Various characteristics of the structure of the cardiac lymphatic bed and the morphofunctional basis of its insufficiency

Structural peculiarities of the cardiac lymphatic bed have been studied, as well as its adaptive and pathological changes under physical load, acute and recurrent coronary insufficiency under conditions of mechanical blockade of the lymph outflow from the organ, which have been modelled in dogs and rabbits. The cardiac lymphatic bed is injected with various staining masses and investigated stereoangioscopically in translucent preparations, in semithin slices and electron microscopically. The rearrangement of lymphatic capillaries and vessels revealed is of stereotypical character. The degree of manifestation and correlation of morphofunctional reactions, characterizing development of insufficiency of the cardiac lymphatic vessels is mainly determined by intensity and exposition of pathological effects, exercised on it, while etiologic factors are of less importance.     

The lymphatic bed of the liver in man and animal and its transformation in disordered bile outflow

The lymphatic bed has been studied in 141 hepatic preparations of the man, dog and white rat. Development of obturation in the common bile duct in the man and at modelling a similar process in the animals results in essential morphological adaptive-compensatory and destructive changes in the hepatic lymphatic bed. The adaptive-compensatory reconstruction is especially well seen at initial stages of the disease. It is manifested as a total dilatation of the bed, certain reserve elements get into work, the bed capacity increases. Then certain new structural units of the bed, collateral pathways develop. When the obturational process lasts long, certain destructive changes of the hepatic lymphatic bed elements take place. The change in the relief of endotheliocytes is their most characteristic sign. With increasing age of the patients the degree of the destructive rearrangements of the hepatic lymphatic bed increases. In the experiment carried out on the animals the lymphatic outflow from the thoracic duct is determined, being an indirect index of the hepatic lymph-forming function. An essential increase of the lymph volume, several times greater than in the control, gets from the duct into the venous bed. A connection is revealed between the morphological transformations of the bed components and its drainage function. The lymphatic bed of the liver performs also an active work concerning resorption and transport of bilirubin, its content in the organ rather increases, when the common bile duct is obturated.     

Preconceptional alcoholic intoxication alters the distribution of metals in matured rat brain of offspring

It is known that alcohol possesses embryotoxic, teratogenic, neurotoxic and other effects. Alteration of the trace element and mineral metabolism can be one of the triggering mechanisms of metabolic changes during an alcoholic intoxication. The aim of the recent study was to compare the profiles of elements in brain structures of matured offspring which were born by female rats exposed and non-exposed to alcohol before conception. A decreasing tendency in the levels of all detected macro and trace elements in four brain structures was observed. The most prominent changes were found in the brain cortex. Experimental data show that short term consumption of alcohol by female rats before pregnancy alters the distribution of macro and trace elements in the offspring's brain structures.     

Structure of the venous and lymphatic beds of the heart and their alteration in experimental pathology

The investigation performed has demonstrated that under a great deal of coronary, pulmonary and other organs' disorders, in the venous and lymphatic beds of the heart compensatory-adaptive and pathological changes occur. The earliest and deepest changes are noted in the microcirculatory bed. Most of morphological signs on vascular reconstruction are not specific and are observed at different kinds of clinical and experimental pathology. Changes in venous and lymphatic vessels of pathological conditions& do not only result from damage in the organ's wall or hemodynamical changes in the cavities of the cardiac vessels but they themselves can cause some disturbances in the miocardial microcirculation intensifying its hypoxia, congestive symptoms and enhancing the development of decompensation in the organ.     

Organ and tissue-specific properties of the microcirculatory bed of the heart

The auricular and ventricular microcirculatory bed has been studied in persons of mature age, not suffering from any cardio-vascular diseases during their life. As a whole, 48 objects have been studied. The microcirculatory bed has been revealed in sections of the cardiac wall 70-100 mcm thick using silver nitrate impregnation after V. V. Kuprianov. Organ- and tissue-specific properties of the vascular microcirculatory bed are revealed in interrelations of the vessels and the structural elements of the cardiac wall (myocardium, and connective tissue structures), in position of nuclei of the endothelial cells of the capillary wall and in places of the capillary branchings. Principle differences in structure of the auricular and ventricular microcirculatory bed are demonstrated. The notion the organ- and tissue-specific properties of the microcirculatory bed vessels is discussed.     

