140 research outputs found

    Fluorescence of Supported Phospholipid Bilayers Recorded in a Conventional Horizontal-Beam Spectrofluorometer

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    Supported phospholipid bilayers are a convenient model of cellular membranes in studies of membrane biophysics and protein-lipid interactions. Traditionally, supported lipid bilayers are formed on a flat surface of a glass slide to be observed through fluorescence microscopes. This paper describes a method to enable fluorescence detection from the supported lipid bilayers using standard horizontal-beam spectrofluorometers instead of the microscopes. In the proposed approach, the supported lipid bilayers are formed on the inner optical surfaces of the standard fluorescence microcell. To enable observation of the bilayer absorbed on the cell wall, the microcell is placed in a standard fluorometer cell holder and specifically oriented to expose the inner cell walls to both excitation and emission channels with a help of the custom cell adaptor. The signal intensity from supported bilayers doped with 1 % (mol) of rhodamine-labeled lipid in the standard 3-mm optical microcell was equivalent to fluorescence of the 70–80 nM reference solution of rhodamine recorded in a commercial microcell adaptor. Because no modifications to the instruments are required in this method, a variety of steady-state and time-domain fluorescence measurements of the supported phospholipid bilayers may be performed with the spectral resolution using standard horizontal-beam spectrofluorometers

    The Ras G Domain Lacks the Intrinsic Propensity to Form Dimers

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    Ras GTPase is a molecular switch controlling a number of cellular pathways including growth, proliferation, differentiation, and apoptosis. Recent reports indicated that Ras undergoes dimerization at the membrane surface through protein-protein interactions. If firmly established this property of Ras would require profound reassessment of a large amount of published data and modification of the Ras signaling paradigm. One proposed mechanism of dimerization involves formation of salt bridges between the two GTPase domains (G domains) leading to formation of a compact dimer as observed in Ras crystal structures. In this work, we interrogated the intrinsic ability of Ras to self-associate in solution by creating conditions of high local concentration through irreversibly tethering the two G domains together at their unstructured C-terminal tails. We evaluated possible self-association in this inverted tandem conjugate via analysis of the time-domain fluorescence anisotropy and NMR chemical shift perturbations. We did not observe the increased rotational correlation time expected for the G domain dimer. Variation of the ionic strength (to modulate stability of the salt bridges) did not affect the rotational correlation time in the tandem further supporting independent rotational diffusion of two G domains. In a parallel line of experiments to detect and map weak self-association of the G domains, we analyzed NMR chemical shifts perturbations at a number of sites near the crystallographic dimer interface. The nearly complete lack of chemical shift perturbations in the tandem construct supported a simple model with the independent G domains repelled from each other by their overall negative charge. These results lead us to the conclusion that self-association of the G domains cannot be responsible for homodimerization of Ras reported in the literature

    The experience of multiformat classes

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    The article describes the experience of forming a Β«multi-formatΒ» system of teaching the subject. The use of various forms of employment in combination with modern technologies of training gives a positive result.Π’ ΡΡ‚Π°Ρ‚ΡŒΠ΅ приводится ΠΎΠΏΡ‹Ρ‚ формирования Β«ΠΌΡƒΠ»ΡŒΡ‚ΠΈΡ„ΠΎΡ€ΠΌΠ°Ρ‚Π½ΠΎΠΉΒ» систСмы прСподавания ΡƒΡ‡Π΅Π±Π½ΠΎΠΉ дисциплины. ИспользованиС Ρ€Π°Π·Π½ΠΎΠΎΠ±Ρ€Π°Π·Π½Ρ‹Ρ… Ρ„ΠΎΡ€ΠΌ провСдСния занятий Π² сочСтании с соврСмСнными тСхнологиями обучСния Π΄Π°Π΅Ρ‚ ΠΏΠΎΠ»ΠΎΠΆΠΈΡ‚Π΅Π»ΡŒΠ½Ρ‹ΠΉ Ρ€Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚

    ΠŸΡ€ΠΎΠ΅ΠΊΡ‚Π½ΠΎ-Π΄ΠΈΠΏΠ»ΠΎΠΌΠ½Ρ‹Π΅ ΠΊΠΎΠ»Π»Π΅ΠΊΡ‚ΠΈΠ²Ρ‹ ΠΊΠ°ΠΊ основа ΠΈΠ½Ρ‚Π΅Π³Ρ€Π°Ρ†ΠΈΠΈ образования ΠΈ Π½Π°ΡƒΡ‡Π½ΠΎΠ³ΠΎ поиска

