Research output: Contribution to journal › Article › peer-review
ОСОБЕННОСТИ ПАТОГЕНЕТИЧЕСКИХ МЕХАНИЗМОВ ТУБЕРКУЛЕЗНОГО ПЕРИТОНИТА В ЭКСПЕРИМЕНТЕ. / Plotkin, D. V.; Vinogradova, T. I.; Reshetnikov, M. N.; Ariel, B. M.; Zyuzya, Yu R.; Zhuravlev, V. Yu; Sinitsyn, M. V.; Bogorodskaya, E. M.; Yablonsky, P. K.
In: Bulletin of Russian State Medical University, No. 4, 01.08.2021, p. 20-27.Research output: Contribution to journal › Article › peer-review
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TY - JOUR
T1 - ОСОБЕННОСТИ ПАТОГЕНЕТИЧЕСКИХ МЕХАНИЗМОВ ТУБЕРКУЛЕЗНОГО ПЕРИТОНИТА В ЭКСПЕРИМЕНТЕ
AU - Plotkin, D. V.
AU - Vinogradova, T. I.
AU - Reshetnikov, M. N.
AU - Ariel, B. M.
AU - Zyuzya, Yu R.
AU - Zhuravlev, V. Yu
AU - Sinitsyn, M. V.
AU - Bogorodskaya, E. M.
AU - Yablonsky, P. K.
N1 - Publisher Copyright: © 2021 Pirogov Russian National Research Medical University. All rights reserved.
PY - 2021/8/1
Y1 - 2021/8/1
N2 - The prevalence of tuberculous peritonitis that has been observed in the recent decades is the result of lymphohematogenous spread of Mycobacterium tuberculosis (MBT) from lungs and other extrapulmonary sources. It is still unclear why certain organs and anatomical regions get involved in the inflammatory process during generalization of the tuberculosis infection. Why do some cases develop into peritoneal tuberculosis and other into kidney tuberculosis? Thus study aimed to investigate the pathogenesis of tuberculous peritonitis in a reproducible biological model. Tuberculous peritonitis was modeled in 18 rabbits (10 in the test group, 8 in control) by intraperitoneal inoculation of the MBT suspension. In order to suppress peritoneal macrophages and major cytokines, test group rabbits were injected with the TNFα inhibitor and iron (III) hydroxide sucrose complex before being infected, while control group rabbits received no immunosuppressive drugs. Autopsy of the control group animals revealed changes characteristic of pulmonary tuberculosis in 37.5% of cases, with no damage to other organs and systems registered. Conversely, test group rabbits had the signs of tuberculous peritonitis in their abdominal cavities. The results of this study suggest that it is the local immunity of an anatomical area that largely determines whether a secondary focus of extrapulmonary tuberculosis infection will develop there or not. For the peritoneum, a smaller pool of peritoneal macrophages and weaker cytokine production is a necessary and sufficient condition to have tuberculous peritonitis developing therein.
AB - The prevalence of tuberculous peritonitis that has been observed in the recent decades is the result of lymphohematogenous spread of Mycobacterium tuberculosis (MBT) from lungs and other extrapulmonary sources. It is still unclear why certain organs and anatomical regions get involved in the inflammatory process during generalization of the tuberculosis infection. Why do some cases develop into peritoneal tuberculosis and other into kidney tuberculosis? Thus study aimed to investigate the pathogenesis of tuberculous peritonitis in a reproducible biological model. Tuberculous peritonitis was modeled in 18 rabbits (10 in the test group, 8 in control) by intraperitoneal inoculation of the MBT suspension. In order to suppress peritoneal macrophages and major cytokines, test group rabbits were injected with the TNFα inhibitor and iron (III) hydroxide sucrose complex before being infected, while control group rabbits received no immunosuppressive drugs. Autopsy of the control group animals revealed changes characteristic of pulmonary tuberculosis in 37.5% of cases, with no damage to other organs and systems registered. Conversely, test group rabbits had the signs of tuberculous peritonitis in their abdominal cavities. The results of this study suggest that it is the local immunity of an anatomical area that largely determines whether a secondary focus of extrapulmonary tuberculosis infection will develop there or not. For the peritoneum, a smaller pool of peritoneal macrophages and weaker cytokine production is a necessary and sufficient condition to have tuberculous peritonitis developing therein.
KW - Abdominal tuberculosis
KW - Animal model
KW - Peritonitis
KW - Rabbit
KW - TNFα
KW - Tuberculous peritonitis
KW - Tumor necrosis factor
UR - http://www.scopus.com/inward/record.url?scp=85114832391&partnerID=8YFLogxK
UR - https://www.mendeley.com/catalogue/4e8665be-297a-3814-ba0b-12aa9009d649/
U2 - DOI: 10.24075/vrgmu.2021.036
DO - DOI: 10.24075/vrgmu.2021.036
M3 - статья
AN - SCOPUS:85114832391
SP - 20
EP - 27
JO - Bulletin of Russian State Medical University
JF - Bulletin of Russian State Medical University
SN - 2500-1094
IS - 4
ER -
ID: 87709672