Morphologic characteristic of rat myocardium in comorbid pathology
DOI:
https://doi.org/10.14739/2310-1237.2023.2.280409Keywords:
diabetic cardiomyopathies, heart, myocardium, microcirculation, diabetes mellitus, experimental diabetes mellitus, heart failureAbstract
Diabetic cardiomyopathy is a serious complication of diabetes mellitus (DM).
Aim. Therefore, we aimed to study myocardial changes in adult rats with streptozotocin (STZ)-induced DM exposed to chronic immobilization stress (CIS).
Materials and methods. A total of 26 adult albino male rats weighing 180–200 g were examined. All the animals were divided into three groups: Group I included 10 rats with STZ-induced DM exposed to CIS; Group II comprised 10 rats with STZ-induced DM; Group III included 6 intact animals. The samples were collected on the 14th and 56th days of the experiment. Histological, histochemical, electron microscopy, and biochemical methods were used.
Results. On the 14th day of the experiment, in Group I and Group II, increased blood flow was observed in the capillaries, venules, and veins, while an arteriolar spasm in the microcirculation was found. In addition, cardiomyocyte surface area in different myocardial regions reduced due to low glycogen content as confirmed by histochemical and ultrastructural studies.
On the 56th day of the experiment, in Group I and Group II, hyperemia occurred due to red blood cell aggregation and microthrombi. The surface area of all microcirculatory vessels increased as compared to that of intact animals, as evidenced by an increase in their wall surface area leading to an increase in their wall-to-lumen ratio. Such morphometric changes in the microcirculatory vessels were indicative of decreased vascular permeability and impaired myocardial blood flow. At the histological level, in Group I and Group II, focal cardiomyocyte lysis, moderate to diffuse stromal edema, lymphohistiocytic infiltration were seen. Such changes pointed to sterile inflammation, probably due to myocardial infraction secondary to diabetic microangiopathy. In cardiomyocytes, karyolysis, vacuolar degeneration, apical ballooning, subsarcolemmic edema, fibrosis and lysis of myofibrils, colliquative necrosis were observed.
Conclusions. STZ-induced DM and stress resulted in pronounced destructive changes in the myocardium of rats, including interstitial edema, focal cardiosclerosis, myolysis. Such changes occurred on the background developing diabetic microangiopathy. The most pronounced myocardial changes were recorded in animals with a comorbidity.
References
Jia, G., DeMarco, V. G., & Sowers, J. R. (2016). Insulin resistance and hyperinsulinaemia in diabetic cardiomyopathy. Nature reviews. Endocrinology, 12(3), 144-153. https://doi.org/10.1038/nrendo.2015.216
Lorenzo-Almorós, A., Cepeda-Rodrigo, J. M., & Lorenzo, Ó. (2022). Diabetic cardiomyopathy. Revista clinica espanola, 222(2), 100-111. https://doi.org/10.1016/j.rceng.2019.10.012
Paolillo, S., Marsico, F., Prastaro, M., Renga, F., Esposito, L., De Martino, F., Di Napoli, P., Esposito, I., Ambrosio, A., Ianniruberto, M., Mennella, R., Paolillo, R., & Gargiulo, P. (2019). Diabetic Cardiomyopathy: Definition, Diagnosis, and Therapeutic Implications. Heart failure clinics, 15(3), 341-347. https://doi.org/10.1016/j.hfc.2019.02.003
Dillmann, W. H. (2019). Diabetic Cardiomyopathy. Circulation research, 124(8), 1160-1162. https://doi.org/10.1161/CIRCRESAHA.118.314665
Price, C. S., Corbett, S., Lewis-Barned, N., Morgan, J., Oliver, L. E., & Dovey-Pearce, G. (2011). Implementing a transition pathway in diabetes: a qualitative study of the experiences and suggestions of young people with diabetes. Child: care, health and development, 37(6), 852-860. https://doi.org/10.1111/j.1365-2214.2011.01241.x
Kyyak, Yu. H., Kyyak, H. Yu., & Barnett, O. Yu. (2021). Spetsyfichnist diabetychnoi kardiomiopatii za naiavnosti komorbidnykh sertsevo-sudynnykh zakhvoriuvan: kliniko-ultrastrukturni doslidzhennia [Specifics of Diabetic Cardiomyopathy in the Cases of Concomitant Cardiovascular Diseases: Clinical and Ultrastructural Examinations]. Mizhnarodnyi endokrynolohichnyi zhurnal, (5), 33-38. [in Ukrainian]. https://doi.org/10.22141/2224-0721.5.77.2016.78751
Bahriy, M. M., Dibrova, V. A., Popadynets, O. H., Hryshchuk, M. I. (2016). Metodyky morfolohichnykh doslidzhen [Methods of histological research]. Vinnytsia: Nova knyha. [in Ukrainian].