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    Integration of educational process and scientific inquiry, development of creative abilities of graduates by creating graduate thesis project writing teams. Cooperative work of students and teachers of higher educational institution is presented in the article.Π˜Π½Ρ‚Π΅Π³Ρ€Π°Ρ†ΠΈΡ ΠΎΠ±Ρ€Π°Π·ΠΎΠ²Π°Ρ‚Π΅Π»ΡŒΠ½ΠΎΠ³ΠΎ процСсса ΠΈ Π½Π°ΡƒΡ‡Π½ΠΎΠ³ΠΎ поиска, Ρ€Π°Π·Π²ΠΈΡ‚ΠΈΠ΅ творчСских способностСй выпускников Π²ΠΎΠ·ΠΌΠΎΠΆΠ½ΠΎ ΠΏΡƒΡ‚Π΅ΠΌ создания Π΄ΠΈΠΏΠ»ΠΎΠΌΠ½ΠΎ-ΠΏΡ€ΠΎΠ΅ΠΊΡ‚Π½Ρ‹Ρ… творчСских ΠΊΠΎΠ»Π»Π΅ΠΊΡ‚ΠΈΠ²ΠΎΠ². ΠžΠΏΡ‹Ρ‚ совмСстной Ρ€Π°Π±ΠΎΡ‚Ρ‹ студСнтов ΠΈ ΠΏΡ€Π΅ΠΏΠΎΠ΄Π°Π²Π°Ρ‚Π΅Π»Π΅ΠΉ Π²ΡƒΠ·Π° Π² Ρ€Π°ΠΌΠΊΠ°Ρ… Ρ‚Π°ΠΊΠΎΠ³ΠΎ ΠΊΠΎΠ»Π»Π΅ΠΊΡ‚ΠΈΠ²Π° излагаСтся Π² ΡΡ‚Π°Ρ‚ΡŒΠ΅

    Abbreviations of the modern medical language used in the written press

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    El objetivo del presente artΓ­culo es estudiar el potencial lingΓΌΓ­stico y creativo de unidades lΓ©xicas creadas a base de palabras o sintagmas abreviados mediante el anΓ‘lisis del lenguaje de la prensa escrita. El estatus lingΓΌΓ­stico de las abreviaciones no es fijo, van acomodando su configuraciΓ³n externa, pronunciaciΓ³n y propiedades morfosintΓ‘cticas a las palabras naturales del idioma. Los rasgos que testimonian la adaptaciΓ³n de las abreviaciones son su lexicalizaciΓ³n y acomodaciΓ³n grΓ‘fica y fΓ³nica, pΓ©rdida de motivaciΓ³n semΓ‘ntica, participaciΓ³n activa en los procesos derivativos. La variedad en el aspecto grafemΓ‘tico y morfolΓ³gico (oscilaciones con respecto al gΓ©nero, formaciΓ³n del plural, dificultad para distinguir las categorΓ­as gramaticales de sustantivo y adjetivo, uso de guion, mayΓΊsculas o minΓΊsculas) tiene relaciΓ³n, por un lado, con el creciente y continuado uso de las unidades abreviadas en el lenguaje y con ausencia de normas de uso convencionales, por otro. La frecuencia y amplitud de uso de las abreviaciones por razones de comodidad y economΓ­a lingΓΌΓ­stica concurre con la bΓΊsqueda de efectos estilΓ­sticos, por lo que su presencia es amplia en los llamados gΓ©neros de opiniΓ³n

    EBV-Positive Lymphoproliferative Diseases: A New Concept and Differential Diagnosis (Literature Review and Case Reports)

