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<article article-type="review-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">vestnovsu</journal-id><journal-title-group><journal-title xml:lang="ru">Вестник Новгородского государственного университета</journal-title><trans-title-group xml:lang="en"><trans-title>Vestnik of Novgorod State University</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2076-8052</issn><publisher><publisher-name>Новгородский государственный университет имени Ярослава Мудрого</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.34680/2076-8052.2024.2(136).230-246</article-id><article-id custom-type="elpub" pub-id-type="custom">vestnovsu-304</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>Патологическая физиология</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>Pathophysiology</subject></subj-group></article-categories><title-group><article-title>Роль генетических полиморфизмов факторов гемостаза в патогенезе и прогнозе сепсиса (обзор)</article-title><trans-title-group xml:lang="en"><trans-title>The role of genetic polymorphisms of hemostasis factors in the pathogenesis and prognosis of sepsis (review)</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-6487-9083</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Осиков</surname><given-names>М. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Osikov</surname><given-names>M. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Осиков Михаил Владимирович – доктор медицинских наук, профессор, заведующий кафедрой, Южно-Уральский государственный медицинский университет; руководитель отдела научной работы, Челябинская областная клиническая больница</p><p>Челябинск</p></bio><bio xml:lang="en"><p>Chelyabinsk</p></bio><email xlink:type="simple">prof.osikov@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/0000-0002-7884-9675</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Телешева</surname><given-names>Л. Ф.</given-names></name><name name-style="western" xml:lang="en"><surname>Telesheva</surname><given-names>L. F.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Телешева Лариса Федоровна – доктор медицинских наук, профессор</p><p>Челябинск</p></bio><bio xml:lang="en"><p>Chelyabinsk</p></bio><email xlink:type="simple">teleshevalarisa@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/0000-0002-3275-6721</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Конашов</surname><given-names>А. Г.</given-names></name><name name-style="western" xml:lang="en"><surname>Konashov</surname><given-names>A. G.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Конашов Алексей Геннадьевич – кандидат медицинских наук, доцент, Южно-Уральский государственный медицинский университет; заместитель главного врача, Городская клиническая больница №8</p><p>Челябинск</p></bio><bio xml:lang="en"><p>Chelyabinsk</p></bio><email xlink:type="simple">vladkag5@gmail.com</email><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0005-1441-7311</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Гусев</surname><given-names>А. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Gusev</surname><given-names>A. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Гусев Андрей Владимирович – врач анестезиолог-реаниматолог, Челябинская областная клиническая больница); старший лаборант, Южно-Уральский государственный медицинский университет</p><p>Челябинск</p></bio><bio xml:lang="en"><p>Chelyabinsk</p></bio><email xlink:type="simple">andrejgusev1509@gmail.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/0000-0002-1905-9155</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Конашов</surname><given-names>В А.</given-names></name><name name-style="western" xml:lang="en"><surname>Konashov</surname><given-names>V. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Конашов Владислав Алексеевич – лаборант, Южно-Уральский государственный медицинский университет; врач приемного отделения, Городская клиническая больница №8</p><p>Челябинск</p></bio><bio xml:lang="en"><p>Chelyabinsk</p></bio><email xlink:type="simple">konashov74@bk.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/0000-0002-2391-7765</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Зотова</surname><given-names>М. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Zotova</surname><given-names>M. