State Enterprise Ukrainian Research Institute for Medicine of Transport, Ministry of Health of Ukraine, Odesa, Ukraine.
State Institution Ukrainian Research Institute of Medical Rehabilitation Land Resort Therapy, Ministry of Health of Ukraine, Odesa, Ukraine.
Rocz Panstw Zakl Hig. 2020;71(4):423-430. doi: 10.32394/rpzh.2020.0136.
Metabolic Syndrome (MS) is a widespread pathological condition, a group of interconnected metabolic disorders that contribute to the development of a number of severe noncommunicable diseases. Natural mineral waters of various compositions are widely used in the correction of MS. Their biological activity and specificity of action is associated with the presence of specific components (micronutrients, biologically active substances). At the same time, many researchers do not pay enough attention to the role of the biological activity of macro nutrients in low mineralized mineral waters.
To assess the corrective effect of macro-components of mineral waters based on a comparative analysis of changes in the structure of internal organs of white rats with the MS model, receiving mineral waters of the same balneological type, but with different quantitative composition of macro components.
The material for histological and histochemical tests were the internal organs of male white rats with body weight 280-320 g. Animals were ranked into 4 groups: I - rats served as a control, ӀӀ - rats with a model of MS; ӀӀӀ and ӀV - rats received the mineral waters against the background of MS modeling. The mineral waters used in the work were characterized by an increased (in close amounts) content of organic substances (C org.), similar in chemical but different in quantitative macro-component composition. At the same time, mineral waters practically did not differ in terms of total mineralization. Modeling of MS was carried out for 60 days by replacing 10% fructose solution in drinking water bowls, introducing white bread crackers into the diet, and excluding green mass from the diet. In groups where animals were corrected for MS, mineral waters were administered with an intragastric tube with olive at a dose of 1% of body weight daily, starting from the 60th day of the experiment, for 12 days. Upon completion of the experiment on day 72, histological sections (which were stained with hematoxylin-eosin) were prepared from the extracted pieces of the heart, stomach, liver and kidneys tissues. The succinate-dehydrogenase (SDH) and lactate-dehydrogenase (LDH) activity were determined on the prepared cryostat sections. Using a light microscope, changes in the structure of the above organs and changes in the activity of oxidative-restorative enzymes were evaluated.
The activity of oxidative-restorative enzymes was approaching normal; some manifestations of changes in water metabolism in the animal organism persisted. At the end of the use of both mineral waters, a significant decrease was found in the content of visceral fat around the intestines, renal capsule, under the pericardium, which correlated with a decrease in the animal's body weight and restoration of the fasting blood glucose level to the cereal level. The authors believe that the established features of the corrective effect of both mineral waters on changes in the structure of internal organs are explained not so much by the difference in the content and ratio of the bioactive component (C org.), but by differences in the content of macronutrients. In mineral waters obtained by rats of group III, the content of Cl- and SO4+2 ions is 2.30 and 3.67 times, and Ca2+ and Мg2+ ions are 2.75 and 4.57 more than in mineral waters, which received rats of group IV. However, the content of HCO3-, Na+, K+ is 1.14 and 1.30 times higher in the mineral waters obtained by rats of group IV.
The authors believe that the macronutrients involved in the implementation of MWs biological activity affect the metabolic background of the organism, which creates the bioactive element - C org. conditions for the performance of more intensive corrective action.
代谢综合征(MS)是一种广泛存在的病理状况,是一组相互关联的代谢紊乱,可导致多种严重的非传染性疾病的发生。各种成分的天然矿泉水被广泛用于 MS 的矫正。其生物活性和作用特异性与特定成分(微量营养素、生物活性物质)的存在有关。与此同时,许多研究人员并没有足够重视低矿化矿泉水宏量营养素的生物活性的作用。
通过比较接受相同浴疗类型的矿泉水但宏量成分定量组成不同的 MS 模型大鼠内部器官结构的变化,评估矿泉水的矫正效果。
组织学和组织化学测试的材料是体重 280-320g 的雄性大鼠的内部器官。动物被分为 4 组:I - 大鼠作为对照,II - 大鼠患有 MS 模型;III 和 IV - 大鼠在 MS 建模背景下接受矿泉水。所使用的矿泉水的特点是有机物质(C org.)含量增加(数量相近),化学上相似但定量宏量成分组成不同。同时,矿泉水在总矿化度方面几乎没有差异。通过用 10%果糖溶液替代饮用水碗中的水、在饮食中添加白面包饼干以及从饮食中排除绿色物质,在 60 天内对 MS 进行建模。从实验的第 60 天开始,每天用橄榄油通过胃管给动物进行 MS 矫正,剂量为体重的 1%,持续 12 天。在第 72 天实验结束时,从提取的心脏、胃、肝和肾组织中制备组织切片(用苏木精-伊红染色)。在制备的冰冻切片上测定琥珀酸脱氢酶(SDH)和乳酸脱氢酶(LDH)的活性。使用光学显微镜评估上述器官结构的变化和氧化还原酶活性的变化。
氧化还原酶的活性趋于正常;动物体内水代谢的一些变化仍在继续。在使用两种矿泉水的最后阶段,发现肠道周围、肾包膜下、心包下的内脏脂肪含量显著减少,这与动物体重减轻和空腹血糖水平恢复到谷物水平有关。作者认为,两种矿泉水对内部器官结构变化的矫正作用的既定特征与其生物活性成分(C org.)的含量和比例差异无关,而与宏量营养素的含量差异有关。在第 III 组大鼠获得的矿泉水中,Cl-和 SO4+2 离子的含量分别是第 IV 组大鼠获得的矿泉水的 2.30 和 3.67 倍,而 Ca2+和 Mg2+离子的含量分别是第 IV 组大鼠获得的矿泉水的 2.75 和 4.57 倍。然而,第 IV 组大鼠获得的矿泉水中 HCO3-、Na+、K+的含量分别是第 III 组大鼠获得的矿泉水的 1.14 和 1.30 倍。
作者认为,参与实施 MWs 生物活性的宏量营养素会影响生物体的代谢背景,从而为 C org. 的发挥创造更积极的矫正作用的生物活性元素条件。