Π”ΠΈΠΏΠ»ΠΎΠΌ, курсовая, ΠΊΠΎΠ½Ρ‚Ρ€ΠΎΠ»ΡŒΠ½Π°Ρ Ρ€Π°Π±ΠΎΡ‚Π°
ΠŸΠΎΠΌΠΎΡ‰ΡŒ Π² написании студСнчСских Ρ€Π°Π±ΠΎΡ‚

БСкрСторная фосфолипаза A2 Π³Ρ€ΡƒΠΏΠΏΡ‹ IIA Π² сывороткС ΠΊΡ€ΠΎΠ²ΠΈ Π±ΠΎΠ»ΡŒΠ½Ρ‹Ρ… послС ΠΊΠΎΡ€ΠΎΠ½Π°Ρ€Π½ΠΎΠΉ ангиопластики

Π”ΠΈΡΡΠ΅Ρ€Ρ‚Π°Ρ†ΠΈΡΠŸΠΎΠΌΠΎΡ‰ΡŒ Π² Π½Π°ΠΏΠΈΡΠ°Π½ΠΈΠΈΠ£Π·Π½Π°Ρ‚ΡŒ ΡΡ‚ΠΎΠΈΠΌΠΎΡΡ‚ΡŒΠΌΠΎΠ΅ΠΉ Ρ€Π°Π±ΠΎΡ‚Ρ‹

РСстСноз — ΠΌΠ½ΠΎΠ³ΠΎΡ„Π°ΠΊΡ‚ΠΎΡ€Π½Ρ‹ΠΉ процСсс, Π²Π°ΠΆΠ½ΡƒΡŽ Ρ€ΠΎΠ»ΡŒ Π² ΠΊΠΎΡ‚ΠΎΡ€ΠΎΠΌ ΠΈΠ³Ρ€Π°Π΅Ρ‚ воспалСниС. Одним ΠΈΠ· Ρ„Π΅Ρ€ΠΌΠ΅Π½Ρ‚ΠΎΠ², ΠΏΡ€ΠΈΠ½ΠΈΠΌΠ°ΡŽΡ‰ΠΈΠΌ' Π°ΠΊΡ‚ΠΈΠ²Π½ΠΎΠ΅ участиС Π² Ρ€Π°Π·Π²ΠΈΡ‚ΠΈΠΈ воспалСния, являСтся сСкрСторная фосфолипаза А2 Π³Ρ€ΡƒΠΏΠΏΡ‹ ΠΠ (сСкЀЛА2(ПА)). Π­Ρ‚ΠΎΡ‚ Ρ„Π΅Ρ€ΠΌΠ΅Π½Ρ‚ участвуСт Π² ΠΎΠ±Ρ€Π°Π·ΠΎΠ²Π°Π½ΠΈΠΈ ΠΌΠ΅Π΄ΠΈΠ°Ρ‚ΠΎΡ€ΠΎΠ² воспалСния — Π»Π΅ΠΉΠΊΠΎΡ‚Ρ€ΠΈΠ΅Π½ΠΎΠ², простагландинов, Ρ„Π°ΠΊΡ‚ΠΎΡ€Π° Π°ΠΊΡ‚ΠΈΠ²Π°Ρ†ΠΈΠΈ Ρ‚Ρ€ΠΎΠΌΠ±ΠΎΡ†ΠΈΡ‚ΠΎΠ², Π±ΠΈΠΎΠ°ΠΊΡ‚ΠΈΠ²Π½Ρ‹Ρ… лизофосфолипидов. Π’ Π½Π°ΡΡ‚оящСС врСмя ΠΊ ΡΠ΅ΠΊΠ€Π›Π2(НА… Π§ΠΈΡ‚Π°Ρ‚ΡŒ Π΅Ρ‰Ρ‘ >

Π‘ΠΎΠ΄Π΅Ρ€ΠΆΠ°Π½ΠΈΠ΅

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  • Π“Π»Π°Π²Π° I. ΠžΠ±Π·ΠΎΡ€ Π»ΠΈΡ‚Π΅Ρ€Π°Ρ‚ΡƒΡ€Ρ‹
    • 1. 1. Роль хроничСского воспалСния Π² ΠΏΡ€ΠΎΡ†Π΅ΡΡΠ°Ρ… Π°Ρ‚Π΅Ρ€ΠΎΠ³Π΅Π½Π΅Π·Π°
    • 1. 2. ЧрСзкоТная Ρ‚Ρ€Π°Π½ΡΠ»ΡŽΠΌΠΈΠ½Π°Π»ΡŒΠ½Π°Ρ коронарная баллонная ангиопластика ΠΊΠ°ΠΊ ΠΎΠ΄ΠΈΠ½ ΠΈΠ· ΠΎΡΠ½ΠΎΠ²Π½Ρ‹Ρ… ΠΌΠ΅Ρ‚ΠΎΠ΄ΠΎΠ² лСчСния ΠΈΡˆΠ΅ΠΌΠΈΡ‡Π΅ΡΠΊΠΎΠΉ Π±ΠΎΠ»Π΅Π·Π½ΠΈ сСрдца
    • 1. 3. ΠšΠΎΡ€ΠΎΠ½Π°Ρ€ΠΎΠ³Ρ€Π°Ρ„ΠΈΡ
    • 1. 4. РСстСноз — ΠΏΡ€ΠΎΠ±Π»Π΅ΠΌΠ° рСваскуляризации ΠΊΠΎΡ€ΠΎΠ½Π°Ρ€Π½Ρ‹Ρ… Π°Ρ€Ρ‚Π΅Ρ€ΠΈΠΉ
      • 1. 4. 1. ΠœΠ΅Ρ…Π°Π½ΠΈΠ·ΠΌΡ‹ развития рСстСноза
      • 1. 4. 2. ΠœΠ΅Ρ‚ΠΎΠ΄Ρ‹ ΠΏΡ€ΠΎΡ„ΠΈΠ»Π°ΠΊΡ‚ΠΈΠΊΠΈ рСстСнозов
    • 1. 5. ΠžΠΊΠΈΡΠ»Π΅Π½Π½Ρ‹Π΅ Π›ΠΠŸ ΠΈ Π°Ρ‚Π΅Ρ€ΠΎΠ³Π΅Π½Π΅Π·
    • 1. 6. Лизофосфатилхолин, ΠΏΡ€ΠΎΠ΄ΡƒΠΊΡ‚ сСкЀЛА2(ПА)-Ρ€Π΅Π°ΠΊΡ†ΠΈΠΈ, Π² Ρ€Π°Π·Π²ΠΈΡ‚ΠΈΠΈ атСросклСроза
    • 1. 7. БСкрСторная фосфолипазы А2 Π³Ρ€ΡƒΠΏΠΏΡ‹ ΠΠ ΠΈ Π΅Ρ‘ Ρ€ΠΎΠ»ΡŒ Π² Π°Ρ‚Π΅Ρ€ΠΎΠ³Π΅Π½Π΅Π·Π΅
      • 1. 7. 1. БСмСйство фосфолипаз А2 ΠΈ ΡΠ΅ΠΊΠ€Π›Π2(ПА)
      • 1. 7. 2. ЭкспрСссия сСкЀЛА2(ПА) Π² Ρ‚канях Ρ‡Π΅Π»ΠΎΠ²Π΅ΠΊΠ° ΠΈ Ρ€Π°Π·Π»ΠΈΡ‡Π½Ρ‹ΠΌΠΈ ΠΊΠ»Π΅Ρ‚ΠΊΠ°ΠΌΠΈ
      • 1. 7. 3. Бвойства сСкЀЛА2(ПА)
      • 1. 7. 4. БиологичСскиС Ρ„ΡƒΠ½ΠΊΡ†ΠΈΠΈ сСкЀЛА2(ПА)
      • 1. 7. 5. Локализация сСкЀЛА2(ПА) Π² ΡΡ‚Π΅Π½ΠΊΠ΅ Π°Ρ€Ρ‚Π΅Ρ€ΠΈΠΉ
      • 1. 7. 6. ΠœΠΎΠ΄ΠΈΡ„ΠΈΠΊΠ°Ρ†ΠΈΡ Π»ΠΈΠΏΠΎΠΏΡ€ΠΎΡ‚Π΅ΠΈΠ΄ΠΎΠ² ΠΏΠ»Π°Π·ΠΌΡ‹ ΠΊΡ€ΠΎΠ²ΠΈ сСкЀЛА2(ПА)
      • 1. 7. 7. БСкЀЛА2(ПА) Π² Ρ€Π°Π·Π²ΠΈΡ‚ΠΈΠΈ атСросклСротичСской бляшки
      • 1. 7. 8. БСкЀЛА2(ПА) ΠΊΠ°ΠΊ прогностичСской ΠΌΠ°Ρ€ΠΊΡ‘Ρ€ сСрдСчно-осудистых Π·Π°Π±ΠΎΠ»Π΅Π²Π°Π½ΠΈΠΉ
      • 1. 7. 9. ЀармакологичСскиС ΠΈΠ½Π³ΠΈΠ±ΠΈΡ‚ΠΎΡ€Ρ‹ сСкЀЛА2(ПА)

