Kulbitska V. V., Nebesna Z.M.

MICROSCOPIC AND MORPHOMETRIC CHANGES OF THE ADRENAL GLANDS IN DYNAMICS AFTER EXPERIMENTAL THERMAL INJURY


About the author:

Kulbitska V. V., Nebesna Z.M.

Heading:

MORPHOLOGY

Type of article:

Scentific article

Annotation:

Burn injury today is one of the most important medical and social problems. Burns of IIB Grade determine the development of burn disease, the pathogenesis of which is typical of the development of multiple organ failure and severe dyscirculatory disorders in the organs. Severe burn injury also leads to metabolic disorders and activation of stress-releasing hormonal systems of the body. In particular, the adrenal glands play a key role in the regulation of inflammatory processes and homeostasis. The morphofunctional state of these glands affects the development of mechanisms of adaptation of the body to any type of stress factor. However, nowadays, data demonstrating the features of histological and morphometric reorganization of the adrenal glands in the dynamics after the action of burn injury have not been studied enough. The aim of the study was to examine microscopic and morphometric changes of the adrenal glands after experimental thermal injury. The experimental study was performed on 40 adult male rats weighing 180-250 g. Burns of IIB Grade in animals were simulated under thiopental-sodium anesthesia by applying copper plates heated in water to the epilated surface of the back of rats. After decapitation, the adrenal glands were collected for morphological examination on days 1st, 7th, 14th, and 21st of the experiment. The preparation of histological specimens was carried out according to generally accepted methods. Morphological studies were performed using a MICROmed SEO SCAN microscope and photo-documented using a Vision CCD Camera. Morphometrically determined the average values of the area of cortex and medulla of the adrenal glands, the width of the areas of the cortex, the average area of cells, their nuclei, cytoplasm and nuclear-cytoplasmic ratio. The results of microscopic and morphometric studies of the adrenal glands showed a gradual increase in the width of all areas of the cortex and medulla of the gland, which occurred mainly due to intracellular edema and indicates an increase in destructive and dystrophic changes. Thus, at different times of the experiment, the width of all zones of the adrenal cortex increased. On the 1st day, the thickness of the cortex increased by 2.73% relative to the intact group of animals, on the 7th day – by 12.47%, on the 14th day – by 16.92% and on the 21st day – by 10.44%, respectively. Morphometric indicators of the study of the medulla area also indicate its increase, in particular on a 1st day – the area increased by 1.14 times relative to control, on day 7th – 1.87 times, on day 14th – 2.53 times and on day 21st – 2.96 times, respectively. In the early stages of the experiment, adaptive-compensatory changes and signs of initial destructive changes in the adrenal gland were established. In the late stages develop deep destructive-degenerative changes in the body, as evidenced by the presence of endocrinocytes with signs of cytoplasmic edema, hyperchromic nuclei, sharply dilated blood vessels, areas of necrosis, growth of connective tissue elements. These destructive-degenerative changes are also confirmed by metric data of the nuclear-cytoplasmic ratio of endocrinocytes at different times of the study, as well as changes in the average area of endocrinocytes, the area of their nuclei and cytoplasm.

Tags:

adrenal gland, burn injury, morphometry, histology.

Bibliography:

