O.G. Gileva Post-graduate Student, Department of Clinical Biochemistry and Laboratory Diagnostics, Izhevsk State Medical Academy (Izhevsk) E-mail:

Relevance. The increased content of fructose as a common source of carbohydrates in foods leads to metabolic disorders in the body, which may be due to biochemical characteristics of fructose metabolism. The result is an increased risk of obesity, diabetes mellitus, cardiovascular diseases, as well as liver diseases induced by the formation of oxidative stress amid changes in lipid and carbohydrate metabolism. The destructive processes in the liver may be indicated by an increase in the content of the main markers of hepatocyte cytolysis: alanine aminotransferase (ALT), aspartate ami-notransferase (AST), alkaline phosphatase (ALP), lactate dehydrogenase (LDH). Objective. To create an experimental model of the development of inflammatory processes in the liver under the influence of a fructose-induced diet. Material and methods. The study was conducted on 50 male rats with a body weight of 250-300 g. Animals were divided into experimental and control groups of 25 animals each. Rats of the control group received a balanced diet of vivarium, animals of the experimental group received a diet containing 60% fructose of daily calories. On the 60th day, the formation of metabolic deviations in the long-term was evaluated. In the obtained se-rum, the content of glucose, cholesterol (cholesterol), low-density lipoproteins (LDL), triglycerides (TG), insulin, the activity of ALT, AST, alkaline phos-phatase, LDH were studied. Biochemical studies were carried out on an automatic analyzer AU-480 (Beckman Coulter, USA) using reagents of the same manufacturer. The insulin content was determined on an enzyme-linked immunosorbent analyzer StatFax-2100 (Awareness Technology, USA) using a set of reagents LLC Vector-best, Russia. Indices of insulin resistance were calculated. Results. During the study, there was a tendency to an increase in glucose concentration with a significant increase on the 21st and 60th day of the ex-periment by 1.18 and 1.21 times, respectively, and cholesterol on the 35th day of the experiment by 1.59 times relative to the control in rat blood se-rum. The insulin concentration significantly increased throughout the experiment, exceeding the control values by 1.5, 1.7, and 1.9 times on the 21st, 35th, and 60th days of the experiment. The insulin resistance indices also differed from the control values, which may indicate the formation of insulin resistance. The LDL content was statistically significantly increased throughout the experiment. During the experiment, there was an increase in the activity of hepatocyte cytolysis markers with a significant increase compared with the control. A decrease in the de Ritis coefficient confirms the activation of cytolytic processes in the liver. Conclusion. Thus, a fructose-induced diet increases the content of specific rat liver enzymes (ALT, AST, ALP, LDH) against the background of disturb-ances in lipid and carbohydrate metabolism with increased concentrations of cholesterol, triglycerides, LDL, as well as glucose and insulin, the for-mation of insulin resistance. The reason for the initiation of cytolytic processes in hepatocytes may be free-radical oxidation of protein-lipid complexes and activation of inflammatory reactions as a result of increased consumption of fructose.

carbohydrate metabolism
lipid metabolism
enzyme activity
cytolysis markers

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