STATUS OF ACID-BASED EQUALITY AND BLOOD VISCOSITY OF RATS AT ACUTE AND CHRONIC POISONING BY ACETYLSALICYLIC ACID AND THEIR INFLUENCE ON STRUCTURAL ORGANIZATION OF LIVER AND KIDNEYS
DOI:
https://doi.org/10.11603/1811-2471.2019.v0.i1.10051Keywords:
acetylsalicylic acid, acidosis, viscosity, liver, kidneys, dystrophyAbstract
The optimal level of acid-base balance is one of the important components that form the body homeostasis. It is also known that metabolic acidosis can develop with overdose of salicylic drugs.
The aim of the study – to determine the level of acidosis and blood viscosity in rats with acute and chronic poisoning with acetylsalicylic acid and their effect on the morphological condition of the liver and kidneys.
Material and Methods. Experiments were carried out on white laboratory rats, which modeled acute and chronic poisoning with acetylsalicylic acid. The studies were conducted by using functional (pH and blood viscosity measurements), histological and statistical methods.
Results. Acute poisoning with acetylsalicylic acid was accompanied by a significant decrease in pH and blood viscosity in rats, resulting in severe organ disorders, which manifested as stagnant venous hypertrophy, capillary stasis with reactive ascending vasoconstriction.
There was also a tendency to decrease the studied blood parameters after 1 day of the experiment in the course of chronic poisoning with acetylsalicylic acid. However, its degree of severity was significantly lower as with acute poisoning. There was stabilization of indicators and even partial compensation of pH after 3 days from the onset of chronic intoxication. However, in the future, the pH level continued to progressively decrease, not reaching the level recorded in acute poisoning. In contrast, the viscosity of blood, on the contrary, gained a tendency to increase.
Detected long-term organ-blood flow disorders led to dystrophic changes in liver and kidney tissues that may be responsible for the development of liver and kidney failure.
Conclusions. 1. Acute poisoning with large doses of acetylsalicylic acid leads to a significant increase in the level of acidosis with at the same time significant decrease in blood viscosity, which may be important links in the pathogenesis of the development of incompatible with life disorders of hemodynamics.
2. Chronic poisoning with acetylsalicylic acid also leads to the gradual development of acidosis, which degree is less pronounced than with acute poisoning and affects the dynamics of blood viscosity.
3. Disorders of organ blood flow that arise from chronic poisoning with acetylsalicylic acid are less pronounced than with acute poisoning and lead to dystrophic changes in the liver and kidneys which may be responsible for the development of liver and kidney insufficiency.
References
Kamyshnikov, V.S. (2000). Spravochnik po kliniko-biokhimicheskoy laboratornoy diagnostike [Handbook of clinical and biochemical laboratory diagnostics]. Minsk: MEDpress-inform [in Russian].
Lysenko, O.V. (2016). Kyslotno-osnovnyi stan orhanizmu yak diahnostycnyi, prohnostycnyi, patohenetycnyi marker formuvannia klitynnoho rezervu pry patolohichnykh stanakh [Acid-base state of the body as a diagnostic, prognostic, nosotropic marker of forming of cellular reserve in case of pathological conditions]. Zb. nauk. prats spivrobit. NMAPO imeni P.L. Supyka – Collection of Scientific Works of P.L. Shupyk NMAPE workers, 25, 623-629 [in Ukrainian].
Alfonsova, E.V., & Zabrodina, L.A. (2013). Strukturnaya organizatsiya miokarda pri metabolicheskom atsidoze [The structural organization of heart in metabolic acidosis]. Kubanskiy nauchnyy meditsinskiy vestnik – Kuban Scientific Medical Herald, 1 (136), 27-30 [in Russian].
Alfonsova, E.V. (2013). Vliyaniye eksperimentalnogo laktat-atsidoza na gemostaz i morfologiyu pecheni [Influence of experimental lactate acidosis on hemostasis and morphology of the hepar]. Fundamentalnyye issledovaniya – Fundamental Research, 7 (121), 417-422 [in Russian].
Perederiy, V.G., & Khmelevskiy, Yu.V. (1998). Klinicheskaya otsenka biokhimicheskikh pokazateley pri zabolevaniyakh vnutrennikh organov [Clinical evaluation of biochemical parameters in diseases of internal organs]. Kyiv: Zdorovia [in Russian].
Temple, A.R. (1981). Acute and chronic effects of aspirin toxicity and their treatment. Archives of Internal Medicine, 141, 364-369.
Chyka, P.A., Erdman, A.R., Christianson, G., Wax, P.M., Booze, L.L., Manoguerra, A.S., & Troutman, W.G. (2007). Salicylate poisoning: an evidence-based consensus guideline for out-of-hospital management. Clinical Toxicology Philadelphia, 45 (2), 95-131.
Alfonsov, V.V., & Alfonsova, E.V. (2010). Strukaturnaya organizatsiya limfaticheskikh uzlov razlichnykh regionov pri eksperimentalnom laktat-atsidoze [The influence of experimental lactate acidosis on the structural organization of lymphatic nodes]. Kubanskiy nauchnyy meditsinskiy vestnik – Kuban Scientific Medical Herald, 7, 8-13 [in Russian].
Behmanech, S., Behmanech, S., & Kempski, O. (2000). Mechanisms of endothelial cell swelling from lactoacidosis studied in vitro. Am. J. Physiol. Heart Circ. Physiol, 4, 1512-1517.
Viktorov, O.P. (2008). Atsetylsalitsylova kyslota ta klopidohrel: ratsionalnist kombinovanoi farmakoterapii [Acetylsalicylic acid and clopidogrel: the rationality of combined pharmacotherapy]. Meditsina neotlozhnykh sostoyaniy – Emergency Medicine, (4), 39-44 [in Ukrainian].
Kordiiak, O.Y. (2011). Morfolohichna otsinka vplyvu metabolichnoho atsydozu ta yoho medykamentoznoi korektsii na stan sudyn mikrotsyrkuliatornoho rusla yasen shchuriv [Morphological evaluation of the influence of metabolic acidosis and its drug correction for the state of vessels of the microcirculatory gland of rats]. Ukrainskyi morfolohichnyi almanakh – Ukrainian Morphological Almanac, 9 (3), 13-14 [in Ukrainian].
Alfonsova E.V. (2012). Funktsionalnaya morfologiya selezenki pri respiratornom atsidoze [The functional morphology of spleen at the respiratory acidosis]. Sovremennyye problemy nauki i obrazovaniya – Modern Problems of Science and Education, 2, 1-8 [in Russian].
Ivanova, L.M., & Myronenko, T.V. (2013). Rol perekysnoho okyslennia lipidiv ta antyoksydantnoho zakhystu v patohenezi syndromu podraznenoho kyshechnyka u spoluchenni z hipertonichnoiu khvoroboiu [The role of systems of lipid peroxidation and antioxidant defence in patients with irritable bowel syndrome combined with arterial hypertension]. Ukr. zh. klinichnoi ta laboratornoi medytsyny – Journal of Clinical and Experimental Medical Research, 4, 76-78 [in Ukrainian].
Guliyeva, A.V. (2013). Opredeleniye lineynykh i obyemnykh parametrov serdtsa u donoshennykh novorozhdennykh v neonatalnom periode pri gipoksicheskom ishemicheskom porazhenii TsNS [Determination of linear and volumetric cardiac parameters in full-term newborns in neonatal period with hypoxic ischemic involvement of CNS]. Ukr. zh. klinichnoi ta laboratornoi medytsyny – Ukrainian Journal of Clinical and Laboratory Medicine, 4, 108-112 [in Russian].