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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">10.20538/1682-0363-2025-1-141-153</article-id><article-id custom-type="elpub" pub-id-type="custom">ssmu-5973</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>Атеросклероз и воспаление – путь от патогенеза к терапии: обзор современного состояния проблемы (часть 1)</article-title><trans-title-group xml:lang="en"><trans-title>Atherosclerosis and inflammation – from pathogenesis to treatment: current state of affairs (Part I)</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>Авагимян</surname><given-names>А. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Avagimyan</surname><given-names>A. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Авагимян Ашот Арманович – канд. мед. наук, преподаватель, кафедра пропедевтики внутренних болезней </p><p>0025, г. Ереван, ул. Корюна, 2а</p></bio><bio xml:lang="en"><p>2a, Koryuna Str., Yerevan, 0025</p></bio><email xlink:type="simple">avagimyan.cardiology@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/0000-0001-7896-2080</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Кактурский</surname><given-names>Л. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Kaktursky</surname><given-names>L. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Кактурский Лев Владимирович – д-р мед. наук, профессор, чл.-корр. РАН, науч. руководитель </p><p>117418, г. Москва, ул. Цюрупы, 3</p></bio><bio xml:lang="en"><p>3, Tsuryupy Str., Moscow, 117418</p></bio><email xlink:type="simple">levkaktur@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/0000-0002-9457-8879</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 – д-р мед. наук, профессор, чл.-корр. РАН, зав. кафедрой патофизиологии </p><p>634050, г. Томск, Московский тракт, 2</p></bio><bio xml:lang="en"><p>2, Moscow Trakt, Tomsk, 634050</p></bio><email xlink:type="simple">urazova.oi@ssmu.ru</email><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Трофименко</surname><given-names>А. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Trofimenko</surname><given-names>A. I.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Трофименко Артем Иванович – канд. мед. наук, доцент кафедры патофизиологии </p><p>350063, г. Краснодар, ул. Митрофана Седина, 4</p></bio><bio xml:lang="en"><p>4, Mitrofana Sedina Str., Krasnodar, 350063</p></bio><email xlink:type="simple">artemtrofimenko@mail.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/0000-0001-7696-0639</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Сукиасян</surname><given-names>Л. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Sukiasyan</surname><given-names>L. M.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Сукиасян Лилит Магаковна – канд. мед. наук, науч. сотрудник, Центральная научная исследовательская лаборатория </p><p>0025, г. Ереван, ул. Корюна, 2а</p></bio><bio xml:lang="en"><p>2a, Koryuna Str., Yerevan, 0025</p></bio><email xlink:type="simple">lilit.sukiasyan@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/0000-0002-1107-3753</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Коган</surname><given-names>Е. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Kogan</surname><given-names>E. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Коган Евгения Алтаровна – д-р мед. наук, профессор, зав. кафедрой патологической анатомии им. акад. А.И. Струкова, зав. референс-центром патоморфологических и иммуногистохимических методов исследований </p><p>119048, г. Москва, ул. Трубецкая, 8, стр. 2</p></bio><bio xml:lang="en"><p>8, Build. 2, Trubetskaya Str., Moscow, 119048</p></bio><email xlink:type="simple">kogan_e_a@staff.sechenov.ru</email><xref ref-type="aff" rid="aff-5"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-6946-6146</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Демура</surname><given-names>Т. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Demura</surname><given-names>T. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Демура Татьяна Александровна – д-р мед. наук, профессор, директор Института клинической морфологии и цифровой патологии, проректор по научной деятельности </p><p>119048, г. Москва, ул. Трубецкая, 8, стр. 2</p></bio><bio xml:lang="en"><p>8, Build. 2, Trubetskaya Str., Moscow, 119048</p></bio><email xlink:type="simple">demura_t_a@staff.sechenov.ru</email><xref ref-type="aff" rid="aff-5"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-4165-804X</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Погосова</surname><given-names>Н. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Pogosova</surname><given-names>N. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Погосова Нана Вачиковна – д-р мед. наук, профессор, зам. генерального директора по науке и профилактической кардиологии; зав. кафедрой доказательной медицины </p><p>121552, г. Москва, ул. Академика Чазова, 15а, стр. 6;117198, г. Москва, ул. Миклухо-Маклая, 6</p></bio><bio xml:lang="en"><p>15a, Build. 6, Akademika Chazova Str., Moscow, 121552;6, Miklukho – Maklaya Str., Moscow, 117198</p></bio><email xlink:type="simple">nanapogosova@gmail.com</email><xref ref-type="aff" rid="aff-6"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Ереванский государственный медицинский университет им. Мхитара Гераци (ЕГМУ им. М. Гераци)</institution><country>Армения</country></aff><aff xml:lang="en"><institution>Mkhitar Heratsi Yerevan State Medical University</institution><country>Armenia</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>Научно-исследовательский институт морфологии человека им. акад. А.