БСкрСторная фосфолипаза A2 Π³Ρ€ΡƒΠΏΠΏΡ‹ IIA Π² сывороткС ΠΊΡ€ΠΎΠ²ΠΈ Π±ΠΎΠ»ΡŒΠ½Ρ‹Ρ… послС ΠΊΠΎΡ€ΠΎΠ½Π°Ρ€Π½ΠΎΠΉ ангиопластики (Ρ€Π΅Ρ„Π΅Ρ€Π°Ρ‚, курсовая, Π΄ΠΈΠΏΠ»ΠΎΠΌ, ΠΊΠΎΠ½Ρ‚Ρ€ΠΎΠ»ΡŒΠ½Π°Ρ)

Π˜ΡˆΠ΅ΠΌΠΈΡ‡Π΅ΡΠΊΠ°Ρ болСзнь сСрдца (Π˜Π‘Π‘) являСтся ΠΎΠ΄Π½ΠΎΠΉ ΠΈΠ· Π½Π°ΠΈΠ±ΠΎΠ»Π΅Π΅ частых ΠΏΡ€ΠΈΡ‡ΠΈΠ½ смСртности ΠΈ ΠΈΠ½Π²Π°Π»ΠΈΠ΄ΠΈΠ·Π°Ρ†ΠΈΠΈ насСлСния Π²ΠΎ Π²ΡΡ‘ΠΌ ΠΌΠΈΡ€Π΅ [Π§Π°Π·ΠΎΠ², 2008]. Π­Ρ‚ΠΎ Π·Π°Π±ΠΎΠ»Π΅Π²Π°Π½ΠΈΠ΅ Π² Π±ΠΎΠ»ΡŒΡˆΠΈΠ½ΡΡ‚Π²Π΅ случаСв обусловлСно ΡΡ‚Π΅Π½ΠΎΠ·ΠΈΡ€ΡƒΡŽΡ‰ΠΈΠΌ атСросклСрозом ΠΊΠΎΡ€ΠΎΠ½Π°Ρ€Π½Ρ‹Ρ… Π°Ρ€Ρ‚Π΅Ρ€ΠΈΠΉ. Для лСчСния Π±ΠΎΠ»ΡŒΠ½Ρ‹Ρ… с Π˜Π‘Π‘ Π² Π½Π°ΡΡ‚оящСС врСмя ΡˆΠΈΡ€ΠΎΠΊΠΎ ΠΈΡΠΏΠΎΠ»ΡŒΠ·ΡƒΠ΅Ρ‚ΡΡ Ρ‚Ρ€Π°Π½ΡΠ»ΡŽΠΌΠΈΠ½Π°Π»ΡŒΠ½Π°Ρ баллонная коронарная ангиопластика. Π­Ρ‚ΠΎΡ‚ рСнтгСноваскулярный ΠΌΠ΅Ρ‚ΠΎΠ΄ ΠΌΠ°Π»ΠΎΡ‚Ρ€Π°Π²ΠΌΠ°Ρ‚ΠΈΡ‡Π΅Π½, Π½Π΅ Ρ‚Ρ€Π΅Π±ΡƒΠ΅Ρ‚ вскрытия Π³Ρ€ΡƒΠ΄Π½ΠΎΠΉ ΠΊΠ»Π΅Ρ‚ΠΊΠΈ, остановки сСрдца, ΠΎΠ±Ρ‰Π΅Π³ΠΎ Π½Π°Ρ€ΠΊΠΎΠ·Π° ΠΈ Ρ…арактСризуСтся Ρ…ΠΎΡ€ΠΎΡˆΠ΅ΠΉ ΠΏΠ΅Ρ€Π΅Π½ΠΎΡΠΈΠΌΠΎΡΡ‚ΡŒΡŽ. Однако Ρƒ Ρ€ΡΠ΄Π° ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ² Ρ‡Π΅Ρ€Π΅Π· нСсколько мСсяцСв послС провСдСния ангиопластики развиваСтся ΠΏΠΎΠ²Ρ‚ΠΎΡ€Π½ΠΎΠ΅ гСмодинамичСски Π·Π½Π°Ρ‡ΠΈΠΌΠΎΠ΅ суТСниС ΠΊΠΎΡ€ΠΎΠ½Π°Ρ€Π½ΠΎΠΉ Π°Ρ€Ρ‚Π΅Ρ€ΠΈΠΈ, рСстСноз, приводящий ΠΊ Π²ΠΎΠ·ΠΎΠ±Π½ΠΎΠ²Π»Π΅Π½ΠΈΡŽ ΠΊΠ»ΠΈΠ½ΠΈΠΊΠΈ стСнокардии. Π‘ΠΎΠ²Π΅Ρ€ΡˆΠ΅Π½ΡΡ‚Π²ΠΎΠ²Π°Π½ΠΈΠ΅ эндоваскулярной Ρ‚Π΅Ρ…Π½ΠΎΠ»ΠΎΠ³ΠΈΠΈ ΠΈ ΠΏΡ€ΠΈΠΌΠ΅Π½Π΅Π½ΠΈΠ΅ стСнтов с Ρ€Π°Π·Π»ΠΈΡ‡Π½Ρ‹ΠΌΠΈ лСкарствСнными покрытиями ΠΏΠΎΠ·Π²ΠΎΠ»ΠΈΠ»ΠΎ ΠΏΠΎΠ²Ρ‹ΡΠΈΡ‚ΡŒ ΡΡ„Ρ„Π΅ΠΊΡ‚ΠΈΠ²Π½ΠΎΡΡ‚ΡŒ ΠΊΠΎΡ€ΠΎΠ½Π°Ρ€Π½ΠΎΠΉ ангиопластики ΠΈ ΡƒΠΌΠ΅Π½ΡŒΡˆΠΈΡ‚ΡŒ число Ρ€Π΅Ρ†ΠΈΠ΄ΠΈΠ²ΠΎΠ², ΠΎΠ΄Π½Π°ΠΊΠΎ это Π½Π΅ ΠΏΡ€ΠΈΠ²Π΅Π»ΠΎ ΠΊ ΠΎΠΊΠΎΠ½Ρ‡Π°Ρ‚Π΅Π»ΡŒΠ½ΠΎΠΌΡƒ Ρ€Π΅ΡˆΠ΅Π½ΠΈΡŽ ΠΏΡ€ΠΎΠ±Π»Π΅ΠΌΡ‹ рСстСнозов. К ΡΠΎΠΆΠ°Π»Π΅Π½ΠΈΡŽ, Π² Π½Π°ΡΡ‚оящСС врСмя Π½Π΅Π²ΠΎΠ·ΠΌΠΎΠΆΠ½ΠΎ Π½Π΅ Ρ‚ΠΎΠ»ΡŒΠΊΠΎ ΠΏΡ€Π΅Π΄ΠΎΡ‚Π²Ρ€Π°Ρ‚ΠΈΡ‚ΡŒ рСстСноз, Π½ΠΎ ΠΈ ΠΏΡ€Π΅Π΄ΡΠΊΠ°Π·Π°Ρ‚ΡŒ Π΅Π³ΠΎ Ρ€Π°Π·Π²ΠΈΡ‚ΠΈΠ΅ Ρƒ ΠΊΠΎΠ½ΠΊΡ€Π΅Ρ‚Π½ΠΎΠ³ΠΎ больного. Π‘ΡƒΡ‰Π΅ΡΡ‚Π²ΡƒΡŽΡ‰ΠΈΠ΅ ΠΏΡ€Π΅Π΄ΠΈΠΊΡ‚ΠΎΡ€Ρ‹ рСстСноза, Ρ‚Π°ΠΊΠΈΠ΅ ΠΊΠ°ΠΊ Π΄ΠΈΠ°ΠΌΠ΅Ρ‚Ρ€ Π°Ρ€Ρ‚Π΅Ρ€ΠΈΠΈ, ΠΏΡ€ΠΎΡ‚ΡΠΆΠ΅Π½Π½ΠΎΡΡ‚ΡŒ стСноза ΠΈ Π΄Ρ€., ΠΏΠΎΠ·Π²ΠΎΠ»ΡΡŽΡ‚ лишь отнСсти ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚Π° ΠΊ Π³Ρ€ΡƒΠΏΠΏΠ΅ ΠΏΠΎΠ²Ρ‹ΡˆΠ΅Π½Π½ΠΎΠ³ΠΎ риска Π² ΠΎΡ‚Π½ΠΎΡˆΠ΅Π½ΠΈΠΈ развития рСстСноза. Для выявлСния вСроятности развития рСстСноза Ρƒ ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ², послС ΠΊΠΎΡ€ΠΎΠ½Π°Ρ€Π½ΠΎΠΉ ангиопластики, Π½ΡƒΠΆΠ½ΠΎ ΡƒΡ‡ΠΈΡ‚Ρ‹Π²Π°Ρ‚ΡŒ спСцифичСскиС Ρ„Π°ΠΊΡ‚ΠΎΡ€Ρ‹, ΠΎΡ‚Ρ€Π°ΠΆΠ°ΡŽΡ‰ΠΈΠ΅ ΠΌΠ΅Ρ…Π°Π½ΠΈΠ·ΠΌΡ‹ рСстСнозирования [Π§Π°Π·ΠΎΠ², 2001; Π’ΠΊΠ°Ρ‡ΡƒΠΊ, 2003].

