[Systemic manifestations of primary sclerosing cholangitis].

Primary sclerosing cholangitis (PSC) is a chronic slowly developing cholestatic diseases of liver characterized by non-purulent destructive inflammation and fibrosis of bile ducts leading to secondary biliary cirrhosis. PSC etiology remains unknown and the disease is regarded as an autoimmune pathology. In 60-80% of the patients PSC combines with other autoimmune diseases (over 40 nosological forms). This paper deals with the diversity and prevalence of systemic manifestations of PSC in a group of 93 patients admitted to Tareev Nephrology Clinic. Autoimmune diseases were diagnosed in 79.6% of the patients. PSC was most frequently associated with ulcerative colitis (49.5%), Crohn's disease (17.2%), hemorrhagic vasculitis (8.6%) and autoimmune thyroiditis (7.59%). Nervous system, kidneys, lungs and eyes were affected less frequently. 20.3% of the patients had more than one (2-5) manifestations of PSC in different combinations. It is concluded that the knowledge of extrahepatic PSC symptoms will promote its early diagnosis in patients with cholestasis of uncertain origin.

[The features of defensive behavior of early postnatal C57BL/6 mice in response to the predator odor].

The ontogeny of defensive behavior of laboratory rodents underlying many experimental models has been still poorly understood. In this study, we investigated the age-related features of behavior of 8- and 12-day-old laboratory mice in response to presentation of the predator odor using olfactory discrimination method and determination of sleep and wakefulness states. Transcription factor c-Fos was used as a molecular marker to map the activity of the reticular formation. Neither preference nor avoidance of the predator odor was detected, as assessed by the proportion of time spent in the compartment with this odor. However, a reduction of locomotor activity and an increase in the proportion of sleep were found in 8-day-old mice, which corresponded to the c-Fos expression in the oral pontine reticular nucleus. The increase in the proportion of passive wakefulness was found in 12-day-old mice, it could be regarded as an early form of freezing. Thus, we identified age-specific features of the defensive behavior of early postnatal mice as well as the dynamics of its formation.

[Optimization of parodontitis treatment of patients with tuberculosis].

For the purpose to determine the clinic-pathogenetic efficacy of Cycloferon liniment in the combined therapy of parodontitis of patients with focal tuberculosis medical examination and treatment of 40 patients is carried out. It is established, that use of liniment Cycloferon in the combined treatment of patients with focal tuberculosis allows to accelerate process of normalization of lipid peroxidation parameters and antioxidant potential of blood, to decrease infection load (Herpes symplex virus I, Candida albicans, Staphylococcus aureus) in parodontal recess and evidence of local inflammation with reduction of activity of the tumours necrosis factor and interleukin 1beta, that provides acceleration of recuperation processes, lowering the frequency of parodontitis relapses.

[Postoperative recurrence of a nodular goiter].

Long-term results were followed up from 3 to 15 years in 649 patients with different morphological forms of the nodular goiter. Postoperative recurrent nodular goiter was diagnosed in 26.8% of the patients. The greater part of recurrences (87.4%) was nodular colloid goiter that was shown morphologically. Main part of the recurrences (69.1%) appeared after operations if the greater part of the thyroid gland was left--resection of a lobe and enucleation of the nodes. No recurrences were registered after thyroidectomy. The results of the investigation suggest that such operations as enucleation of a node and resection of a lobe with a node are thought to be inadequate.

[Calcium-transporting systems and calcium regulation in cardiomyocytes]. / Kal'tsiitransportiruiushchie sistemy i reguliatsiia kontsentratsii kal'tsiia v kardiomiotsitakh.

The review systematizes and analyzes recent data about the role of different Ca(2+)-transport mechanisms in the regulation of Ca2+ metabolism and functional activity of the cardiomyocytes. During the cardiac action potential, Ca2+ enters the cardiomyocytes through sarcolemmal L-type calcium channels and via the Na+/Ca2+ exchange. This Ca2+ activates the release of additional Ca2+ from the sarcoplasmic reticulum. The sum of calcium from sarcolemmal influxes and sarcoplasmic release produces contractile effect. For the occurrence of relaxation, Ca2+ remove from the cytoplasm by three mechanisms, namely, sarcoplasmic Ca2+ pump, Na+/Ca2+ exchange and sarcolemmal Ca2+ pump. In this review, the structural and functional properties of the Ca2+ transport systems in the sarcolemmal membranes, sarcoplasmic reticulum and mitochondria are discussed. In addition alterations in regulation of intracellular calcium by activation of beta- and alpha-adrenergic receptors are consider.

[Changes in the ATPase activity of the brain and erythrocytes in hypoxia]. / Izmeneniia ATf-aznoi aktivnosti mozga i éritrotsitov

An effect of hypoxic hypoxia on the total, Mg2+-dependent and Na-K-dependent ATPase activities was studied in rat brain and erythrocytes. In brain tissue under effect of 15 min hypoxia a distinct decrease in all the ATPase activities was observed; the activity of Na-K-dependent ATPase decreased especially distinctly (by 32% of the initial level). Within 90 min of hypoxia the enzymatic activity was partially restored but did not reach the initial level. In erythrocytes 15 min hypoxia was also accompanied by a significant decrease in Na-K-dependent ATPase activity (30.5% of the initial level). But within 90 min the enzymatic activity was distinctly increased (up to 196.4%). Mg2+-dependent ATP-ase was more resistant to oxygen deficiency, Variations in the enzymatic activity were less distinct, although they showed the same pattern as those of the Na-K-dependent ATPase.