84 research outputs found

    Investments in oil field development by the example of Tomsk oblast

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    The article describes the geologic structure of the formation located not far from Strezhevoy Tomsk Oblast. The formation has been poorly studied by seismic methods. The reserves categories Π‘[1] and Π‘[2] as well as hydrocarbon potential are presented. 4 exploratory and 39 production wells are designed to be drilled depending on geologic knowledge and formation conditions. The article deals with the investment plan including development, oil export expenditures and implementing cost calculation

    Synthesis and Research of Alumina Ceramics Properties

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    The article describes in detail alumina powder synthesis by different methods at varying parameters. The technique of obtaining ceramics and the research of the optical properties for determining the materials with the maximum luminescence efficiency is presented. The concentration of the luminescence intrinsic centers and various defects differ for ceramics synthesized by different methods. It is determined that ceramics based on the powder synthesized by a sol-gel method has the maximum thermoluminescence intensity in the F-center peak, whereas for the peak of 360Β Β°C it is obtained with the powder prepared by precipitation of aluminum nitrate with a PEG‑20000 stabilizer

    Variability in the relative quantity of human DNA resulted from metagenomic analysis of gut microbiota

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    We conducted the comparative study of seven different methods of total DNA extraction from human feces. All these methods are recommended in protocols for metagenomic analysis of human gut microbiota. We studied the relative quantity of human DNA calculated from shotgun sequencing on a SOLiD 4 genetic analyzer of metagenomic samples. It was shown that either initial amount of feces or a method applied for total DNA extraction do not affect on final relative human DNA abundance, which is less than 1% in healthy people. Invariance of this parameter allows to consider increased abundance of human DNA in metagenomic samples as a potential marker of inflammatory bowel diseases. | Abstract available from the publisher

    Amperometric detection of caffeine and paracetamol on a dual screen printed electrode modified with mixed-valence ruthenium and cobalt oxides in flow-injection analysis

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    It is found that the mixed-valence ruthenium and cobalt oxides (CoOx-RuOx) composite electrodeposited on screen printed electrode exhibits catalytic activity during caffeine and paracetamol electrooxidation. These compounds are oxidized at different potentials which provides selective voltammetric determination at simultaneous presence. A method of amperometric determination of caffeine and paracetamol on a dual electrode modified with CoOx-RuOx composite in a flow injection analysis is developed. The linear relationship between an analytical signal and analyte concentration is found in the range from 5Γ—10-7 mol/l to 5Γ—10-3 mol/l. Using a modified dual screen printed electrode as an amperometric detector in flow injection analysis allows to determine up to 360 samples/hour. The developed method has been tested in the analysis of some pharmaceuticals

    Interval approach to processing the noised thermophysical data

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    The paper deals with application of numerical methods to processing the experimental data on the thermophysical properties of several chemical substances and their compounds (cryolites, rare earth compounds, and alkali halides). The main aim of investigations is in estimating the parameters of dependencies between the heat of fusion and the melting temperature of these chemical substances. The data are corrupted by the measuring errors. Procession is implemented under conditions of uncertainty: there is no any information on probabilistic properties of the corrupting factors, samples of measurements are short, and only approximate functions are known that describes mentioned dependencies. Under such conditions, the standard statistical methods can be applied formally. To obtain guarantied results in parameters estimation, the interval analysis methods and procedures are used. © 2020 American Institute of Physics Inc.. All rights reserved.The work was supported by the RFBR grants, projects nos. 18-01-00410 and 18-03-00785 А

    [Changing the intestinal microbiota of chickens in ontogenesis] ИзмСнСниС ΠΌΠΈΠΊΡ€ΠΎΠ±ΠΈΠΎΡ‚Ρ‹ ΠΊΠΈΡˆΠ΅Ρ‡Π½ΠΈΠΊΠ° ΠΊΡƒΡ€ Π² ΠΎΠ½Ρ‚ΠΎΠ³Π΅Π½Π΅Π·Π΅

