Level of neurotransmitters in neuroamine-containing lung structures in different forms of tuberculosis
The aim of the study was to identify the features of variations in the localization of monoamines (catecholamines, serotonin)in the cell structures of autopsy material of lungs affected by tuberculosis. Material and methods. 165 cases of secondary pulmonary tuberculosis were studied. We studied 2500...
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| Autores principales: | , , |
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| Formato: | article |
| Lenguaje: | RU |
| Publicado: |
Sankt-Peterburg : NIIÈM imeni Pastera
2019
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| Materias: | |
| Acceso en línea: | https://doaj.org/article/a19f9661f8fd493e8e9a12c8a5c66598 |
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| Sumario: | The aim of the study was to identify the features of variations in the localization of monoamines (catecholamines, serotonin)in the cell structures of autopsy material of lungs affected by tuberculosis. Material and methods. 165 cases of secondary pulmonary tuberculosis were studied. We studied 2500 histological preparations of patients aged 30 to 55 years, divided into 5 groups, corresponding to the forms of secondary tuberculosis (group 1-acute focal tuberculosis, group 2-fibro-focal tuberculosis, group 3-infiltrative tuberculosis, group 4-acute cavernous tuberculosis, group 5 - fibro-cavernous tuberculosis. To selectively detect neuroamine-containing structures of the lungs and adrenergic nerve fibers, the Falk-Hillarp luminescence-histochemical method was used in the modification of E. M. Krokhina, based on the reaction of neuroamine condensation with formaldehyde. Results. When using the Falk-Hillarp luminescence-histochemical method, mycobacteria of tuberculosis containing catecholamines and serotonin were detected in autopsy material of lungs affected by a specific inflammatory process, as well as neuroamine-containing granular luminescent cells and mast cells. Affected and unaffected areas of the lungs contain different amounts of the studied monoamines. The results of the study revealed the dependence of the number of cells and the content of the studied bioamines in them on the form of secondary tuberculosis. It was found that in small forms of secondary tuberculosis (acute focal, fibrotic-focal), the number of cells and quantitative parameters of the studied neurotransmitters (catecholamines, serotonin) in granular luminescent cells and mast cells change in the direction of increase. In destructive processes in the lungs (acute cavernous and fibrous-cavernous tuberculosis), the content of catecholamines in the studied structures in the affected area prevails over the control. The concentration of serotonin in the studied cells of the area of lung tissue affected by the tuberculosis process is reduced. The number of neuroamine-containing cells is significantly reduced. The maximum luminescence of catecholamines and serotonin in granular luminescent cells was determined in the infiltrative form of tuberculosis. In mast cells, the highest content of catecholamines was found in the group of acute cavernous tuberculosis, and serotonin in the group of the infiltrative form of the disease. In stained sections of the lungs in this form of tuberculosis, a luminescent pathway of lymphocytes was found. The nerve fibers detected at the sites of mycobacteria were also changed. They did not have a clear luminescence, looked "swollen", in places they did not have varicose veins. Conclusion. Comparing the results of the study with the literature data, it was found that pulmonary tuberculosis occurs as a delayed reaction, and Mycobacterium tuberculosis manifests itself as a corpuscular antigen. |
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