PECULIARITIES OF ATRIAL CARDIOMYOCYTES’ ULTRASTRUCTURAL REORGANIZATION AT EXPERIMENTAL THERMAL INJURY AND IN CONDITIONS OF APPLICATION OF LYOPHILIZED XENOGRAFT SUBSTRATE
DOI:
https://doi.org/10.11603/2415-8798.2019.2.10273Keywords:
atrial cardiomyocytes, ultrastructural changes, thermal trauma, lyophilized xenograftAbstract
In developed countries burn injury is one of the most common type of damage in peacetime. Treatment of burns is determined by complexity and multiplicity, thermal trauma – is one of the most dangerous, it leads to the destruction of complex proteins – the basis of cells and tissues of organs. The cardiovascular system plays a key role in the development and pathogenesis of burn disease, which develops after a thermal injury of the third degree.
The aim of the study – to establish ultrastructural reorganization of atrial cardiomyocytes after severe thermal trauma and the combined application of lyophilized xenograft substrate.
Materials and Methods. Burns of the third degree were applied under ketamine anesthesia with copper plates heated in boiling water to a temperature of 97–1000C. Euthanasia of animals was perfomed after ketamine anesthesia, by decapitation. The size of the lesions was 18–20 % of the guinea pigs epilated body surface. For electron microscopic examination, atrial pieces were taken, fixed in a 2.5 % glutaraldehyde solution, postfixed with 1 % osmium tetraoxide solution in phosphate buffer. Further processing was carried out according to the standard technique. Ultrathin sections made on LKB-3 ultramicrotome were contrasted with uranylacetate, lead citrate according to the Reynolds method and studied with a PEM-125 K electron microscope.
Results and Discussion. During experiment submicroscopic changes of atrial cardiomyocytes after severe thermal trauma under condition of early necrectomy and the combined application of lyophilized xenograft substrate to cover the burn wound were investigated. It was established that after burning of the III degree there are significant ultrastructural changes in atrial cardiomyocytes, the damage degree of which increased in the dynamics of the experiment. In the stages of burn shock and early toxemia adaptive-compensatory processes are developing in the structures of the heart, and in the stages of late toxemia and septicotoxemia there are deep irreversible destructive changes. It was proved that the application of lyophilized xenograft substrate after the early necrectomy of damaged tissues prevents the development of destructive changes in the components of the heart in the early stages of the experiment, activates the regenerative processes of the contractile and endocrine atrial myocytes at the late stages of the experiment.
Conclusions. The use of lyophilized xenograft substrate has a positive effect on the course of regenerative processes and improves the state of the atrial ultrastructure in the dynamics of the experiment. In the early stages of the experience of using lyophilized xenoskin, the degree of damage to the cytoplasmic membranes of atrial cardiomyocytes is reduced, and regeneration processes in the cells are activated.
References
Cherkasov, V.G., Kovalchuk, A.I., Dzevulskaya, I.V., Malikov, A.V., Lakhtadyr, T.V., & Matkivskaya, R. M. (2015). Strukturnyye transformatsii vo vnutrennikh organakh pri infuzionnoy terapii ozhogovoy bolezni [Structural transformations in the internal organs with infusion therapy for burn disease. Medical science of Ukraine], V. 11, № 3-4, 4-11 [in Ukrainian].
Evers, L.H. (2010). The biology of burn injury. Exp Dermatol, 19, 2(9), 777-783. doi:10.1111/j.1600-0625.2010.01105.x DOI: https://doi.org/10.1111/j.1600-0625.2010.01105.x
Goralskiy, L.P., Homich, V.Т., & Kononskiy, О.І. (2011). Fundamentals of histological technique and morphofunctional methods of research in norm and in pathology. Zhitomir: Polissya. [in Ukrainian].
Janak, J.C., Clemens, M.S., Howard, J.T., Le, T.D., Cancio, L.C., Chung, K.K., … & Stewart, I.J. (2018). Using the injury severity score to adjust for comorbid trauma may be double counting burns: implications for burn research. Burns, 44, 8, 1920-1929. doi: 10.1016/j.burns.2018.03.012. DOI: https://doi.org/10.1016/j.burns.2018.03.012
Farina Jr, J.A., Rosique, M.J., & Rosique, R.G. (2013). Curbing inflammation in burn patients. Int. J. of Inflamm, Article ID 715645, 9. doi: 10.1155/2013/715645. DOI: https://doi.org/10.1155/2013/715645
Jeschke, M.G., Pinto, R., & Kraft, R. (2015). Inflammation and the Host Response to Injury Collaborative Research Program. Morbidity and survival probability in burn patients in modern burn care. Crit. Care. Med, 43, 2(4), 808-815.
Kallinen, O., Maisniemi, K., Bohling, T., Tukiainen, E., & Koljonen, V. (2012). Multiple organ failure as a cause of death in patients with severe burns. J. Burn Care Res, 33 (2), 206-211. doi: 10.1097/BCR.0b013e3182331e73 DOI: https://doi.org/10.1097/BCR.0b013e3182331e73
Kearney, L., Francis, E.C., & Clover, A.J. (2018). New technologies in global burn care - a review of recent advances. Int. J. Burns Trauma, 8 (4), 77-87. PMID: 30245912
Netyukhailo, L.G., Kharchenko, S.V., & Kostenko, A.G. (2011). Pathogenesis of burn disease (in 2 parts). World of Medicine and Biology, 1, 127-135 [in Ukrainian].
Piatnytskyi, Yu.S., Yakovlieva, L.V., & Koshova, O.Yu. (2013). Eksperymentalne doslidzhennia farmakolohichnykh vlastyvostei substratu kriokonservovanoi shkiry svyni [Experimental study of the cryopreserved pigskin substrate pharmacological properties]. Klinichna farmatsiia – Clinical Pharmacy, 17, 1, 56-62 [in Ukrainian].
Tsymbaliuk, A.V., Huda, N.V., & Kyryk, O.O. (2013). Vykorystannia podribnenoho substratu liofilizovanoho ksenodermoimplantata dlia mistsevoho likuvannia opikovykh khvorykh z infikovanymy ranamy III-IV stupeniv. [Lyophilized xenografts implant usage for local treatment of burn patients with infected wounds of ІІІ-ІV degrees]. Shpytalna khirurhiia – Hospital Surgery, 1, 81-84 [in Ukrainian].
Downloads
Published
How to Cite
Issue
Section
License
Authors who sent their manuscript to "Вісник наукових досліджень. Bulletin of Scientific Research" Surgery agree to the following terms:
a. Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgment of the work's authorship and initial publication in this journal.
b. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
c. Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access)