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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">mimmun</journal-id><journal-title-group><journal-title xml:lang="ru">Медицинская иммунология</journal-title><trans-title-group xml:lang="en"><trans-title>Medical Immunology (Russia)</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1563-0625</issn><issn pub-type="epub">2313-741X</issn><publisher><publisher-name>SPb RAACI</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.15789/1563-0625-2018-4-463-476</article-id><article-id custom-type="elpub" pub-id-type="custom">mimmun-1556</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ОБЗОРЫ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>REVIEWS</subject></subj-group></article-categories><title-group><article-title>ПУРИНЕРГИЧЕСКАЯ РЕГУЛЯЦИЯ ОСНОВНЫХ ФИЗИОЛОГИЧЕСКИХ И ПАТОЛОГИЧЕСКИХ ПРОЦЕССОВ</article-title><trans-title-group xml:lang="en"><trans-title>PURINERGIC REGULATION OF BASIC PHYSIOLOGICAL AND PATHOLOGICAL PROCESSES</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Головкин</surname><given-names>А. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Golovkin</surname><given-names>A. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>д.м.н., руководитель группы, Институт молекулярной биологии и генетики,</p><p>197341, Санкт-Петербург, ул. Аккуратова, 2</p></bio><bio xml:lang="en"><p>PhD, MD (Medicine), Head of a Research Group, Institute of Molecular Biology and Genetics,</p><p>197341, St. Petersburg, Akkuratova str., 2</p></bio><email xlink:type="simple">golovkin_a@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Асадуллина</surname><given-names>И. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Asadullina</surname><given-names>I. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>младший научный сотрудник отдела иммунологии,</p><p>Санкт-Петербург</p></bio><bio xml:lang="en"><p>Junior Research Associate, Department of Immunology,</p><p>St. Petersburg</p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Кудрявцев</surname><given-names>И. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Kudryavtsev</surname><given-names>I. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>к.б.н., старший научный сотрудник отдела иммунологии;</p><p>доцент кафедры иммунологии,</p><p>Санкт-Петербург</p></bio><bio xml:lang="en"><p>PhD (Biology), Senior Research Associate, Department of Immunology;</p><p>Assistant Professor, Department of Immunology, </p><p>St. Petersburg</p></bio><xref ref-type="aff" rid="aff-3"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГБУ «Национальный медицинский исследовательский центр имени В.А. Алмазова»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>V.A. Almazov National Medical Research Centre</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>ФГБНУ «Институт экспериментальной медицины»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Institute of Experimental Medicine</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>ФГБНУ «Институт экспериментальной медицины»;&#13;
 ГБОУ ВПО «Первый Санкт-Петербургский государственный медицинский университет имени академика И.П. Павлова» Министерства здравоохранения РФ</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Institute of Experimental Medicine;&#13;
First St. Petersburg State I.P. Pavlov Medical University</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2018</year></pub-date><pub-date pub-type="epub"><day>24</day><month>06</month><year>2018</year></pub-date><volume>20</volume><issue>4</issue><fpage>463</fpage><lpage>476</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Головкин А.С., Асадуллина И.А., Кудрявцев И.В., 2018</copyright-statement><copyright-year>2018</copyright-year><copyright-holder xml:lang="ru">Головкин А.С., Асадуллина И.А., Кудрявцев И.В.</copyright-holder><copyright-holder xml:lang="en">Golovkin A.S., Asadullina I.A., Kudryavtsev I.V.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.mimmun.ru/mimmun/article/view/1556">https://www.mimmun.ru/mimmun/article/view/1556</self-uri><abstract><p>В последние годы ведется активное изучение значимости пуринергического сигналинга в патогенезе широкого спектра заболеваний и патологических состояний, к числу которых относятся регуляция инфекционного и неинфекционного воспаления, опухолевого роста и метастазирования, реакций отторжения трансплантата, аутоиммунных заболеваний, кальцификации элементов сердечно-сосудистой системы и т.д. Было показано, что пуринергическая система осуществляет тонкую регуляцию функций клеток иммунной системы аналогично цитокиновой и хемокиновой секреции, удалению внутриклеточных патогенов и механизмов клеточной гибели. Основываясь на понимании механизмов развития этих состояний, в том числе и участии пуринергической системы в их регуляции, разрабатываются новые подходы к терапии и профилактике. Анализу достижений последнего времени в участии пуринергической регуляции в основных патологических состояниях и заболеваниях, а также трендам в разработке терапевтических подходов на основании полученных знаний посвящен данный обзор.</p></abstract><trans-abstract xml:lang="en"><p>Purinergic signaling has been actively studied over recent years. It happens, due to its involvement in pathogenesis of various diseases and pathologies such as infectious and non-infectious inflammation, tumor growth, graft-versus-host disease, autoimmune disorders, cardiovascular calcification etc. It has been shown that the purinergic system mediates fine tuning of the immune cell populations, like as cytokine and chemokine secretion, elimination of intracellular pathogens and mechanisms of programmed cell death. Novel approaches to therapy and disease prevention are based on studies of appropriate developmental mechanisms, including role of purinergic system in their regulation. This review contains analysis of recent achievements elucidating the role of purinergic regulation in pathogenesis of basic pathological conditions and diseases, as well as trends in development of new therapeutic approaches based on present knowledge.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>пуринергическая регуляция</kwd><kwd>CD39</kwd><kwd>CD73</kwd><kwd>АТФ</kwd><kwd>аденозин</kwd></kwd-group><kwd-group xml:lang="en"><kwd>purinergic regulation</kwd><kwd>CD39</kwd><kwd>CD73</kwd><kwd>ATP</kwd><kwd>adenosine</kwd></kwd-group><funding-group><funding-statement xml:lang="ru">РФФИ</funding-statement></funding-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Головкин А.С., Кудрявцев И.В., Серебрякова М.К., Малашичева А.Б., Шишкова А.А., Жидулева Е.В., Иртюга О.Б., Моисеева О.М. 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