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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">cardiovascular</journal-id><journal-title-group><journal-title xml:lang="ru">Кардиоваскулярная терапия и профилактика</journal-title><trans-title-group xml:lang="en"><trans-title>Cardiovascular Therapy and Prevention</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1728-8800</issn><issn pub-type="epub">2619-0125</issn><publisher><publisher-name>«SILICEA-POLIGRAF» LLC</publisher-name></publisher></journal-meta><article-meta><article-id custom-type="elpub" pub-id-type="custom">cardiovascular-2060</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>ИШЕМИЧЕСКАЯ БОЛЕЗНЬ СЕРДЦА</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>CORONARY HEART DISEASE</subject></subj-group></article-categories><title-group><article-title>Прогностическая значимость носительства аллельных вариантов генов, контролирующих систему гемостаза, и их сочетания с традиционными факторами риска в раннем развитии ишемической болезни сердца</article-title><trans-title-group xml:lang="en"><trans-title>Prognostic role of hemostasis-regulating genetic factors and their interaction with conventional risk factors at the early stages of coronary heart disease development</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>Андреенко</surname><given-names>Е. Ю.</given-names></name><name name-style="western" xml:lang="en"><surname>Andreenko</surname><given-names>E. Yu.</given-names></name></name-alternatives><bio xml:lang="ru"><p>научный сотрудник отдела клинической кардиологии и молекулярной генетики</p><p>Москва </p></bio><bio xml:lang="en"><p>Moscow</p></bio><email xlink:type="simple">elena.andreenko@gmail.com</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>Самоходская</surname><given-names>Л. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Samokhodskaya</surname><given-names>L. M.</given-names></name></name-alternatives><bio xml:lang="ru"><p>ст. научный сотрудник лаборатории генных и клеточных технологий факультета фундаментальной медицины</p><p>Москва </p></bio><bio xml:lang="en"><p>Moscow</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>Балацкий</surname><given-names>А. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Balatskyi</surname><given-names>A. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>аспирант кафедры медицинской и биологической химии факультета фундаментальной медицины</p><p>Москва </p></bio><bio xml:lang="en"><p>Moscow</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>Макаревич</surname><given-names>П. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Makarevich</surname><given-names>P. I.</given-names></name></name-alternatives><bio xml:lang="ru"><p>аспирант кафедры медицинской и биологической химии факультета фундаментальной медицины</p><p>Москва </p></bio><bio xml:lang="en"><p>Moscow</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>Бойцов</surname><given-names>С. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Boytsov</surname><given-names>S. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>директор</p><p>Москва </p></bio><bio xml:lang="en"><p>Moscow</p></bio><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Государственный научно-исследовательский центр профилактической медицины</institution></aff><aff xml:lang="en"><institution>State Research Centre for Preventive Medicine</institution></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>Московский государственный университет имени М. В. Ломоносова</institution></aff><aff xml:lang="en"><institution>M. V. Lomonosov Moscow State University</institution></aff></aff-alternatives><pub-date pub-type="collection"><year>2011</year></pub-date><pub-date pub-type="epub"><day>01</day><month>01</month><year>1970</year></pub-date><volume>10</volume><issue>8</issue><fpage>32</fpage><lpage>39</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Андреенко Е.Ю., Самоходская Л.М., Балацкий А.В., Макаревич П.И., Бойцов С.А., 1970</copyright-statement><copyright-year>1970</copyright-year><copyright-holder xml:lang="ru">Андреенко Е.Ю., Самоходская Л.М., Балацкий А.В., Макаревич П.И., Бойцов С.А.</copyright-holder><copyright-holder xml:lang="en">Andreenko E.Y., Samokhodskaya L.M., Balatskyi A.V., Makarevich P.I., Boytsov S.A.