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    In recent years increasing attention focuses on the concept of EBV-positive lymphoproliferative diseases related to primary or secondary immunodeficiency resulting from immunosuppressive therapy and persistent infections. Due to the progress of treatment methods in oncohematology and oncology this pathology also occurs as a delayed event when new surgical and therapeutic approaches are applied. The paper presents proof for the pathogenetic significance of Epstein-Barr virus (EBV) in the pathology under consideration with its various clinical manifestations and describes the evolution of knowledge on posttransplant lymphoproliferative disorders with their morphological classification underlying EBV+ lymphoproliferative diseases. The WHO Classification of Tumours of Hematopoietic and Lymphoid Tissues revised in 2017 includes new forms of EBV+ lymphoproliferative diseases (mucocutaneous ulcer, T- and NK-cell childhood lymphoproliferative disorders including cutaneous and systemic forms of chronic active EBV infection) and EBV+ large B-cell lymphomas (unspecified and fibrin-associated diffuse large B-cell lymphomas). The paper summarizes major characteristics of these diseases and exemplifies them by the author’s own experience

    Conformational States of Cytochrome P450 Oxidoreductase Evaluated by FΓΆrster Resonance Energy Transfer Using Ultrafast Transient Absorption Spectroscopy

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    NADPH-cytochrome P450 oxidoreductase (CYPOR) was shown to undergo large conformational rearrangements in its functional cycle. Using a new FΓΆrster resonance energy transfer (FRET) approach based on femtosecond transient absorption spectroscopy (TA), we determined the donor–acceptor distance distribution in the reduced and oxidized states of CYPOR. The unmatched time resolution of TA allowed the quantitative assessment of the donor–acceptor FRET, indicating that CYPOR assumes a closed conformation in both reduced and oxidized states in the absence of the redox partner. The described ultrafast TA measurements of FRET with readily available red–infrared fluorescent labels open new opportunities for structural studies in chromophore-rich proteins and their complexes

    COGNITIVE PROBLEM IN THE MODERN STUDIES OF SOCIO-INTEGRAL PROCESSES (TO A FIRST APPROXIMATION)

