The parameters of several populations of immune cells (T cell populations, macrophage subpopulations) in peripheral blood and brain were studied in a clinically significant model of mild traumatic brain injury among rats. The population of resident cells of innate immunity of microglia and brain astrocytes with local tissue damage is involved in the implementation of the inflammatory response, it is also shown that in case of trauma, blood leukocytes can overcome the blood-brain barrier and penetrate the brain parenchyma. The methods of flow cytometry and immunofluorescence were used. An increase in the number of monocytes and neutrophils up to 1 day, after a mild traumatic brain injury (TBI) with a subsequent decrease to the end of the observation period was noticed. It was determined, that the number of CD45+ cells, CD3+T cells decreased at 1 days post-injury (dpi), and rose slightly by 14 dpi, the percentage of CD4+T cells continuously declined from 7 to 14 dpi, while the percentage of CD8+T cells increased from 7 to 14 dpi. With mild traumatic brain injury in animals, a significant (3-10 times) decrease in the number of microvessels with a positive reaction to the presence of SMI 71 on the 8th and 14th day after head injury was observed. Intensive staining of SMI 71 microvessels was sometimes observed with an increase in the area of a positive reaction. Thin positive deposits of the reaction product are observed in the brain of healthy animals around the wall of the microvessel. In the damaged brain, CD45high/CD11b+ positive macrophages of the M1 subpopulation appeared in the brain tissue on the 2nd day after TBI and a significant amount was observed on the 8-14th day. In the corpus callosum and ipsilateral region of the striatum, the content of cells expressing CD16/11b+ reached a maximum 8 days after TBI, which correlated with a decrease in the positive response to the presence of endothelial antigen SMI 71. Thus, in the acute period of mild TBI, the presence of neuroimmunopathological processes is determined in the brain, which can subsequently result to the dysregulation of neuroimmune connections.

There is an increasing consensus that the treatment of Hidradenitis suppurativa (HS) significantly varies with the degree of inflammation and that treatment according to guidelines is not always successful. Here, we report the case of a 31-year-old male with widespread, highly inflammatory Hurley Stage II HS in multiple locations who failed to respond to any kind of established medical treatment, including biologics. As an alternative approach, Ustekinumab was maintained, and additionally the patient was treated with LAight therapy, a combination of intense pulsed light and radiofrequency. After 10 sessions, deroofing of multiple lesions was performed in a two-step process. After a few weeks of healing time accompanied by specialized wound experts, the patient continued with LAight therapy to control and prevent recurrence. This case shows that the combination of LAight therapy and deroofing is a promising treatment plan for the long-term symptom control of mild and moderate HS.

Purpose of the study: to assess the histochemical features of the localization of calciumdependent receptors of the left lung cell membrane on the 8th day of experimental compensated traumatic brain injury. Materials and methods: The object of the study was male albino outbred rats, three months old, weight 270-300 grams. Created two groups of animals: 1 - control: intact rats; 2- experimental: rats with TBI. To create a head injury, a model of a falling weight was used. Animals were withdrawn from the experiment on the 8th day of head injury. We studied paraffin sections of the left lung of rats. Using the Abcam kits (USA), an immunohistochemical study of the localization of endothelin -1 on sections of the left lung was carried out, the histochemical detection of calcium cations was performed using alizarin red C. Results. The morphofunctional characteristics of the lungs of rats with experimental traumatic brain injury were investigated. It was found that when the brain of experimental animals is damaged, lipid-associated lymphoid clusters appear in the root of the left lung of rats, and the content of endothelin-1 in cardiomyocytes of the pulmonary vein and epithelium of terminal bronchioles increases. A change in the histochemical characteristics of the localization of calcium cations in the cells and tissues of the left lung is revealed, which indicates a tendency towards the development of obstruction of terminal bronchioles and migration of macrophages into the parenchyma of the alveoli. Conclusion: Thus, with TBI, the mechanisms of humoral regulation of the respiratory system function significantly change. Histochemical study of endothelin 1 revealed that the expression in the lung tissues is calcium-dependent. receptor and mediator systems of cell membranes. These data are confirmed by staining the lungs with alizarin red C.

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In mild traumatic brain injury, it is of interest to study neurode-generative conditions resulting from inflammatory changes in the nervous tissue. Purpose of the study: in the acute period in case of mild experimental traumatic brain injury, to reveal structural transformations of the nervous tissue of the brain. A modified model of a falling weight was used to reproduce of these trauma in adult rats. An immunohistochemical study of the brain with using rat-specific monoclonal antibodies to endothelin-1, glial fibrillar acidic protein, vimentin, and blood-brain barrier endothelial protein (SMI 71) was performed. It has been established that on the first day after injury in the cerebral cortex of animals, the spasm of blood vessels with capillary ischemia predominates. On day 8, there is an increase in the number of hyper- and hypochromic neurons, and after 14 days, restoration of the tone of the microcircu-latory bed is detected with signs of a violation of the permeability of the blood-brain barrier. A significant redistribution in the tissues of the cerebral hemispheres of glial elements containing acid glial protein and vimentin, as well as neurons producing endothelin-1, was noted. In the delayed post-traumatic period, compensatory reactions of the nervous tissue were revealed, which are characterized by the presence of morphological changes in neurons (an increase in the diameter and number of nucleoli in size) associated with intracellular regeneration, as well as the synthesis of various protein factors in them. Thus, the pathogenesis of mild experimental craniocerebral injury in the ischemic (1 day) and intermediate (8 days) periods is characterized by the presence of mild violations of the structural integrity of the nervous tissue of the brain. In the late post-traumatic period (14 days), neurons and astrocytes exhibit compensatory reactions.