РСстСноз — ΠΌΠ½ΠΎΠ³ΠΎΡ„Π°ΠΊΡ‚ΠΎΡ€Π½Ρ‹ΠΉ процСсс, Π²Π°ΠΆΠ½ΡƒΡŽ Ρ€ΠΎΠ»ΡŒ Π² ΠΊΠΎΡ‚ΠΎΡ€ΠΎΠΌ ΠΈΠ³Ρ€Π°Π΅Ρ‚ воспалСниС. Одним ΠΈΠ· Ρ„Π΅Ρ€ΠΌΠ΅Π½Ρ‚ΠΎΠ², ΠΏΡ€ΠΈΠ½ΠΈΠΌΠ°ΡŽΡ‰ΠΈΠΌ' Π°ΠΊΡ‚ΠΈΠ²Π½ΠΎΠ΅ участиС Π² Ρ€Π°Π·Π²ΠΈΡ‚ΠΈΠΈ воспалСния, являСтся сСкрСторная фосфолипаза А2 Π³Ρ€ΡƒΠΏΠΏΡ‹ ΠΠ (сСкЀЛА2(ПА)). Π­Ρ‚ΠΎΡ‚ Ρ„Π΅Ρ€ΠΌΠ΅Π½Ρ‚ участвуСт Π² ΠΎΠ±Ρ€Π°Π·ΠΎΠ²Π°Π½ΠΈΠΈ ΠΌΠ΅Π΄ΠΈΠ°Ρ‚ΠΎΡ€ΠΎΠ² воспалСния — Π»Π΅ΠΉΠΊΠΎΡ‚Ρ€ΠΈΠ΅Π½ΠΎΠ², простагландинов, Ρ„Π°ΠΊΡ‚ΠΎΡ€Π° Π°ΠΊΡ‚ΠΈΠ²Π°Ρ†ΠΈΠΈ Ρ‚Ρ€ΠΎΠΌΠ±ΠΎΡ†ΠΈΡ‚ΠΎΠ², Π±ΠΈΠΎΠ°ΠΊΡ‚ΠΈΠ²Π½Ρ‹Ρ… лизофосфолипидов. Π’ Π½Π°ΡΡ‚оящСС врСмя ΠΊ ΡΠ΅ΠΊΠ€Π›Π2(НА) ΠΏΡ€ΠΈΠ²Π»Π΅Ρ‡Π΅Π½ΠΎ ΠΏΡ€ΠΈΡΡ‚Π°Π»ΡŒΠ½ΠΎΠ΅ Π²Π½ΠΈΠΌΠ°Π½ΠΈΠ΅ Π²Ρ€Π°Ρ‡Π΅ΠΉ ΠΈ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Ρ‚Π΅Π»Π΅ΠΉ. Π€Π΅Ρ€ΠΌΠ΅Π½Ρ‚ ΠΎΠ±Π½Π°Ρ€ΡƒΠΆΠ΅Π½ Π² ΡΡ‚Π΅Π½ΠΊΠ΅ сосуда Π½Π° Π²ΡΠ΅Ρ… стадиях развития атСросклСротичСского пораТСния [Elinder et al, 1997; Menschikowski et al., 1995; Piek et al., 2002]. БСкЀЛА2(ПА) присутствуСт Π² ΠΈΠ½Ρ‚ΠΈΠΌΠ΅, ΠΌΠ΅Π΄ΠΈΠΈ ΠΈ Π°Π΄Π²Π΅Π½Ρ‚ΠΈΡ†ΠΈΠΈ сосудистой стСнки, Π² ΠΏΠ΅Π½ΠΈΡΡ‚Ρ‹Ρ… ΠΊΠ»Π΅Ρ‚ΠΊΠ°Ρ…, Π² ΠΎΡ‡Π°Π³Π°Ρ… ΠΊΠ°Π»ΡŒΡ†ΠΈΡ„ΠΈΠΊΠ°Ρ†ΠΈΠΈ, участках ΠΊΠ»Π΅Ρ‚ΠΎΡ‡Π½ΠΎΠ³ΠΎ Π½Π΅ΠΊΡ€ΠΎΠ·Π° ΠΈ ΡΠΊΡΡ‚Ρ€Π°Ρ†Π΅Π»Π»ΡŽΠ»ΡΡ€Π½ΠΎΠΌ матриксС [Hurt-Camejo et al., 1997; Schiering et al., 1999]. Π£ ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ² с ΡΠ΅Ρ€Π΄Π΅Ρ‡Π½ΠΎ-сосудистыми заболСваниями ΠΏΠΎΠ²Ρ‹ΡˆΠ΅Π½Π½Ρ‹ΠΉ ΡƒΡ€ΠΎΠ²Π΅Π½ΡŒ сСкЀЛА2(НА) Π² ΠΏΠ»Π°Π·ΠΌΠ΅ ΠΊΡ€ΠΎΠ²ΠΈ являСтся ΠΏΡ€Π΅Π΄ΠΈΠΊΡ‚ΠΎΡ€ΠΎΠΌ развития Ρ‚Π°ΠΊΠΈΡ… нСблагоприятных сСрдСчно-сосудистых событий, ΠΊΠ°ΠΊ Π½Π΅ΡΡ‚Π°Π±ΠΈΠ»ΡŒΠ½Π°Ρ стСнокардия, ΠΈΠ½Ρ„Π°Ρ€ΠΊΡ‚ ΠΌΠΈΠΎΠΊΠ°Ρ€Π΄Π°, ΡΠΌΠ΅Ρ€Ρ‚ΡŒ [Kugiyama et al., 2000; Mallat et al., 2005; Boekholdt et al., 2005; Mallat et al., 2007]. ВыявлСниС Π²ΠΎΠ·ΠΌΠΎΠΆΠ½ΠΎΠΉ взаимосвязи ΠΌΠ΅ΠΆΠ΄Ρƒ рСстСнозом ΠΈ ΡΠΎΠ΄Π΅Ρ€ΠΆΠ°Π½ΠΈΠ΅ΠΌ ΠΈΠ»ΠΈ Π°ΠΊΡ‚ΠΈΠ²Π½ΠΎΡΡ‚ΡŒΡŽ ΠΏΡ€ΠΎΠ²ΠΎΡΠΏΠ°Π»ΠΈΡ‚Π΅Π»ΡŒΠ½ΠΎΠΉ сСкЀЛА2(ПА) Π² ΡΡ‹Π²ΠΎΡ€ΠΎΡ‚ΠΊΠ΅ ΠΊΡ€ΠΎΠ²ΠΈ ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ² послС ΠΊΠΎΡ€ΠΎΠ½Π°Ρ€Π½ΠΎΠΉ ангиопластики ΠΌΠΎΠΆΠ΅Ρ‚ привСсти ΠΊ ΡΠΎΠ·Π΄Π°Π½ΠΈΡŽ ΡƒΠ΄ΠΎΠ±Π½ΠΎΠ³ΠΎ ΠΈ ΠΈΠ½Ρ„ΠΎΡ€ΠΌΠ°Ρ‚ΠΈΠ²Π½ΠΎΠ³ΠΎ ΠΌΠ΅Ρ‚ΠΎΠ΄Π° ΠΏΡ€ΠΎΠ³Π½ΠΎΠ·Π° развития рСстСноза.

