The study of morphological changes in the kidneys of white rats after intramuscular injection of insulin at a dose of 1 IU/kg of body weight was carried out. The insulin effect was amplified using stress models of immobilization and swimming. Blood samples from tail vein of rats were taken to confirm the action of insulin. At autopsy, the authors conducted the fence venous blood flowing from the kidneys. Comparison with a control group showed that morphological changes in the renal parenchyma were formed after the insulin introduction and characterized by venous congestion in the microvasculature, ischemic changes in the renal parenchyma with areas of hemorrhage, thickening of the basement membrane, expansion of tubules, hydropic degeneration of the epithelium, hypertrophy and enlargement of the loops of the glomeruli. Measurement of glucose in venous blood flowing from the kidneys revealed hyperglycemia. The morphological changes in the tissues of the kidney indicate the development of venous congestion, glomerular hyperfiltration and hypovolemia, hypertension, glycosuria, glycosylation membranes, the deposition of glycogen in the epithelium of kidney tubules, microalbuminuria. The obtained results allow to draw attention to the fact that among the factors of damage during the development of diabetic nephropa-thy, a hyperinsulinemia may have a negative impact
morphological changes in the kidney of Wistar rats, insulin, ischemia, hyperfiltration.
1. Abdi R., Chavin K., Nadasdi T. Nodulyarnyy glomeruloskleroz v transplantate pochki u retsipien-ta, ne imeyushchego diabeta. Nefrologiya i dializ 2002. T4, N 3. S. 202-205.
2. Adasheva T.V., Demicheva O.Yu. Metabolicheskiy sindrom - osnovy patogeneticheskoy terapii. Lechashchiy Vrach. 2003. №10. S. 24-28.
3. Balabolkin M.I. Endokrinologiya. Moskva: Universum pablishing, 1998. 416 s.
4. Vel´kov V. V. Diabeticheskaya nefropatiya v trekh izmereniyakh: liperfil´tratsiya, al´bumin, kreati-nin. Laboratorna dіagnostika. 2012. №4. S. 50-72.
5. Davydovskiy I.V. Obshchaya patologiya cheloveka. Vtoroe izdanie, pererabotannoe i dopolnennoe. Moscow: «Meditsina», 1969.
6. Dzhidzhikhiya K.M., Kade A.Kh., Zanin S.A., Dzhidzhikhiya Z.M., Solov´eva M.R., Dzhikiya T.G., Sogomo-nyan K.A. Rol´ giperinsulinemii v razvitii arterial´noy gipertenzii pri metabolicheskom sindrome 2. Mezhdunarodnyy zhurnal prikladnykh i fundamental´nykh issledovaniy. 2013. №5. S. 102.
7. Dzugkoev S.G., Datieva L.R., Dzugkoeva F.S. Uchastie insulina v regulyatsii elektrolitovydeli-tel´noy funktsii pochek. Uspekhi sovremennogo estestvoznaniya. 2004. № 8. S. 40
8. Drazhnin B. Effekty khronicheskoy giperinsulinemii u insulinorezistentnykh bol´nykh. URL: http://www.health-medix.com/articles/anti_aging/2008-06-14/4-8.pdf
9. Evseev I.S., Polina Yu.V., Chuprova A.V. Sochetannye morfologicheskie izmeneniya pochek i nadpo-chechnikov pri stresse u krys. URL: http://www.usrp.ru/component/content/article?id=1383:sochetannye-morfologicheskie-izmeneniya-pochek-i-nadpochechnikov-pri-stresse-u-krys
10. Kozlovskaya N.L., Varshavskiy V.A., Bobkova I.N., Golitsyna E.P., Savel´eva S.A. Nodulyarnyy glomeruloskleroz u bol´noy sakharnym diabetom 2 tipa i kombinirovannoy formoy trombofilii.. Nefrologiya i dializ. 2009. N 2. S. 129-132.
11. Kronenberg G.M., Melmed Sh., Polonski K.S., Larsen P.R. Endokrinologiya po Vil´yamsu. Sakhar-nyy diabet i narusheniya uglevodnogo obmena / per. s angl. pod red. I.I. Dedova, G.A. Mel´nichenko. M., 2010. 640 s.