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    ЦСль.Β ΠŸΡ€ΠΎΠ°Π½Π°Π»ΠΈΠ·ΠΈΡ€ΠΎΠ²Π°Ρ‚ΡŒ Ρ€ΠΎΠ»ΡŒ, Π·Π½Π°Ρ‡Π΅Π½ΠΈΠ΅ ΠΈ направлСния Ρ€Π΅Π°Π»ΠΈΠ·Π°Ρ†ΠΈΠΈ ΠΊΠΎΠ³Π½ΠΈΡ‚ΠΈΠ²Π½ΠΎΠΉ Ρ‚Π΅ΠΌΠ°Ρ‚ΠΈΠΊΠΈ Π² соврСмСнных Π½Π°ΡƒΠΊΠ°Ρ… ΠΎΠ± общСствС с Ρ‚ΠΎΡ‡ΠΊΠΈ зрСния эвристичности Π΄Π°Π½Π½ΠΎΠ³ΠΎ ΠΏΠΎΠ΄Ρ…ΠΎΠ΄Π° Π² исслСдованиях ΠΏΡ€ΠΎΠ±Π»Π΅ΠΌΡ‹ ΡΠΎΡ†ΠΈΠ°Π»ΡŒΠ½ΠΎΠΉ ΠΈΠ½Ρ‚Π΅Π³Ρ€Π°Ρ†ΠΈΠΈ.ΠœΠ΅Ρ‚ΠΎΠ΄ ΠΈΠ»ΠΈ мСтодология провСдСния Ρ€Π°Π±ΠΎΡ‚Ρ‹.Β ΠŸΡ€ΠΈ ΠΏΠΎΠ΄Π³ΠΎΡ‚ΠΎΠ²ΠΊΠ΅ ΡΡ‚Π°Ρ‚ΡŒΠΈ Π±Ρ‹Π»ΠΈ ΠΈΡΠΏΠΎΠ»ΡŒΠ·ΠΎΠ²Π°Π½Ρ‹ ΡΠΎΠΏΠΎΡΡ‚Π°Π²ΠΈΡ‚Π΅Π»ΡŒΠ½Ρ‹ΠΉ Π°Π½Π°Π»ΠΈΠ· ΠΈ ΠΎΠ±ΠΎΠ±Ρ‰Π΅Π½ΠΈΠ΅ с Ρ€Π΅Ρ„Π΅Ρ€Π΅Π½Ρ†ΠΈΠ΅ΠΉ ΠΊ Π΄Π°Π½Π½Ρ‹ΠΌ ΠΊΠ°ΠΊ тСорСтичСских, Ρ‚Π°ΠΊ ΠΈ практичСских исслСдований.Π Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚Ρ‹.Β Π’ соврСмСнном общСствознании, Π²ΠΊΠ»ΡŽΡ‡Π°ΡŽΡ‰Π΅ΠΌ ΡΠΎΡ†ΠΈΠΎΠ»ΠΎΠ³ΠΈΡŽ, Π°Π½Ρ‚Ρ€ΠΎΠΏΠΎΠ»ΠΎΠ³ΠΈΡŽ, экономику, ΡΠΎΡ†ΠΈΠ°Π»ΡŒΠ½ΡƒΡŽ ΠΏΡΠΈΡ…ΠΎΠ»ΠΎΠ³ΠΈΡŽ когнитивная ΠΏΡ€ΠΎΠ±Π»Π΅ΠΌΠ°Ρ‚ΠΈΠΊΠ° Π·Π°Π½ΠΈΠΌΠ°Π΅Ρ‚ всС Π±ΠΎΠ»Π΅Π΅ Π·Π½Π°Ρ‡ΠΈΡ‚Π΅Π»ΡŒΠ½ΠΎΠ΅ мСсто, Ρ‡Ρ‚ΠΎ Π΄Π°Π΅Ρ‚ Π²ΠΎΠ·ΠΌΠΎΠΆΠ½ΠΎΡΡ‚ΡŒ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Ρ‚ΡŒ ΡΠΎΡ†ΠΈΠ°Π»ΡŒΠ½Ρ‹Π΅ процСссы Π½Π° Π½ΠΎΠ²ΠΎΠΌ Ρ‚Π΅ΠΎΡ€Π΅Ρ‚ΠΈΠΊΠΎ-мСтодологичСском ΡƒΡ€ΠΎΠ²Π½Π΅ ΠΈ Π² Ρ€Π°ΠΌΠΊΠ°Ρ… Π΄Π΅ΠΉΡΡ‚Π²ΠΈΡ‚Π΅Π»ΡŒΠ½ΠΎΠΉ полидисциплинарности. Π‘Π΅Ρ€ΡŒΠ΅Π·Π½Ρ‹ΠΌ эвристичСским ΠΏΠΎΡ‚Π΅Π½Ρ†ΠΈΠ°Π»ΠΎΠΌ ΠΎΠ±Π»Π°Π΄Π°Π΅Ρ‚ ΠΏΠΎΠ΄Ρ…ΠΎΠ΄, ΡƒΡ‡ΠΈΡ‚Ρ‹Π²Π°ΡŽΡ‰ΠΈΠΉ ΠΊΠΎΠ³Π½ΠΈΡ‚ΠΈΠ²Π½Ρ‹Π΅ Ρ„Π°ΠΊΡ‚ΠΎΡ€Ρ‹, ΠΈ для исслСдования процСссов ΡΠΎΡ†ΠΈΠ°Π»ΡŒΠ½ΠΎΠΉ ΠΈΠ½Ρ‚Π΅Π³Ρ€Π°Ρ†ΠΈΠΈ ΠΈΠ»ΠΈ ΠΊΠΎΠ½ΡŠΡŽΠ½ΠΊΡ†ΠΈΠΈ, Π½Π°ΠΏΡ€ΡΠΌΡƒΡŽ связанным с Π΄ΠΎΠΌΠΈΠ½ΠΈΡ€ΡƒΡŽΡ‰Π΅ΠΉ Π² массовом сознании Π² ΠΊΠΎΠ½ΠΊΡ€Π΅Ρ‚Π½Ρ‹ΠΉ историчСский ΠΏΠ΅Ρ€ΠΈΠΎΠ΄ повСдСнчСской «схСмой».ΠžΠ±Π»Π°ΡΡ‚ΡŒ примСнСния Ρ€Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚ΠΎΠ².