Tymoshenko Y. Morphofunctional features of the hard palate mucosa in experimental xerostomia

Українська версія

Thesis for the degree of Candidate of Sciences (CSc)

State registration number

0418U003396

Applicant for

Specialization

  • 14.03.09 - Гістологія, цитологія, ембріологія

09-10-2018

Specialized Academic Board

Д 08.601.03

State institution "Dnipropetrovsk Medical Academy of the Ministry of Health of Ukraine"

Essay

The dissertation concerns the identification of the features of restructuring of the glandular zone of the hard palate mucosa after administration of adrenaline and 1 % ether methacrylic acid. The description of the restructuring of the epithelial and proper plates, as well as palatine glands and sections of the hemomicrocirculatory flow of the glandular zone of the hard palate mucosa, induced by adrenaline and 1 % ether methacrylic acid, manifested by the impaired differentiation of the epithelium and hyperhydration of the amorphous substance of connective tissue, has been made on the basis of the comprehensive histological, morphometric and lectinochemical studies. It has been shown that administration of adrenaline in rats leads to thinning of the epithelial mucous plate of the glandular zone of the hard palate and hyperhydration of the lamina propria, causes intensification of secretion and excretion in the palatine glands’ acini already on the 14th day. No recovery of the morphofunctional state of the epithelial and proper plates, as well as epithelial secretory complexes of the glandular zone of the hard palate mucosa has been noted prior the 30th day of the experiment. Administration of 1 % ether methacrylic acid leads to the impaired differentiation of the epithelium and is manifested by the intensified keratinization, caused by its direct irritating effect on the surface of the rat mucosa. Changes in the lamina propria are manifested by the hyperhydration of the amorphous substance. Inhibited secretion, when the cytoplasm of glandular cells is densely filled with the secretory granules, is detected in the acini. Products of secretion in the lumens of excretory ducts have heterogeneous optical density. New data on the reactive changes in the hemomicrocirculatory flow of the glandular zone of the rat’s hard palate mucosa, manifested by the narrowing of arterioles’ lumen on the 14th day under the effect of both adrenaline and 1 % ether methacrylic acid. On the 30th day of the observation narrowing of arterioles’ lumen was preserved in the group of animals, subjected to the influence of adrenaline with the development of dilatation after the effect of 1 % ether methacrylic acid. Throughout the period of observation changes in the metabolic section of the hemomicrocirculatory flow were multidirectional: a steady reduction in the diameter of the lumen was observed in the experimental group of the animals after the exposure to adrenaline, whereas enlargement of the lumen of the capillaries was noted in the group, subjected to the effect of 1 % ether methacrylic acid. A significant enlargement of the mean diameter of the venules was detected in all experimental groups of rats throughout the observation. It has been proved by evidence that the structured provision of the protective functions of the glandular zone of the hard palate mucosa in the epithelial plate, as well as antigen, is ensured by the intraepithelial lymphocytes and the presenting Langerhans cells, respectively. In the lamina propria and submucous layer it is ensured by the lymphocytes, macrophages, plasma cells and mast cells, which are placed both diffusely (in the lamina propria), and form a cluster in the submucous layer, cellular composition of which is different periductal and periacinar. The effect of adrenaline and 1 % ether methacrylic acid causes changes in number and ratio of the immunocompetent cells, indicating about the intensity of the local immunity under the influence of both endogenous and exogenous factors. It has been determined that in the epithelial plate of the hard palate mucosa a strong degree of carbohydrate determinants, especially for mannose- and sialo-specific lectins. In the experimental hyposalivation the sounding of the hard palate mucosa by β-Gal specific peanut lectin demonstrated a strong degree of the conjugation with receptors of horny scales, as compared with the intact animals, throughout the observation. In hyposalivation the reaction of the cells of stratum granulosum and stratum spinosum, as well as basal membrane shows the decrease in the expression of carbohydrate determinants to the mild degree on day 30 of the experiment. Fibroblasts of the lamina propria respond by the increasing reactions from the mild to moderate one. Collagen fibers and endothelial cells increase the degree of receptors’ expression only on the 30th day of the observation. A consistently strong degree of conjugation with the mast cells’ receptors is noteworthy throughout the period of observation. Key words: hard palate mucosa, morphological characteristics, xerostomia, adrenaline, 1% ether methacrylic acid.

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