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    This paper presents the results of a molecular genetic analysis of the changes in the composition of the microbiota of the blind processes of the intestine of the hens of the industrial loam "Lohmann Brown" during ontogeny. According to the results of the analysis of taxonomic affiliation it is established that over 70% of the phylotypes belong to the three phylums - Firmicutes, Bacteroidetes and Proteobacteria, less represented were Actinobacteria, Tenericutes and Fusobacteria, and a significant number of unidentified bacteria was detected. During ontogenesis, birds exhibited marked changes in the ratio of the number of phylotypes and taxonomic groups of the intestinal microbiota. At the age of 20-40 weeks, the birds showed a significant increase in the representatives of the Clostridia class involved in the metabolism of carbohydrates, acid-utilizing bacteria of the order Negativicutes and bacteria with high antagonistic properties (Bifidobacteriales, Bacillus), as well as a significant decrease in the content of a number of opportunistic and pathogenic taxa - family Enterobacteriaceae, the order of Pseudomonadales, phylum Tenericutes. The greatest homogeneity of the bacterial community of the blind processes of the gastrointestinal tract in laying hens was revealed at the age of 20 weeks, which is confirmed by the estimation of biodiversity by means of ecological indices. Π’ настоящСм исслСдовании прСдставлСны Ρ€Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚Ρ‹ молСкулярно-гСнСтичСского Π°Π½Π°Π»ΠΈΠ·Π° измСнСния состава ΠΌΠΈΠΊΡ€ΠΎΠ±ΠΈΠΎΡ‚Ρ‹ слСпых отростков ΠΊΠΈΡˆΠ΅Ρ‡Π½ΠΈΠΊΠ° ΠΊΡƒΡ€ ΠΏΡ€ΠΎΠΌΡ‹ΡˆΠ»Π΅Π½Π½ΠΎΠ³ΠΎ кросса Β«Π›ΠΎΠΌΠ°Π½Π½ Π‘Ρ€Π°ΡƒΠ½Β» Π² Ρ‚Π΅Ρ‡Π΅Π½ΠΈΠ΅ ΠΎΠ½Ρ‚ΠΎΠ³Π΅Π½Π΅Π·Π°. По Ρ€Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚Π°ΠΌ Π°Π½Π°Π»ΠΈΠ·Π° таксономичСской принадлСТности установлСно, Ρ‡Ρ‚ΠΎ ΡΠ²Ρ‹ΡˆΠ΅ 70% Ρ„ΠΈΠ»ΠΎΡ‚ΠΈΠΏΠΎΠ² относится ΠΊ Ρ‚Ρ€Π΅ΠΌ Ρ„ΠΈΠ»ΡƒΠΌΠ°ΠΌ - Firmicutes, Bacteroidetes ΠΈ Proteobacteria, ΠΌΠ΅Π½Π΅Π΅ прСдставлСны Π±Ρ‹Π»ΠΈ Actinobacteria, Tenericutes ΠΈ Fusobacteria, Π° Ρ‚Π°ΠΊΠΆΠ΅ выявлСно присутствиС Π·Π½Π°Ρ‡ΠΈΡ‚Π΅Π»ΡŒΠ½ΠΎΠ³ΠΎ количСства Π½Π΅ΠΈΠ΄Π΅Π½Ρ‚ΠΈΡ„ΠΈΡ†ΠΈΡ€ΠΎΠ²Π°Π½Π½Ρ‹Ρ… Π±Π°ΠΊΡ‚Π΅Ρ€ΠΈΠΉ. Π’ Ρ‚Π΅Ρ‡Π΅Π½ΠΈΠ΅ ΠΎΠ½Ρ‚ΠΎΠ³Π΅Π½Π΅Π·Π° Ρƒ ΠΏΡ‚ΠΈΡ† наблюдались Π·Π°ΠΌΠ΅Ρ‚Π½Ρ‹Π΅ измСнСния ΡΠΎΠΎΡ‚Π½ΠΎΡˆΠ΅Π½ΠΈΡ количСства Ρ„ΠΈΠ»ΠΎΡ‚ΠΈΠΏΠΎΠ² ΠΈ таксономичСских Π³Ρ€ΡƒΠΏΠΏ ΠΌΠΈΠΊΡ€ΠΎΠ±ΠΈΠΎΡ‚Ρ‹ ΠΊΠΈΡˆΠ΅Ρ‡Π½ΠΈΠΊΠ°. Π’ возрастС 20-40 нСдСль Ρƒ ΠΏΡ‚ΠΈΡ† ΠΎΡ‚ΠΌΠ΅Ρ‡Π΅Π½ΠΎ достовСрноС ΡƒΠ²Π΅Π»ΠΈΡ‡Π΅Π½ΠΈΠ΅ прСдставитСлСй класса Clostridia, ΡƒΡ‡Π°ΡΡ‚Π²ΡƒΡŽΡ‰ΠΈΡ… Π² ΠΌΠ΅Ρ‚Π°Π±ΠΎΠ»ΠΈΠ·ΠΌΠ΅ ΡƒΠ³Π»Π΅Π²ΠΎΠ΄ΠΎΠ², кислот-ΡƒΡ‚ΠΈΠ»ΠΈΠ·ΠΈΡ€ΡƒΡŽΡ‰ΠΈΡ… Π±Π°ΠΊΡ‚Π΅Ρ€ΠΈΠΉ порядка Negativicutes ΠΈ Π±Π°ΠΊΡ‚Π΅Ρ€ΠΈΠΉ с высокими антагонистичСскими свойствами (Bifidobacteriales, Bacillus), Π° Ρ‚Π°ΠΊΠΆΠ΅ достовСрноС сниТСниС содСрТания ряда условно-ΠΏΠ°Ρ‚ΠΎΠ³Π΅Π½Π½Ρ‹Ρ… ΠΈ ΠΏΠ°Ρ‚ΠΎΠ³Π΅Π½Π½Ρ‹Ρ… таксонов – сСмСйства Enterobacteriaceae, порядка Pseudomonadales, Ρ„ΠΈΠ»ΡƒΠΌΠ° Tenericutes. Наибольшая ΠΎΠ΄Π½ΠΎΡ€ΠΎΠ΄Π½ΠΎΡΡ‚ΡŒ Π±Π°ΠΊΡ‚Π΅Ρ€ΠΈΠ°Π»ΡŒΠ½ΠΎΠ³ΠΎ сообщСства слСпых отростков Π–ΠšΠ’ Ρƒ Π½Π΅ΡΡƒΡˆΠ΅ΠΊ выявлСна Π² 20-нСдСльном возрастС, Ρ‡Ρ‚ΠΎ подтвСрТдаСтся ΠΎΡ†Π΅Π½ΠΊΠΎΠΉ биоразнообразия ΠΏΡ€ΠΈ ΠΏΠΎΠΌΠΎΡ‰ΠΈ экологичСских индСксов

