium. Modern approaches to replenishment of massive cardiomyocyte loss via transplantation and transdifferentiation of adult and embryonic stem cells are discussed and the possibilities of using cell technologies for induction of tissue-specific regeneration of the myocardium are analyzed.

Ultrastructural criteria of cardiomyocyte regeneratory and plastic insufficiency in anthracycline cardiomyopathy.

We analyzed the dynamics of ultrastructural changes in cardiomyocytes in experimental chronic anthracycline cardiomyopathy. Doxorubicin-induced changes in cardiomyocytes were characterized by a specific combination of ultrastructural changes, which can be regarded as markers of the development of regeneratory and plastic insufficiency. These markers include a triad of changes: deformation of the nuclei with reorganization of the nucleolar system; diffuse and small focal lysis of myofibrils (mainly fine filaments); dilatation of agranular sarcoplasmic reticulum and the intermembrane perinuclear space connected to it.

Ultrastructural and biosynthetic changes in epitheliocytes of renal tubules during the development of chronic renal failure.

Structural and functional studies of changes in the tubular compartment during progressive renal dysfunction showed that the major types of damage to tubular cells include dystrophy, degeneration, and atrophy. These changes were associated with inhibition of biosynthetic processes in the tubular epithelium, progressive interstitial fibrosis, and disturbances in the structure and function of peritubular microvessels.

Pathomorphology of postinfarction myocardial ischemia during atherosclerotic obstruction of coronary arteries.

Pathomorphological criteria of early postinfarction angina included segmentary atherosclerotic obstruction of the upper segments of the coronary artery supplying the infarction area, recurrent acute myocardial infarction, maximum decrease in vascularization of the left posterior ventricular wall; and individual changes in angioarchitectonics of the heart promoting hibernation of the myocardium. Pathognomonic morphological criteria of silent postinfarction myocardial ischemia included diffuse extensive atherosclerotic obstruction of lower segments in the coronary artery supplying the infarction area and total hypervascularization of the myocardium, first acute myocardial infarction of the left ventricular anterior wall, and maximum decrease in vascularization of the anterior and posterior wall in the left ventricle. These coronary-myocardial relationships contribute to stunning of the myocardium.

Pathomorphological peculiarities of coronary artery ectasias and their role in the pathogenesis of sudden cardiac death.

Polypositional postmortem contrast coronarography and pathomorphological analysis were used to study 400 cases of atherosclerotic, postinfarction, arrhythmogenic, and hypertensive heart. High incidence of sudden cardiac death was established in patients with coronary artery ectasia in atherosclerotic heart. In most cases, ectasias were observed in the anterior interventricular branch of the left coronary artery with dominant localization in the second and forth segments.

Structural and functional changes in gastric epithelium in Helicobacter pylori-associated chronic gastroduodenal pathologies.

Complex structural analysis of the gastric mucosa was carried out in patients with Helicobacter pylori-associated chronic gastroduodenal ulcers, chronic gastritis, and vibration gastropathy. Microscopic examination showed stereotypical changes in the epithelium in all diseases: degeneration, focal intestinal metaplasia, dysplasia, and glandular atrophy. The severity of these changes depended on the disease entity.

Pathomorphology and pathogenic role of myocardial bridges in sudden cardiac death.

Pathognomonic incidence of myocardial bridges during obstructive hypertrophic cardiomyopathy, hypertension, and ischemic heart disease was established. Myocardial bridges were predominantly found in the median segments of major coronary arteries with prevailence of bridge-like obstructions in the anterior interventricular branch of the left coronary artery. Typical changes in cardiac angioarchitectonics indicating pronounced inadequacy of coronary blood flow were determined depending on the segmentary directionality of bridge obstruction.

Pathomorphological variants of midventricular obstruction of interventricular septum during hypertrophic cardiomyopathy.

Postmortem contrast cardiac ventriculography, coronarography, volume-mass and planimetric cardiometry, as well as echocardiography and pathomorphological data correlation technique were employed for examination of the hearts from patients died from hypertrophy cardiomyopathy (n=100). The following variants of midventricular hypertrophy of the interventricular septum (midventricular obstruction) were established: midleft ventricular, midright ventricular, midproximal, midmaximal. Isolated distal apex hypertrophy and apical hypertrophy were also documented.

Psoriasis associated with opisthorchiasis under conditions of anthelmintic therapy.

Biopsy specimens from patients with psoriasis concomitant with chronic opisthorchiasis were examined. Severe clinical course of combined disease was associated with degenerative changes in epidermocytes, keratinization disorders, and diffuse inflammatory cell infiltration of the derma. Combined therapy including anthelmintic agents produced a positive effect: decreased the degree of acanthosis, increased intracellular regeneration of epidermocytes, and suppressed inflammatory reaction of the derma and hyperplasia of immunocompetent cells.