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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">ssmu</journal-id><journal-title-group><journal-title xml:lang="ru">Бюллетень сибирской медицины</journal-title><trans-title-group xml:lang="en"><trans-title>Bulletin of Siberian Medicine</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1682-0363</issn><issn pub-type="epub">1819-3684</issn><publisher><publisher-name>Siberian State Medical University, the Ministry of Healthcare of the Russian Federation</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.20538/1682-0363-2022-3-120-131</article-id><article-id custom-type="elpub" pub-id-type="custom">ssmu-4915</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>ОРИГИНАЛЬНЫЕ СТАТЬИ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>ORIGINAL PAPERS</subject></subj-group></article-categories><title-group><article-title>Дифференциация и субпопуляционный состав VEGFR2+ моноцитов крови и костного мозга при ишемической кардиомиопатии</article-title><trans-title-group xml:lang="en"><trans-title>Differentiation and subpopulation composition of VEGFR2+ cells in the blood and bone marrow in ischemic cardiomyopathy</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-3468-6154</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Чумакова</surname><given-names>С. П.</given-names></name><name name-style="western" xml:lang="en"><surname>Chumakova</surname><given-names>S. P.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Чумакова Светлана Петровна – доктор медицинских наук, профессор, кафедра патофизиологии, СибГМУ.</p><p>634050, Томск, Московский тракт, 2</p></bio><bio xml:lang="en"><p>2, Moscow Trakt, Tomsk, 634050</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-9457-8879</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Уразова</surname><given-names>О. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Urazova</surname><given-names>O. I.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Уразова Ольга Ивановна – доктор медицинских наук, профессор, член-корр. РАН, заведующий кафедрой патофизиологии, СибГМУ; профессор, кафедра комплексной информационной безопасности электронно-вычислительных систем, ТУСУР.</p><p>634050, Томск, Московский тракт, 2; 634050, Томск, пр. Ленина, 40</p></bio><bio xml:lang="en"><p>2, Moscow Trakt, Tomsk, 634050; 40, Lenina Av., Tomsk, 634050</p></bio><email xlink:type="simple">urazova72@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/0000-0003-1956-0692</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Шипулин</surname><given-names>В. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Shipulin</surname><given-names>V. M.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Шипулин Владимир Митрофанович – доктор медицинских наук, профессор, заслуженный деятель науки РФ, главный научный сотрудник отделения сердечно-сосудистой хирургии, НИИ кардиологии, Томский НИМЦ; профессор, кафедра госпитальной хирургии с курсом сердечно-сосудистой хирургии, СибГМУ.</p><p>634012, Томск, ул. Киевская, 111а</p></bio><bio xml:lang="en"><p>111a, Kievskaya Str., Tomsk, 634012</p></bio><email xlink:type="simple">shipulin@cardio-tomsk.ru</email><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-4524-8491</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Денисенко</surname><given-names>О. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Denisenko</surname><given-names>O. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Денисенко Ольга Анатольевна – врач клинической лабораторной диагностики, Томский региональный центр крови.</p><p>634050, Томск, Московский тракт, 2; 634045, Томск, ул. Вершинина, 45</p></bio><bio xml:lang="en"><p>2, Moscow Trakt, Tomsk, 634050; 45, Vershinina Str., Tomsk, 634045</p></bio><email xlink:type="simple">eolga-muraveinik@yandex.ru</email><xref ref-type="aff" rid="aff-4"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-8457-9440</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Кононова</surname><given-names>Т. Е.</given-names></name><name name-style="western" xml:lang="en"><surname>Kononova</surname><given-names>T. E.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Кононова Татьяна Евгеньевна – кандидат медицинских наук, доцент, кафедра патофизиологии, СибГМУ.</p><p>634050, Томск, Московский тракт, 2</p></bio><bio xml:lang="en"><p>2, Moscow Trakt, Tomsk, 634050</p></bio><email xlink:type="simple">kononova.te@gmail.com</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-1659-8812</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Невская</surname><given-names>К. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Nevskaya</surname><given-names>K. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Невская Ксения Владимировна – кандидат медицинских наук, младший научный сотрудник, ЦНИЛ, СибГМУ.</p><p>634050, Томск, Московский тракт, 2</p></bio><bio xml:lang="en"><p>2, Moscow Trakt, Tomsk, 634050</p></bio><email xlink:type="simple">nevskayaksenia@gmail.com</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-4049-8715</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Андреев</surname><given-names>С. Л.</given-names></name><name name-style="western" xml:lang="en"><surname>Andreev</surname><given-names>S. L.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Андреев Сергей Леонидович – кандидат медицинских наук, врач-сердечно-сосудистый хирург, ст. науч. соттрудник, отделение сердечно-сосудистой хирургии, НИИ кардиологии, Томский НИМЦ.</p><p>634012, Томск, ул. Киевская, 111а</p></bio><bio xml:lang="en"><p>111a, Kievskaya Str., Tomsk, 634012</p></bio><email xlink:type="simple">anselen@rambler.ru</email><xref ref-type="aff" rid="aff-3"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Сибирский государственный медицинский университет (СибГМУ)</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Siberian State Medical University</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>Сибирский государственный медицинский университет (СибГМУ); Томский государственный университет систем управления и радиоэлектроники (ТУСУР)</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Siberian State Medical University; Tomsk State University of Control Systems and Radioelectronics (TUSUR)</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>Научно-исследовательский институт (НИИ) кардиологии, Томский национальный исследовательский медицинский центр (НИМЦ), Российская академия наук</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Cardiology Research Institute, Tomsk National Research Medical Center (NRMC), Russian Academy of Sciences</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-4"><aff xml:lang="ru"><institution>Сибирский государственный медицинский университет (СибГМУ); Томский региональный центр крови</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Siberian State Medical University; Tomsk Regional Blood Center</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2022</year></pub-date><pub-date pub-type="epub"><day>15</day><month>10</month><year>2022</year></pub-date><volume>21</volume><issue>3</issue><fpage>120</fpage><lpage>131</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Чумакова С.П., Уразова О.И., Шипулин В.М., Денисенко О.А., Кононова Т.Е., Невская К.В., Андреев С.Л., 2022</copyright-statement><copyright-year>2022</copyright-year><copyright-holder xml:lang="ru">Чумакова С.П., Уразова О.И., Шипулин В.М., Денисенко О.А., Кононова Т.Е., Невская К.В., Андреев С.Л.</copyright-holder><copyright-holder xml:lang="en">Chumakova S.P., Urazova O.I., Shipulin V.M., Denisenko O.A., Kononova T.E., Nevskaya K.V., Andreev S.L.</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://bulletin.ssmu.ru/jour/article/view/4915">https://bulletin.ssmu.ru/jour/article/view/4915</self-uri><abstract><sec><title>Цель</title><p>Цель: установить нарушения дифференцировки и субпопуляционного состава VEGFR2+ моноцитов в крови и костном мозге во взаимосвязи с особенностями цитокинового профиля крови и костного мозга у больных ишемической болезнью сердца (ИБС), страдающих и не страдающих ишемической кардиомиопатией (ИКМП).</p></sec><sec><title>Материалы и методы</title><p>Материалы и методы. В исследование вошли 74 больных ИБС, страдающих и не страдающих ИКМП (30 и 44 человека соответственно), и 18 здоровых доноров. У всех больных ИБС забор периферической крови производился непосредственно перед операцией коронарного шунтирования, а костного мозга – из разреза грудины во время операции. У здоровых доноров забирали только периферическую кровь.  В костном мозге и крови методом проточной цитофлуориметрии определяли численность VEGFR2+ моноцитов (CD14+VЕGFR2+ клеток) и их иммунофенотипов CD14++CD16-VEGFR2+, CD14++CD16+VEGFR2+, CD14+CD16++VEGFR2+, CD14+CD16-VEGFR2+, методом иммуноферментного анализа регистрировали концентрацию VЕGF-А, TNFα, M-CSF, IL-13, а также содержание MCP-1 (только в крови) и соотношение M-CSF/IL-13 (только в костном мозге).