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Зотова Мария Александровна – кандидат биологических наук, ведущий научный сотрудник</p><p>Челябинск</p></bio><bio xml:lang="en"><p>Chelyabinsk</p></bio><xref ref-type="aff" rid="aff-2"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Южно-Уральский государственный медицинский университет; Челябинская областная клиническая больница</institution><country>Россия</country></aff><aff xml:lang="en"><institution>South Ural State Medical University; Chelyabinsk Regional Clinical Hospital</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>Южно-Уральский государственный медицинский университет</institution><country>Россия</country></aff><aff xml:lang="en"><institution>South Ural State Medical University</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>Южно-Уральский государственный медицинский университет; Городская клиническая больница №8</institution><country>Россия</country></aff><aff xml:lang="en"><institution>South Ural State Medical University; City Clinical Hospital No. 8</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2024</year></pub-date><pub-date pub-type="epub"><day>30</day><month>07</month><year>2024</year></pub-date><volume>0</volume><issue>2(136)</issue><fpage>230</fpage><lpage>246</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Осиков М.В., Телешева Л.Ф., Конашов А.Г., Гусев А.В., Конашов В.А., Зотова М.А., 2024</copyright-statement><copyright-year>2024</copyright-year><copyright-holder xml:lang="ru">Осиков М.В., Телешева Л.Ф., Конашов А.Г., Гусев А.В., Конашов В.А., Зотова М.А.</copyright-holder><copyright-holder xml:lang="en">Osikov M.V., Telesheva L.F., Konashov A.G., Gusev A.V., Konashov V.A., Zotova M.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://vestnovsu.elpub.ru/jour/article/view/304">https://vestnovsu.elpub.ru/jour/article/view/304</self-uri><abstract><p>Сепсис – типовая форма патологии, в основе которой лежит реакция организма в виде генерализованного воспаления на инфекцию различной природы, приводящая к остро возникающей полиорганной дисфункции. При сепсисе возникает дисфункция эндотелия, адгезия и агрегация тромбоцитов, гиперкоагуляция, гипокоагуляция, нарастает микротромбогенез, нарушения антикоагулянтной и фибринолитической систем. Лишь в немногих исследованиях оценивалась взаимосвязь однонуклеотидных полиморфизмов (SNP) факторов гемостаза в прогнозе сепсиса: VWF, EPCR, SELP, SELE, ITGA2, ITGA2b, ITGB3, GP1BA, FGG, FGA, FII, FV, FVII, THBD, PAI-1. Разрозненность результатов SNP подчеркивают необходимость проведения более масштабных исследований в рамках персонифицированного подхода для дополнения теоретической базы патогенеза сепсиса, а также получения новых лабораторных инструментов для совершенствования прогностических шкал, формирования математической модели в зависимости от исхода сепсиса.</p></abstract><trans-abstract xml:lang="en"><p>Sepsis is a typical form of pathology, which is based on the body's reaction in the form of generalized inflammation to an infection of various nature, leading to acute multiple organ dysfunction. In sepsis, endothelial dysfunction, platelet adhesion and aggregation, hypercoagulation, hypocoagulation occur, microthrombogenesis, disturbances in the anticoagulant and fibrinolytic systems increase. Only a few studies have assessed the relationship of single nucleotide polymorphisms (SNPs) of hemostatic factors in the prognosis of sepsis: VWF, EPCR, SELP, SELE, ITGA2, ITGA2b, ITGB3, GP1BA, FGG, FGA, FII, FV, FVII, THBD, PAI-1. The disparity of the SNP results highlights the need for larger-scale studies within the framework of a personalized approach to complement the theoretical basis of the pathogenesis of sepsis, as well as to obtain new laboratory tools to improve prognostic scales, the formation of a mathematical model depending on the outcome of sepsis.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>сепсис</kwd><kwd>однонуклеотидные генетические полиморфизмы</kwd><kwd>гемостаз</kwd><kwd>тромбоциты</kwd><kwd>эндотелий</kwd><kwd>коагуляция</kwd></kwd-group><kwd-group xml:lang="en"><kwd>sepsis</kwd><kwd>single nucleotide genetic polymorphisms</kwd><kwd>hemostasis</kwd><kwd>platelets</kwd><kwd>endothelium</kwd><kwd>coagulation</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">Singer M., Deutschman C. S., Seymour C. W., Shankar-Hari M., Annane D., Bauer M., Bellomo R., Bernard G. 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