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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 pub-id-type="doi">10.15829/1728-8800-2014-6-56-61</article-id><article-id custom-type="elpub" pub-id-type="custom">cardiovascular-83</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>МНЕНИЕ ПО ПРОБЛЕМЕ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>OPINION ON A PROBLEM</subject></subj-group></article-categories><title-group><article-title>КИШЕЧНАЯ МИКРОБИОТА — НОВЫЙ ИГРОК В ПАТОГЕНЕЗЕ АТЕРОСКЛЕРОЗА</article-title><trans-title-group xml:lang="en"><trans-title>GUT ENTEROBIOTA — A NEW PLAYER IN ATHEROSCLEROSIS PATHOGENESIS</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>Егшатян</surname><given-names>Л. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Egshatyan</surname><given-names>L. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>к.м.н., м.н.с. отдела изучения старения и профилактики возраст-ассоциированных заболеваний</p><p>Тел./факс: +7 (926) 860-79-55</p></bio><bio xml:lang="en"><p>tel./fax: +7 (926) 860-79-55</p></bio><email xlink:type="simple">lilit.egshatyan@yandex.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>Ткачева</surname><given-names>О. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Tkacheva</surname><given-names>O. N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>д.м.н., профессор, первый заместитель директора по научной и лечебной работе</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>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>д.м.н., профессор, директор</p></bio><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГБУ “Государственный научно-исследовательский центр профилактической медицины” Министерства здравоохранения Российской Федерации, Москва</institution></aff><aff xml:lang="en"><institution>FSBI State Scientific-Research Centre for Preventive Medicine of the Ministry of Health of Russian Federation, Moscow</institution></aff></aff-alternatives><pub-date pub-type="collection"><year>2014</year></pub-date><pub-date pub-type="epub"><day>20</day><month>12</month><year>2014</year></pub-date><volume>13</volume><issue>6</issue><fpage>56</fpage><lpage>61</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Егшатян Л.В., Ткачева О.Н., Бойцов С.А., 2014</copyright-statement><copyright-year>2014</copyright-year><copyright-holder xml:lang="ru">Егшатян Л.В., Ткачева О.Н., Бойцов С.А.</copyright-holder><copyright-holder xml:lang="en">Egshatyan L.V., Tkacheva O.N., 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/83">https://cardiovascular.elpub.ru/jour/article/view/83</self-uri><abstract><p>В статье представлен обзор современной литературы, обобщающий экспериментальные и клинические данные о роли кишечной микробиоты в развитии атеросклероза. Микрофлора кишечника является своеобразным маркером состояния макроорганизма, реагируя на возрастные, физиологические, диетические, климато-географические факторы изменением качественного и количественного составов. Показано, что L-карнитин и холин, получаемые с пищей, используются микрофлорой кишечника для синтеза три-метиламина, который быстро окисляется флавинмонооксигеназой в печени до триметиламин–N-оксида, вызывающего развитие атеросклероза и повышающего риск развития сердечно-сосудистых заболеваний. </p></abstract><trans-abstract xml:lang="en"><p>The article provides a review of contemporary literature, which generalizes experimental and clinical data on the role of gut microbiota in atherosclerosis development. Gut microflora can be named a marker of the macroorganism condition, reacting on age-related, physiological, dietic, climatogeoraphic factors with its changes of qualitative and quantitative compounds. It was shown that L-carnitine and choline being received with food, are utilized by microflora to synthetize trimethylamine, which then rapidly oxydized by flavinmonooxygenase of liver to trimethylamin-N-oxide, that causes atherosclerosis development and increases risk of cardiovscular diseases.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>кишечная микробиота</kwd><kwd>атеросклероз</kwd><kwd>холин</kwd><kwd>L-карнитин</kwd><kwd>триметиламин-N-оксид</kwd></kwd-group><kwd-group xml:lang="en"><kwd>gut microbiota</kwd><kwd>atherosclerosis</kwd><kwd>choline</kwd><kwd>L-carnitine</kwd><kwd>trimethylamine-N-oxide</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Strazhesko I, Akasheva D, Dudinskaya E, Tkacheva O. Vascular ageing: main symptoms and mechanisms. Cardiovascular Therapy and Prevention 2012; 11(4): 93-100. Russian (Стражеско И. Д., Акашева Д. У., Дудинская Е. 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