    Atomic Ordering in Cubic Bismuth Telluride Alloy Phases at High Pressure

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    Pressure-induced transitions from ordered intermetallic phases to substitutional alloys to semi-ordered phases were studied in a series of bismuth tellurides. Using angle-dispersive x-ray diffraction, the compounds Bi4Te5, BiTe, and Bi2Te were observed to form alloys with the disordered body-centered cubic (bcc) crystal structure upon compression to above 14--19 GPa at room temperature. The BiTe and Bi2Te alloys and the previously discovered high-pressure alloys of Bi2Te3 and Bi4Te3 were all found to show atomic ordering after gentle annealing at very moderate temperatures of ~100{\deg}C. Upon annealing, BiTe transforms from the bcc to the B2 (CsCl) crystal structure type, and the other phases adopt semi-disordered variants thereof, featuring substitutional disorder on one of the two crystallographic sites. The transition pressures and atomic volumes of the alloy phases show systematic variations across the Bi_mTe_n series including the end members Bi and Te. First-principles calculations were performed to characterize the electronic structure and chemical bonding properties of B2-type BiTe and to identify the driving forces of the ordering transition. The calculated Fermi surface of B2-type BiTe has an intricate structure and is predicted to undergo three topological changes between 20 and 60 GPa.Comment: 8 pages, 11 figures, accepted for publication in Phys. Rev.

    Morphology and Mechanical Properties of Li-In Alloy as a Promising Anode Material in Fully Solid-State Lithium Batteries

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    In this work, the phase composition and morphology of Li-In alloys have been studied. The distribution map of the Young's modulus over the surface of an alloy with 18 at % lithium was obtained using the AFM method. The distribution map of indium in alloys containing 10 at% and 18 at% lithium was obt

    Π€Π°ΠΊΡ‚ΠΎΡ€Ρ‹ риска развития тяТСлой Π΄Ρ‹Ρ…Π°Ρ‚Π΅Π»ΡŒΠ½ΠΎΠΉ нСдостаточности Ρƒ Π½ΠΎΠ²ΠΎΡ€ΠΎΠΆΠ΄Π΅Π½Π½Ρ‹Ρ… c гСстационным возрастом 37 нСдСль

