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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">astmed</journal-id><journal-title-group><journal-title xml:lang="ru">Астраханский медицинский журнал</journal-title><trans-title-group xml:lang="en"><trans-title>Astrakhan medical journal</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1992-6499</issn><publisher><publisher-name>ФГБОУ ВО Астраханский ГМУ Минздрава России</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.48612/agmu/2022.17.1.14.22</article-id><article-id custom-type="elpub" pub-id-type="custom">astmed-147</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>НАУЧНЫЕ ОБЗОРЫ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>SCIENTIFIC REVIEWS</subject></subj-group></article-categories><title-group><article-title>РОЛЬ ФАКТОРА ДИФФЕРЕНЦИРОВКИ РОСТА-15 (GDF-15) В РЕГУЛЯЦИИ И РАЗВИТИИ ОСЛОЖНЕНИЙ БЕРЕМЕННОСТИ</article-title><trans-title-group xml:lang="en"><trans-title>SCIENTIFIC REVIEWS Review article THE ROLE OF GROWTH DIFFERENTIATION FACTOR-15 (GDF-15) IN THE REGULATION AND THE DEVELOPMENT OF PREGNANCY COMPLICATIONS</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>Тишкова</surname><given-names>О. Г.</given-names></name><name name-style="western" xml:lang="en"><surname>Tishkova</surname><given-names>O. G.</given-names></name></name-alternatives><email xlink:type="simple">tishkov2003@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>Дикарева</surname><given-names>Л. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Dikareva</surname><given-names>L. V.</given-names></name></name-alternatives><email xlink:type="simple">dikarevalv@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>Шварев</surname><given-names>Е. Г.</given-names></name><name name-style="western" xml:lang="en"><surname>Shvarev</surname><given-names>E. G.</given-names></name></name-alternatives><email xlink:type="simple">geshvarev09@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>Уханова</surname><given-names>Ю. Ю.</given-names></name><name name-style="western" xml:lang="en"><surname>Ukhanova</surname><given-names>Y. Yu.</given-names></name></name-alternatives><email xlink:type="simple">yulli20@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Астраханский государственный медицинский университет</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Astrakhan State Medical University</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2022</year></pub-date><pub-date pub-type="epub"><day>27</day><month>02</month><year>2023</year></pub-date><volume>17</volume><issue>1</issue><fpage>14</fpage><lpage>22</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Тишкова О.Г., Дикарева Л.В., Шварев Е.Г., Уханова Ю.Ю., 2023</copyright-statement><copyright-year>2023</copyright-year><copyright-holder xml:lang="ru">Тишкова О.Г., Дикарева Л.В., Шварев Е.Г., Уханова Ю.Ю.</copyright-holder><copyright-holder xml:lang="en">Tishkova O.G., Dikareva L.V., Shvarev E.G., Ukhanova Y.Y.</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.astmedj.ru/jour/article/view/147">https://www.astmedj.ru/jour/article/view/147</self-uri><abstract><p>Изучено клиническое значение одного из малоизученных цитокинов - фактора дифференцировки роста -15 (GDF-15) в процессе регуляции клеточных и молекулярных процессов во время беременности. Современные исследования механизмов активации клеточных путей GDF-15 позволяют рассматривать этот белок в качестве одного из важных регуляторов метаболических процессов и иммунологической толерантности. Неоднозначные результаты исследований GDF-15 при различной патологии свидетельствуют о его сложной регуляции и многофункциональности. Высокие уровни циркуляции этого цитокина в сыворотке крови и в плаценте указывают на важное значение этого белка в реализации иммунного ответа при беременности, которое еще предстоит объяснить.</p></abstract><trans-abstract xml:lang="en"><p>The clinical significance of one of the little-studied cytokines - growth differentiation factor -15 (GDF-15) in the process of regulation of cellular and molecular processes during pregnancy was studied. Current studies of the mechanisms of activation of cellular pathways GDF-15 allow us to consider this protein as one of the important regulators of metabolic processes and immunological tolerance. The mixed results of GDF-15 studies with various pathologies indicate its complex regulation and multifunctionality. High levels of circulation of this cytokine in serum and placenta indicate the importance of this protein in the realization of the immune response in pregnancy, which has yet to be explained.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>фактор дифференцировки роста (GDF-15)</kwd><kwd>беременность</kwd><kwd>белок</kwd><kwd>цитокины</kwd></kwd-group><kwd-group xml:lang="en"><kwd>growth differentiation factor (GDF-15)</kwd><kwd>pregnancy</kwd><kwd>proteins</kwd><kwd>cytokines</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">Albonici L., Benvenuto M., Focaccetti C., Cifaldi L., Miele M., Limana F., Manzari V., Bei R. PlGF Immunological Impact during Pregnancy // International Journal of Molecular Sciences. 2020. Vol. 21, no. 22. 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