[Metabolism and function of phagocytes after combined administration of immunosuppressants and biologically active substances]. / Metabolizm i funktsii fagotsitov pri sochetannom primenenii immunodepressorov i biologicheski aktivnykh veshchestv.

Metabolism and function of mouse phagocytes were studied experimentally under conditions of immunosuppression with biologically active substances. It was shown by the cytochemical methods with the use of cytophotometry that strong immunosuppression with azathioprin, prednisolone, especially with their combination induced inhibition of the enzymatic systems responsible for synthetic and energy processes in macrophages. Prodigiosan, a bacterial lipopolysaccharide, and lysozyme promoted elimination of the unfavourable effect of the immunosuppressors on macrophage metabolism, normalizing the decreased activity of certain enzymes and markedly activating the enzymes involved in detoxification and phagocytosis. The lysozyme effect did not depend on the type of drug immunosuppression. The efficiency of prodigiosan was the highest after administration of prednisolone or its combination with azathioprin. Its effect was lower after immunosuppression with azathioprin alone. During allotransplantation, prodigiosan also promoted the recovery of the leukocyte adsorption and digestive capacity impaired by prednisolone and tis combination with azathioprin. The differential use of the biologically active substances is a promising trend in control of complications due to immunosuppression therapy.

[Lysozyme in the feeding of premature infants with mixed pathology]. / Lizotsim v pitanii nedonoshennykh detei so smeshannoi patologiei.

Lysozyme is an important component of the breast milk. In the gastrointestinal tract of infants it performs the function of a local protective factor. The efficacy of the use of milk enriched with lysozyme was studied in feeding of 64 premature infants suffering from concomitant diseases. This clinical and laboratory study was performed as a part of the combined treatment and prophylactic measures. Lysozyme was added to the donor breast milk or to the dry adapted acidophilic mixture "Malyutka" in an amount of 50 mg per 1 liter of the final product. 29 infants were feeded with such milk products for 14-21 days of the observation period. The control group included 12 infants with artificial feeding and 23 infants feeded with the above milk products without addition of lysozyme. In spite of the significant differences in the initial state of the infants, a favourable effect of the feeding with addition of lysozyme was shown. It was comparable to the feeding with the breast milk. Improvement of the general state of the infants and the pathological processes in them, an increase in the body weight, more rapid sanation of the infectious inflammatory foci, normalization of the stool, stabilization of the lysozyme levels in the coprofiltrates and a tendency to normalization of the increased levels of lysozyme in the blood serum were observed. Satisfactory tolerance of the lysozyme enriched milk products was shown.

[Experimental effect of lysozyme on macrophage metabolism and resistance to infection]. / Vliianie lizotsina na metabolizm makrofagov i protivoinfektsionnuiu rezistentnost' v éksperimente.

The peritoneal macrophages of mice treated with lysozyme were studied by cytochemical assay. In single and repeated doses of 0.5-5 mg/kg lysozyme induced an increase in macrophage metabolism. This was evident from an increased activity of succinate dehydrogenase, NADP X N-DH and the enzymes catalyzing glycolysis typical of these cells (lactate dehydrogenase and alpha-glycerophosphate). The changes in the activity of the enzymatic systems were most pronounced in minute and less mature macrophages after repeated administrations of the drugs. In a dose of 50 mg/kg lysozyme somewhat decreased the activity of a number of the enzymes. In the doses optimal for the macrophage activity lysozyme had a low effect on the infection resistance and slightly increased the cephotaxim efficiency in experimental staphylococcal infection. This may be mainly due to the immunomodulating effect of lysozyme and its low effect on the large macrophages having the bactericidal effect.

[Effect of gentamycin in combination with prodigiozan on the immunological reactivity of the body]. / Vliianie gentamitsina v sochetanii s prodigiozanom na immunologicheskuiu reaktivnost' organizma.

