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DOI: https://doi.org/10.22263/2312-4156.2026.2.55

T.V. Klimut1, A.V. Zaerko1, S.M. Zimatkin1, S.V. Emelyanchik2
C-fos in the brain piriform cortex neurons of rats in cholestasis 
1Grodno State Medical University, Grodno, Republic of Belarus
2Grodno State University named after Yanka Kupala, Grodno, Republic of Belarus

Vestnik VGMU. 2026;25(2):55-61.

Abstract.
Cholestasis (bile stasis) is known as a severe complication of many liver and biliary tract diseases. It disrupts bile flow from the liver into the duodenum, leading to digestive problems (especially lipid disturbances) and excessive bile components (bilirubin, bile acids, cholesterol) entering the bloodstream and then the brain. This disrupts the brain structure and function. 
Objectives. To elucidate the molecular mechanisms underlying these disorders, particularly the involvement of the c-fos protein in the adaptation of neurons in the piriform cortex to cholestasis. 
Material and Methods. The study involved neurons in layers II and III of the piriform cortex of rats at 2, 5, 10, 20, 45, and 90 days after common bile duct (CBD) ligation/transection or sham surgery (control). Histological, immunohistochemical, morphometric, and statistical methods were used. 
Results. In cholestasis, an increase in the number of c-fos-positive neurons with high immunoreactivity was observed in layer II of the piriform cortex. Peak activation occurred on day 2, with an increased number of neurons with high immunoreactivity persisting on days 5, 10, and 20. These values returned to control values on days 45 and 90. In layer III of the piriform cortex, no significant differences were found between the control and experimental groups at any time point. 
Conclusions. Cholestasis causes an early increase in cfos protein expression in neurons of the 2nd layer of the piriform cortex of the rat brain, stimulating the functional activity and adaptation of neurons to this pathological effect. When cholestasis is eliminated, the expression of cfos in them normalizes. In neurons of the 3rd layer, which is highly resistant to cholestasis, the expression of cfos does not change, which indicates the unequal involvement of this protein in the mechanisms of adaptation of neurons of different layers of the piriform cortex.
Keywords: cholestasis, rat piriform cortex, neurons, c-fos.

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Submitted 05.02.2026
Accepted 14.04.2026

Information about authors:
Tatyana V. Klimut – postgraduate of the Chair of Histology, Cytology & Embryology, Grodno State Medical University, https://orcid.org/0009-0001-5670-9030, e-mail: Этот адрес электронной почты защищён от спам-ботов. У вас должен быть включен JavaScript для просмотра.;
A.V. Zaerko – Candidate of Biological Sciences, associate professor of the Chair of Histology, Cytology & Embryology, Grodno State Medical University, https://orcid.org/0000-0001-6155-040X
S.M. Zimatkin – Doctor of Biological Sciences, professor, head of the Chair of Histology, Cytology & Embryology, Grodno State Medical University, https://orcid.org/0000-0001-5728-2588
S.V. Emelyanchik – Doctor of Biological Sciences, associate professor, head of the Chair of Ecology, Grodno State University named after Yanka Kupala, https://orcid.org/0009-0009-3032-8203

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