Abstract. between the morphological and functional state of spinal ganglia neurons and the dynamics of healing of a purulent wound in an experimental animal during its natural course and complex therapy with hydropulse sanitation (HIS) and the addition of platelet-rich blood plasma (PRP). Material and methods. In an experiment on 100 white outbred rats, a purulent wound on the lateral surface of the thigh was modeled by introducing a daily culture of Staphyllococcus aureus. Two groups were formed: natural healing and healing after therapy with hydropulse sanitation of the wound with an isotonic NaCl solution followed by the addition of platelet-enriched autoplasma. The material for the study was taken on the 1st, 3rd, 5th, 7th, 14th, and 21st days. The area of the wound and the dynamics of its healing were assessed using the planimetric method. For the study, lumbar spinal ganglia (SG) of segments LIII–LV. were taken. At the light-optical level, after staining with cresyl violet according to Nissl and azure B according to the S. Shea method, the area of nerve cells was measured, photometry of RNA content was carried out, and the number of satellite gliocytes was counted. The obtained data were processed using statistical analysis methods. Results. The healing process of a purulent skin wound ended with the formation of a scar on days 7–14 for both experimental groups. The use of GIS and PRP demonstrated better dynamics of defect closure - a reduction in wound area by 59.35±3.4% (p=0.018) in the period from 3 to 5 days, compared with 40.05±2.9% (p=0.009) with natural healing. The response of SG neurons during healing was characterized by pronounced polymorphism. The maximum number of cells with reactive changes during natural healing was observed on the 5th day of the experiment (17.2±3.2% for A-neurons and 36.7±4.3% for B-neurons). Complex therapy led to a decrease in the proportion of both reactively altered and destructive neurons. The cell area, RNA content, and the number of satellite glia increased on average by the 7th day of the experiment. Separate close correlations were identified between the dynamics of changes in the wound area and the studied quantitative characteristics. Conclusion. A purulent wound causes a complex of nonspecific reactions in the neurons of the SG. In the dynamics of wound healing, neurons with reactive changes more often demonstrated biphasic dynamics, more pronounced for B-type cells with a primary reaction on days 1–3 and a further transition to regenerative hypertrophy or destruction. Regenerative changes in SG neurons had a close correlation with the processes of regeneration of the wound defect.

The aim of the study was to identify somatotypological features of linear parameters and bilateral dimorphism of the auricles in 18–20-year-old girls. Material and methods. The study included 140 girls aged 18–20 permanently living on the territory of the Luhansk People's Republic. They were exposed to somatotyping and cephalotyping. During auriculometry, 20 linear dimensions of each auricle were measured. The results obtained were processed using ANOVA and MANOVA and correlation analyses. The index of bilateral dimorphism of auriculometry parameters was determined. Differences in mean values were considered statistically significant at p<0,05. Results. As revealed, the auriculometric parameters of the left auricle exceeded those of the auricle of the contralateral side. Average value of the physiognomic length of the left auricle (n=140) was 61,40 mm, that was 3,55% (p<0,001) bigger than the corresponding parameter of the right auricle. In addition, the maximum index value of bilateral dimorphism (0,069) was registered during the analysis of the height of the tragus. In girls with normosthenic body type (n=69), the morphological width of the left auricle and its height also significantly exceeded the corresponding values of the auricle of the opposite side by 4,12% (p=0,017) and 5,56% (p<0,001), respectively. Variance analysis of the results obtained indicates that the somatotype of women, largely than the cephalotype, affects the variability of the auriculometric parameters. Correlation analysis of the findings allowed identifying predominantly statistically significant positive correlations of varying degrees between the studied parameters. The closest correlation (r>0,90) was determined between the physiognomic length and the length of the cartilaginous part, and between the physiognomic length and height of both the right and left auricles. Conclusion. The data obtained relating the constitutional features of the auricular structure in girls aged 18–20 are of practical significance to study the external ear intravitally, and to optimise surgical options for the auricle shape correction.