</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://cardiovascular.elpub.ru/jour/article/view/2060">https://cardiovascular.elpub.ru/jour/article/view/2060</self-uri><abstract><p>Цель. Определить прогностическую значимость носительства аллельных вариантов генов факторов свертывания крови и их сочетания с негенетическими факторами риска (ФР): курение, артериальная гипертония (АГ), гиперхолестеринемия (ГХС), ожирение (Ож), в раннем развитии ишемической болезни сердца (ИБС), в т. ч. инфаркта миокарда (ИМ) у больных ИБС. Материал и методы. Обследованы 977 мужчин в возрасте 20–55 лет: 375 больных ИБС, в т. ч.: 186 – без ИМ, 189 – с ИМ в анамнезе и 602 человека без сердечно-сосудистых заболеваний (ССЗ). Проведен анализ полиморфизма генов тромбоцитарных рецепторов гликопротеина Ia (C807T) и гликопротеина IIIa (PLA1/PLA2); полиморфизма генов, кодирующих белки свертывающей и противосвертывающей систем крови: полиморфизм R353Q VII фактора, V34L XIII фактора свертывания крови и инсерционно-делеционный полиморфизм 4G/5G ингибитора активатора плазминогена 1 типа, а также их сочетания с традиционными ФР: курение, АГ, ГХС, Ож. Для определения аллельных вариантов исследуемых генов использовали метод полимеразной цепной реакции (ПЦР) с анализом длины рестриктных фрагментов, аллельспецифичной ПЦР и метод ПЦР в режиме «реального времени». Результаты. С повышенным риском формирования ИБС ассоциировался генотип ТТ гена GPIa (p=0,0001) (OR=10,2). С уменьшением риска развития ИБС ассоциировались генотип LL FXIII (p=0,03) (OR=0,48) и генотип QQ FVII свертывания крови (p=0,01) (OR=0,12), а сочетание L-аллеля гена FXIII с Q аллелем FVII ассоциировалось с уменьшением риска развития ИМ как осложнения ИБС (p=0,03) (OR=0,33). Анализ сочетаний генотипов с традиционными ФР показал, что PLA2/PLA2 генотип GPIIIa у больных с ГХС повышает риск развития ИМ у больных ИБС (p=0,01) (OR=6,0). Заключение. В алгоритм генетической диагностики предрасположенности к раннему развитию ИБС могут быть включены: полиморфизм C807T гена гликопротеина Ia, PLA1/PLA2 гена гликопротеина IIIa, V34L гена А-субъединицы фактора XIII свертывания крови и R304Q гена фактора VII свертывания крови. В исследовании не нашло подтверждение негативное влияние полиморфизма 4G/5G гена PAI-1 на развитие ИБС и ИМ.</p></abstract><trans-abstract xml:lang="en"><p>Aim. To investigate the prognostic role of selected single nucleotide polymorphisms in hemostasis-regulating genes and to clarify their interaction with conventional risk factors, RF (smoking, arterial hypertension (AH), hypercholesterolemia (HCH), obesity (O)) at the early stages of coronary heart disease (CHD) development, with or without subsequent myocardial infarction (MI). Material and methods. The study included 977 men aged 20–55 years: 375 CHD patients (189 and 186 with or without previous MI, respectively) and 602 individuals without cardiovascular disease (CVD). Exclusion criteria were diabetes mellitus and impaired glucose tolerance. The authors analysed the polymorphisms of thrombocyte receptor genes GPIa (C807T) and GPIIIa (PLA1/PLA2); coagulation and fibrinolytic protein genes for factor VII (R353Q) and factor XIII (V34L); and the plasminogen activator inhibitor-1 (PAI-1) 4G/5G polymorphism. The association of these polymorphisms with conventional RF (smoking, AH, HCH, and O) was also investigated. To identify genetic variations, a restriction fragment length polymorphism assay, allele-specific assay, and fluorescence primer-probe assay were used. Results. Increased CHD risk was associated with the TT genotype of GPIa (p=0,0001; OR=10,2). The LL genotype of FXIII (p=0,03; OR=0,48) and QQ genotype of FVII (p=0,01; OR=0,12) were linked to reduced CHD risk. The combination of FXIII L allele and FVII Q allele was associated with a lower MI risk in CHD patients (p=0,03; OR=0,33). In participants with HCH, the PLA2/PLA2 genotype of GPIIIa was linked to increased MI risk for CHD patients (p=0,01; OR=6,0). Conclusion. The algorithm for predicting the genetic CHD risk may incorporate the assessment of the genetic polymorphism of GPIa (C807T), GPIIIa (PLA1/PLA2), factor XIII (V34L), and factor VII (R353Q). The study results did not confirm the negative effect of the PAI-1 gene 4G/5G polymorphism on CHD risk.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>ишемическая болезнь сердца</kwd><kwd>инфаркт миокарда</kwd><kwd>полиморфизм генов</kwd><kwd>гемостаз</kwd><kwd>гликопротеин Ia</kwd><kwd>гликопротеин IIIa</kwd><kwd>ингибитор активатора плазминогена 1 типа</kwd><kwd>фактор XIII</kwd><kwd>фактор VII</kwd></kwd-group><kwd-group xml:lang="en"><kwd>Coronary heart disease</kwd><kwd>myocardial infarction</kwd><kwd>genetic polymorphism</kwd><kwd>hemostasis</kwd><kwd>glycoprotein Ia</kwd><kwd>glycoprotein IIIa</kwd><kwd>plasminogen activator inhibitor-1</kwd><kwd>factor XIII</kwd><kwd>factor VII</kwd></kwd-group><funding-group><funding-statement xml:lang="ru">Работа выполнена при финансовой поддержке Межфакультетского проекта МГУ им. М. В. Ломоносова «Постгеномные медицинские исследования и технологии. 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