12. Levankovskaya E.I., Shvetsov M.Yu., Zilov A.V., Shilov E.M. Insulinorezistentnost´ kak ranniy prediktor neblagopriyatnogo techeniya khronicheskoy bolezni pochek nediabeticheskoy etiologii. Nefrologiya i dializ. 2010. №2. C. 74-81.
13. Makisheva R.T., Subbotina T.I, Bantysh B.B., Konstantinova D.A. Ishemicheskie izmeneniya v go-lovnom mozge belykh krys raznogo vozrasta posle vvedeniya insulina. Vestnik novykh meditsinskikh tekhno-logiy. Elektronnoe izdanie. 2015. № 1. Publikatsiya 2-13. URL: http://www.medtsu.tula.ru/ VNMT/Bulletin/E2015-1/5110.pdf (Data publikatsii: 25.03.2015). DOI:https://doi.org/10.12737/10409
14. Mal´kov P.S., Oleynikov V.E., Tomashevskaya Yu.A. Strukturnye i funktsional´nye izmeneniya v pochkakh pri arterial´noy gipertenzii. Mezhdunarodnyy meditsinskiy zhurnal. 2004. №1. S. 135-138.
15. Oganov R.G., Aleksandrov A.A. Giperinsulinemiya i arterial´naya gipertoniya: vozvrashchayas´ k vy-vodam United Kingdom Prospective Diabetes Study. Russkiy meditsinskiy zhurnal. 2002. N 11. S. 486-491.
16. Tupikin V.D. Izmeneniya v tkanyakh pochki pri stresse i elektromagnitnom izluchenii razlichnykh GGts chastot. Avtoreferat dissertatsii... kand. med. nauk. Saransk, 2011. 24 s.
17. Shamkhalova M.Sh., Kurumova K.O., Shestakova M.V. Faktory tubulointerstitsial´nogo porazheniya pochek pri sakharnom diabete. Sakharnyy diabet. 2009. №4. S. 61-65.
18. Shestakova M.V. Sakharnyy diabet i khronicheskaya bolezn´ pochek: sovremennaya diagnostika i lechenie. Vestnik RAMN. 2012. № 1. S. 45-49.
19. Shlyakhova V.A. Morfofunktsional´nye narusheniya mikrotsirkulyatornogo rusla v pochkakh u giper-tenzivnykh krys v usloviyakh stressa. URL: http://www.usrp.ru/usrp-2008/mediko-biologicheskie-distsipliny/1133-morfofunktsionalnye-narusheniya-mikrotsirkulyatornogo-rusla-v-pochkakh-u-gipertenzivnykh-krys-v-usloviyakh-stressa
20. Blaslov K., Bulum T., Duvnjak L. Pathophysiological factors in the development of diabetic nephropathy -new insights. Acta Med Croatica. 2014. 68(2). P. 135-140.
21. Chelliah A.1., Burge M.R. Insulin edema in the twenty-first century: review of the existing literature. J Investig Med. 2004. 52(2). P. 104-108.
22. de Leeuw P.W., Birkenhager W.H. Porazhenie pochek pri gipertonicheskoy bolezni i vozdeystvie lecheniya. Neth J Med. 1995. V. 47. P. 199-204.
23. Fawcett J., Rabkin R. Sequential processing of insulin by cultured kidney cells. Endocrinology. 1995. 136(1). P. 39-45.
24. Féraille E., Rousselot M., Rajerison R., Favre H. Effect of insulin on Na+,K(+)-ATPase in rat collecting duct.. J Physiol. 1995. 488 ( Pt 1). P. 171-180.
25. Sarafidis P.A., Bakris G.L.The antinatriuretic effect of insulin: an unappreciated mechanism for hypertension associated with insulin resistance?. Am J Nephrol. 2007. 27(1). P. 44-54.
26. Harada S., Ushigome H., Nishimura A., Nakao T., Nakamura T., Koshino K., Suzuki T., Itoh T., Nobo-ri S., Yoshimura N. Histological reversibility of diabetic nephropathy after kidney transplantation from diabetic donor to non-diabetic recipient. Nephrology (Carlton). 2015. 2. P. 40-44. DOI:https://doi.org/10.1111/nep.12451.
27. Ritz E. Diabetic nephropathy. Saudi J Kidney Dis Transpl. 2006. 17(4). P. 481-490.
28. Ronco C., Cruz D.N. Biomarkers in cardio-renal syndromes (Rassegna). Altri Contributi LigandAssay. 2009. 14(4). P. 340-349.