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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">10.20538/1682-0363-2022-3-198-204</article-id><article-id custom-type="elpub" pub-id-type="custom">ssmu-4921</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 И ЛЕКЦИИ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>REVIEW AND LECTURES</subject></subj-group></article-categories><title-group><article-title>Роль катепсина S в патофизиологии бронхиальной астмы</article-title><trans-title-group xml:lang="en"><trans-title>The role of cathepsin S in the pathophysiology of bronchial asthma</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-6896-877X</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Крапошина</surname><given-names>А. Ю.</given-names></name><name name-style="western" xml:lang="en"><surname>Kraposhina</surname><given-names>A. Yu.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Собко Елена Альбертовна – доктор медицинских наук, профессор, профессор кафедры госпитальной терапии и иммунологии с курсом ПО, КрасГМУ им. профессора В.Ф. Войно-Ясенецкого; зав. отделением аллергологии, Краевая клиническая больница.</p><p>660022, Красноярск, ул. Партизана Железняка, 1; 660022, Красноярск, ул. Партизана Железняка, 3а</p></bio><bio xml:lang="en"><p>1, Partizana Zeleznyaka Str., Krasnoyarsk, 660022; 3а, Partizana Zeleznyaka Str., Krasnoyarsk, 660022</p></bio><email xlink:type="simple">angelina-maria@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/0000-0002-9377-5213</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Собко</surname><given-names>Е. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Sobko</surname><given-names>E. А.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Демко Ирина Владимировна – доктор медицинских наук, профессор, заведующий кафедрой госпитальной терапии и иммунологии с курсом ПО, КрасГМУ им. профессора В.Ф. Войно-Ясенецкого; зав. легочно-аллергологическим центром, Краевая клиническая больница.</p><p>660022, Красноярск, ул. Партизана Железняка, 1; 660022, Красноярск, ул. Партизана Железняка, 3а</p></bio><bio xml:lang="en"><p>1, Partizana Zeleznyaka Str., Krasnoyarsk, 660022; 3а, Partizana Zeleznyaka Str., Krasnoyarsk, 660022</p></bio><email xlink:type="simple">sobko29@mail.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/0000-0001-8982-5292</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Демко</surname><given-names>И. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Demko</surname><given-names>I. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Демко Ирина Владимировна – доктор медицинских наук, профессор, заведующий кафедрой госпитальной терапии и иммунологии с курсом ПО, КрасГМУ им. профессора В.Ф. Войно-Ясенецкого; зав. легочно-аллергологическим центром, Краевая клиническая больница.</p><p>660022, Красноярск, ул. Партизана Железняка, 1; 660022, Красноярск, ул. Партизана Железняка, 3а</p></bio><bio xml:lang="en"><p>1, Partizana Zeleznyaka Str., Krasnoyarsk, 660022; 3а, Partizana Zeleznyaka Str., Krasnoyarsk, 660022</p></bio><email xlink:type="simple">demko64@mail.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/0000-0001-7999-4113</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Казмерчук</surname><given-names>О. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Kazmerchuk</surname><given-names>O. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Казмерчук Ольга Витальевна – ординатор, кафедра госпитальной терапии и иммунологии с курсом ПО, КрасГМУ им. профессора В.Ф. Войно-Ясенецкого.</p><p>660022, Красноярск, ул. Партизана Железняка, 1</p></bio><bio xml:lang="en"><p>1, Partizana Zeleznyaka Str., Krasnoyarsk, 660022</p></bio><email xlink:type="simple">olguna24@mail.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/0000-0002-6649-8900</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Кацер</surname><given-names>А. Б.</given-names></name><name name-style="western" xml:lang="en"><surname>Kacer</surname><given-names>A. B.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Кацер Анна Борисовна – ординатор, кафедра госпитальной терапии и иммунологии с курсом ПО, КрасГМУ им. профессора В.Ф. Войно-Ясенецкого.</p><p>660022, Красноярск, ул. Партизана Железняка, 1</p></bio><bio xml:lang="en"><p>1, Partizana Zeleznyaka Str., Krasnoyarsk, 660022</p></bio><email xlink:type="simple">lesmotsfors@mail.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/0000-0002-9937-1025</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Абрамов</surname><given-names>Ю. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Abramov</surname><given-names>Yu. I.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Абрамов Юрий Игоревич – ординатор, кафедра поликлинической терапии и семейной медицины с курсом ПО, КрасГМУ им. профессора В.Ф. Войно-Ясенецкого.</p><p>660022, Красноярск, ул. Партизана Железняка, 1</p></bio><bio xml:lang="en"><p>1, Partizana Zeleznyaka Str., Krasnoyarsk, 660022</p></bio><email xlink:type="simple">yuriyab1997@gmail.com</email><xref ref-type="aff" rid="aff-2"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Красноярский государственный медицинский университет (КрасГМУ) им. профессора В.Ф. Войно-Ясенецкого; Краевая клиническая больница</institution><country>Россия</country></aff><aff xml:lang="en"><institution>V.F. Voino-Yasenetsky Krasnoyarsk State Medical University; Krasnoyarsk Regional Clinical Hospital</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>Красноярский государственный медицинский университет (КрасГМУ) им. профессора В.Ф. Войно-Ясенецкого</institution><country>Россия</country></aff><aff xml:lang="en"><institution>V.F. Voino-Yasenetsky Krasnoyarsk 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>15</day><month>10</month><year>2022</year></pub-date><volume>21</volume><issue>3</issue><fpage>198</fpage><lpage>204</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Крапошина А.Ю., Собко Е.А., Демко И.В., Казмерчук О.В., Кацер А.Б., Абрамов Ю.И., 2022</copyright-statement><copyright-year>2022</copyright-year><copyright-holder xml:lang="ru">Крапошина А.Ю., Собко Е.А., Демко И.В., Казмерчук О.В., Кацер А.Б., Абрамов Ю.И.</copyright-holder><copyright-holder xml:lang="en">Kraposhina A.Y., Sobko E.А., Demko I.V., Kazmerchuk O.V., Kacer A.B., Abramov Y.I.</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/4921">https://bulletin.ssmu.ru/jour/article/view/4921</self-uri><abstract><p>До настоящего времени сохраняет свою актуальность изучение роли ферментов – протеаз в патогенезе различных заболеваний. Многообразие функций катепсинов обусловлено особенностями их локализации, экспрессии и регуляции, благодаря чему они принимают участие в развитии многих патологических процессов. Дисрегуляция активности протеаз, их ингибиторов и субстратов может привести к развитию полиорганных заболеваний.</p><p>В обзорной статье представлены данные о характеристике всего семейства катепсинов и катепсина S в частности; описаны его патофизиологические роли при формировании бронхолегочных патологий, а также при бронхиальной астме; освещены внутрии внеклеточные механизмы реализации. Авторы считают, именно этот фермент может стать мишенью для таргетной терапии астмы с целью предотвращения ремоделирования бронхиальной стенки на самых ранних этапах заболевания. Поиск литературы осуществлялся в поисковых системах Medline, еLibrary, Scopus, The Cochrane Library, РИНЦ.</p></abstract><trans-abstract xml:lang="en"><p>To date, the study of the role of proteases in the pathogenesis of various diseases remains relevant. The variety of cathepsin functions is associated with the peculiarities of their localization, expression, and regulation, due to which cathepsins are involved in development of many pathologies. Dysregulation of proteases, their inhibitors, and substrates can lead to the development of multiple organ dysfunction.</p><p>The review presents data on the characteristics of the entire family of cathepsins and cathepsin S, in particular. The pathophysiological role of cathepsin S in the formation of bronchopulmonary pathologies, as well as in bronchial asthma is described, and intraand extracellular implementation mechanisms are considered. The authors believe it is this enzyme that could be targeted in targeted asthma therapy to prevent airway wall remodeling at the earliest stages of the disease. The literature search was carried out in the search engines Medline, eLibrary, Scopus, the Cochrane Library, and RSCI.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>катепсин S</kwd><kwd>бронхиальная астма</kwd><kwd>патофизиология</kwd><kwd>протеазы</kwd><kwd>ремоделирование дыхательных путей</kwd></kwd-group><kwd-group xml:lang="en"><kwd>cathepsin S</kwd><kwd>bronchial asthma</kwd><kwd>pathophysiology</kwd><kwd>proteases</kwd><kwd>airway remodeling</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">Chang C.J., Chen C.C., Hsu L.A., Chang G.J., Ko Y.H., Chen C.F. et al. Degradation of the internal elastic laminae in vein grafts of rats with aortocaval fistulae: potential impact on graft vasculopathy. Am. J. 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