Β Π’Ρ‹Π²ΠΎΠ΄Ρ‹ ΠΈ Ρ€Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚Ρ‹ ΠΌΠΎΠ³ΡƒΡ‚ Π±Ρ‹Ρ‚ΡŒ ΠΏΡ€ΠΈΠΌΠ΅Π½Π΅Π½Ρ‹ для тСорСтичСского обоснования ΠΈ мСтодологичСского оснащСния Π΄Π°Π»ΡŒΠ½Π΅ΠΉΡˆΠΈΡ… исслСдований Ρ€Π°Π·Π»ΠΈΡ‡Π½Ρ‹Ρ… ΡΠΎΡ†ΠΈΠ°Π»ΡŒΠ½Ρ‹Ρ… процСссов, Π²ΠΊΠ»ΡŽΡ‡Π°Ρ ΡΠΎΡ†ΠΈΠ°Π»ΡŒΠ½ΡƒΡŽ ΠΈΠ½Ρ‚Π΅Π³Ρ€Π°Ρ†ΠΈΡŽ. Π—Π°ΠΊΠΎΠ½ΠΎΠΌΠ΅Ρ€Π½Ρ‹ΠΌ Π±ΡƒΠ΄Π΅Ρ‚ ΠΈ использованиС Π΄Π°Π½Π½Ρ‹Ρ… Ρ€Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚ΠΎΠ² Π² ΠΎΠ±Ρ€Π°Π·ΠΎΠ²Π°Ρ‚Π΅Π»ΡŒΠ½ΠΎΠΉ ΠΏΡ€Π°ΠΊΡ‚ΠΈΠΊΠ΅ ΡΠΎΡ†ΠΈΠ°Π»ΡŒΠ½ΠΎ-Π³ΡƒΠΌΠ°Π½ΠΈΡ‚Π°Ρ€Π½Ρ‹Ρ… Π½Π°ΠΏΡ€Π°Π²Π»Π΅Π½ΠΈΠΉ.Purpose.Β To analyze the role, significance and directions of realizing of cognitive themes in modern social sciences from the point of view of the applicability of this approach in studies of the problem of social integration.Methodology.Β During the preparation of the article, comparative analysis and generalization used with reference to the data of both theoretical and practical studies.Results.Β In modern social science, including sociology, anthropology, economics, social psychology, cognitive problems occupy an increasingly important place, which makes it possible to investigate social processes on a new theoretical and methodological level and within the framework of actual polydisciplinarity. A cognitive-based approach has an important heuristic potential for the study of processes of social integration, for those are directly related to a certain behavioral β€œscheme” dominant in the mass consciousness in a given historical period.Practical implications.Β Conclusions and results could be applied to the theoretical substantiation and methodological equipment of further studies of various social processes, including social integration. It will be natural to use these results in the educational practice of social and humanitarian areas

