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ISSN 1818-1295 eISSN 2616-6194 Reports of Morphology
Histological changes of the arterial bed of the hind limbs of the rats under condition of the acute...
Introduction
Ischemic-reperfusion lesion is a complex multifactorial
process of damage and dysfunction of primary ischemic
tissues as a result of restoration of arterial blood circulation
in conditions of acute or chronic ischemia [9, 11, 13, 15, 19,
22]. Arterial ischemia is one of the main reasons for the
deterioration of the quality of life of patients, their early
disability and accounts for about 10% of all gunshot wounds
in the structure of combat trauma [5, 15]. In 67% of cases of
vascular damage at the prehospital stage, a tourniquet is
applied, which can induce reperfusion damage [4, 9, 10, 15,
22].
Recently, more and more attention in the treatment and
prevention of ischemic disorders is paid to nootropic drugs
that have metabolic, neuroprotective, antiplatelet, antioxidant
effects, as well as smoothing the phenomena of hypo- and
hyperperfusion in the postischemic period, increase
microcirculation in tissues. Among the new drugs,
carbacetam, an endogenous modulator of the GABA-
benzodiazepine receptor complex derived from β-carboline,
is markedly secreted [7, 23]. The effectiveness of its use is
shown in the work on the restoration of cognitive impairment,
reduction of endogenous intoxication and oxidative stress
in polytrauma [23].
Literature data indicate that the morphological
manifestations of the syndrome of ischemia and reperfusion
are impaired hemomicrocirculation, which is histologically
manifested by endothelial edema, leukocyte-endothelial
adhesion, hemodynamic disorders, reduction of
microvascular and arteriovenous shunting, however, morpho-
functional changes in arteries of large diameter, their
dynamics, as well as the search for means of tissue
protection remains open for further research [9, 13].
However, in reviewing the scientific and experimental
literature, we did not find any publications on the use of this
drug for the treatment and prevention of complications of
ischemia-reperfusion, which prompted an attempt to use
carbacetam to study the local correction of reperfusion.
The aim of the study was to establish the manifestations
of morphofunctional reorganization of the vascular bed of
the hind limbs of rats during ischemia-reperfusion and under
conditions of correction with carbacetam.
Materials and methods
Histological examination of the vascular bed of 60 rats
have been done.
Ischemia was modeled by applying SWAT (Stretch-Wrap-
And-Tuck) rubber tourniquets to the right hind limb of the
animal at the level of the inguinal fold for 2 hours under
thiopental-sodium anesthesia. The reperfusion syndrome
was modeled by removing the tourniquet and restoring blood
circulation in the previously ischemic limb 2 hours after
application. Observations of animals were carried out for 14
days.
During the experiment, the experimental animals were
divided into three groups:
- first experimental group (30 rats) - animals with
simulation of ischemic-reperfusion injury;
- second experimental group (30 rats) - animals with
simulation of ischemic-reperfusion damage, in which 1-oxo-
3.3.6-trimethyl-1.2.3.4-tetrahydroindolo [2.3-c] quinolines
(carbacetam) was injected intraperitoneally in the
reperfusion period for the purpose of correction at a dose of
5 mg per kilogram of body weight 1 time per day for 14 days
of the reperfusion period;
- control group (6 rats) - intact animals.
Animals of the first and second experimental groups
were divided into 5 subgroups (6 animals each). The model
of the early post-ischemic period in both groups was
presented by subgroups of animals with reperfusion
changes after 1, 2 hours and 1 day, and the model of the late
reperfusion period - by subgroups of animals 7 and 14 days
after removal of the tourniquet.
All studies were conducted in compliance with the main
provisions of the Law of Ukraine № 3447-IV of 21.02.06 "On
the protection of animals from cruel treatment" (2006) and
Council of Europe Directive 2010/63 EU on animal
experiments.
Euthanasia of animals was performed by administration
of thiopental-sodium anesthesia (500 mg/kg body weight
intraperitoneally), followed by decapitation and collection of
biological material. Soft tissue samples, together with the
vascular-nervous bundle of the hind limb of the animals,
were taken below the level of the tourniquet at the level of the
middle third of the thigh, followed by fixation, dehydration
and paraffin removal, which were performed according to
conventional methods. Prepared a series of sections with a
thickness of 4-5 μm, made on a microtome MS-2. The latter,
after dewaxing, were stained with hematoxylin and eosin,
picrofuchsin by Van Gieson's method, resorcin fuchsin by
Weigert's elastic stain method, and Heidenhain's AZAN
trichrome stain method [17]. This made it possible to obtain
differentiated tissue staining due to the heterogeneity of the
perception of different dyes by biological tissues.
Examination of the preparations was performed using a
Bresser Trino Researcher 40x-1000x microscope (serial
number 0913137). The most demonstrative histological
specimens were photographed using a Digital Camera for
Microscope Science Lab DCM 820 Resolution 8.0 Mp.
Results
Histological examination of the main arteries and veins
of the thigh and lower leg showed that the structural
organization of their walls corresponds to the generally
accepted criteria. Elastic membranes are clearly contoured
in the form of a homogeneous eosinophilic strip. Arteria of
the tibia and femur segments differ only in diameter (Fig. 1).
After 1 hour of reperfusion changes became systemic
and appeared at all levels of structural organization of blood
vessels. Rounded, due to the swelling of the cytoplasm,
endothelial cells protruded into the lumen of blood vessels,