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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 custom-type="elpub" pub-id-type="custom">mimmun-3509</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>Т-регуляторные клетки: многоликие и вездесущие</article-title><trans-title-group xml:lang="en"><trans-title>Regulatory T cells: multifaceted and omnipresent</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0008-8631-0339</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Ризопулу</surname><given-names>А. П.</given-names></name><name name-style="western" xml:lang="en"><surname>Rizopulu</surname><given-names>Anna P.</given-names></name></name-alternatives><bio xml:lang="ru"><p>доктор биологических наук, доцент кафедры клинической лабораторной диагностики с курсом лабораторной иммунологии</p></bio><bio xml:lang="en"><p>PhD, MD (Biology), Associate Professor, Department of Clinical Laboratory Diagnostics with a Course in Laboratory Immunology, Russian Medical Academy of Continuous Professional Education of the Ministry of Health of the Russian Federation, Moscow, Russia</p></bio><email xlink:type="simple">annarizopulu@inbox.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-3749-1950</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Гариб</surname><given-names>Фируз Юсупович</given-names></name><name name-style="western" xml:lang="en"><surname>Garib</surname><given-names>Firuz Yu.</given-names></name></name-alternatives><bio xml:lang="ru"><p>доктор медицинских наук, профессор, профессор кафедр иммунологии</p></bio><bio xml:lang="en"><p>PhD, MD (Medicine), Professor, Professor, Department of Clinical Laboratory Diagnostics with a Course in Laboratory Immunology, Russian Medical Academy of Continuous Professional Education of the Ministry of Health of the Russian Federation; Professor, Department of Immunology, Lomonosov Moscow State University; Professor, Department of Immunology, Sechenov University, Moscow, Russia</p></bio><email xlink:type="simple">fgarib@yandex.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-3855-217X</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Гариб</surname><given-names>Виктория Фирузовна</given-names></name><name name-style="western" xml:lang="en"><surname>Garib</surname><given-names>Viktorya F.</given-names></name></name-alternatives><bio xml:lang="ru"><p>доктор медицинских наук, профессор, консультант Международного центра молекулярной аллергологии</p></bio><bio xml:lang="en"><p>PhD, MD (Medicine), Professor, consultant of the International Center for Molecular Allergology of the Academy of Sciences of the Republic of Uzbekistan, Tashkent, Republic of Uzbekistan</p></bio><email xlink:type="simple">vgarib@inbox.ru</email><xref ref-type="aff" rid="aff-3"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Российская медицинская академия непрерывного профессионального образования</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Russian Medical Academy of Continuous Professional Education, Moscow, Russian Federation</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>Российская медицинская академия непрерывного последипломного образования</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Russian Medical Academy of Continuous Professional Education, Moscow, Russian Federation;&#13;
Lomonosov Moscow State University, Moscow, Russian Federation;&#13;
Sechenov University, Moscow, Russian Federation</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>Международный центр молекулярной аллергологии</institution><country>Узбекистан</country></aff><aff xml:lang="en"><institution>International Center of Molecular Allergology of Academy of Science, Tashkent, Uzbekistan</institution><country>Uzbekistan</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2019</year></pub-date><pub-date pub-type="epub"><day>16</day><month>10</month><year>2026</year></pub-date><volume>0</volume><issue>0</issue><issue-title>Online First</issue-title><elocation-id>3509</elocation-id><permissions><copyright-statement>Copyright &amp;#x00A9; Ризопулу А.П., Гариб Ф.Ю., Гариб В.Ф., 2019</copyright-statement><copyright-year>2019</copyright-year><copyright-holder xml:lang="ru">Ризопулу А.П., Гариб Ф.Ю., Гариб В.Ф.</copyright-holder><copyright-holder xml:lang="en">Rizopulu A.P., Garib F.Y., Garib V.F.