ΠœΠ΅Ρ…Π°Π½ΠΈΠ·ΠΌΡ‹, Ρ€Π΅Π³ΡƒΠ»ΠΈΡ€ΡƒΡŽΡ‰ΠΈΠ΅ Π°ΠΊΡ‚ΠΈΠ²Π½ΠΎΡΡ‚ΡŒ сСкЀЛА2(ИА) Π² ΠΊΡ€ΠΎΠ²ΠΈΠΌΠ°Π»ΠΎ ΠΈΠ·ΡƒΡ‡Π΅Π½Ρ‹. БСкЀЛА2(ПА), содСрТащаяся Π² ΠΏΠ»Π°Π·ΠΌΠ΅ ΠΊΡ€ΠΎΠ²ΠΈ, Π½Π΅ Π²ΡΠ΅Π³Π΄Π° проявляСт свою ΠΊΠ°Ρ‚Π°Π»ΠΈΡ‚ΠΈΡ‡Π΅ΡΠΊΡƒΡŽ Π°ΠΊΡ‚ΠΈΠ²Π½ΠΎΡΡ‚ΡŒ. Π­Ρ‚ΠΎ ΠΌΠΎΠΆΠ΅Ρ‚ ΡΠ²ΠΈΠ΄Π΅Ρ‚Π΅Π»ΡŒΡΡ‚Π²ΠΎΠ²Π°Ρ‚ΡŒ ΠΎ Π½Π°Π»ΠΈΡ‡ΠΈΠΈ Π² ΠΏΠ»Π°Π·ΠΌΠ΅ ΠΊΡ€ΠΎΠ²ΠΈ ΠΊΠΎΠΌΠΏΠΎΠ½Π΅Π½Ρ‚ΠΎΠ² ΠΊΠ°ΠΊ ΠΈΠ½Π³ΠΈΠ±ΠΈΡ€ΡƒΡŽΡ‰ΠΈΡ…, Ρ‚Π°ΠΊ ΠΈ Π°ΠΊΡ‚ΠΈΠ²ΠΈΡ€ΡƒΡŽΡ‰ΠΈΡ… сСкЀЛА2(ИА), ΡΠΎΠΎΡ‚Π½ΠΎΡˆΠ΅Π½ΠΈΠ΅ ΠΊΠΎΡ‚ΠΎΡ€Ρ‹Ρ… ΠΌΠΎΠΆΠ΅Ρ‚ ΠΈΠ·ΠΌΠ΅Π½ΡΡ‚ΡŒΡΡ ΠΏΡ€ΠΈ ΠΎΠΏΡ€Π΅Π΄Π΅Π»Π΅Π½Π½Ρ‹Ρ… физиологичСских условиях. ΠœΠ½ΠΎΠ³ΠΎΡ‡ΠΈΡΠ»Π΅Π½Π½Ρ‹Π΅ ΠΏΠΎΠΏΡ‹Ρ‚ΠΊΠΈ исслСдоватСлСй ΠΎΠ±Π½Π°Ρ€ΡƒΠΆΠΈΡ‚ΡŒ Π² ΠΊΡ€ΠΎΠ²ΠΈ Ρ‡Π΅Π»ΠΎΠ²Π΅ΠΊΠ° Π±Π΅Π»ΠΎΠΊ, сСлСктивно ΠΈΠ½Π³ΠΈΠ±ΠΈΡ€ΡƒΡŽΡ‰ΠΈΠΉ сСкЀЛА2(ПА), оказались Π±Π΅Π·ΡƒΡΠΏΠ΅ΡˆΠ½Ρ‹ΠΌΠΈ. Π’ ΠΏΠ»Π°Π·ΠΌΠ΅ ΠΊΡ€ΠΎΠ²ΠΈ ΠΏΠΎΠΌΠΈΠΌΠΎ Π±Π΅Π»ΠΊΠΎΠ² содСрТатся Ρ€Π°Π·Π»ΠΈΡ‡Π½Ρ‹Π΅ Π»ΠΈΠΏΠΈΠ΄Ρ‹, ΠΌΠ½ΠΎΠ³ΠΈΠ΅ ΠΈΠ·, ΠΊΠΎΡ‚ΠΎΡ€Ρ‹Ρ… ΡΠ²Π»ΡΡŽΡ‚ΡΡ Π±ΠΈΠΎΠ°ΠΊΡ‚ΠΈΠ²Π½Ρ‹ΠΌΠΈ ΠΌΠΎΠ»Π΅ΠΊΡƒΠ»Π°ΠΌΠΈ, ΠΏΡ€ΠΎΡΠ²Π»ΡΡŽΡ‰ΠΈΠΌΠΈ Ρ€Π°Π·Π»ΠΈΡ‡Π½Ρ‹Π΅ физиологичСскиС эффСкты. ΠžΡ‡Π΅Π½ΡŒ Ρ…ΠΎΡ€ΠΎΡˆΠΎ Ρ‚Π°ΠΊΠΈΠ΅ эффСкты описаны для лизофосфолипидов, окислСнных фосфолипидов ΠΈ ΡΡ„ΠΈΠ½Π³ΠΎΠ»ΠΈΠΏΠΈΠ΄ΠΎΠ² [ΠŸΡ€ΠΎΠΊΠ°Π·ΠΎΠ²Π° ΠΈ ΡΠΎΠ°Π²Ρ‚. 2007; Ворховская ΠΈ ΡΠΎΠ°Π²Ρ‚., 2007; АлСсСнко 1998; Kougias et al., 2006; Berliner et al., 2008]. Π›ΠΈΠΏΠΈΠ΄Ρ‹ нСрастворимы Π² Π²ΠΎΠ΄Π΅, ΠΈ Π² ΠΏΠ»Π°Π·ΠΌΠ΅ ΠΊΡ€ΠΎΠ²ΠΈ ΠΎΠ½ΠΈ находятся Π² ΡΠΎΡΡ‚Π°Π²Π΅ Ρ†ΠΈΡ€ΠΊΡƒΠ»ΠΈΡ€ΡƒΡŽΡ‰ΠΈΡ… Π»ΠΈΠΏΠΎΠΏΡ€ΠΎΡ‚Π΅ΠΈΠ΄ΠΎΠ² (Π›ΠžΠΠŸ, Π›ΠΠŸ ΠΈ Π›Π’ΠŸ). ΠŸΡ€ΠΈ воспалСнии фосфолипиды, содСрТащиСся Π² Π»ΠΈΠΏΠΎΠΏΡ€ΠΎΡ‚Π΅ΠΈΠ΄Π°Ρ…, ΠΌΠΎΠ³ΡƒΡ‚ ΠΎΠΊΠΈΡΠ»ΡΡ‚ΡŒΡΡ, Π² Ρ€Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚Π΅ Ρ‡Π΅Π³ΠΎ ΠΎΠ±Ρ€Π°Π·ΡƒΡŽΡ‚ΡΡ окислСнныС Π»ΠΈΠΏΠΎΠΏΡ€ΠΎΡ‚Π΅ΠΈΠ΄Ρ‹, фосфолипидный состав ΠΊΠΎΡ‚ΠΎΡ€Ρ‹Ρ… отличаСтся ΠΎΡ‚ Ρ„осфолипидного состава Π½Π°Ρ‚ΠΈΠ²Π½Ρ‹Ρ… Π»ΠΈΠΏΠΎΠΏΡ€ΠΎΡ‚Π΅ΠΈΠ΄ΠΎΠ². ΠžΠΊΠΈΡΠ»Π΅Π½Π½Ρ‹Π΅ Π›ΠΠŸ, Π² ΠΎΡ‚Π»ΠΈΡ‡ΠΈΠ΅ ΠΎΡ‚ Π½Π°Ρ‚ΠΈΠ²Π½Ρ‹Ρ… Π›ΠΠŸ, Π²ΠΎΠ²Π»Π΅Ρ‡Π΅Π½Ρ‹ Π² Ρ€Π°Π·Π²ΠΈΡ‚ΠΈΠ΅ атСросклСротичСских ΠΏΠΎΡ€Π°ΠΆΠ΅Π½ΠΈΠΉ сосудов. ΠšΠ»ΠΈΠ½ΠΈΡ‡Π΅ΡΠΊΠΈΠ΅ исслСдования выявили ΡΡ‚Ρ€ΠΎΠ³ΡƒΡŽ ΠΊΠΎΡ€Ρ€Π΅Π»ΡΡ†ΠΈΡŽ ΠΌΠ΅ΠΆΠ΄Ρƒ уровнями окислСнных Π›ΠΠŸ ΠΈ ΠΏΡ€ΠΎΠ²ΠΎΡΠΏΠ°Π»ΠΈΡ‚Π΅Π»ΡŒΠ½ΠΎΠΉ сСкЀЛА2(ПА) [Paradis et al., 2006]. ΠŸΠΎΡΡ‚ΠΎΠΌΡƒ исслСдованиС влияния Π½Π°Ρ‚ΠΈΠ²Π½Ρ‹Ρ… ΠΈ ΠΎΠΊΠΈΡΠ»Π΅Π½Π½Ρ‹Ρ… Π»ΠΈΠΏΠΎΠΏΡ€ΠΎΡ‚Π΅ΠΈΠ΄ΠΎΠ², Π° Ρ‚Π°ΠΊΠΆΠ΅ входящих Π² ΠΈΡ… ΡΠΎΡΡ‚Π°Π² фосфолипидов Π½Π° Π°ΠΊΡ‚ΠΈΠ²Π½ΠΎΡΡ‚ΡŒ сСкЀЛА2(ИА) ΠΌΠΎΠΆΠ΅Ρ‚ Π΄Π°Ρ‚ΡŒ прСдставлСниС ΠΎ Π²ΠΎΠ·ΠΌΠΎΠΆΠ½Ρ‹Ρ… ΠΌΠ΅Ρ…Π°Π½ΠΈΠ·ΠΌΠ°Ρ… рСгуляции сСкЀЛА2(ПА) Π² ΠΏΠ»Π°Π·ΠΌΠ΅ ΠΊΡ€ΠΎΠ²ΠΈ Ρ‡Π΅Π»ΠΎΠ²Π΅ΠΊΠ° ΠΈ ΡƒΠΊΠ°Π·Π°Ρ‚ΡŒ Π½Π° Π½ΠΎΠ²Ρ‹Π΅ мишСни для тСрапСвтичСского Π²ΠΌΠ΅ΡˆΠ°Ρ‚Π΅Π»ΡŒΡΡ‚Π²Π° ΠΏΡ€ΠΈ Π˜Π‘Π‘ ΠΈ Ρ€Π°Π·Π²ΠΈΡ‚ΠΈΠΈ рСстСноза сосудов послС ΠΊΠΎΡ€ΠΎΠ½Π°Ρ€Π½ΠΎΠΉ ангиопластики.