Ultrastructure of mesenteric lymphatic postcapillaries of the small intestine of the human fetus

Lymphatic vessels of the small intestine mesentery have been investigated in 36 human fetuses 3-6-month-old. Lymphatic postcapillaries are the predominant link in the lymphomicrocirculatory bed studied. They differ from the capillaries only by presence of valves. Intersegmentary valves and velves at the places where the lymphatic capillaries get into the postcapillaries are described; they are situated along the whole length of the postcapillary. Both types of the valves can be uni- and besinusoid, and according to the number of endotheliocytes, covering the sinuses, uni- and multicellular. Cells of fibroblastic line and developing collagenous fibers are inevitable structural components and situate in their base. Ultrastructural peculiarities of the lymphatic postcapillary wall are described. Structural mechanisms responsible for dilatation and narrowing of the vascular lumen (formation of the pulse wave) are discussed. The data obtained support the conception successively elaborated by V. V. Kuprianov on the lymphatic postcapillary as an inevitable link of the lymphomicrocirculatory bed.     

Effect of lead and tetraethyl lead poisoning on the microcirculatory bed of the conjunctiva of the eye

The ultrastructure of the bulbar conjunctiva bioptates have been studied in 12 persons suffering from lead intoxication (saturnism), 2-from tetraethyl-lead (TEL) intoxication and 3-are practically healthy persons; they make the control group. In all the patients manifested disturbances in the microcirculatory bed of the bulbar conjunctiva are revealed, the general character being identical at saturnism and TEL-intoxication. The main changes are observed in the wall of the blood microvessels: destruction of the endothelial lining up to revealing the basal membrane with adhesion of the blood formed elements and their diapedesis. This results in disorders of vascular permeability, in edema of the perivascular space and in appearance of cells and cellular detritus in it. An essential role in morphogenesis of the vascular disturbances produced by intoxication play certain rheological imparements: sludge-syndrome and microthrombosis. They produce certain distrophic changes.     

Effect of ultrasound on the formation of arterial and lymphatic collaterals in the rat pelvic extremities]

Pronounced morphological alterations combined with destruction of muscular tissue make their appearance in intact arterial and lymphatic bed of pelvic extremities in rats after treatment with ultrasound of high intensity. Ultrasound of low intensity failed to cause morphological changes either in the arterial or the lymphatic bed of extremities. A course of exposure of injured arterial and lymphatic bed of rat's pelvic extremities to ultrasound of small intensity considerably accelerated processes of formation of the arterial and lymphatic collaterals.     

Terminal vascular bed of the connective tissue membrane in hypoxic hypoxia]

Morphological changes of all links of the terminal vascular bed during acute hypoxic hypoxia were studied in experiment and in postmortem material. A complex of methods was used including microdissection, injection with India ink - gelatin, clearing, silver nitrate impregnation after V. V. Kuprijanov, staining after Van Gieson and with hematoxylin-eosin, biomicroscopy and reoencephalography. Signs of desorganization of the vascular bed were revealed which manifested themselves as changes in microangioarchitectonics and diameters of vascular lumens, increased permiability of their walls with saturation of them with white and escape of its forming elements of the blood outside the limits of the vessels, as well as in destruction of the aggregate state of the blood. It considerably enlarges our knowledge of the state and changes in the vascular bed during hypoxic hypoxia.     

Effect of chronic alcoholism on the state of the microcirculatory bed of the myocardium

Ultrastructure of myocardial capillaries of rats was studied in cases of chronic alcohol intoxication, experimental alcoholic cardiomyopathy (ACM) and its correction with antioxidants (vitamin E, dibunol). Alterations in the microcirculatory bed were similar in all groups of animals irrespective of disturbances in cardiomyocytes. Cardiomyocyte ultrastructure was improved after treatment with antioxidants, but capillary bed was the same as in untreated animals. High dibunol doses caused the onset of perivascular sclerosis. Disturbances in the microcirculatory bed are, probably, the first step in the determination of ACM pathogenesis and therapy of ACM must be directed at the correction of both alterations of cardiomyocytes and capillary bed.     

