[Orthostatic reactions in prognosis of the risks of arterial hypertension as a component of metabolic syndrome].

It was shown that parameters of metabolic syndrome as predictors of lethal vascular outcomes of arterial hypertension (AH) in Belarus are significantly different fiom those proposed in WHO recommendations (1999). The glucose level of informative value in WHO recommendations is 6.1 mmol/l versus 5.6 mmol/l in Belarus, total cholesterol 5.0 and 5.9 mmol/l respectively. A more detailed verification of the value of both parameters is needed for the patients in Belarus and Russia depending on age and sex using non-linear models. We used a comprehensive approach to prognosis of the risk of vascular lethal outcomes of AH as a component of metabolic syndrome with the evaluation of results of clinical and laboratory examination as well as orthostatic reactions in patients of different age groups. Construction of the prognostic algorithm "Classification tree" taking account of orthostatic reactions enhances the correctness of lethal outcome prognosis up to 81.8%. The study revealed the prognostic value of systolic and diastolic arterial pressure in the supine position (15 min of active aortostatic sample) for prognostication of vascular lethal outcomes. Further studies are needed on the role of orthostatic reactions in AH patients of old age together with clinical and laboratory parameters in the prognostication of outcomes of various cardiovascular diseases.

[Changes in the fat-acid spectrum of high-density lipoproteins as observed in men and women with acute appendicitis].

Differences in the reaction of the fat-acid spectrum of high-density lipoproteins (HDLP and HDLP3) and ethers of transfer-protein cholesterol (ETPC) as well as in the activity of lecithin cholesterin acetyltransferase and the content of cholesterol were compared for male and female patients (of the second mature age) with appendicitis. It was concluded that the female patients with appendicitis had, versus healthy women of the same age, a lower share of poly-unsaturated fat acids (PUFA) in the HDLP content and, possibly, a compensatorily intensified activity of the delta9-desaturase system; the changes were concomitant with a reduced functional HDLP activity. Within the discussed age span, the female patients with appendicitis had, versus the male patients, a more drastically reduced content of PUFA in HDLP, which was accompanied by a more intense modification of their functional activity with an active metabolism of PUFA (possibly of the omega9-row) due to ETPC.

[Effect of polyunsaturated phosphatidylcholine on the activity of antioxidant and lipolytic enzymes in alimentary hypercholesterolemia in irradiated rats]. / Deistvie polinenasyshchennogo fosfatidylkholina na aktivnost' antioksidantnykh i lipoliticheskikh fermentov pri alimentarnoi giperkholesterinemii u obluchennykh krys.

A high-cholesterol diet containing 3.5% cholesterol, 0.2% methyl thiouracil and 20% of heated sunflower-seed oil caused an increase in the content of cholesterol, triacylglycerols, diene conjugates and in the activity of phospholipase A2 in rat liver and of serum total cholesterol and cholesterol of low density lipoproteins, and a decrease in the activity of hepatic cholesterol esterase, in the fractional activity of lecithin:cholesterol acetyl transferase (LCAT), in the activity of the enzymes involved in the lipolytic transformation of lipoproteins and in the serum levels of very low density lipoprotein cholesterol. The content of malonic dialdehyde in liver tissue and molar activity of LCAT in blood serum were increased after preirradiation (0.5 and 5.0 Gy) of rats kept on the cholesterol diet. The preparation of polyunsaturated phosphatidylcholine was shown to decrease the content of triacylglycerols and diene conjugates in liver tissue of rats with alimentary hypercholesterolemia. In rats irradiated in a dose of 0.5 Gy the phosphatidylcholine preparation decreased the content of cholesterol in liver tissue and blood serum, exhibited the normalizing effect on the content of cholesterol of high density lipoproteins, on the activity of superoxide dismutase and glutathione peroxidase; in a dose of 5.0 Gy this phosphatidylcholine preparation normalized the content of malonic dialdehyde, activity of the enzymes involved in lipolytic transformation of lipoproteins and increased the LCAT activity.

[Differential forms of self-directed study of biochemistry in medical schools]. / Differentsirovannye formy samostoiatel'noi raboty studentov pri izuchenii biokhimii v meditsinskom vuze.