ЦСлью Π΄Π°Π½Π½ΠΎΠ³ΠΎ исслСдования Π±Ρ‹Π»ΠΎ Π²Ρ‹ΡΡΠ½ΠΈΡ‚ΡŒ связь ΠΌΠ΅ΠΆΠ΄Ρƒ ΠΏΡ€ΠΎΠ²ΠΎΡΠΏΠ°Π»ΠΈΡ‚Π΅Π»ΡŒΠ½ΠΎΠΉ сСкЀЛА2(ПА) ΠΈ Π²Π΅Ρ€ΠΎΡΡ‚Π½ΠΎΡΡ‚ΡŒΡŽ развития рСстСноза послС ΠΊΠΎΡ€ΠΎΠ½Π°Ρ€Π½ΠΎΠΉ ангиопластики Ρƒ Π±ΠΎΠ»ΡŒΠ½Ρ‹Ρ… Π˜Π‘Π‘, Π° Ρ‚Π°ΠΊΠΆΠ΅ ΠΈΠ΄Π΅Π½Ρ‚ΠΈΡ„ΠΈΡ†ΠΈΡ€ΠΎΠ²Π°Ρ‚ΡŒ Π»ΠΈΠΏΠΈΠ΄Π½Ρ‹Π΅ рСгуляторы активности сСкЀЛА2(ПА), находящиСся Π² ΡΡ‹Π²ΠΎΡ€ΠΎΡ‚ΠΊΠ΅ ΠΊΡ€ΠΎΠ²ΠΈ Ρ‡Π΅Π»ΠΎΠ²Π΅ΠΊΠ°.

Π—Π°Π΄Π°Ρ‡ΠΈ:

1. ΠžΠΏΡ€Π΅Π΄Π΅Π»ΠΈΡ‚ΡŒ ΡƒΡ€ΠΎΠ²Π΅Π½ΡŒ ΠΈ ΠΊΠ°Ρ‚Π°Π»ΠΈΡ‚ΠΈΡ‡Π΅ΡΠΊΡƒΡŽ Π°ΠΊΡ‚ΠΈΠ²Π½ΠΎΡΡ‚ΡŒ сСкЀЛА2(ПА) Π² ΡΡ‹Π²ΠΎΡ€ΠΎΡ‚ΠΊΠ΅ ΠΊΡ€ΠΎΠ²ΠΈ Π±ΠΎΠ»ΡŒΠ½Ρ‹Ρ… Π˜Π‘Π‘ Π΄ΠΎ ΠΊΠΎΡ€ΠΎΠ½Π°Ρ€Π½ΠΎΠΉ ангиопластики, Π² Ρ‚Π΅Ρ‡Π΅Π½ΠΈΠ΅ 7 Π΄Π½Π΅ΠΉ ΠΈ Ρ‡Π΅Ρ€Π΅Π· 6 мСсяцСв послС рСваскуляризации ΠΈ ΡΡ€Π°Π²Π½ΠΈΡ‚ΡŒ эти ΠΏΠΎΠΊΠ°Π·Π°Ρ‚Π΅Π»ΠΈ Ρƒ Π±ΠΎΠ»ΡŒΠ½Ρ‹Ρ… с Ρ€Π°Π·Π²ΠΈΠ²ΡˆΠΈΠΌΡΡ рСстСнозом ΠΈ Π±Π΅Π· рСстСноза;

2. ΠžΠΏΡ€Π΅Π΄Π΅Π»ΠΈΡ‚ΡŒ влияниС Ρ†ΠΈΡ€ΠΊΡƒΠ»ΠΈΡ€ΡƒΡŽΡ‰ΠΈΡ… Π½Π°Ρ‚ΠΈΠ²Π½Ρ‹Ρ… Π»ΠΈΠΏΠΎΠΏΡ€ΠΎΡ‚Π΅ΠΈΠ΄ΠΎΠ² Π½Π° ΠΊΠ°Ρ‚Π°Π»ΠΈΡ‚ΠΈΡ‡Π΅ΡΠΊΡƒΡŽ Π°ΠΊΡ‚ΠΈΠ²Π½ΠΎΡΡ‚ΡŒ сСкЀЛА2(ПА);

3. ΠžΠΏΡ€Π΅Π΄Π΅Π»ΠΈΡ‚ΡŒ влияниС окислСнных Π»ΠΈΠΏΠΎΠΏΡ€ΠΎΡ‚Π΅ΠΈΠ΄ΠΎΠ² ΠΈ ΡΡ‚Π΅ΠΏΠ΅Π½ΡŒ ΠΈΡ… ΠΎΠΊΠΈΡΠ»Π΅Π½ΠΈΡ Π½Π° Π°ΠΊΡ‚ΠΈΠ²Π½ΠΎΡΡ‚ΡŒ сСкЀЛА2(ПА);