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    The aim was to determine the risk factors for severe respiratory failure in newborns of 37-week gestational age.Methods. The study was designed as retrospective, controlled, non-randomized, and single-center. 640 patients corresponded the criteria of inclusion and exclusion. 7 (1.1%) children died. Depending on the gestational age (GA), patients were divided into two groups. The main group (n = 279) included newborns with GA of 37 weeks. The comparison group (n = 361) consisted of newborns with GA of 34β€’36 weeks. Both groups of children received comparable critical care and had similar settings of initial artificial pulmonary ventilation. The software of BioStat was used for statistical processing. Results. Patients of the main group had initially higher pressure in the right ventricle, they were in need of noninvasive ventilator more often (Ο‡2 = 4.23; p = 0.05), and pulmonary hemorrhage were also more frequent in them (Ο‡2 = 9.608; p = 0.02). It was mostly newborns delivered by cesarean section who developed respiratory problems. A uterine scar in a pregnant woman made a significant risk factor for severe respiratory failure in patients of the main group (OR β€’ 1.99).Conclusion. Severe respiratory failure in newborns with gestational age at 37 weeks develops with intrauterine growth retardation, the main risk factor of which is the presence of a scar on the uterus. ЦСль: ΠΎΠΏΡ€Π΅Π΄Π΅Π»Π΅Π½ΠΈΠ΅ Ρ„Π°ΠΊΡ‚ΠΎΡ€ΠΎΠ² риска развития тяТСлой Π΄Ρ‹Ρ…Π°Ρ‚Π΅Π»ΡŒΠ½ΠΎΠΉ нСдостаточности Ρƒ Π½ΠΎΠ²ΠΎΡ€ΠΎΠΆΠ΄Π΅Π½Π½Ρ‹Ρ… c гСстационным возрастом (Π“Π’) 37 Π½Π΅Π΄.ΠœΠ΅Ρ‚ΠΎΠ΄Ρ‹. Π”ΠΈΠ·Π°ΠΉΠ½ исслСдования – рСтроспСктивноС, ΠΊΠΎΠ½Ρ‚Ρ€ΠΎΠ»ΠΈΡ€ΡƒΠ΅ΠΌΠΎΠ΅, Π½Π΅Ρ€Π°Π½Π΄ΠΎΠΌΠΈΠ·ΠΈΡ€ΠΎΠ²Π°Π½Π½ΠΎΠ΅, ΠΎΠ΄Π½ΠΎΡ†Π΅Π½Ρ‚Ρ€ΠΎΠ²ΠΎΠ΅. ΠšΡ€ΠΈΡ‚Π΅Ρ€ΠΈΡΠΌ Π²ΠΊΠ»ΡŽΡ‡Π΅Π½ΠΈΡ ΠΈ ΠΈΡΠΊΠ»ΡŽΡ‡Π΅Π½ΠΈΡ соотвСтствовало 640 ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ². Π£ΠΌΠ΅Ρ€Π»ΠΎ 7 (1,1%) Π΄Π΅Ρ‚Π΅ΠΉ. ΠŸΠ°Ρ†ΠΈΠ΅Π½Ρ‚Ρ‹ Π² зависимости ΠΎΡ‚ Π“Π’ Ρ€Π°Π·Π΄Π΅Π»Π΅Π½Ρ‹ Π½Π° Π΄Π²Π΅ Π³Ρ€ΡƒΠΏΠΏΡ‹. Основная (n = 279) β€’ Π½ΠΎΠ²ΠΎΡ€ΠΎΠΆΠ΄Π΅Π½Π½Ρ‹Π΅ с Π“Π’ 37 Π½Π΅Π΄. Π“Ρ€ΡƒΠΏΠΏΠ° сравнСния (n = 361) β€’ Π½ΠΎΠ²ΠΎΡ€ΠΎΠΆΠ΄Π΅Π½Π½Ρ‹Π΅ с Π“Π’ 34β€’36 Π½Π΅Π΄. Π£ Π΄Π΅Ρ‚Π΅ΠΉ ΠΎΠ±Π΅ΠΈΡ… Π³Ρ€ΡƒΠΏΠΏ Π±Ρ‹Π»ΠΈ сопоставимая интСнсивная тСрапия ΠΈ ΠΏΠ°Ρ€Π°ΠΌΠ΅Ρ‚Ρ€Ρ‹ стартовой искусствСнной вСнтиляции Π»Π΅Π³ΠΊΠΈΡ… (Π˜Π’Π›). Π‘Ρ‚Π°Ρ‚ΠΈΡΡ‚ΠΈΡ‡Π΅ΡΠΊΡƒΡŽ ΠΎΠ±Ρ€Π°Π±ΠΎΡ‚ΠΊΡƒ ΠΏΡ€ΠΎΠ²ΠΎΠ΄ΠΈΠ»ΠΈ Π½Π° основС статистичСской ΠΏΡ€ΠΎΠ³Ρ€Π°ΠΌΠΌΡ‹ BioStat.Π Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚Ρ‹. Π£ ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ² основной Π³Ρ€ΡƒΠΏΠΏΡ‹ имСлось исходно Π±ΠΎΠ»Π΅Π΅ высокоС Π΄Π°Π²Π»Π΅Π½ΠΈΠ΅ Π² ΠΏΡ€Π°Π²ΠΎΠΌ ΠΆΠ΅Π»ΡƒΠ΄ΠΎΡ‡ΠΊΠ΅, Ρ‡Π°Ρ‰Π΅ использовалась нСинвазивная Π˜Π’Π› (Ο‡2 = 4,23; p = 0,05), Π±Ρ‹Π»Π° Π±ΠΎΠ»Π΅Π΅ высокой частота Π»Π΅Π³ΠΎΡ‡Π½ΠΎΠ³ΠΎ кровотСчСния (Ο‡2 = 9,608; p = 0,02). РСспираторныС ΠΏΡ€ΠΎΠ±Π»Π΅ΠΌΡ‹ Ρ€Π°Π·Π²ΠΈΠ²Π°Π»ΠΈΡΡŒ Π² основном Ρƒ Π½ΠΎΠ²ΠΎΡ€ΠΎΠΆΠ΄Π΅Π½Π½Ρ‹Ρ…, ΠΈΠ·Π²Π»Π΅Ρ‡Π΅Π½Π½Ρ‹Ρ… ΠΏΡƒΡ‚Π΅ΠΌ кСсарСва сСчСния. Π—Π½Π°Ρ‡ΠΈΠΌΡ‹ΠΌ Ρ„Π°ΠΊΡ‚ΠΎΡ€ΠΎΠΌ риска развития тяТСлой Π΄Ρ‹Ρ…Π°Ρ‚Π΅Π»ΡŒΠ½ΠΎΠΉ нСдостаточности Ρƒ ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ² основной Π³Ρ€ΡƒΠΏΠΏΡ‹ явилось Π½Π°Π»ΠΈΡ‡ΠΈΠ΅ Ρ€ΡƒΠ±Ρ†Π° Π½Π° ΠΌΠ°Ρ‚ΠΊΠ΅ Ρƒ Π±Π΅Ρ€Π΅ΠΌΠ΅Π½Π½ΠΎΠΉ (ОШ β€’ 1,99).Π’Ρ‹Π²ΠΎΠ΄. ВяТСлая Π΄Ρ‹Ρ…Π°Ρ‚Π΅Π»ΡŒΠ½Π°Ρ Π½Π΅Π΄ΠΎΡΡ‚Π°Ρ‚ΠΎΡ‡Π½ΠΎΡΡ‚ΡŒ Ρƒ Π½ΠΎΠ²ΠΎΡ€ΠΎΠΆΠ΄Π΅Π½Π½Ρ‹Ρ… с Π“Π’ 37 Π½Π΅Π΄. развиваСтся ΠΏΡ€ΠΈ Π·Π°Π΄Π΅Ρ€ΠΆΠΊΠ΅ Π²Π½ΡƒΡ‚Ρ€ΠΈΡƒΡ‚Ρ€ΠΎΠ±Π½ΠΎΠ³ΠΎ развития, основным Ρ„Π°ΠΊΡ‚ΠΎΡ€ΠΎΠΌ риска ΠΊΠΎΡ‚ΠΎΡ€ΠΎΠΉ являСтся Π½Π°Π»ΠΈΡ‡ΠΈΠ΅ Ρ€ΡƒΠ±Ρ†Π° Π½Π° ΠΌΠ°Ρ‚ΠΊΠ΅