Methods of self-directed study of biochemistry by students are considered in connection with initial levels of their theoretical knowledge and laboratory experience. This type of training involved individual tasks and free discussion on the results obtained. Optimal results were observed in organization of self-directed work in small groups.

[The characteristics of the lecithin-cholesterol-acyltransferase reaction in the blood serum during liver regeneration]. / Kharakteristika letsitin-kholesterol-atsiltransferaznoi reaktsii v syvorotke krovi pri regeneratsii pecheni.

The rate of cholesterin ether formation in blood serum during the periods of rapid recovery of liver mass decreases after partial hepatectomy in rats. This effect is connected with the changes in quantity and composition of lecithin cholesterin acyltransferase (LCAT) as well the kinetic characteristics of lipoprotein of high density. This ferment was isolated from blood serum and purified in 28,500 times at different periods of liver regeneration. A conclusion concerning the presence of reverse dependence between the pronounced regeneration processes in liver and LCAT activity at high level of nonetherificated cholesterin in substrate has been drawn. Some recommendations for LCAT activity reducing processes in liver are given.

[The effect of factors stimulating proliferation of hepatocytes on cholesterol esterification in the serum during liver regeneration]. / Deistvie faktorov, stimuliruiushchikh proliferatsiiu gepatotsitov, na protsess ésterifikatsii kholesterina v syvorotke krovi pri regeneratsii pecheni.

Two-step regeneration of rat liver tissue was observed after partial hepatectomy. The first step involved mitosis of hepatocytes and the second step--division of the cells containing two nuclei and hypertrophy of hepatocytes. Both these steps of liver tissue regeneration were accompanied by hypercholesterolemia and a decrease in the cholesterol esterification activity in blood serum. The factors, stimulating hepatocyte proliferation, accelerated the reparative liver tissue regeneration due to activation of mitosis and the early division of the cells containing two nuclei. At the same time, the highest regeneration of the cholesterol esterification system was detected in circulation.

[The effect of thermally stable factors from cytosol of regenerating liver cells on the processes of cholesterol esterification in rat blood serum after administration of ethionine]. / Deistvie termostabil'nykh faktorov iz tsitozolia kletok regeneriruiushchei pecheni na protsess éterifikatsii kholesterina v syvorotke krovi krys posle vvedeniia étionina.

In the trials on rats it has been found that ethionine injection damages the system of cholesterol esterification in the blood serum. The factors stimulating hepatocyte proliferation prevent partially the toxic action of ethionine.

[Effect of proliferation-stimulating factors on cholesterol esterification in the serum of rats with acute tetrachloromethane poisoning]. / Deistvie faktorov, stimuliruiushchikh proliferatsiiu, na ésterifikatsiiu kholesterina v syvorotke krovi krys pri ostroi intoksikatsii tetrachlormethanom.

Three phases of cholesterolemia were detected in rats after single administration of CCl4 at a dose of 0.3 ml of oil solution per 100 g of body mass. Factors, stimulating proliferation of hepatocytes and isolated from regenerating liver tissue, did not affect the type of cholesterolemia whereas they stimulated cholesterol esters formation in circulation.

[Action of cytoplasmic factors from the regenerating liver on cholesterol esterification in the blood serum of rats with tetrachloromethane liver damage]. / Deistvie tsitoplazmaticheskikh faktorov iz regeneriruiushchei pecheni na éterifikatsiiu kholesterina v syvorotke krovi krys pri povrezhdenii pecheni tetrakhlormetanom.

The effect of proliferation stimulating factors (PSF) obtained from regenerating liver on the cholesterol esterification in blood serum under deep tetrachloromethane intoxication has been studied in experiments with white rats. Three phases in dynamics of cholesterol content in blood serum have been picked out after a single tetrachloromethane injection. The content of total cholesterol and cholesterol esters reduces during the first phase (24 h), during the second phase (3-7th day) it increases and during the third phase (15th day) these values become normal. PSF injection does not produce any influence on the nature of blood cholesterol under deep tetrachloromethane intoxication, but stimulates the processes of cholesterol ester formation in blood serum.