4. ΠŸΡ€ΠΎΠ²Π΅ΡΡ‚ΠΈ Π°Π½Π°Π»ΠΈΠ· влияния Π»ΠΈΠΏΠΈΠ΄ΠΎΠ², содСрТащихся Π² ΡΡ‚Ρ€ΡƒΠΊΡ‚ΡƒΡ€Π΅ Π½Π°Ρ‚ΠΈΠ²Π½Ρ‹Ρ… ΠΈ ΠΎΠΊΠΈΡΠ»Π΅Π½Π½Ρ‹Ρ… Π»ΠΈΠΏΠΎΠΏΡ€ΠΎΡ‚Π΅ΠΈΠ΄ΠΎΠ², Π½Π° Π°ΠΊΡ‚ΠΈΠ²Π½ΠΎΡΡ‚ΡŒ сСкЀЛА2(ПА);

5. ΠžΠΏΡ€Π΅Π΄Π΅Π»ΠΈΡ‚ΡŒ Π»ΠΈΠΏΠΈΠ΄Π½Ρ‹Π΅ ΠΊΠΎΠΌΠΏΠΎΠ½Π΅Π½Ρ‚Ρ‹ Π»ΠΈΠΏΠΎΠΏΡ€ΠΎΡ‚Π΅ΠΈΠ΄Π½ΠΎΠΉ частицы, Π²Π»ΠΈΡΡŽΡ‰ΠΈΠ΅ Π½Π° Π°ΠΊΡ‚ΠΈΠ²Π½ΠΎΡΡ‚ΡŒ сСкЀЛА2(ПА).

6. Π˜Π·ΡƒΡ‡ΠΈΡ‚ΡŒ влияниС Ρ€Π°Π·Π»ΠΈΡ‡Π½Ρ‹Ρ… ΠΊΠΎΠΌΠ±ΠΈΠ½Π°Ρ†ΠΈΠΉ Π»ΠΈΠΏΠΈΠ΄ΠΎΠ², входящих Π² ΡΡ‚Ρ€ΡƒΠΊΡ‚ΡƒΡ€Ρƒ Π»ΠΈΠΏΠΎΠΏΡ€ΠΎΡ‚Π΅ΠΈΠ΄ΠΎΠ², Π½Π° Π°ΠΊΡ‚ΠΈΠ²Π½ΠΎΡΡ‚ΡŒ сСкЀЛА2(НА).

Научная Π½ΠΎΠ²ΠΈΠ·Π½Π°: Π’ Π΄Π°Π½Π½ΠΎΠΉ Ρ€Π°Π±ΠΎΡ‚Π΅ Π²ΠΏΠ΅Ρ€Π²Ρ‹Π΅ установлСна взаимосвязь ΠΌΠ΅ΠΆΠ΄Ρƒ ΠΏΡ€ΠΎΠ²ΠΎΡΠΏΠ°Π»ΠΈΡ‚Π΅Π»ΡŒΠ½ΠΎΠΉ сСкЀЛА2(ПА) ΠΈ Ρ€Π°Π·Π²ΠΈΡ‚ΠΈΠ΅ΠΌ рСстСноза. Показано, Ρ‡Ρ‚ΠΎ послС Ρ‚Ρ€Π°Π½ΡΠ»ΡŽΠΌΠΈΠ½Π°Π»ΡŒΠ½ΠΎΠΉ ΠΊΠΎΡ€ΠΎΠ½Π°Ρ€Π½ΠΎΠΉ ангиопластики Ρƒ Π±ΠΎΠ»ΡŒΠ½Ρ‹Ρ… с ΠΏΠΎΡΠ»Π΅Π΄ΡƒΡŽΡ‰ΠΈΠΌ рСстСнозом концСнтрация ΠΈ Π°ΠΊΡ‚ΠΈΠ²Π½ΠΎΡΡ‚ΡŒ сСкЀЛА2(ПА) Π² ΡΡ‹Π²ΠΎΡ€ΠΎΡ‚ΠΊΠ΅ ΠΊΡ€ΠΎΠ²ΠΈ Π·Π½Π°Ρ‡ΠΈΡ‚Π΅Π»ΡŒΠ½ΠΎ ΠΏΠΎΠ²Ρ‹ΡˆΠ΅Π½Ρ‹ ΠΏΠΎ ΡΡ€Π°Π²Π½Π΅Π½ΠΈΡŽ со Π·Π½Π°Ρ‡Π΅Π½ΠΈΡΠΌΠΈ Π΄ΠΎ ΠΏΡ€ΠΎΠ²Π΅Π΄Π΅Π½ΠΈΡ ΠΏΡ€ΠΎΡ†Π΅Π΄ΡƒΡ€Ρ‹. ΠŸΡ€ΠΈ этом Π½Π°Π±Π»ΡŽΠ΄Π°Π΅Ρ‚ΡΡ Π½Π΅ΠΏΡ€ΠΎΠΏΠΎΡ€Ρ†ΠΈΠΎΠ½Π°Π»ΡŒΠ½ΠΎ большСС ΠΏΠΎΠ²Ρ‹ΡˆΠ΅Π½ΠΈΠ΅ активности этого Ρ„Π΅Ρ€ΠΌΠ΅Π½Ρ‚Π°, Ρ‡Π΅ΠΌ Π΅Π³ΠΎ ΠΊΠΎΠ½Ρ†Π΅Π½Ρ‚Ρ€Π°Ρ†ΠΈΠΈ. Π£ Π±ΠΎΠ»ΡŒΠ½Ρ‹Ρ… Π±Π΅Π· Ρ€Π°Π·Π²ΠΈΠ²Π°ΡŽΡ‰Π΅Π³ΠΎΡΡ рСстСноза Π°ΠΊΡ‚ΠΈΠ²Π½ΠΎΡΡ‚ΡŒ сСкЀЛА2(ПА) сохраняСтся Π½ΠΈΠ·ΠΊΠΎΠΉ Π΄ΠΎ ΠΈ ΠΏΠΎΡΠ»Π΅ провСдСния ΠΊΠΎΡ€ΠΎΠ½Π°Ρ€Π½ΠΎΠΉ ангиопластики, Π² Ρ‚ΠΎ Π²Ρ€Π΅ΠΌΡ ΠΊΠ°ΠΊ Ρƒ Π±ΠΎΠ»ΡŒΠ½Ρ‹Ρ… с ΠΏΠΎΡΠ»Π΅Π΄ΡƒΡŽΡ‰ΠΈΠΌ рСстСнозом Π°ΠΊΡ‚ΠΈΠ²Π½ΠΎΡΡ‚ΡŒ сСкЀЛА2(ИА) Ρ€Π΅Π·ΠΊΠΎ ΠΈ Π·Π½Π°Ρ‡ΠΈΡ‚Π΅Π»ΡŒΠ½ΠΎ возрастаСт послС ΠΏΡ€ΠΎΡ†Π΅Π΄ΡƒΡ€Ρ‹.

Π’ΠΏΠ΅Ρ€Π²Ρ‹Π΅ ΠΏΠΎΠΊΠ°Π·Π°Π½ΠΎ, Ρ‡Ρ‚ΠΎ Ρ†ΠΈΡ€ΠΊΡƒΠ»ΠΈΡ€ΡƒΡŽΡ‰ΠΈΠ΅ Π² ΠΏΠ»Π°Π·ΠΌΠ΅ ΠΊΡ€ΠΎΠ²ΠΈ Π»ΠΈΠΏΠΎΠΏΡ€ΠΎΡ‚Π΅ΠΈΠ΄Ρ‹ (Π›ΠžΠΠŸ, Π›ΠΠŸ ΠΈ Π›Π’ΠŸ) Ρ€Π΅Π³ΡƒΠ»ΠΈΡ€ΡƒΡŽΡ‚ Π°ΠΊΡ‚ΠΈΠ²Π½ΠΎΡΡ‚ΡŒ сСкЀЛА2(ПА). ΠΠΊΡ‚ΠΈΠ²Π½ΠΎΡΡ‚ΡŒ сСкЀЛА2(НА) ингибируСтся Π½Π°Ρ‚ΠΈΠ²Π½Ρ‹ΠΌΠΈ Π›ΠžΠΠŸ, Π›ΠΠŸ ΠΈ Π›Π’ΠŸ.