    Analysis of Binding Site Hot Spots on the Surface of Ras GTPase

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    We have recently discovered an allosteric switch in Ras, bringing an additional level of complexity to this GTPase whose mutants are involved in nearly 30% of cancers. Upon activation of the allosteric switch, there is a shift in helix 3/loop 7 associated with a disorder to order transition in the active site. Here, we use a combination of multiple solvent crystal structures and computational solvent mapping (FTMap) to determine binding site hot spots in the β€œoff” and β€œon” allosteric states of the GTP-bound form of H-Ras. Thirteen sites are revealed, expanding possible target sites for ligand binding well beyond the active site. Comparison of FTMaps for the H and K isoforms reveals essentially identical hot spots. Furthermore, using NMR measurements of spin relaxation, we determined that K-Ras exhibits global conformational dynamics very similar to those we previously reported for H-Ras. We thus hypothesize that the global conformational rearrangement serves as a mechanism for allosteric coupling between the effector interface and remote hot spots in all Ras isoforms. At least with respect to the binding sites involving the G domain, H-Ras is an excellent model for K-Ras and probably N-Ras as well. Ras has so far been elusive as a target for drug design. The present work identifies various unexplored hot spots throughout the entire surface of Ras, extending the focus from the disordered active site to well-ordered locations that should be easier to target

    УспСшная ΠΏΠΎΡΠ»Π΅Π΄ΠΎΠ²Π°Ρ‚Π΅Π»ΡŒΠ½Π°Ρ иммуноэпигСнСтичСская тСрапия эритродСрмичСской Ρ„ΠΎΡ€ΠΌΡ‹ Π³Ρ€ΠΈΠ±ΠΎΠ²ΠΈΠ΄Π½ΠΎΠ³ΠΎ ΠΌΠΈΠΊΠΎΠ·Π°