Rats are the most common objects of preclinical studies, which determines the relevance of studying fetal cardiomorphogenesis in rats using modern methods of morphological studies. The aim is to study the dynamics of markers of proliferation (Ki67), apoptosis (caspase 3), vascularization (CD31), and stromal remodeling (MMP2 and MMP9) of the left ventricular myocardium of Wistar rat fetuses. Material and methods. A histological, immunohistochemical and morphometric study of the rat heart left ventricle wall was carried out on the 18th, 19th, 20th, 21st and 22nd days of the prenatal period of ontogenesis. Results. From the 18th to the 22nd day of the prenatal period of ontogenesis in rats, a twofold increase in the thickness of the left ventricle lateral wall is observed, due to both proliferation and differentiation and an increase in the size of cardiomyocytes. Ki67-positive cardiomyocytes are diffusely localized in the wall of the left ventricle, their number increases on day 19 of the prenatal period of development and remains at a high level until the end of the prenatal period in rats. From the 18th to the 22nd day of the prenatal period of ontogeny in rats, single caspase 3-positive cardiomyocytes are detected in the left ventricle. The growth of the left ventricular myocardium in the fetal period in rats is accompanied by an adequate rate of vascularization. The vascularization and proliferation of cardiomyocytes are accompanied by remodeling of the myocardial stroma, with the highest intensity of MMP2- and MMP9-immune staining observed at the beginning of the fetal period of ontogeny in rats. Conclusion. The short duration of prenatal ontogenesis in rats determines the high dynamics of cardiomorphogenetic processes. In the fetal period of rat ontogenesis in the left ventricle of the heart, the proliferation of cardiomyocytes prevails over the intensity of apoptosis. The intensity of proliferation of cardiomyocytes of the left ventricle of rats is high up to the 22nd day of the prenatal period of ontogenesis.

The aim is to identify the features of Klotho protein expression in the epithelium of the convoluted tubules of the kidney during prolonged experimental hyperglycemia and pharmacological correction with GABA derivatives. Material and methods. The study used 50 mongrel male rats (initial weight: 330,0–360,0 g) with streptozotocin diabetes lasting 6 months. 6 months after the injection of streptozotocin (60 mg/kg), animals with a glycemic level of ≥ 15 mmol/l were included in the study (after 4 hours of food deprivation), then GABA derivatives (aminalon, mefargine, succicard) were administered orally for 30 days. Proteinuria and serum creatinine concentrations were evaluated. After euthanasia, kidney tissue was fixed in buffered neutral formalin and examined using immunofluorescence microscopy. The intensity of the glow was evaluated based on a visual-analog scale. Results. In the group with chronic hyperglycemia without treatment, there was a significant increase in the protein content in daily urine and serum creatinine levels (p<0,05). In the group of animals with chronic hyperglycemia without treatment, there was a significant decrease in the expression of Klotho protein compared to the group of intact animals during immunofluorescence analysis. In the group treated with the GABA derivative succicard, there was an improvement in the functional state of the kidneys, accompanied by a significant increase (p≤0,0001) in the area of Klotho-positive material in the epithelium of the convoluted tubules of the kidney in relation to the group of animals with prolonged hyperglycemia without treatment. Conclusion. Prolonged hyperglycemia causes severe renal dysfunction in rats with streptozotocin diabetes: an increase the proteinuria and serum creatinine levels is accompanied by a decrease in the expression of Klotho protein in the kidneys. The GABA derivative succicard with course administration improves kidney function and this effect is accompanied by an increase in the expression of Klotho protein.

Morphological organization of the levator ani muscle still remains unclear due to methodological problems in the study of the pelvic floor muscles. Therefore, the study of the histological structure of muscle tissue m. levator ani in animals is of not only theoretical but also practical importance for the study and modeling of pelvic floor dysfunction conditions in animal models. The aim is to study the enzymohistochemical and ultramicroscopic organization of the levator ani muscle in white laboratory rats. Material and methods. The study was performed on 10 laboratory Wistar rats (5 females and 5 males) aged 12–14 months. The metabolic profile of muscle fibers was determined using the Nachlass succinate dehydrogenase test. Imaging and linear measurements were carried out on a Leica UC 7 microscope (Germany), using its software. Ultrathin sections were counterstained with uranyl acetate and lead citrate, viewed nd photographed using a Hitachi HT 7700 Exalens (Japan) electron microscope. Results. All types of muscle fibers are present in levator ani muscle: slow fibers and rapid muscle fibers of typs IIA and IIB. It has been established that the total cross-sectional area of white type fibers is 3 times greater than the total area of other fibers. Significant sex differences were found in relative square parameters of glycolytic fibers in m. levator ani (p=0,009). At the ultrastructural level, it was found that in some muscle fibers the mitochondrial apparatus is well developed, in others, mitochondria are few in number, have smaller sizes, are located singly between myofibrils, without forming clusters. In such fibers, there are large accumulations of glycogen between the myofibrils. Conclusion. In the laboratory rat, the levator ani muscle is heterogeneous both in metabolic activity of muscle fibers and in ultrastructural organization. This feature of the muscle involves not only static work in creating intra-abdominal pressure and retaining the pelvic organs, but also isotonic contraction, acting as a synergist to ensure the movement of the tail.