    РСслизумаб Π² Π»Π΅Ρ‡Π΅Π½ΠΈΠΈ Π±ΠΎΠ»ΡŒΠ½Ρ‹Ρ… тяТСлой Π±Ρ€ΠΎΠ½Ρ…ΠΈΠ°Π»ΡŒΠ½ΠΎΠΉ астмой ΡΠΎΠ·ΠΈΠ½ΠΎΡ„ΠΈΠ»ΡŒΠ½ΠΎΠ³ΠΎ Ρ„Π΅Π½ΠΎΡ‚ΠΈΠΏΠ°

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    It is known that patients with severe asthma often fail to achieve disease control. Excessive airways eosinophilic inflammation is one of the key causes of severe uncontrolled asthma in this case. The occurrence of eosinophilic phenotype of inflammation is quite high in severe uncontrolled asthma. Thus, about 55% of patients have eosinophil level in induced sputum β‰₯ 3%. Eosinophilic phenotype of asthma is associated with greater severity of symptoms, presence of atopy, late onset of the disease, and lack of response to inhaled glucocorticosteroids. Numerous studies confirmed the relationship between elevated eosinophils in the airways and more frequent and severe asthma exacerbations, as well as reduced lung function, increased administration of steroids and other medications, and more frequent use of healthcare services. Severe eosinophilic asthma is characterized mainly by late onset of the disease, persistent eosinophilia in the airways and peripheral blood. It is associated with frequent exacerbations, chronic or intermittent need to the use of systemic corticosteroids to achieve better control of the disease, and unfavorable prognosis of the natural course. Predominantly eosinophilic type of airway inflammation is a characteristic manifestation of T2 endotype of asthma, that is implemented due to the domination of Th2-lymphocyte response (allergic asthma) and/or due to high activity of type 2 innate lymphoid cells (ILC2) involved in the development of both non-allergic and allergic asthma. Th2 and ILC2 cells increase IL-5 level, which