  1. Jeschke MG, van Baar ME, Choudhry MA, Chung KK, Nicole S. Gibran NS, et al. Handbook of Burns. Volume 1. Switzerland: Springer Cham; 2020. Chapter, Frostbite; p. 529-547.
  2. Roshangar L, Soleimani Rad J, Kheirjou R, Reza Ranjkesh M, Ferdowsi Khosroshahi A. Skin burns: Review of molecular mechanisms and therapeutic approaches. Wounds. 2019;31(12):308-15.
  3. Burmeister DM, Cerna C, Becerra SC, Sloan M, Wilmink G, Christy RJ. Noninvasive Techniques for the Determination of Burn Severity in Real Time. J Burn Care Res. 2017;38(1):e180-e191. DOI: 10.1097/BCR000000 0000 000338.
  4. Liu A, Ocotl E, Karim A, Wolf J, Cox B, Eliceiri K, Gibson A. Modelling early thermal injury using an ex vivo human skin model of contact burns. Burns. 2020;46(5):1025-27. DOI: 10.1016/j.burns.2020.08.011.
  5. MOZ Ukrainy. Nakaz № 838 vid 30.09.2013 Polozhennia pro systemu kombustiolohichnoi dopomohy v Ukraini [Internet]. MOZ Ukrainy; 2013. Dostupno: https://zakon.rada.gov.ua/laws/show/z2026-13#Text. [in Ukrainian].
  6. Jeschke MG, van Baar ME, Choudhry MA, Chung KK, Gibran NS, Logsetty S. Burn injury. Nature reviews. Disease primers. 2020;6(1):11. DOI: 10.1038/s41572-020-0145-5.
  7. Hew J, Parungao R, Shi H, Tsai K, Kim S, Ma D, et al. Mouse models in burns research: Characterisation of the hypermetabolic response to burn injury. Burns. 2020;46(3):663-74. DOI: https://doi.org/10.1016/j.burns.2019.09.014.
  8. Tronko ND, Kovzun OI, Pushkarov VM. Mekhanizmy rehuliatsii steroidohenezu v kori nadnyrkovykh zaloz. Kyiv: Tsentr navchalnoi literatury; 2006. 304 s. [in Ukrainian].
  9. Tseilikman V, Komelkova M, Kondashevskaya MV, Manukhina E, Downey HF, Chereshnev V, et al. A Rat Model of Post-Traumatic Stress Syndrome Causes Phenotype-Associated Morphological Changes and Hypofunction of the Adrenal Gland. International journal of molecular sciences. 2021;22(24):13235. DOI: 10.3390/ijms222413235.
  10. Walker CD, Anand KJS, Plotsky PM. Development of the hypothalamic-pituitary-adrenal axis and the stress response. Comprehensive Physiology. 2011;23:237-70. DOI: 10.1002/cphy.cp070412.
  11. Zikic D, Uscebrka G, Gledic D, Lazarevic M, Stojanovic S, Kanacki Z. The influence of long term sound stress on histological structure of broiler’s adrenal glands. Biotechnol. Anim. Husbandry. 2011;27(4):1613-19. DOI: 10.2298/BAH1104613Z.
  12. Brook ChGD, Clayton PE, Brown RS. Brook’s clinical pediatric endocrinology. 6th ed. USA: Wiley-Blackwell; 2010. Chapter 13, The adrenal cortex and its disorders; p. 283-326. DOI: 10.1002/9781444316728.ch13.
  13. Murphy JF, Purdue GF, Hunt JL. Acute adrenal insufficiency in the patient with burns. J Burn Care Rehabil. 1993;14:155-57. DOI: 10.1097/00004630-199303000-00005.
  14. Hrabovskyi SS. Morfometrychna kharakterystyka nadnyrnykiv i nyrok shchuriv za umov peredzabiinoho stresu pid chas vykorystannia biolohichno aktyvnykh rechovyn. Biolohichni Studii. 2014;2(8):43-56. [in Ukrainian].
  15. Khodorovska AA, Chernikova HM, Khodorovskyi VM. Morfofunktsionalni zminy nadnyrkovykh zaloz ta morfolohichna budova shchytopodibnoi zalozy za umov stresu. Klinichna anatomiia ta operatyvna khirurhiia. 2016;2(15):25-27. DOI: 10.24061/1727- 0847.15.2.2016.33. [in Ukrainian].
