Relevance. According to the study’s results,
steady changes in various parts of the immune
system: cellular, humeral, phagocytic activity
is revealed in patients with type 2 diabetes.
Hyperglycemia, hyperlipidemia, insulin resistance,
and adaptive ehyperinsulinemia affect the cells of
the immune system, promoting the development of
metabolic immunosuppressant and forming a stable
immunological disorder.
The purpose of the study into the morphometric
and morphofunctional state of peripheral blood
leukocytes in patients with type 2 diabetes to
determine their significance in the development of
purulent-inflammatory diseases of soft tissues are
research.
Materials and methods. In this work, the
analysis of morphometric, cytogystochemical and
laboratory study results of the control (20 healthy
volunteers) and thematic (47 patients with
supportive soft tissue disease son the background
of type 2 diabetes mellitus) study groups with the
statistical processing of the obtained results was
used.
Results. The investigation of morphofunctional
features of nonspecific and specific protection cells
for purulent inflammatory diseases of tissues on
the background of type 2 diabetes showed that the
basis of diabetic complications are there vealed changes in the bactericidal activity of segmented
neutrophils. The trend of indicators of leukocyte
formula and the distribution curve of mononuclear
cells by size, as well as the growth of the lymphocyticgranulocytic
index, indicate a chronic formation of
endotoxin synthesize of diabetes.
Conclusions. Lowering the level of cationic
proteins, the activity of myeloperoxidase and
the NBT-test under stimulation of neutrophil
granulocytes bylectinsis a sign of unsatisfactory
state of the bactericidal cells system, which may
be the cause of chronic and acute inflammatory
processes in the body that accompany type 2 diabetes,
to a functional exhaustion of the macrophage link
in the organism immune defense.
Keywords: type 2 diabetes, purulent-inflammatory
diseases of soft tissues, immunogenesis, cytomorphometry,
cytogistochemistry, immunocompetent blood cells.