The effect of gentamicin sulphate and its combination will prodigiozan on antibody formation in experiments and the levels of the immunobiologic reactivity of patients with purulent inflammatory processes was studied with a purpose of developing rational schemes of antibiotic therapy of infectious diseases. A decrease in the titers of the antibodies to Aeromonas and the number of antibody-forming cells in the spleen was noted on repeated administration of gentamicin to albino mice in a dose of 20 mg/kg. This was prevented by the use of prodigiozan in a dose of 500 micrograms/kg once every 4 days. The use of gentamicin in patients with purulent inflammatory diseases in doses of 40 or 80 mg twice a day for 7--10 days had no significant effect on the titers of IgA, IgG, IgM, lysozyme blood serum levels, serum bactericidal activity and absorption activity of the peripheral blood neutrophils. Still, it induced a marked suppression of the neutrophil digestive capacity as compared to the initial levels, especially on administration of gentamicin in a dose of 40 mg twice a day. An increase in the level of IgM and no suppression of the neutrophil digestive capacity were noted after completion of the therapy in the patients treated with gentamicin administered in a dose of 40 mg twice a day and prodigiozan administered in a dose of 50 micrograms once every 4 days. It is recommended to use prodigiozan in combinaed therapy with gentamicin for correction of the changes in the specific and nonspecific protective forces of the host.

[Stimulating effect of prodigiozan on nonspecific reactivity in typhoid fever, dysentery and staphylococcal infection]. / O stimuliruiushchem vliianii prodigiozana na nespetsificheskuiu reaktivnost' pri briushnotifoznoi, dizenteriinoi i stafilokokkovoi infektsii.

A number of factors of nonspecific reactivity, i.e. complement, lysozyme, properdin, blood serum bactericidal activity, leucocyte phagocytal activity, phagocytal index and completed phagocytosis were studied on 160 guinea pigs with experimental typhoid fever, dysentery and staphylococcal infections. The data of the study showed that with the use of prodigiozan the non-specific reactivity of the host increased even within a short period of time. At the same time the pathological changes in the internal organs in their histochemical investigation decreased.

[Morphological changes in experimental infection in guinea pigs under the influence of prodigiozan and S-methylmethionine]. / Morfologicheskie izmeneniia pri éksperimental'noi infektsii u morskikh svinok pod vliianiem prodigiozana i S-metilmetionina.

The effect of prodigiozan and S-methylmethionine on the level of histomorphological changes in the organs and tissues of guinea pigs with experimental typhoid fever, dysentery and staphylococcal infections, as well as the effect of prednizolone with respect to dysentery and staphylococcal infections were studied. In the control animals the highest histomorphological changes were observed on the 4th day after the infection in the liver, kidneys and spleen. In the animals with staphylococcal infection such changes were also observed in the lung tissue. In the animals treated with prodigiozan or S-methylmethionine in a dose of 20 mg or 0.3 ml of a 5 per cent solution respectively simultaneously with or 2 days after the infection the changes in the organs were less pronounced than those in the control. Under the effect of prednizolone used in a dose of 10 mg according to the same schedule the inflammatory-dystrophic changes in the internal organs of the animals with dysentery and staphylococcal infections were much higher as compared to the control.

[Effect of gentamicin on the state of cellular resistance]. / Vliianie gentamitsina na sostoianie kletochnoi rezistentnosti

The effect of gentamicin on the functional state of the cells of the reticuloendothelial system (RES) of the abdominal cavity of mouse macrophages and the cell culture of the rabbit embryon kidneys was studied. Gentamicin administered intramuscularly in multiple doses of I and 10 mg/kg for 6--14 days did not induce significant changes in the absorptive activity of the RES. In doses of 20 and 40 mg/kg gentamicin induced some inhibition of the absorptive activity of the abdominal cavity macrophages, which was accompanied by a decrease in the content of the total protein and an increase in the activity of the acid phosphatase in the cell cytoplasm. The changes were reversible and persisted for not more than 48 hours after the last administration of the antibiotic. Gentamicin inhibited the cell growth in the culture of the rabbit embryon kidneys in concentrations higher than 1000 mg/kg, LD50 of gentamicin for mice weighing 20--22 gm being 244 mg/kg. Preliminary administration of amigluracyl provided a decrease in the toxic effect of gentamicin in both the cell culture and the host, which was possibly associated with the anabolyzing effect of amigluracyl.