Effect of drugs regulating acute immune responses on the liver in septic processes

Abstract

   Objective. To study the effect of drugs regulating acute immune responses on liver in septic processes.   Materials and methods. The study was conducted on 39 male white rats weighing 250-400 g. The animals were initiated septic process development by intraperitoneal injection of Klebsiella pneumoniae culture suspension with simultaneous intravenous injection of polyvinylpyrrolidone (PVP) and gadolinium in the volume of 0.6 ml. On the 14th day the animals were removed from the experiment by decapitation under light ether anesthesia, blood and liver were taken for biochemical and histological studies.   Results. When analyzing the morphometric parameters of liver preparations, an increase in the number of nuclei and a slight increase in the area of nuclei in three experimental groups was established by 1,2 times (p < 0,05) compared to the control group, which reflects the ongoing processes of hepatocyte regeneration due to possible mechanisms, namely hypertrophy nuclei and proliferation with both PVP and gadolinium in systemic inflammatory response and sepsis. Moreover, the use of PVP and gadolinium led to a decrease in the likelihood of perinuclear edema, protein degeneration and large droplet vacuolization (p < 0,05). When using gadolinium, the lumen diameter of the sinusoids was the largest and amounted to 4,47; 3,22-5,63 µm (p<0,05), and in septic shock it did not differ from the group where PVP was used (p > 0,05). Of the laboratory parameters of surviving individuals, the lowest ALaT level was noted in the gadolinium experimental group – 53,7; 51,8-55,1 U/L (p<0,05), while the lowest urea level was observed when using PVP (5,0; 4,99-5,15 mmol/l) (p < 0,05) as part of a systemic inflammatory response.   Conclusion. Gadolinium and PVP have a positive effect on the detoxification function of liver. Moreover, the effect of PVP on the morphology and function of the liver differs at the stages of septic process.