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    Mucosis fungoidea (МF) belongs to the class of epidermotropic T-cell lymphomas. MF is represented by over 10 sub-types only in terms of its clinical manifestations, with one of them being erythrodermic MF (EMF). This disease is characterized by diverse symptomatology in the form of erythroderma and intense skin itch, aggressive сlinical course and unfavorable prognosis. The disease prognosis also correlates with age, previous history of long-term systemic gluco-corticosteroid treatment (GCS), increased activity of lactate dehydrogenase (LDH) and hypereosinophilia. The choice of MF treatment is determined by the disease stage and somatic status of the patient. In EMF, a therapy combining various effective preparations and taking into account the specifics of the given case is required. Extracorporeal photopheresis (ECP) is frequently an approach of choice; however, it has demonstrated the highest efficacy in Sezary disease or in EFM associated with leucemization. Application of new pharmaceuticals (monoclonal antibodies, epigenetic agents) in combination or in sequence with immune therapy is a promising direction, particularly for treating patients older than 75 years. In this paper, we describe the clinical case of an elderly patient suffering from EMF without peripheral blood leukemia with multimodal factors of unfavorable prognosis, such as age, increased lactate dehy drogenase activity, history of prolonged inefficient treatment with gluco-cortecosteroid preparations and eosinophilia. A long-term positive response to the treatment using sequential immune epigenetic therapy has not been achieved, although the treatment tolerability and the patient's life quality were satisfactory.Π“Ρ€ΠΈΠ±ΠΎΠ²ΠΈΠ΄Π½Ρ‹ΠΉ ΠΌΠΈΠΊΠΎΠ· (Π“Πœ) относится ΠΊ эпидСрмотропным Π’-ΠΊΠ»Π΅Ρ‚ΠΎΡ‡Π½Ρ‹ΠΌ Π»ΠΈΠΌΡ„ΠΎΠΌΠ°ΠΌ ΠΈ ΠΏΠΎ своСму Ρ‚ΠΎΠ»ΡŒΠΊΠΎ клиничСскому ΠΏΡ€ΠΎΡΠ²Π»Π΅Π½ΠΈΡŽ ΠΈ Ρ‚Π΅Ρ‡Π΅Π½ΠΈΡŽ прСдставлСн Π±ΠΎΠ»Π΅Π΅ Ρ‡Π΅ΠΌ 10 ΠΏΠΎΠ΄Ρ‚ΠΈΠΏΠ°ΠΌΠΈ, ΠΎΠ΄Π½ΠΈΠΌ ΠΈΠ· ΠΊΠΎΡ‚ΠΎΡ€Ρ‹Ρ… являСтся эритродСрмичСская Ρ„ΠΎΡ€ΠΌΠ° Π“Πœ (ΡΠ“Πœ). Π”Π°Π½Π½Ρ‹ΠΉ Π²Π°Ρ€ΠΈΠ°Π½Ρ‚ Π±ΠΎΠ»Π΅Π·Π½ΠΈ ΠΈΠΌΠ΅Π΅Ρ‚ Ρ€Π°Π·Π²Π΅Ρ€Π½ΡƒΡ‚ΡƒΡŽ симптоматику Π² Π²ΠΈΠ΄Π΅ эритродСрмии ΠΈ наличия интСнсивного ΠΊΠΎΠΆΠ½ΠΎΠ³ΠΎ Π·ΡƒΠ΄Π°, агрСссивный Ρ…Π°Ρ€Π°ΠΊΡ‚Π΅Ρ€ тСчСния ΠΈ нСблагоприятный ΠΏΡ€ΠΎΠ³Π½ΠΎΠ·. ΠŸΡ€ΠΎΠ³Π½ΠΎΠ· Ρ‚Π°ΠΊΠΆΠ΅ ΠΊΠΎΡ€Ρ€Π΅Π»ΠΈΡ€ΡƒΠ΅Ρ‚ с