  16. Pishak VP, Huraliuk VM. Vplyv stresu na morfolohichnu orhanizatsiiu nadnyrnykovykh zaloz u rizni periody doby. Bukovynskyi medychnyi visnyk. 2005;3(9):135-137. [in Ukrainian].
  17. Horalskyi LP, Khomych VT, Kononskyi OI. Osnovy histolohichnoi tekhniky ta morfofunktsionalnykh metodiv doslidzhennia v normi ta pry patolohii. Derzhavnyi ahroekolohichnyi universytet. Zhytomyr: Polissya; 2019. 285 s. [in Ukrainian].
  18. Kozhemyakin YuM, Chromov OS, Filonenko MA, ta in. Naukovo-praktychni rekomendatsii z utrymannia laboratornykh tvaryn ta roboty z nymy. Kyiv: Interservis; 2017. 179 s. [in Ukrainian].
  19. Protsenko OS, Shapoval OV, Teslenko HO, Rodionov MO, Voshchylin BR, Yeletskyi MS. Klinichni ta eksperymentalni doslidzhennia tkanyn pry termichnykh poshkodzhenniakh. Aktualni problemy suchasnoi medytsyny. 2019;3:4-13. [in Ukrainian].
  20. Bilash SM, Pronina OM, Koptev MM. Comprehensive morphological studies as an intergal part of modern medical science. Literature review. Visnyk problem biolohiyi i medytsyny. 2019;2.2(151):20-3. DOI: 10.29254/2077-4214-2019-2-2-151-20-23.
  21. Kniazevych-Chorna TV, Mykhailiuk IO, Rudiak OM, Tarasevych NR. Funktsionalnyi stan nadnyrkovykh zaloz v poiednanni z yikh morfolohichnoiu perebudovoiu na riznykh etapakh posthipotermichnoho periodu. Visnyk Vinnytskoho natsionalnoho medychnoho universytetu. 2019;23(1):41-5. DOI: 10.31393/reports-vnmedical-2019-23(1)-06. [in Ukrainian].
  22. Dusyk AV, Holubovskyi IA. Morfofunktsionalni zminy v nadnyrnykakh pry khronichnomu stresi. Visnyk problem biolohii i medytsyny. 2016;1(127):188-191. [in Ukrainian].
  23. Zhurakivska OIa, Zhurakivskyi VM, Dutchak UM, Kulynych HB, Tkachuk YuL. Morfofunktsionalʹni zminy nadnyrkovykh zaloz u ranni terminy rozvytku streptozototsynovoho tsukrovoho diabetu. Klinichna anatomiia ta operatyvna khirurhiia. 2019;2:82-8. [in Ukrainian].
  24. Hryntsova NB, Romaniuk AM, Bumeister VI. Morfolohichni perebudovy kirkovoi rechovyny nadnyrnykiv shchuriv za umov dovhotryvaloho vplyvu solei vazhkykh metaliv ta nehormonalnoi korektsii. Morphologia. 2019;13(3):26-31. DOI: 10.26641/1997-9665.2019.3.26-3. [in Ukrainian].
  25. Gannouni N, Mhamdi A, El May M, Tebourbi O, Rhouma KB. Morphological changes of adrenal gland and heart tissue after varying duration of noise exposure in adult rat. Noise Health. 2014;16:416-21. DOI: 10.4103/1463-1741.144424.
  26. Swierczynska MM, Mateska I, Peitzsch M, Bornstein SR, Chavakis T, Eisenhofer G, Eaton S. Changes in morphology and function of adrenal cortex in mice fed a highfat diet. International Journal of Obesity. 2015;39(2):321-30. DOI: 10.1038/ijo.2014.102.
  27. Tarasenko LM, Bilets MV, Omelchenko AIe, Horhol NI. Patomorfolohichne ta morfometrychne doslidzhennia nadnyrnykiv za umov immobilizatsiinoho stresu, vysokokaloriinoho kharchuvannia ta yikh spoluchenoho vplyvu. Visnyk problem biolohii i medytsyny. 2017;2(136):303-7. [in Ukrainian].
  28. Mamotenko AV, Komisova TIe, Hubina-Vakulik HI. Vplyv zminy tryvalosti svitlovoi doby na morfofunktsionalnyi stan nadnyrnykovykh zaloz shchuriv. Visnyk LNU imeni Tarasa Shevchenka. 2014;12(295):81-87. [in Ukrainian].

Publication of the article:

«Bulletin of problems biology and medicine» Issue 2 Part 2 (165), 2022 year, 89-97 pages, index UDK 616.45-091.8:616.5-001.17]-092.9

DOI: