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<article article-type="review-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-MMO-2877</article-id><article-id custom-type="elpub" pub-id-type="custom">mimmun-2877</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>Макрофаги М1/М2: происхождение, фенотип, способы получения, взаимодействие с естественными киллерами и трофобластом</article-title><trans-title-group xml:lang="en"><trans-title>M1/M2 macrophages: origin, phenotype, methods of production, interaction with natural killer cells and trophoblast</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>Жгулева</surname><given-names>А. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Zhguleva</surname><given-names>A. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Жгулева А.С. – лаборант-исследователь, лаборатория межклеточных взаимодействий, отдел иммунологии и межклеточных взаимодействий</p><p>Санкт-Петербург</p></bio><bio xml:lang="en"><p>Zhguleva A.S., Assistant, Laboratory of Intercellular Interactions, Department of Immunology and Intercellular Interactions</p><p>St. Petersburg</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Зементова</surname><given-names>М. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Zementova</surname><given-names>M. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Зементова М.С. – лаборант-исследователь, лаборатория межклеточных взаимодействий, отдел иммунологии и межклеточных взаимодействий</p><p>199034, Россия, Санкт-Петербург, Менделеевская линия, 3</p><p>Тел.: 8 (951) 650-25-28</p></bio><bio xml:lang="en"><p>Zementova M.S., Assistant, Laboratory of Intercellular Interactions, Department of Immunology and Intercellular Interactions</p><p>3 Mendeleevskaya Line St. Petersburg 199034 Russian Federation</p><p>Phone: +7 (951) 650-25-28.</p></bio><email xlink:type="simple">marizementova@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>Сельков</surname><given-names>С. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Selkov</surname><given-names>S. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Сельков С.А. – д.м.н., профессор, заслуженный деятель науки РФ, заведующий отделом иммунологии и межклеточных взаимодействий; профессор кафедры иммунологии</p><p>Санкт-Петербург</p></bio><bio xml:lang="en"><p>Selkov S.A., PhD, MD (Medicine), Professor, Head, Department of Immunology and Intercellular Interactions; Professor, 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>Соколов</surname><given-names>Д. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Sokolov</surname><given-names>D. I.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Соколов Д.И. – д.б.н., профессор, заведующий лабораторией межклеточных взаимодействий, отдел иммунологии и межклеточных взаимодействий; профессор кафедры иммунологии</p><p>Санкт-Петербург</p><p> </p></bio><bio xml:lang="en"><p>Sokolov D.I., PhD, MD (Biology), Professor, Head, Laboratory of Intercellular Interactions, Department of Immunology and Intercellular Interactions; Professor, Department of Immunology</p><p>St. Petersburg</p></bio><xref ref-type="aff" rid="aff-2"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГБНУ «Научно-исследовательский институт акушерства, гинекологии и репродуктологии имени Д.О. Отта»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>D. Ott Research Institute of Obstetrics, Gynecology and Reproductology</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>ФГБНУ «Научно-исследовательский институт акушерства, гинекологии и репродуктологии имени Д.О. Отта»; ФГБОУ ВО «Первый Санкт-Петербургский государственный медицинский университет имени академика И.П. Павлова» Министерства здравоохранения РФ</institution><country>Россия</country></aff><aff xml:lang="en"><institution>D. Ott Research Institute of Obstetrics, Gynecology and Reproductology; First St. Petersburg State I. Pavlov Medical University</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2024</year></pub-date><pub-date pub-type="epub"><day>05</day><month>03</month><year>2024</year></pub-date><volume>26</volume><issue>3</issue><fpage>425</fpage><lpage>448</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Жгулева А.С., Зементова М.С., Сельков С.А., Соколов Д.И., 2024</copyright-statement><copyright-year>2024</copyright-year><copyright-holder xml:lang="ru">Жгулева А.С., Зементова М.С., Сельков С.А., Соколов Д.И.</copyright-holder><copyright-holder xml:lang="en">Zhguleva A.S., Zementova M.S., Selkov S.A., Sokolov D.I.</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/2877">https://www.mimmun.ru/mimmun/article/view/2877</self-uri><abstract><p>В настоящем обзоре представлены современные данные о происхождении моноцитов/ макрофагов, условиях, необходимых для дифференцировки моноцитов в макрофаги М1 или М2. Описаны три субпопуляции моноцитов периферической крови: 1) классические – основная субпопуляция (85-90%), эффективно осуществляющая фагоцитоз; 2) промежуточные моноциты (5-10%) – участвуют в процессинге и презентации антигена, в ангиогенезе, восстановлении эндотелия сосудов; 3) неклассические моноциты (10%) – «патрулируют» сосудистую сеть, удаляют клеточный дебрис, участвуют в ремоделировании тканей. В обзоре приведены подробные характеристики для каждого подкласса макрофагов: провоспалительные (М1) и противовоспалительные (М2), играющие разные роли в инициации и разрешении воспаления; описаны их фенотип, спектр