Dynamics of redistribution of blood serum lipoproteins in patients with alcoholism during alcohol intoxication and its abolition

In the patients with alcoholism at intoxication and different periods of alcohol abolition the blood serum lipoproteins were investigated by a method of gradient gel-electrophoresis using the computer program for qualitative definition. It was found out that change of the total sum of all lipoprotein fractions was approximated to parabolic dependence with maximum in the 3rd day after alcohol abolition. Under intoxication disturbances the individual apoB-containing fractions were minimal as compared with the control, while at the initial stages of alcohol abolition their redistribution was noticed as reflecting the growth of the processes of cholesterol transportation from liver to peripheral tissues. The 14th day after alcohol abolition was characterized by tendency to normalization of these disturbances, but at the 30th day of soberness a recurrence growing the changes of apoA-containing lipoproteins transformation was observed. In the patients under intoxication period and first 3 days after alcohol abolition a significant increase of quantity of all the apoA-containing lipoprotein populations took place which was restored completely in remission. On the base of both the own results and data from literature sources we suppose that these changes are the results of direct influence of ethanol and but they are not a pathogenic indication of a chronic alcoholism.     

Variability in the diameter of the capillaries of the human heart during development

Seventy-eight hearts from persons, who had not suffered any cardiovascular disorders during their life time, have been studied. Microcirculatory bed vessels are revealed by impregnation with silver nitrate after V. V. Kuprianov. The values of the capillary diameters obtained are mathematically treated using T. H. Bayes formula. Periods of individual development of the heart are defined when a high functional activity of the capillary bed of the auricles and ventricles is noted. Evidently, this is one of the factors contributing to development of the cardiac ischemic disease.     

Hematolymphatic transport in skin, subcutaneous tissue and superficial lamina of the fascia of the lower leg in varicose veins]

The lymphatic bed of the skin and subcutaneous tissues of the lower leg from 20 operated patients was studied by light and electron microscopy and by phlebographic methods. Three stages of development of the disease were examined: without complicated form of varicose veins, complicated form, and postthrombophlebitic syndrome. Morphological features of the state of the lymphatic bed of the skin, subcutaneous connective tissue and fascia of the lower leg in the initial stage of disease show the fine structure changes of lymphatic vessels and capillary walls interpreted as a compensation phenomenon. It seems that the structure alterations of endotheliocytes of lymphatic capillaries and the connective tissue surrounding them found in this study in the complicated form of the disease and the postthrombophlebitic syndrome are the basis of the mechanism of transport-resorption insufficiency of the lymph vessels' terminal flow paths.     

Age and local changes in the architectonics of the lymphatic bed of the wall of the jejunum and ileum in normal rabbits

Age and local changes of the lymphatic bed have been studied in the jejunum and ileum preparations obtained from 100 rabbits. The architectonics of the bed is stated to undergo some age and local changes. In fetuses and two-week-old rabbits, chyle sinuses are narrow and all flow into the capillaries of the tela submucosa. In one-month-old animals, the mucosal capillary network is developing and the chyle sinuses flow into it. In six--ten-month-old rabbits, intestinal bed is already formed, the chyle sinuses are wide. Aged changes are represented by a considerably rarefied networks, decrease in the chyle sinuses caliber, deformation of the sinus, capillary and vessel walls. In the jejunum, unlike the ileum, the chyle sinuses are of larger size and have more complex architectonics in the capillary networks of the mucosa and tela submucosa.     

Decrease in salivary lactoferrin output in chronically intoxicated alcohol-dependent patients

Salivary lactoferrin is a glycoprotein involved in the elimination of pathogens and the prevention of massive overgrowth of microorganisms that affect oral and general health. A high concentration of lactoferrin in saliva is often considered to be a marker of damage to the salivary glands, gingivitis, or leakage through inflamed or damaged oral mucosa, infiltrated particularly by neutrophils. We conducted a study to determine the effect of chronic alcohol intoxication on salivary lactoferrin concentration and output. The study included 30 volunteers consisting of ten non-smoking male patients after chronic alcohol intoxication (group A), and 20 control nonsmoking male social drinkers (group C) with no history of alcohol abuse. Resting whole saliva was collected 24 to 48 hours after a chronic alcohol intoxication period. Lactoferrin was assessed by enzyme-linked immunosorbent assay. For all participants, the DMFT index (decayed, missing, or filled teeth), gingival index (GI) and papilla bleeding index (PBI) were assessed. The differences between groups were evaluated using the Mann-Whitney U test. We noticed significantly decreased salivary flow (SF) in alcohol dependent patients after chronic alcohol intoxication (A), compared to the control group (C). Although there was no significant difference in salivary lactoferrin concentration between the alcohol dependent group A and the control group C, we found significantly decreased lactoferrin output in group A compared to group C. We found a significant correlation between the amount of daily alcohol use and a decrease in lactoferrin output. There was a significant increase in GI and a tendency of PBI to increase in group A compared to group C. We demonstrated that chronic alcohol intoxication decreases SF and lactoferrin output. The decreased lactoferrin output in persons chronically intoxicated by alcohol may be the result of lactoferrin exhaustion during drinking (due to its alcohol-related lower biosynthesis or higher catabolism) or to decreased function of neutrophils affected by the ethanol. The poorer periodontal state in alcohol dependent persons compared to controls may be a result of lower salivary flow and decreased protection of the oral cavity by lactoferrin.     