Zhurakivska, O. Ya., Zherdova, N. M., Oliynyk, R. P., Pobigun, N. G., Kostitska, I. O., Zhurakivskyi, V. M., Miskiv, V. A., Tkachuk, Yu. L., Antymys, O. V., Sahan, N. T., & Kniazevych-Chorna, T. V. (2021). Evidence of apoptosis in parvocellular nuclei of hypothalamus in diabetes mellitus. Problems of endocrine pathology, 78(4), 94-103. https://doi.org/10.21856/j-PEP.2021.4.13
Zhurakivska, O. Ya., Zhurakivskyi, V. M., Miskiv, V. A., Dutchak, U. M., Kulynych, H. B., & Tkachuk, Yu. L. (2019). Morfofunktsionalni zminy nadnyrkovykh zaloz u ranni terminy rozvytku streptozototsynovoho tsukrovoho diabetu [Morphofunctional changes in the adrenal glands in the early deadline of the development of streptosotocin diabetes mellitus]. Klinichna anatomiia ta operatyvna khirurhiia, 2(18), 82-88. [in Ukrainian]. https://doi.org/10.24061/1727-0847.18.2.2019.16
Zhurakivska, O. Ya., Mykulets, T. I., Dutchak, U. M., Klypych, Ya. I., Miskiv, V. A., Hrechyn, A. B., & Klypych, O. O. (2018). Structural changes of endocrine system of myocardium during the streptozotocin diabetes mellitus. World of medicine and biology, (1), 126-130. https://doi.org/10.26724/2079-8334-2018-1-63-126-130
Wang, J., Huang, X., Liu, H., Chen, Y., Li, P., Liu, L., Li, J., Ren, Y., Huang, J., Xiong, E., Tian, Z., & Dai, X. (2022). Empagliflozin Ameliorates Diabetic Cardiomyopathy via Attenuating Oxidative Stress and Improving Mitochondrial Function. Oxidative medicine and cellular longevity, 2022, 1122494. https://doi.org/10.1155/2022/1122494
Zhao, D., Yang, J., & Yang, L. (2017). Insights for Oxidative Stress and mTOR Signaling in Myocardial Ischemia/Reperfusion Injury under Diabetes. Oxidative medicine and cellular longevity, 2017, 6437467. https://doi.org/10.1155/2017/6437467
Sciarretta, S., Maejima, Y., Zablocki, D., & Sadoshima, J. (2018). The Role of Autophagy in the Heart. Annual review of physiology, 80, 1-26. https://doi.org/10.1146/annurev-physiol-021317-121427
Cagalinec, M., Waczulíková, I., Uličná, O., & Chorvat, D., Jr (2013). Morphology and contractility of cardiac myocytes in early stages of streptozotocin-induced diabetes mellitus in rats. Physiological research, 62(5), 489-501. https://doi.org/10.33549/physiolres.932467
Zhurakіvska, O. Ya., & Hrad, A. O. (2016). Histo-ultrastructural organization of neuromuscular synapses of the masseter in experimental diabetes mellitus. Deutscher Wissenschaftsherold·German Science Herald, 2, 52-55.
Shi, Y., & Vanhoutte, P. M. (2017). Macro- and microvascular endothelial dysfunction in diabetes. Journal of diabetes, 9(5), 434-449. https://doi.org/10.1111/1753-0407.12521
Purnama, U., Castro-Guarda, M., Sahoo, O. S., & Carr, C. A. (2022). Modelling Diabetic Cardiomyopathy: Using Human Stem Cell-Derived Cardiomyocytes to Complement Animal Models. Metabolites, 12(9), 832. https://doi.org/10.3390/metabo12090832
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