ΠŸΡ€ΠΈ воспалСнии Ρ†ΠΈΡ€ΠΊΡƒΠ»ΠΈΡ€ΡƒΡŽΡ‰ΠΈΠ΅ Π»ΠΈΠΏΠΎΠΏΡ€ΠΎΡ‚Π΅ΠΈΠ΄Ρ‹ ΠΌΠΎΠ³ΡƒΡ‚ ΠΏΠΎΠ΄Π²Π΅Ρ€Π³Π°Ρ‚ΡŒΡΡ окислСнию, ΠΏΡ€Π΅Π²Ρ€Π°Ρ‰Π°ΡΡΡŒ Π² ΠΎΠΊΠΈΡΠ»Π΅Π½ΠΎ-ΠΌΠΎΠ΄ΠΈΡ„ΠΈΡ†ΠΈΡ€ΠΎΠ²Π°Π½Π½Ρ‹Π΅ частицы с ΠΈΠ·ΠΌΠ΅Π½Π΅Π½Π½Ρ‹ΠΌ фосфолипидным составом. Π’ΠΏΠ΅Ρ€Π²Ρ‹Π΅ ΠΏΠΎΠΊΠ°Π·Π°Π½ΠΎ, Ρ‡Ρ‚ΠΎ окислСнныС Π»ΠΈΠΏΠΎΠΏΡ€ΠΎΡ‚Π΅ΠΈΠ΄Ρ‹ (ΠΎΠΊΠ›ΠžΠΠŸ, ΠΎΠΊΠ›ΠΠŸ ΠΈ ΠΎΠΊΠ›Π’ΠŸ) ΡΡ‚ΠΈΠΌΡƒΠ»ΠΈΡ€ΡƒΡŽΡ‚ Π°ΠΊΡ‚ΠΈΠ²Π½ΠΎΡΡ‚ΡŒ сСкЀЛА2(НА), устраняя ΠΈΠ½Π³ΠΈΠ±ΠΈΡ€ΡƒΡŽΡ‰ΠΈΠΉ эффСкт Π½Π°Ρ‚ΠΈΠ²Π½Ρ‹Ρ… Π»ΠΈΠΏΠΎΠΏΡ€ΠΎΡ‚Π΅ΠΈΠ΄ΠΎΠ². ВлияниС окислСнных Π»ΠΈΠΏΠΎΠΏΡ€ΠΎΡ‚Π΅ΠΈΠ΄ΠΎΠ² Π½Π° Π°ΠΊΡ‚ΠΈΠ²Π½ΠΎΡΡ‚ΡŒ сСкЀЛА2(ПА) зависит ΠΎΡ‚ ΡΡ‚Π΅ΠΏΠ΅Π½ΠΈ измСнСния ΠΈΡ… Ρ„осфолипидного состава, Π²Ρ‹Π·Π²Π°Π½Π½ΠΎΠ³ΠΎ окислСниСм.

Π’ΠΏΠ΅Ρ€Π²Ρ‹Π΅ ΠΏΠΎΠΊΠ°Π·Π°Π½ΠΎ, Ρ‡Ρ‚ΠΎ сфингомиСлин, содСрТащийся Π²ΠΎ Π²ΡΠ΅Ρ… классах Π»ΠΈΠΏΠΎΠΏΡ€ΠΎΡ‚Π΅ΠΈΠ΄ΠΎΠ², ΠΈΠ½Π³ΠΈΠ±ΠΈΡ€ΡƒΠ΅Ρ‚ сСкЀЛА2(ПА). ΠŸΡ€ΠΈ окислСнии Π² Π»ΠΈΠΏΠΎΠΏΡ€ΠΎΡ‚Π΅ΠΈΠ΄Π°Ρ… ΠΌΠΎΠΆΠ΅Ρ‚ ΠΎΠ±Ρ€Π°Π·ΠΎΠ²Ρ‹Π²Π°Ρ‚ΡŒΡΡ окислСнный фосфатидилхолин, ΠΊΠΎΡ‚ΠΎΡ€Ρ‹ΠΉ, Π² ΠΎΡ‚Π»ΠΈΡ‡ΠΈΠ΅ ΠΎΡ‚ ΡΡ„ΠΈΠ½Π³ΠΎΠΌΠΈΠ΅Π»ΠΈΠ½Π°, Π°ΠΊΡ‚ΠΈΠ²ΠΈΡ€ΡƒΠ΅Ρ‚ сСкЀЛА2(НА). Π‘Ρ„ΠΈΠ½Π³ΠΎΠΌΠΈΠ΅Π»ΠΈΠ½ ΠΊΠΎΠ½ΠΊΡƒΡ€ΠΈΡ€ΡƒΠ΅Ρ‚ с ΠΎΠΊΠΈΡΠ»Π΅Π½Π½Ρ‹ΠΌ фосфатидилхолином Π·Π° ΡΠ²ΡΠ·Ρ‹Π²Π°Π½ΠΈΠ΅ с ΡΠ΅ΠΊΠ€Π›Π2(ПА), ΠΈ ΠΈΠ·ΠΌΠ΅Π½Π΅Π½ΠΈΠ΅ ΡΠΎΠΎΡ‚Π½ΠΎΡˆΠ΅Π½ΠΈΡ ΠΌΠ΅ΠΆΠ΄Ρƒ концСнтрациями этих фосфолипидов Π² ΡΠΎΡΡ‚Π°Π²Π΅ Π½Π°Ρ‚ΠΈΠ²Π½Ρ‹Ρ… ΠΈ ΠΎΠΊΠΈΡΠ»Π΅Π½Π½Ρ‹Ρ… Π»ΠΈΠΏΠΎΠΏΡ€ΠΎΡ‚Π΅ΠΈΠ΄ΠΎΠ² ΠΌΠΎΠΆΠ΅Ρ‚ Π²Π»ΠΈΡΡ‚ΡŒ Π½Π° Ρ€Π΅Π³ΡƒΠ»ΡΡ†ΠΈΡŽ сСкЀЛА2(ПА) Π² ΡΡ‹Π²ΠΎΡ€ΠΎΡ‚ΠΊΠ΅ ΠΊΡ€ΠΎΠ²ΠΈ Ρ‡Π΅Π»ΠΎΠ²Π΅ΠΊΠ°, приводя Π»ΠΈΠ±ΠΎ ΠΊ ΠΈΠ½Π³ΠΈΠ±ΠΈΡ€ΠΎΠ²Π°Π½ΠΈΡŽ, Π»ΠΈΠ±ΠΎ ΠΊ ΡΡ‚имуляции Π΅Ρ‘ Π°ΠΊΡ‚ивности.

Π₯олСстСрин ΠΈ ΡΡ„ΠΈΡ€Ρ‹ холСстСрина, входящиС Π² ΡΠΎΡΡ‚Π°Π² Π»ΠΈΠΏΠΎΠΏΡ€ΠΎΡ‚Π΅ΠΈΠ΄ΠΎΠ², Π½Π΅ ΠΎΠΊΠ°Π·Ρ‹Π²Π°ΡŽΡ‚ влияния Π½Π° Π°ΠΊΡ‚ΠΈΠ²Π½ΠΎΡΡ‚ΡŒ сСкЀЛА2(ПА):

Π‘Π΄Π΅Π»Π°Π½ΠΎ ΠΏΡ€Π΅Π΄ΠΏΠΎΠ»ΠΎΠΆΠ΅Π½ΠΈΠ΅, Ρ‡Ρ‚ΠΎ ΠΈΠ·ΠΌΠ΅Π½Π΅Π½ΠΈΠ΅ активности сСкЀЛА2(ПА) ΠΏΠΎΠ΄ дСйствиСм Π½Π°Ρ‚ΠΈΠ²Π½Ρ‹Ρ… ΠΈ ΠΎΠΊΠΈΡΠ»Π΅Π½Π½Ρ‹Ρ… Π»ΠΈΠΏΠΎΠΏΡ€ΠΎΡ‚Π΅ΠΈΠ΄ΠΎΠ² ΠΌΠΎΠΆΠ΅Ρ‚ Π²Π»ΠΈΡΡ‚ΡŒ Π½Π° Ρ€Π°Π·Π²ΠΈΡ‚ΠΈΠ΅ рСстСноза ΠΊΠΎΡ€ΠΎΠ½Π°Ρ€Π½Ρ‹Ρ…^ сосудов.