Lymphatic bed of layers of the abdominal wall in the human inguinal area]

Lymphatic bed in the layers of the inguinal area was studied in connection with age in 70 human corpses. Polychromic injection of arteries, veins and lymphatic bed, staining of preparations after van Gieson, Weigert, with hematoxylin-eosin and morphometry were the methods applied. It was stated that lymphatic capillaries penetrate through all the layers forming the abdominal wall of the human inguinal area; they arrange interconnected networks in dermis, in external and internal oblique and transversal muscles and in their aponeuroses, as well as in fasciae and in the peritoneum. The lymphatic bed in question changes during ontogenesis. Age transformations of the lymphatic capillaries are in connection with functional loading on the anterior abdominal wall. Intraorganic connections existing between the lymphatic vessels of the anterior abdominal wall and the organs of the small pelvis (urinary bladder, uterus, rectum, etc.) are revealed, they are of a rather great interest for physicians.     

Lymphatic bed of the main bronchi in normal human subjects and in venous stasis]

The lymphatic bed of the main human bronchi has been studied in normal conditions and at venous stagnation. Different methods both with injections and without injections have been applied. Definite regularities in changes occurring in the lymphatic bed of the main human bronchi at venous congestion have been stated. The changes occurring in the lymphatic bed of the mucous membrane of the main human bronchi seem to be a response to those metabolic processes which develop at decompensative heart diseases.     

Morphology of the microcirculatory bed of the vascular coat of the human eye]

Recently ophthalmologists got interested in microcirculatory bed of the choroid (the main collector of blood in the eye) because of the vascular layer was studied in 25 eyes of persons who had died suddenly and had no eye pathology during their lives. The age was from 11 to 70 years. V. V. Kuprianov's method of impregnation was used. Structural peculiarities of the choroid microcirculatory bed were presented; its changes were stated to depend on functional importance of the given segment of the eyeground and on the age of the patient. The data obtained could facilitate in studying different pathologic conditions in the eye in order to clarify the role of the choroid microcirculatory bed in genesis of ophthalmic diseases.     

Morphologic aspects of local blood flow regulation in the myocardium

In 67 preparations of the human hearts at the first and second periods of mature age, spatial interrelations between blood vessels and cardiac muscle fibers in the ventricle myocardium have been studied. All the elements of the myocardial blood bed are oriented under a certain angle in relation to the cardiac muscle fibers. Regular arrangement of the arteries and sinusoid dilated veins under endocardium on the top of the papillary muscles and in the muscular trabecules is demonstrated. As proves the mathematical model, the slope orientation of the blood bed elements towards the cardiac muscle fibers ensures and adequate realization of the external influence of the contractile cardiomyocytes to the successive movement of blood along the intramural myocardial vessels. From morphological positions, a conclusion on the mechanism of the intracavitary pressure effect on blood movement along the intramural veins of the ventricular myocardium is argued. A conclusion is made on the leading role of the extravascular factors (intramyocardial and intercavitary pressure) in the local regulation of the blood stream in the myocardium and in development of working cardiac hyperemia.     

Hemispheric lateralization of the visual-spatial function in chronic alcoholic intoxication in humans

A series of behavioural and electrophysiological parameters was recorded in subjects with chronic alcohol intoxication during solving of visual-spatial nonverbalized task. It is shown that in comparison with the healthy subjects, their reaction time (RT) of correct decisions was increased; it was more expressed when stimuli were presented in the left visual field, i.e., directly to the right hemisphere, and the number of correct reactions decreased at stimuli presentation directly to the left hemisphere. During repeated tests there were no changes in the number of correct reactions and RT value in the group with chronic alcohol intoxication. It is found that long-term taking of alcohol produces an increase of latency and decrease of the amplitude of the late positive wave P300, more pronounced in the right cerebral hemisphere.