This study is devoted to the morphological substantiation of the model of male hypogonadism and establishing the effectiveness of its replacement therapy using morphological methods. Material and methods. 5 groups of adult male Wistar rats (4 individuals each) were studied. Four groups of rats were experimental. Under anesthesia, the left and right spermatic cords with the vascular bundle were tied with a temporary ligature, inducing hypogonadism. In the first two experimental groups of rats, the ligature was applied for 30 and 60 minutes (respectively). Animals in the other two experimental groups received replacement therapy by administering kisspeptin K6. Animals of the third experimental group began to receive kisspeptin a few minutes after restoration of blood flow in the testicle (ex tempore), and rats of the fourth group - after 3 days. The duration of replacement therapy is 7 days. In histological sections of the right and left testicle (n = 8), the number of viable and dying interstitial endocrine cells was counted (under the control of an immunohistochemical reaction with caspase 3), the percentage of these types of cells from their total number was calculated, and the area of viable endocrinocytes was determined. Testosterone levels were determined in the blood of animals of all groups. The significance of differences in the median, upper and lower quartiles of the compared parameters was determined using the nonparametric Mann–Whitney test. Results. It has been established that the modeling of male hypogonadism by applying a double-sided ligature to the vessels of the spermatic cord for 60 minutes and the animals experiencing it for the next 10 days induces pronounced reactive changes and the death of some interstitial cells, inhibition and cessation of spermatogenesis. Kisspeptin KS6, administered ex tempore and regularly after acute ischemia, has a protective effect on interstitial endocrinocytes and testicular spermatogenic cells, including anti-apoptotic, restoring spermatogenesis, probably realized through the activation of the central links of the hypothalamic-pituitary-testicular axis.

Two classifications are currently most commonly used to classify branching variations of the celiac trunk (CT): N. Michels (1955) and R. Uflacker (1997). Many researchers note the imperfection of classifications and make additions to each of them. The aim is to determine the anatomical variants of the branching of the CT, and to perform a morphometry of it’s main branches. Material and methods. A sample of 700 MSCT angiograms of the abdominal aorta was analyzed. The study examined angiograms of 602 men and 98 women. Visualization of the vessels of the CT and measurement of the diameter of the arteries was carried out using digital computer programs of the personal station of the radiologist «Syngo.via». Results. The most common type of CT (77,9% observations), according to the classification of N. Michels, was type I, when the common hepatic artery (CHA) originated from the CT. The frequency of other variants was 22,1%. According to R. Uflacker, the most common variant (90,3% cases) was type I, corresponding to the typical anatomy of the CT, with the origin of the splenic, common hepatic and left gastric arteries. In addition to the main variants of the arterial basin of the liver and types of branching of the CT, we noted additional arteries that were not included in both classifications. In 48 cases, such vessels as the left inferior phrenic artery (44 observations / 91,7%), two inferior phrenic arteries (2IPA) (3 observations / 6,3%), and the right hepatic artery (RHA) (1 observation / 2,1%) were identified as originated from the CT. Conclusion. In the course of our study, we detected variants of CT that were not included in any of the most commonly used classifications: the RHA and 2IPA which ramified from CT. Three morphometric parameters of the CT: its length, diameter, and diameter of common hepatic artery had a significant correlation with gender. We consider that the data obtained on the variant anatomy of the CT will make additions to the current classifications in order to detail and objectify variations of the celiac-mesenteric basin arteries.

The aim is to study the relationship of PD-L1 status of SP142 and SP263 clones in gastric cancer with its clinical and morphological parameters. Material and methods. Surgical material obtained from 131 patients with a confirmed diagnosis of stomach cancer. Antibodies to PD-L1 SP263 were stained 127 cases, antibodies to PD-L1 SP142 – 126 cases. Reactions with PD-L1 were performed using the Ventana BenchMark Ultra device (Roche Ventana, USA) according to the protocols recommended by the manufacturer of primary antibodies. The results of immunohistochemical staining were compared with the clinical and morphological characteristics of gastric cancer using statistical analysis. Results. The positive PD-L1 status detected by clones SP263 and SP142 is significantly associated with type 2 macroscopic form according to the R. Bormann classification (p=0,003/p=0,003), tubular morphological type according to the WHO 5th edition, 2019 classification (p=0,001/p=0,018), intermediate morphological type according to the classification of P. Lauren (p=0,027/p=0,005) and the absence of signet ring cells (p=0,001/p=0,010). Staining with both clones used was not associated with the gender and age of patients, the size and localization of the tumor, the degree of its differentiation, the presence or absence of emboli in the lumen of blood and lymph vessels, the presence of affected lymph nodes and distant metastases, as well as the clinical stage (p>0,05). The largest proportion of PD-L1 positive cases in the study of SP263/SP142 clones was found in tubular type tumors (75,6%/84,6%) according to the WHO 5th edition, 2019 classification, intermediate type (60,0%/68,0%) according to P. Lauren, type 2 (65,4%/68,0%) according to R. Bormann and in the absence of signet ring cells (70,7%/76,9%). Conclusion. Statistically significant clinical and morphological parameters of gastric cancer, where a reliable relationship between them and the expression of PD-L1 clones SP263 and SP142 was revealed, are: type 2 macroscopic form according to R. Bormann (p=0,003/p=0,003), tubular morphological type according to the classification of WHO 5th edition, 2019) (p=0,001/p=0,018), intermediate type according to P. Lauren (p=0,027/p=0,005) and the absence of signet ring cells (p=0,001/p=0,010).

The aim of the study is a comparative analysis of the morphofunctional interactions of germ and somatic cells in the organs of the male reproductive system of vertebrates during ontogenesis, under conditions of changes in reproductive activity and under the influence of destabilizing factors. Material and methods. Using light and electron microscopy, immunohistochemistry and morphometry, the testes of representatives of various classes of vertebrates (amphibians, reptiles, birds and mammals) were studied. The collection of material was carried out in environmentally safe ecosystems and in ecosystems with high anthropogenic load in the Orenburg region of Russia and in the Aktobe region of the Republic of Kazakhstan. Results. Based on the material of our own studies of the gonads, as well as on the basis of information from modern domestic and foreign literature, the patterns of relationships between germ cells and somatic cells of their microenvironment in the testes of vertebrates are shown. The features of the structural organization of the germinal and endocrine components of the male gonads are considered. The features of the structural organization of intertitial endocrinocytes (Leydig cells) are shown, and their high resistance to the action of various destabilizing factors compared to spermatogenic epithelium is established. Pubertal generation of endocrinocytes in vertebrate testes during reproductive age is characterized by stability in cell numbers and belongs to cell populations of a stable type. The role and significance of the structures of the blood-testis barrier are shown and the morphological equivalents of changes in the permeability of this barrier are established; it is revealed that in the studied animals, under the influence of negative anthropogenic factors, the integrity of the blood-testis barrier in the testes is violated. The action of destabilizing factors leads to a decrease in the number of developing germ cells in the lumen of the epididymal tubules (up to their complete disappearance in individual individuals), which is probably due to the deterioration of the trophic influences on them from the structures of the epididymis. Conclusion. The principle of organization of the main compartments of the testes, the convoluted seminiferous tubules and the interstitium of the organ, formed during evolution, probably turned out to be evolutionarily advantageous, since it is represented in the testes of all amniotes - reptiles, birds and mammals. In the process of evolutionary development, several types of structural organization of convoluted seminiferous tubules and interstitium were formed in the testes of vertebrates. The need to protect developing germ cells from the effects of immunocytes, which led to the formation of a blood-testis barrier in the testes.