секретируемых цитокинов, экспрессия транскрипционных факторов, выполняемые функции. Для популяции М2 подробно описаны особенности субпопляции: М2a, М2b, М2c, М2d. В обзоре приведены методы и подходы к получению поляризованных макрофагов в условиях in vitro как из моноцитов периферической крови, так и из клеток перевиваемых культур, основанные на сигналах, получаемых макрофагами в условиях in vivo; приведены фенотип, продукция цитокинов и функциональные свойства искусственно поляризованных макрофагов в зависимости от условий их получения. В обзоре подробно рассматриваются особенности контактного и дистантного взаимодействия макрофагов различных подклассов с клетками микроокружения на примере естественных киллеров и клеток трофобласта, приводятся сведения об изменении фенотипа, транскрипционного и секреторного профиля взаимодействующих клеток. Описаны механизмы контроля трофобластом дифференцировки макрофагов в уникальную М2-популяцию децидуальных макрофагов, контролирующих как развитие и функционирование трофобласта, так и его апоптоз. В обзоре подробно рассматриваются известные на сегодняшний день варианты взаимодействия субпопуляций макрофагов с естественными киллерами. Влияние Мϕ на NK-клетки проявляется в изменении экспрессии последними транскрипционных факторов, определяющих не только их дифференцировку, но и функциональную активность. Макрофаги рассматриваются как клетки, активно влияющие на функциональное состояние и дифференцировку естественных киллеров. В обзоре рассматриваются механизмы взаимоотношений всех трех типов клеток: макрофагов, трофобласта и естественных киллеров в зоне маточно-плацентарного контакта. Изучение взаимодействий этих клеток прольет свет не только на особенности межклеточных взаимоотношений в зоне маточно-плацентарного контакта, но и на взаимоотношения клеток опухолей с NK-клетками и макрофагами.</p></abstract><trans-abstract xml:lang="en"><p>This review presents current data on the origin of monocytes/macrophages, the conditions necessary for the differentiation of monocytes into M1 or M2 macrophages. Three subpopulations of peripheral blood monocytes are described: (I) classical – the main subpopulation (85-90%), effectively carrying out phagocytosis; (II) intermediate monocytes (5-10%) – participate in antigen processing and presentation, in angiogenesis, vascular endothelium restoration; (III) non-classical monocytes (10%) - "patrol" vascular network, remove cellular debris, participate in tissue remodeling. The review provides detailed characteristics for each subclass of macrophages: pro-inflammatory (M1) and anti-inflammatory (M2), which play different roles in the initiation and resolution of inflammation; their phenotype, the spectrum of secreted cytokines, the expression of transcription factors, and the functions performed are described. For the M2 population, the features of the subpopulation are described in detail: M2a, M2b, M2c, M2d. The review presents methods and approaches to obtaining polarized macrophages in vitro from both peripheral blood monocytes and cells of transplanted cultures based on signals received by macrophages in vivo; the phenotype, cytokine production and functional properties of artificially polarized macrophages depending on the conditions of their production are given. The review examines in detail the features of contact and distant interaction of macrophages of various subclasses with microenvironment cells on the example of natural killer cells and trophoblast cells, provides information on changes in the phenotype, transcriptional and secretory profile of interacting cells. The mechanisms of trophoblast control of macrophage differentiation into a unique M2 population of decidual macrophages controlling both the development and functioning of the trophoblast and its apoptosis are described. The review examines in detail the currently known variants of the interaction of macrophage subpopulations with natural killers. The influence of Mf on NK cells manifests itself in a change in the expression of transcription factors by the latter, which determine not only their differentiation, but also their functional activity. Macrophages are considered as cells that actively influence the functional state and differentiation of natural killers. The review examines the mechanisms of the relationship of all three types of cells: macrophages, trophoblast and natural killers in the area of uteroplacental contact. The study of the interactions of these cells will shed light not only on the features of intercellular relationships in the area of uteroplacental contact, but also on the relationship of tumor cells with NK cells and macrophages.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>макрофаг</kwd><kwd>моноцит</kwd><kwd>NK-клетки</kwd><kwd>трофобласт</kwd><kwd>беременность</kwd><kwd>плацента</kwd><kwd>раковые опухоли</kwd></kwd-group><kwd-group xml:lang="en"><kwd>macrophage</kwd><kwd>monocyte</kwd><kwd>NK cells</kwd><kwd>trophoblast</kwd><kwd>pregnancy</kwd><kwd>placenta</kwd><kwd>cancerous tumors</kwd></kwd-group><funding-group><funding-statement xml:lang="ru">Работа поддержана государственной программой поисковых научных исследований № 1022040700815-2-3.2.2;3.1.3-1-11 (FGWN- 2023-0006)</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">Айламазян Э.К., Степанова О.И., Сельков С.А., Соколов Д.И. 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