возрастом, ΠΏΡ€Π΅Π΄ΡˆΠ΅ΡΡ‚Π²ΡƒΡŽΡ‰ΠΈΠΌ Π°Π½Π°ΠΌΠ½Π΅Π·ΠΎΠΌ Π΄Π»ΠΈΡ‚Π΅Π»ΡŒΠ½ΠΎΠ³ΠΎ ΠΏΡ€ΠΈΠ΅ΠΌΠ° систСмных Π³Π»ΡŽΠΊΠΎΠΊΠΎΡ€Ρ‚ΠΈΠΊΠΎΡΡ‚Π΅Ρ€ΠΎΠΈΠ΄Π½Ρ‹Ρ… ΠΏΡ€Π΅ΠΏΠ°Ρ€Π°Ρ‚ΠΎΠ² (Π“ΠšΠ‘), ΠΏΠΎΠ²Ρ‹ΡˆΠ΅Π½Π½ΠΎΠΉ Π°ΠΊΡ‚ΠΈΠ²Π½ΠΎΡΡ‚ΡŒΡŽ Π»Π°ΠΊΡ‚Π°Ρ‚Π΄Π΅Π³ΠΈΠ΄Ρ€ΠΎΠ³Π΅Π½Π°Π·Ρ‹ (Π›Π”Π“) ΠΈ гипСрэозинофилиСй. Π›Π΅Ρ‡Π΅Π½ΠΈΠ΅ Π“Πœ опрСдСляСтся стадиСй, соматичСским статусом ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚Π°, ΠΈ, ΠΊΠ°ΠΊ ΠΏΡ€Π°Π²ΠΈΠ»ΠΎ, ΠΏΡ€ΠΈ ΡΠ“Πœ Π½Π΅ΠΎΠ±Ρ…ΠΎΠ΄ΠΈΠΌΠΎ сочСтанноС ΠΏΡ€ΠΈΠΌΠ΅Π½Π΅Π½ΠΈΠ΅ ΠΏΠΎΡ‚Π΅Π½Ρ†ΠΈΠ°Π»ΡŒΠ½ΠΎ эффСктивных ΠΏΡ€Π΅ΠΏΠ°Ρ€Π°Ρ‚ΠΎΠ², ΠΎΡΠ½ΠΎΠ²Ρ‹Π²Π°ΡΡΡŒ Π½Π° ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚-ΠΈΠ½Π΄ΠΈΠ²ΠΈΠ΄ΡƒΠ°Π»ΠΈΠ·ΠΈΡ€ΠΎΠ²Π°Π½Π½ΠΎΠΌ ΠΏΠΎΠ΄Ρ…ΠΎΠ΄Π΅. Π­ΠΊΡΡ‚Ρ€Π°ΠΊΠΎΡ€ΠΏΠΎΡ€Π°Π»ΡŒΠ½Ρ‹ΠΉ Ρ„ΠΎΡ‚ΠΎΡ„Π΅Ρ€Π΅Π· (ЭКЀ) являСтся ΠΎΠ΄Π½ΠΈΠΌ ΠΈΠ· Ρ€Π΅ΠΊΠΎΠΌΠ΅Π½Π΄ΡƒΠ΅ΠΌΡ‹Ρ… ΠΌΠ΅Ρ‚ΠΎΠ΄ΠΎΠ² лСчСния, ΠΎΠ΄Π½Π°ΠΊΠΎ Π½Π°ΠΈΠ»ΡƒΡ‡ΡˆΠΈΠ΅ Ρ€Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚Ρ‹ дСмонстрируСт ΠΏΡ€ΠΈ синдромС Π‘Π΅Π·Π°Ρ€ΠΈ ΠΈΠ»ΠΈ ΡΠ“Πœ с Π»Π΅ΠΉΠΊΠ΅ΠΌΠΈΠ·Π°Ρ†ΠΈΠ΅ΠΉ. ΠŸΡ€ΠΈΠΌΠ΅Π½Π΅Π½ΠΈΠ΅ Π½ΠΎΠ²Ρ‹Ρ… ΠΏΡ€Π΅ΠΏΠ°Ρ€Π°Ρ‚ΠΎΠ² (ΠΌΠΎΠ½ΠΎΠΊΠ»ΠΎΠ½Π°Π»ΡŒΠ½Ρ‹Π΅ Π°Π½Ρ‚ΠΈΡ‚Π΅Π»Π°, эпигСнСтичСскиС Π°Π³Π΅Π½Ρ‚Ρ‹) Π² сочСтании ΠΈΠ»ΠΈ ΠΏΠΎΡΠ»Π΅Π΄ΠΎΠ²Π°Ρ‚Π΅Π»ΡŒΠ½ΠΎ с ΠΈΠΌΠΌΡƒΠ½ΠΎΡ‚Π΅Ρ€Π°ΠΏΠΈΠ΅ΠΉ являСтся пСрспСктивным ΠΈΠ·ΡƒΡ‡Π°Π΅ΠΌΡ‹ΠΌ Π½Π°ΠΏΡ€Π°Π²Π»Π΅Π½ΠΈΠ΅ΠΌ, ΠΎΡ‚ΠΊΡ€Ρ‹Π²Π°ΡŽΡ‰ΠΈΠΌ Π²ΠΎΠ·ΠΌΠΎΠΆΠ½ΠΎΡΡ‚ΡŒ ΡƒΡΠΏΠ΅ΡˆΠ½ΠΎΠ³ΠΎ лСчСния, Π² Ρ‚ΠΎΠΌ числС для ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ² ΡΡ‚Π°Ρ€ΡˆΠ΅ 75 Π»Π΅Ρ‚. Π’ ΠΏΡ€ΠΈΠ²Π΅Π΄Π΅Π½Π½ΠΎΠΌ клиничСском случаС Ρƒ ΠΏΠΎΠΆΠΈΠ»ΠΎΠ³ΠΎ ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚Π° с эритродСрмичСским Π²Π°Ρ€ΠΈΠ°Π½Ρ‚ΠΎΠΌ Π³Ρ€ΠΈΠ±ΠΎΠ²ΠΈΠ΄Π½ΠΎΠ³ΠΎ ΠΌΠΈΠΊΠΎΠ·Π° Π±Π΅Π· лСйкСмичСского состава пСрифСричСской ΠΊΡ€ΠΎΠ²ΠΈ с ΠΌΡƒΠ»ΡŒΡ‚ΠΈΠΌΠΎΠ΄Π°Π»ΡŒΠ½Ρ‹ΠΌΠΈ Ρ„Π°ΠΊΡ‚ΠΎΡ€Π°ΠΌΠΈ нСблагоприятного ΠΏΡ€ΠΎΠ³Π½ΠΎΠ·Π°, Ρ‚Π°ΠΊΠΈΠΌΠΈ ΠΊΠ°ΠΊ возраст, ΠΏΠΎΠ²Ρ‹ΡˆΠ΅Π½Π½Π°Ρ Π°ΠΊΡ‚ΠΈΠ²Π½ΠΎΡΡ‚ΡŒ Π›Π”Π“, Π°Π½Π°ΠΌΠ½Π΅Π· Π΄Π»ΠΈΡ‚Π΅Π»ΡŒΠ½ΠΎΠ³ΠΎ нСэффСктивного ΠΏΡ€ΠΈΠ΅ΠΌΠ° Π“ΠšΠ‘ ΠΈ эозинофилия, ΠΏΠΎΠ»Π½ΠΎΠ³ΠΎ ΠΏΡ€ΠΎΠ΄ΠΎΠ»ΠΆΠΈΡ‚Π΅Π»ΡŒΠ½ΠΎΠ³ΠΎ ΠΎΡ‚Π²Π΅Ρ‚Π° ΡƒΠ΄Π°Π»ΠΎΡΡŒ Π΄ΠΎΡΡ‚ΠΈΡ‡ΡŒ Π² Ρ€Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚Π΅ ΠΏΠΎΡΠ»Π΅Π΄ΠΎΠ²Π°Ρ‚Π΅Π»ΡŒΠ½ΠΎΠΉ иммуноэпигСнСтичСской Ρ‚Π΅Ρ€Π°ΠΏΠΈΠΈ ΠΏΡ€ΠΈ ΡƒΠ΄ΠΎΠ²Π»Π΅Ρ‚Π²ΠΎΡ€ΠΈΡ‚Π΅Π»ΡŒΠ½ΠΎΠΉ пСрСносимости лСчСния ΠΈ сохранСния Ρ…ΠΎΡ€ΠΎΡˆΠ΅Π³ΠΎ качСства ΠΆΠΈΠ·Π½ΠΈ больного
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