</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/3509">https://www.mimmun.ru/mimmun/article/view/3509</self-uri><abstract><p>Резюме. Т‑регуляторные клетки (Treg) — ключевые медиаторы иммунной толерантности и тканевого гомеостаза, предотвращающие аутоиммунные реакции и избыточное воспаление. Основные субпопуляции: тимические (tTreg/nTreg), формирующиеся в тимусе и обогащённые рецепторами к аутоантигенам; индуцированные (iTreg/pTreg), дифференцирующиеся на периферии из наивных CD4⁺ T‑клеток. Фенотипическая идентификация базируется на экспрессии Foxp3, CD25 и низком уровне CD127. Механизмы супрессии включают: секрецию ингибиторных цитокинов (IL‑10, TGF‑β, IL‑35); действие молекул контрольных точек (CTLA‑4, PD‑1, LAG‑3, TIGIT); метаболическую модуляцию через CD39/CD73 (генерация аденозина); подавление Ca²⁺‑сигнализации в эффекторных лимфоцитах и др. Стабильность Treg поддерживается эпигенетическими механизмами и метаболическими программами; пластичность проявляется в формировании гибридных субпопуляций Treg/Th c частичной супрессорной активностью  и продукцией соответствующих цитокинов хелперной составляющей: Th1-Treg, Th2-Treg, Th17-Treg, Tfr-Treg — в зависимости от тканевого микроокружения [<xref ref-type="bibr" rid="cit35">35</xref>]. Миграция и тканевая резидентность регулируются хемокиновыми рецепторами и молекулами адгезии. CD69 блокирует S1PR1, обеспечивая удержание Treg в ткани. ST2 служит маркером и функциональным рецептором Treg в барьерных тканях и активируется «сигналами тревоги» (IL‑33). В разных органах Treg приобретают уникальный транскриптом и функциональные особенности (например, в кишечнике — α4β7⁺CD103⁺, в жировой ткани — зависимость от PPARγ, ID2, BATF), участвуют в поддержании толерантности, контроле воспаления и индукции репаративных процессов путем подавления воспаления и переключения макрофагов на М2 фенотип. Treg обеспечивают протективный контроль иммунного ответа, но в ряде случаев (опухоли, фиброз) могут способствовать прогрессированию заболевания. Изучение стабильности, пластичности и миграции Treg открывает перспективы для таргетной иммунотерапии.</p></abstract><trans-abstract xml:lang="en"><p>Abstract. Regulatory T cells (Treg) are key mediators of immune tolerance and tissue homeostasis, preventing autoimmune reactions and excessive inflammation. The main subpopulations are: thymic (tTreg/nTreg), formed in the thymus and enriched in receptors for autoantigens; induced (iTreg/pTreg), differentiating in the periphery from naive CD4⁺ T cells. Phenotypic identification is based on the expression of Foxp3, CD25 and low levels of CD127. Suppression mechanisms include: secretion of inhibitory cytokines (IL 10, TGF β, IL 35); action of checkpoint molecules (CTLA 4, PD 1, LAG 3, TIGIT); metabolic modulation via CD39/CD73 (adenosine generation); suppression of Ca²⁺ signaling in effector lymphocytes, etc. Treg stability is maintained by epigenetic mechanisms and metabolic programs; plasticity is manifested in the formation of hybrid Treg/Th subpopulations with partial suppressor activity and the production of corresponding helper cytokines: Th1-Treg, Th2-Treg, Th17-Treg, Tfr-Treg, depending on the tissue microenvironment. Migration and tissue residency are regulated by chemokine receptors and adhesion molecules. CD69 blocks S1PR1, ensuring Treg retention in tissue. ST2 serves as a marker and functional receptor for Treg in barrier tissues and is activated by "alarm signals" (IL 33). In different organs, Tregs acquire unique transcriptomes and functional characteristics (for example, in the intestine—α4β7⁺CD103⁺; in adipose tissue—dependence on PPARγ, ID2, and BATF). They participate in maintaining tolerance, controlling inflammation, and inducing reparative processes by suppressing inflammation and switching macrophages to the M2 phenotype. Tregs provide protective control of the immune response, but in some cases (tumors, fibrosis) they can contribute to disease progression. Studying the stability, plasticity, and migration of Tregs opens up prospects for targeted immunotherapy.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>тканеспецифические Т-регуляторные клетки</kwd><kwd>Th1-Treg</kwd><kwd>Th2-Treg</kwd><kwd>Th17-Treg</kwd><kwd>Tfr-Treg-клетки</kwd><kwd>тканевое микроокружение</kwd><kwd>пластичность</kwd></kwd-group><kwd-group xml:lang="en"><kwd>Key words: tissue-specific T-regulatory cells</kwd><kwd>Th1-Treg</kwd><kwd>Th2-Treg</kwd><kwd>Th17-Treg</kwd><kwd>Tfr-Treg cells</kwd><kwd>tissue microenvironment</kwd><kwd>plasticity</kwd></kwd-group><funding-group><funding-statement xml:lang="ru">При подготовке обзора финансовая поддержка не оказывалась</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">Арсентьева Н. А., Семёнов А. В., Жебрун А. Б., Васильева Е. В., Тотолян А. А. 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