plays an important role in the formation of uncontrolled eosinophilic inflammation in the airways in patients suffering from T2 endotype of severe asthma, by stimulating eosinophil precursor maturation in the bone marrow, mobilization of eosinophils and precursors from the bone marrow, accumulation of eosinophils in the blood, eosinophilic infiltration of lung tissue, and eosinophil migration in the area of inflammation. The novel medication reslizumab (Cinqair) is the first anti-IL-5 immunological biologic drug registered in Russia for the treatment of severe asthma with eosinophilic airway inflammation. As a humanized monoclonal antibody (IgG4k) with high affinity for IL-5, reslizumab specifically binds to IL-5 and inhibits its interaction with IL-5 receptor on the cell surface, thus disrupting the underlying pathophysiology of bronchial inflammation in asthma, including maturation and survival of eosinophils, inflammation and remodeling of the airways. Clinical effects of reslizumab are manifested as decreased asthma exacerbation rate, improved lung function, and disease control.Π˜Π·Π²Π΅ΡΡ‚Π½ΠΎ, Ρ‡Ρ‚ΠΎ Ρƒ Π±ΠΎΠ»ΡŒΠ½Ρ‹Ρ… тяТСлой Π±Ρ€ΠΎΠ½Ρ…ΠΈΠ°Π»ΡŒΠ½ΠΎΠΉ астмой (БА) часто Π½Π΅ достигаСтся ΠΊΠΎΠ½Ρ‚Ρ€ΠΎΠ»ΡŒ Π½Π°Π΄ Π·Π°Π±ΠΎΠ»Π΅Π²Π°Π½ΠΈΠ΅ΠΌ. ΠŸΡ€ΠΈ этом ΠΈΠ·Π±Ρ‹Ρ‚ΠΎΡ‡Π½ΠΎΠ΅ ΡΠΎΠ·ΠΈΠ½ΠΎΡ„ΠΈΠ»ΡŒΠ½ΠΎΠ΅ воспалСниС Π΄Ρ‹Ρ…Π°Ρ‚Π΅Π»ΡŒΠ½Ρ‹Ρ… ΠΏΡƒΡ‚Π΅ΠΉ являСтся ΠΎΠ΄Π½ΠΎΠΉ ΠΈΠ· ΠΊΠ»ΡŽΡ‡Π΅Π²Ρ‹Ρ… ΠΏΡ€ΠΈΡ‡ΠΈΠ½ тяТСлого Π½Π΅ΠΊΠΎΠ½Ρ‚Ρ€ΠΎΠ»ΠΈΡ€ΡƒΠ΅ΠΌΠΎΠ³ΠΎ тСчСния БА. Π’ структурС тяТСлой Π½Π΅ΠΊΠΎΠ½Ρ‚Ρ€ΠΎΠ»ΠΈΡ€ΡƒΠ΅ΠΌΠΎΠΉ БА частота ΡΠΎΠ·ΠΈΠ½ΠΎΡ„ΠΈΠ»ΡŒΠ½ΠΎΠ³ΠΎ Ρ„Π΅Π½ΠΎΡ‚ΠΈΠΏΠ° воспалСния достаточно высока. Π’Π°ΠΊ, ΠΎΠΊΠΎΠ»ΠΎ 55 % ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ² Ρ…Π°Ρ€Π°ΠΊΡ‚Π΅Ρ€ΠΈΠ·ΡƒΡŽΡ‚ΡΡ ΡƒΡ€ΠΎΠ²Π½Π΅ΠΌ эозинофилов