Lymphangioleiomyomatosis (LAM) is a polysystemic disease based on the formation of granulomas prone to degenerate into cysts in the lungs, abdominal and pelvic organs. Lung involvement in LAM is accompanied by respiratory dysfunction and can be fatal. WHO classifies this disease into a group of mesenchymal tumors and considers it as a low-grade destructive metastasizing neoplasm. LAM is a rare disease and earlier it was only detected in women, but nowadays cases of pulmonary LAM in men (include teenagers) have been described. The etiology of LAM and the inducing factors are still unknown. Objective – to collect and systematize data on pathomorphological characteristic of changes in lung tissue in LAM to evaluate the completeness and sufficiency of the available data. Material and methods. There were analyzed 912 articles and monographs (including duplicates) from PubMed, eLibrary, and Cyberleninka databases over a fifty-year period from 1973 to August of 2023, with an emphasis on more relevant publications and articles in highly rated scientific journals that include information on the review topic. Eventually 55 original sources were selected. Results. The article presents summary data on macroscopic and microscopic picture of pulmonary LAM, data on morphological and antigenic characterization of cells forming the basis of granulomas and their surroundings, the results of experiments demonstrating dynamics of pathological changes in LAM. Conclusion. Despite the relatively large amount of data about morphological characteristics that is enough for diagnosis, he main issue is still open: what is the origin of LAM cells? A systematic pathomorphology analyze can help us to find an answer for this question.

Anthropometric data provide a qualitative and quantitative assessment of the health status of the population. Typically, they are used in clinical practice to assess general health, nutritional adequacy, growth and development of the body. The aim is to conduct a comparative analysis of anthropometric indicators and proportionality of the physique of boys and girls living in Moscow and the Moscow region. Material and methods. The study involved 198 third-year students of the Faculty of Medicine of the State University of Education, over the age of 18, living in Moscow and the Moscow region. The surveyed population did not have either acute or chronic diseases in the stage of decompensation, congenital malformations, ultra-low or excess body weight. An anthropometric study was carried out with measurements of the longitudinal and transverse dimensions of the torso and limbs, calculation of the body mass index, determination of the somatotype and subsequent statistical processing of the data obtained. Conclusion. Anthropometric indicators of girls and boys living in the Moscow region have a number of features. Persons with a mesomorphic somatotype predominate, which indicates the harmonious physical development of boys and girls. Most girls have a transversely narrowed shape of the pelvis, which indicates a possible risk of obstetric complications in the event of pregnancy and childbirth. Otherwise, both boys and girls develop proportionally in accordance with the parameters of the biological and physiological norm.

Among the anomalies of the optic disc development, which change its anatomical characteristics, are the druses of the optic disc. Diagnostically, the druses of the optic disc are manifested by protrusion into the vitreous body, and changing in the area of the optic disc and its excavation. The aim of the study is to obtain new data on the optic disc anatomy in elderly men. Material and methods. The study was conducted in a group of men from 61 to 75 years old. The study included 53 eyes of patients treated with a disease of the visual organ unrelated to the pathology of the optic disc and macula. The study was carried out on the Optovue RTVue XR Avanti Sistem device using standard 3D Disc, GCC, ONH programs. Using optical coherence tomography the following morphometric parameters of the optic disc were evaluated: the volume of excavation, the thickness of the retinal nerve fiber layer, the area of the optic disc, the depth, the width and the area of the excavation of the optic disc in the horizontal plane. Conclusion. In the group of men from 61 to 75 years old, with increasing age, there is a decrease in the thickness of the retinal nerve fiber layer, the width of the excavation of the optic disc and the area of the optic disc. The shapes of optic disc excavation in elderly men are different, the triangular shape prevails – 47,8%, the remaining shapes occur with the same frequency.

“Thanatology is the study of the signs, dynamics and statics of death,” this is a definition given by Georgy V. Shore to the science, to which he devoted his career. The professor was the father of the autopsy in Russia, made a huge contribution to the development of medical education, and strived for constant improvement of diagnostic and treatment options. His unique approach to the study of medicine was based on the intersection of clinic and morphology and attracted many followers. Georgy V. Shore devoted a significant part of his work to developing techniques for preserving anatomical museum specimens. As a dissector, Georgy V. Shore contributed greatly to the invention of new autopsy techniques to facilitate and improve the work of pathologists; and today we use the approaches he developed. The ideas presented in his “Teaching of Death” are the quintessence of the scientific thought of Georgy V. Shor and are still discussed by the medical community. Where people saw only death, G.V. Shor was discovering something new for life. This year is the 150th anniversary of Georgy V. Shor’s birth; it is worth remembering the significant events associated with the name of this brilliant scientist