П. Авцына Федерального государственного бюджетного научного учреждения «Российский научный центр хирургии им. академика Б.В. Петровского» (НИИМЧ им. акад. А.П. Авцына ФГБНУ «РНЦХ им. акад. Б.В. Петровского»)</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Avtsyn Research Institute of Human Morphology of the Federal state budgetary scientific institution “Petrovsky National Research Center of Surgery”</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-3"><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-4"><aff xml:lang="ru"><institution>Кубанский государственный медицинский университет (КубГМУ)</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Kuban State Medical University (KubSMU)</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-5"><aff xml:lang="ru"><institution>Первый Московский государственный медицинский университет им. И.М. Сеченова (Первый МГМУ им. И.М. Сеченова) (Сеченовский Университет)</institution><country>Россия</country></aff><aff xml:lang="en"><institution>I.M.Sechenov First Moscow State Medical University (Sechenov University)</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-6"><aff xml:lang="ru"><institution>Национальный медицинский исследовательский центр кардиологии им. акад. Е.И. Чазова (НМИЦК им. акад. Е.И. Чазова);&#13;
Российский университет дружбы народов им. Патриса Лумумбы (РУДН им. Патриса Лумубы)</institution><country>Россия</country></aff><aff xml:lang="en"><institution>E.I.Chazov National Medical Research Center for Cardiology;&#13;
People’s Friendship University of Russia (RUDN University)</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2025</year></pub-date><pub-date pub-type="epub"><day>16</day><month>04</month><year>2025</year></pub-date><volume>24</volume><issue>1</issue><fpage>141</fpage><lpage>153</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Авагимян А.А., Кактурский Л.В., Уразова О.И., Трофименко А.И., Сукиасян Л.М., Коган Е.А., Демура Т.А., Погосова Н.В., 2025</copyright-statement><copyright-year>2025</copyright-year><copyright-holder xml:lang="ru">Авагимян А.А., Кактурский Л.В., Уразова О.И., Трофименко А.И., Сукиасян Л.М., Коган Е.А., Демура Т.А., Погосова Н.В.</copyright-holder><copyright-holder xml:lang="en">Avagimyan A.A., Kaktursky L.V., Urazova O.I., Trofimenko A.I., Sukiasyan L.M., Kogan E.A., Demura T.A., Pogosova N.V.</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/5973">https://bulletin.ssmu.ru/jour/article/view/5973</self-uri><abstract><p>Атеросклероз и ассоциированные с ним болезни системы кровообращения являются актуальной проблемой общественного здравоохранения, а также активно развивающимся направлением исследований как в фундаментальной, так и клинической медицине. Несмотря на многолетнюю историю изучения заболевания, до сих пор многие аспекты этиологии и патогенеза атеросклероза остаются неясными. Традиционно патогенез атеросклероза рассматривают с позиции очагового накопления отдельных фракций липопротеинов в сосудистой стенке артерий. Однако в атерогенезе активное участие принимают факторы как врожденного, так и адаптивного иммунитета. Клетки и медиаторы иммунной системы вступают в сложное взаимодействие с клеточным и внеклеточным компонентами всех слоев сосудистой стенки. Вследствие этого большинство исследователей пришли к консенсусу о ключевой роли воспаления в инициации, прогрессировании, а также дестабилизации атеросклеротической бляшки. Таким образом, атерогенез можно рассматривать не только как дисметаболический, но и как иммуновоспалительный процесс. Целью настоящей лекции является обобщение новейших данных о роли воспаления на разных этапах атеросклеротического континуума.</p></abstract><trans-abstract xml:lang="en"><p>Atherosclerosis and atherosclerosis-related cardiovascular diseases are a significant public health concern and a rapidly evolving area of research in both fundamental and clinical medicine. Despite the extensive history of studying, many aspects of atherosclerosis etiology and pathogenesis remain unclear. Traditionally, the pathogenesis of atherosclerosis has been viewed in terms of the localized accumulation of specific lipoprotein fractions in the arterial wall. However, both innate and adaptive immunity play active roles in atherogenesis. Cells and mediators of the immune system engage in intricate interactions with cellular and extracellular components in all layers of the vascular wall. For this reason, scientific community have reached a consensus on the crucial role of inflammation in the onset, progression, and destabilization of an atherosclerotic plaque. Therefore, atherogenesis can be considered not only as a metabolic disorder, but also as an immunoinflammatory process. The aim of this lecture was to summarize contemporary data regarding the role of inflammation at various stages of the atherosclerotic continuum. </p></trans-abstract><kwd-group xml:lang="ru"><kwd>атеросклероз</kwd><kwd>атерогенез</kwd><kwd>липопротеины</kwd><kwd>воспаление</kwd><kwd>атеросклеротическая бляшка</kwd><kwd>атерома</kwd></kwd-group><kwd-group xml:lang="en"><kwd>atherosclerosis</kwd><kwd>atherogenesis</kwd><kwd>lipoproteins</kwd><kwd>inflammation</kwd><kwd>atherosclerotic plaque</kwd><kwd>atheroma</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">Погосова Н.В., Бойцов С.А. Профилактическая кардиология 2024: состояние проблемы и перспективы развития. Кардиология. 2024;64(1):4–13. DOI: 10.18087/cardio.2024.1.n2636.</mixed-citation><mixed-citation xml:lang="en">Погосова Н.В., Бойцов С.А. 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