Π² ΠΈΠ½Π΄ΡƒΡ†ΠΈΡ€ΠΎΠ²Π°Π½Π½ΠΎΠΉ ΠΌΠΎΠΊΡ€ΠΎΡ‚Π΅ β‰₯ 3 %. Π­ΠΎΠ·ΠΈΠ½ΠΎΡ„ΠΈΠ»ΡŒΠ½Ρ‹ΠΉ Ρ„Π΅Π½ΠΎΡ‚ΠΈΠΏ БА ассоциируСтся с большСй Π²Ρ‹Ρ€Π°ΠΆΠ΅Π½Π½ΠΎΡΡ‚ΡŒΡŽ симптомов, Π°Π»Π»Π΅Ρ€Π³ΠΈΠ΅ΠΉ, Π½Π΅Ρ€Π΅Π΄ΠΊΠΎ с ΠΏΠΎΠ·Π΄Π½ΠΈΠΌ Ρ€Π°Π·Π²ΠΈΡ‚ΠΈΠ΅ΠΌ заболСвания ΠΈ Π½Π΅ΠΏΠΎΠ»Π½Ρ‹ΠΌ ΠΎΡ‚Π²Π΅Ρ‚ΠΎΠΌ Π½Π° Π»Π΅Ρ‡Π΅Π½ΠΈΠ΅ ингаляционными Π³Π»ΡŽΠΊΠΎΠΊΠΎΡ€Ρ‚ΠΈΠΊΠΎΡΡ‚Π΅Ρ€ΠΎΠΈΠ΄Π°ΠΌΠΈ (ΠΈΠ“ΠšΠ‘). Π’ многочислСнных исслСдованиях ΠΏΠΎΠ΄Ρ‚Π²Π΅Ρ€ΠΆΠ΄Π΅Π½Π° связь ΠΌΠ΅ΠΆΠ΄Ρƒ ΠΏΠΎΠ²Ρ‹ΡˆΠ΅Π½Π½Ρ‹ΠΌ ΡƒΡ€ΠΎΠ²Π½Π΅ΠΌ эозинофилов Π² Π΄Ρ‹Ρ…Π°Ρ‚Π΅Π»ΡŒΠ½Ρ‹Ρ… путях ΠΈ Π±ΠΎΠ»Π΅Π΅ частыми ΠΈ тяТСлыми обострСниями БА, Π° Ρ‚Π°ΠΊΠΆΠ΅ сниТСнной Ρ„ΡƒΠ½ΠΊΡ†ΠΈΠ΅ΠΉ Π»Π΅Π³ΠΊΠΈΡ…, ΠΏΠΎΠ²Ρ‹ΡˆΠ΅Π½Π½Ρ‹ΠΌ ΠΏΡ€ΠΈΠ΅ΠΌΠΎΠΌ Π“ΠšΠ‘ ΠΈ Π΄Ρ€ΡƒΠ³ΠΈΡ… лСкарствСнных ΠΏΡ€Π΅ΠΏΠ°Ρ€Π°Ρ‚ΠΎΠ², Π±ΠΎΠ»Π΅Π΅ частым использованиСм услуг здравоохранСния. ВяТСлая ΡΠΎΠ·ΠΈΠ½ΠΎΡ„ΠΈΠ»ΡŒΠ½Π°Ρ БА характСризуСтся прСимущСствСнно ΠΏΠΎΠ·Π΄Π½ΠΈΠΌ Π½Π°Ρ‡Π°Π»ΠΎΠΌ заболСвания, ΠΏΠ΅Ρ€ΡΠΈΡΡ‚ΠΈΡ€ΡƒΡŽΡ‰Π΅ΠΉ эозинофилиСй Π² Π΄Ρ‹Ρ…Π°Ρ‚Π΅Π»ΡŒΠ½Ρ‹Ρ… путях ΠΈ пСрифСричСской ΠΊΡ€ΠΎΠ²ΠΈ. Π•ΠΉ свойствСнны частыС обострСния, постоянная ΠΈΠ»ΠΈ эпизодичСская Π·Π°Π²ΠΈΡΠΈΠΌΠΎΡΡ‚ΡŒ ΠΎΡ‚ примСнСния систСмных Π“ΠšΠ‘ для достиТСния Π»ΡƒΡ‡ΡˆΠ΅Π³ΠΎ контроля Π½Π°Π΄ Π·Π°Π±ΠΎΠ»Π΅Π²Π°Π½ΠΈΠ΅ΠΌ, Π° Ρ‚Π°ΠΊΠΆΠ΅ нСблагоприятный ΠΏΡ€ΠΎΠ³Π½ΠΎΠ· СстСствСнного тСчСния. ΠŸΡ€Π΅ΠΈΠΌΡƒΡ‰Π΅ΡΡ‚Π²Π΅Π½Π½ΠΎ ΡΠΎΠ·ΠΈΠ½ΠΎΡ„ΠΈΠ»ΡŒΠ½Ρ‹ΠΉ Ρ‚ΠΈΠΏ воспалСния Π΄Ρ‹Ρ…Π°Ρ‚Π΅Π»ΡŒΠ½Ρ‹Ρ… ΠΏΡƒΡ‚Π΅ΠΉ являСтся Ρ…Π°Ρ€Π°ΠΊΡ‚Π΅Ρ€Π½Ρ‹ΠΌ проявлСниСм Π’2-эндотипа БА, ΠΊΠΎΡ‚ΠΎΡ€Ρ‹ΠΉ рСализуСтся Π·Π° счСт доминирования Th2-Π»ΠΈΠΌΡ„ΠΎΡ†ΠΈΡ‚Π°Ρ€Π½ΠΎΠ³ΠΎ ΠΎΡ‚Π²Π΅Ρ‚Π° (аллСргичСская БА) ΠΈ / ΠΈΠ»ΠΈ высокой активности Π²Ρ€ΠΎΠΆΠ΄Π΅Π½Π½Ρ‹Ρ… Π»ΠΈΠΌΡ„ΠΎΠΈΠ΄Π½Ρ‹Ρ… ΠΊΠ»Π΅Ρ‚ΠΎΠΊ 2-Π³ΠΎ Ρ‚ΠΈΠΏΠ° – ILC2-ΠΊΠ»Π΅Ρ‚ΠΎΠΊ, ΡƒΡ‡Π°ΡΡ‚Π²ΡƒΡŽΡ‰ΠΈΡ… Π² Ρ€Π°Π·Π²ΠΈΡ‚ΠΈΠΈ ΠΊΠ°ΠΊ нСаллСргичСской, Ρ‚Π°ΠΊ ΠΈ аллСргичСской БА. Как Th2-, Ρ‚Π°ΠΊ ΠΈ ILC2-ΠΊΠ»Π΅Ρ‚ΠΊΠΈ ΡƒΠ²Π΅Π»ΠΈΡ‡ΠΈΠ²Π°ΡŽΡ‚ ΡƒΡ€ΠΎΠ²Π½ΠΈ ΠΈΠ½Ρ‚Π΅Ρ€Π»Π΅ΠΉΠΊΠΈΠ½Π°-5 (IL-5), ΠΊΠΎΡ‚ΠΎΡ€Ρ‹ΠΉ ΠΈΠ³Ρ€Π°Π΅Ρ‚ Π²Π°ΠΆΠ½ΡƒΡŽ Ρ€ΠΎΠ»ΡŒ Π² Ρ„ΠΎΡ€ΠΌΠΈΡ€ΠΎΠ²Π°Π½ΠΈΠΈ Π½Π΅ΠΊΠΎΠ½Ρ‚Ρ€ΠΎΠ»ΠΈΡ€ΡƒΠ΅ΠΌΠΎΠ³ΠΎ ΡΠΎΠ·ΠΈΠ½ΠΎΡ„ΠΈΠ»ΡŒΠ½ΠΎΠ³ΠΎ воспалСния Π² Π±Ρ€ΠΎΠ½Ρ…ΠΎΠ»Π΅Π³ΠΎΡ‡Π½ΠΎΠΌ Ρ€Π΅Π³ΠΈΠΎΠ½Π΅ Ρƒ Π±ΠΎΠ»ΡŒΠ½Ρ‹Ρ…, ΡΡ‚Ρ€Π°Π΄Π°ΡŽΡ‰ΠΈΡ… Π’2-эндотипом тяТСлой БА, стимулируя созрСваниС ΠΏΡ€Π΅Π΄ΡˆΠ΅ΡΡ‚Π²Π΅Π½Π½ΠΈΠΊΠΎΠ² эозинофилов Π² костном ΠΌΠΎΠ·Π³Π΅, ΠΌΠΎΠ±ΠΈΠ»ΠΈΠ·Π°Ρ†ΠΈΡŽ эозинофилов ΠΈ ΠΏΡ€Π΅Π΄ΡˆΠ΅ΡΡ‚Π²Π΅Π½Π½ΠΈΠΊΠΎΠ² ΠΈΠ· костного ΠΌΠΎΠ·Π³Π°, Π½Π°ΠΊΠΎΠΏΠ»Π΅Π½ΠΈΠ΅ эозинофилов Π² ΠΊΡ€ΠΎΠ²ΠΈ, ΡΠΎΠ·ΠΈΠ½ΠΎΡ„ΠΈΠ»ΡŒΠ½ΡƒΡŽ ΠΈΠ½Ρ„ΠΈΠ»ΡŒΡ‚Ρ€Π°Ρ†ΠΈΡŽ Ρ‚ΠΊΠ°Π½ΠΈ Π»Π΅Π³ΠΊΠΈΡ… ΠΈ ΠΌΠΈΠ³Ρ€Π°Ρ†ΠΈΡŽ эозинофилов Π² ΠΎΡ‡Π°Π³ воспалСния. Новый ΠΏΡ€Π΅ΠΏΠ°Ρ€Π°Ρ‚ РСслизумаб (Π‘ΠΈΠ½ΠΊΠ΅ΠΉΡ€ΠΎ) являСтся ΠΏΠ΅Ρ€Π²Ρ‹ΠΌ зарСгистрированным Π² России Π°Π½Ρ‚ΠΈ-IL-5 иммунологичСским Π±ΠΈΠΎΠΏΡ€Π΅ΠΏΠ°Ρ€Π°Ρ‚ΠΎΠΌ для лСчСния тяТСлой БА с ΡΠΎΠ·ΠΈΠ½ΠΎΡ„ΠΈΠ»ΡŒΠ½Ρ‹ΠΌ Ρ‚ΠΈΠΏΠΎΠΌ воспалСния Π΄Ρ‹Ρ…Π°Ρ‚Π΅Π»ΡŒΠ½Ρ‹Ρ… ΠΏΡƒΡ‚Π΅ΠΉ. Как Π³ΡƒΠΌΠ°Π½ΠΈΠ·ΠΈΡ€ΠΎΠ²Π°Π½Π½ΠΎΠ΅ моноклональноС Π°Π½Ρ‚ΠΈΡ‚Π΅Π»ΠΎ (IgG4k), высокоафинноС ΠΊ IL-5, РСслизумаб спСцифичСски связываСтся с Π½ΠΈΠΌ ΠΈ прСпятствуСт Π²Π·Π°ΠΈΠΌΠΎΠ΄Π΅ΠΉΡΡ‚Π²ΠΈΡŽ IL-5 с Π΅Π³ΠΎ Ρ€Π΅Ρ†Π΅ΠΏΡ‚ΠΎΡ€ΠΎΠΌ Π½Π° повСрхности ΠΊΠ»Π΅Ρ‚ΠΎΠΊ, Π½Π°Ρ€ΡƒΡˆΠ°Ρ процСсс, Π»Π΅ΠΆΠ°Ρ‰ΠΈΠΉ Π² основС ΠΏΠ°Ρ‚ΠΎΡ„ΠΈΠ·ΠΈΠΎΠ»ΠΎΠ³ΠΈΠΈ Π±Ρ€ΠΎΠ½Ρ…ΠΈΠ°Π»ΡŒΠ½ΠΎΠ³ΠΎ воспалСния ΠΏΡ€ΠΈ БА, Π²ΠΊΠ»ΡŽΡ‡Π°Ρ созрСваниС ΠΈ Π²Ρ‹ΠΆΠΈΠ²Π°Π΅ΠΌΠΎΡΡ‚ΡŒ эозинофилов, воспалСниС ΠΈ Ρ€Π΅ΠΌΠΎΠ΄Π΅Π»ΠΈΡ€ΠΎΠ²Π°Π½ΠΈΠ΅ Π΄Ρ‹Ρ…Π°Ρ‚Π΅Π»ΡŒΠ½Ρ‹Ρ… ΠΏΡƒΡ‚Π΅ΠΉ. ΠšΠ»ΠΈΠ½ΠΈΡ‡Π΅ΡΠΊΠΈΠ΅ эффСкты РСслизумаба ΠΏΡ€ΠΎΡΠ²Π»ΡΡŽΡ‚ΡΡ сниТСниСм частоты обострСний БА, ΡƒΠ»ΡƒΡ‡ΡˆΠ΅Π½ΠΈΠ΅ΠΌ Ρ„ΡƒΠ½ΠΊΡ†ΠΈΠΈ Π»Π΅Π³ΠΊΠΈΡ… ΠΈ контроля Π½Π°Π΄ Π·Π°Π±ΠΎΠ»Π΅Π²Π°Π½ΠΈΠ΅ΠΌ
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