</p></sec><sec><title>Результаты</title><p>Результаты. Содержание CD14+VEGFR2+ клеток в крови у больных ИБС без кардиомиопатии и с ИКМП было выше нормы из-за большей численности CD14++CD16-VEGFR2+, CD14++CD16+VEGFR2+ и CD14+CD16++VEGFR2+ форм. В костном мозге у больных ИКМП содержание CD14++CD16-VEGFR2+, CD14+CD16++VEGFR2+ и CD14+CD16-VEGFR2+ форм было ниже, чем у больных ИБС без кардиомиопатии, а количество CD14++CD16+VEGFR2+ клеток соответствовало их числу в группе сравнения. Вне зависимости от наличия ИКМП при ИБС в крови отмечалась высокая концентрация TNFα, нормальный уровень VEGF-А и IL-13; при ИБС без кардиомиопатии – избыток МСР-1 и дефицит M-CSF в крови. В костном мозге концентрация VЕGF-А, TNFα, M-CSF, IL-13 была сопоставимой между группами больных на фоне снижения M-CSF/IL-13 у пациентов с ИКМП.</p></sec><sec><title>Заключение</title><p>Заключение. В отличие от ИБС без кардиомиопатии при ИКМП не формируется избыток VEGFR2+ моноцитов и МСР-1 в крови, что затрудняет активную миграцию CD14+CD16++VEGFR2+ клеток из миелоидной ткани, а снижение M-CSF/IL-13 в костном мозге нарушает дифференцировку остальных форм VEGFR2+ моноцитов, препятствуя репарации сосудов.</p></sec></abstract><trans-abstract xml:lang="en"><sec><title>Aim</title><p>Aim. To identify disturbances of differentiation and subpopulation composition of VEGFR2+ cells in the blood and bone marrow associated with the features of the cytokine profile in the blood and bone marrow in patients with coronary artery disease (CAD) with and without ischemic cardiomyopathy (ICM).</p></sec><sec><title>Materials and methods</title><p>Materials and methods. The study included 74 patients with СAD with and without ICM (30 and 44 people, respectively) and 18 healthy donors. In all patients with СAD, peripheral blood sampling was performed immediately before coronary artery bypass grafting, and bone marrow samples were taken during the surgery via a sternal incision. In the healthy donors, only peripheral blood sampling was performed. In the bone marrow and blood samples, the number of VEGFR2+ cells (CD14+VEGFR2+ cells) and their immunophenotypes CD14++CD16-VEGFR2+, CD14++CD16+VEGFR2+, CD14+CD16++VEGFR2+, and CD14+CD16-VEGFR2+ was determined by flow cytometry. Using enzyme-linked immunosorbent assay, the levels of VЕGF-А, TNFα, M-CSF, and IL-13, as well as the content of MCP-1 (only in the blood) and the M-CSF / IL-13 ratio (only in the bone marrow) were determined.</p></sec><sec><title>Results</title><p>Results. The content of CD14+VEGFR2+ cells in the blood of CAD patients with and without ICM was higher than normal values due to the greater number of CD14++CD16-VEGFR2+, CD14++CD16+VEGFR2+, and CD14+CD16++VEGFR2+. In the bone marrow of the patients with ICM, the content of CD14++CD16-VEGFR2+, CD14+CD16++VEGFR2+, and CD14+CD16-VEGFR2+ was lower than in patients with CAD without ICM, and the number of CD14++CD16+VEGFR2+ cells corresponded to that in the controls. Regardless of the presence of ICM in CAD, a high concentration of TNFα and normal levels of VEGF-A and IL-13 were observed in the blood. In CAD without ICM, an excess of MCP-1 and deficiency of M-CSF were revealed in the blood. In the bone marrow, the levels of VEGF-A, TNFα, M-CSF, and IL-13 were comparable between the groups of patients against the background of a decrease in the M-CSF / IL-13 ratio in the patients with ICM.</p></sec><sec><title>Conclusion</title><p>Conclusion. Unlike CAD without cardiomyopathy, in ICM, no excess of VEGFR2+ cells and MCP-1 in the blood is observed, which hinders active migration of CD14+CD16++VEGFR2+ cells from the myeloid tissue, and a decrease in the M-CSF / IL-13 ratio in the bone marrow disrupts differentiation of other forms of VEGFR2+ cells, preventing vascular repair.</p></sec></trans-abstract><kwd-group xml:lang="ru"><kwd>моноциты</kwd><kwd>прогениторные эндотелиальные клетки</kwd><kwd>репарация сосудов</kwd><kwd>костный мозг</kwd><kwd>цитокины</kwd><kwd>ишемическая кардиомиопатия</kwd><kwd>ишемическая болезнь сердца</kwd></kwd-group><kwd-group xml:lang="en"><kwd>endothelial progenitor cells</kwd><kwd>monocytes</kwd><kwd>bone marrow</kwd><kwd>cytokines</kwd><kwd>vascular repair</kwd><kwd>ischemic cardiomyopathy</kwd><kwd>coronary artery disease</kwd></kwd-group><funding-group><funding-statement xml:lang="ru">Исследование выполнено за счет грантов Российского научного фонда (проект № 22-25-00821) и (проект № 22-25-20038), а также средств Администрации Томской области (договор с РОО «ТПС» № 22-04 от 28.06.2022 в рамках реализации регионального проекта РНФ № 22-25-20038)</funding-statement><funding-statement xml:lang="en">The study was supported by the Russian Science Foundation grants (project No. 22-25-00821 and project No. 22-25-20038) and funds from the Administration of the Tomsk region</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">Chen C., Tian J., He Z., Xiong W., He Y., Liu S. 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