Morphological characteristics and assessment of histological changes in the rats' liver under modeling type 2 diabetes and its correction by N-stearoylethanolamine
DOI:
https://doi.org/10.26641/1997-9665.2025.4.55-63Keywords:
type 2 diabetes mellitus; experimental model; rats; histological changes in the liver; N-stearoylethanolamine; pharmacological correction.Abstract
Background. The problem of diabetes mellitus, in particular type 2 diabetes mellitus (T2DM), is becoming global worldwide, which determines the relevance of prevention, diagnosis and treatment of one of its most common complications - metabolic dysfunction-associated steatotic liver disease (MASLD). The ability of the liver to reverse changes in DM2Т determines the need to search, develop and implement in clinical practice new means of pharmacological correction of MASLD. Objective. Morphological characterization and development of an objective approach for comparative assessment and unification of histological changes in the liver of rats in modeling T2DM and its correction with N-stearoylethanolamine (NSE). Methods. A model of T2DM was reproduced in Sprague-Dawley rats (n=41) maintained on a high-fat diet (HFD) for a long time (6 months). Based on the results of liver histological examination, the effects of therapeutic action of NSE (per os, at a dose of 50 mg/kg, for 2 weeks after confirmation of the development of T2DM; scheme 1) and its preventive action (per os, at a dose of 50 mg/kg, 10 days each month; scheme 2) were studied. Results. Morphological studies of the liver of rats in the simulation of T2DM revealed changes characteristic of MASLD, which were determined by such histological patterns as: disruption of the histostructure of the organ; impaired blood circulation in the liver; dystrophic changes in hepatocytes, primarily steatosis; necrosis/apoptosis of hepatocytes and inflammatory changes in the liver; fibrosis, as well as compensatory and adaptive changes in hepatocytes. Based on the results obtained, a standardized unified protocol for histological examination of the liver of rats with T2DM and criteria for assessing the detected changes according to 3 assessment categories using a scoring system from «0» to «3» were developed. Conclusion. The implementation of the developed system for assessing histological changes in the liver during the modeling of T2DM and its correction with NSE allowed for a comparative assessment of the effects of NSE in the experiment with different schemes of its application in rats. It was found that the use of NSE according to scheme 2 compared to scheme 1 significantly (p<0.05) reduces the manifestations of such histological changes as violations of the histostructure of the organ and its blood circulation, dystrophic changes in hepatocytes, primarily steatosis, necrosis/apoptosis and inflammatory changes, as well as fibrosis. At the same time, the effect of NSE significantly (p<0.05) increases the manifestations of compensatory-adaptive restructuring of hepatocytes in the form of their hypertrophy.
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