ΠŸΡ€Π°ΠΊΡ‚ΠΈΡ‡Π΅ΡΠΊΠ°Ρ Π·Π½Π°Ρ‡ΠΈΠΌΠΎΡΡ‚ΡŒ: ΠŸΠΎΠ»ΡƒΡ‡Π΅Π½Π½Ρ‹Π΅ Π΄Π°Π½Π½Ρ‹Π΅ Ρ€Π°ΡΡˆΠΈΡ€ΡΡŽΡ‚ прСдставлСния ΠΎ ΠΌΠΎΠ»Π΅ΠΊΡƒΠ»ΡΡ€Π½Ρ‹Ρ… ΠΌΠ΅Ρ…Π°Π½ΠΈΠ·ΠΌΠ°Ρ… развития рСстСноза, Π² ΠΎΡΠ½ΠΎΠ²Π΅ ΠΊΠΎΡ‚ΠΎΡ€Ρ‹Ρ… Π»Π΅ΠΆΠ°Ρ‚ Π²ΠΎΡΠΏΠ°Π»ΠΈΡ‚Π΅Π»ΡŒΠ½Ρ‹Π΅ процСссы. Π’Π°ΠΊ ΠΊΠ°ΠΊ, воспалСниС ΠΏΡ€ΠΈΠ²ΠΎΠ΄ΠΈΡ‚ ΠΊ ΡƒΡΠΈΠ»Π΅Π½ΠΈΡŽ сСкрСции сСкЀлА2(ПА) ΠΈ ΠΎΠΊΠΈΡΠ»Π΅Π½ΠΈΡŽ Ρ†ΠΈΡ€ΠΊΡƒΠ»ΠΈΡ€ΡƒΡŽΡ‰ΠΈΡ… Π»ΠΈΠΏΠΎΠΏΡ€ΠΎΡ‚Π΅ΠΈΠ΄ΠΎΠ², ΠΈΠ·ΠΌΠ΅Π½Π΅Π½ΠΈΠ΅ ΡΠΎΠΎΡ‚Π½ΠΎΡˆΠ΅Π½ΠΈΡ ΠΌΠ΅ΠΆΠ΄Ρƒ концСнтрациями Π½Π°Ρ‚ΠΈΠ²Π½Ρ‹Ρ… ΠΈ ΠΎΠΊΠΈΡΠ»Π΅Π½Π½Ρ‹Ρ… Π»ΠΈΠΏΠΎΠΏΡ€ΠΎΡ‚Π΅ΠΈΠ΄ΠΎΠ², Π° Ρ‚Π°ΠΊΠΆΠ΅ сфингомиСлина ΠΈ ΠΎΠΊΠΈΡΠ»Π΅Π½Π½ΠΎΠ³ΠΎ фосфатидилхолина ΠΌΠΎΠΆΠ΅Ρ‚ Π²Π»ΠΈΡΡ‚ΡŒ Π½Π° Ρ€Π°Π·Π²ΠΈΡ‚ΠΈΠ΅ рСстСноза ΠΊΠΎΡ€ΠΎΠ½Π°Ρ€Π½Ρ‹Ρ… Π°Ρ€Ρ‚Π΅Ρ€ΠΈΠΉ Π·Π° ΡΡ‡Π΅Ρ‚ измСнСния активности сСкЀлА2(ПА). ΠŸΠΎΠ»ΡƒΡ‡Π΅Π½Π½Ρ‹Π΅ Ρ€Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚Ρ‹ ΠΌΠΎΠ³ΡƒΡ‚ Π±Ρ‹Ρ‚ΡŒ ΠΈΡΠΏΠΎΠ»ΡŒΠ·ΠΎΠ²Π°Π½Ρ‹ для поиска Π½ΠΎΠ²Ρ‹Ρ… ΠΏΠΎΠ΄Ρ…ΠΎΠ΄ΠΎΠ² Π² Π΄ΠΈΠ°Π³Π½ΠΎΡΡ‚ΠΈΠΊΠ΅ ΠΈ Π»Π΅Ρ‡Π΅Π½ΠΈΠΈ Π²ΠΎΡΠΏΠ°Π»ΠΈΡ‚Π΅Π»ΡŒΠ½Ρ‹Ρ… ΠΈ ΠΏΡ€ΠΎΡ†Π΅ΡΡΠΎΠ² ΠΈ ΡΠΎΡΡƒΠ΄ΠΈΡΡ‚Ρ‹Ρ… ослоТнСний послС Ρ‚Ρ€Π°Π½ΡΠ»ΡŽΠΌΠΈΠ½Π°Π»ΡŒΠ½ΠΎΠΉ ΠΊΠΎΡ€ΠΎΠ½Π°Ρ€Π½ΠΎΠΉ ангиопластики Ρƒ Π±ΠΎΠ»ΡŒΠ½Ρ‹Ρ… Π˜Π‘Π‘. ΠŸΠΎΠ²Ρ‹ΡˆΠ΅Π½Π½Ρ‹Π΅ значСния уровня ΠΈ Π°ΠΊΡ‚ивности сСкЀЛА2(ПА) Π² ΡΡ‹Π²ΠΎΡ€ΠΎΡ‚ΠΊΠ΅ ΠΊΡ€ΠΎΠ²ΠΈ Π±ΠΎΠ»ΡŒΠ½Ρ‹Ρ… послС ΠΊΠΎΡ€ΠΎΠ½Π°Ρ€Π½ΠΎΠΉ ангиопластики (ΠΏΠΎ ΡΡ€Π°Π²Π½Π΅Π½ΠΈΡŽ с ΡΡ‚ΠΈΠΌΠΈ значСниями Π΄ΠΎ ΠΏΡ€ΠΎΠ²Π΅Π΄Π΅Π½ΠΈΡ ΠΏΡ€ΠΎΡ†Π΅Π΄ΡƒΡ€Ρ‹) ΠΌΠΎΠ³ΡƒΡ‚ Π±Ρ‹Ρ‚ΡŒ ΠΈΡΠΏΠΎΠ»ΡŒΠ·ΠΎΠ²Π°Π½Ρ‹ ΠΊΠ°ΠΊ прогностичСскиС ΠΏΠ°Ρ€Π°ΠΌΠ΅Ρ‚Ρ€Ρ‹ для выявлСния Π±ΠΎΠ»ΡŒΠ½Ρ‹Ρ… с ΠΏΠΎΠ²Ρ‹ΡˆΠ΅Π½Π½Ρ‹ΠΌ риском развития рСстСноза.

165 Π’Π«Π’ΠžΠ”Π«.

1. ВыявлСна связь ΠΌΠ΅ΠΆΠ΄Ρƒ сСкЀЛА2(ПА) ΠΈ Π²Π΅Ρ€ΠΎΡΡ‚Π½ΠΎΡΡ‚ΡŒΡŽ развития рСстСноза ΠΊΠΎΡ€ΠΎΠ½Π°Ρ€Π½Ρ‹Ρ… Π°Ρ€Ρ‚Π΅Ρ€ΠΈΠΉ послС провСдСния Ρ‚Ρ€Π°Π½ΡΠ»ΡŽΠΌΠΈΠ½Π°Π»ΡŒΠ½ΠΎΠΉ ΠΊΠΎΡ€ΠΎΠ½Π°Ρ€Π½ΠΎΠΉ ангиопластики. ΠžΠ±Π½Π°Ρ€ΡƒΠΆΠ΅Π½ΠΎ, Ρ‡Ρ‚ΠΎ Π² ΠΏΠ΅Ρ€Π²Ρ‹Π΅ сутки послС ангиопластики концСнтрация сСкЀЛА2(ПА) Π·Π½Π°Ρ‡ΠΈΡ‚Π΅Π»ΡŒΠ½ΠΎ ΠΏΠΎΠ²Ρ‹ΡˆΠ°Π΅Ρ‚ΡΡ Π² ΡΡ‹Π²ΠΎΡ€ΠΎΡ‚ΠΊΠ΅ ΠΊΡ€ΠΎΠ²ΠΈ Π±ΠΎΠ»ΡŒΠ½Ρ‹Ρ… с ΠΏΠΎΡΠ»Π΅Π΄ΡƒΡŽΡ‰ΠΈΠΌ рСстСнозом ΠΈ ΡΠΎΡ…раняСтся ΠΏΠΎΠ²Ρ‹ΡˆΠ΅Π½Π½ΠΎΠΉ Π² Ρ‚Π΅Ρ‡Π΅Π½ΠΈΠ΅ 7 суток послС Π²ΠΌΠ΅ΡˆΠ°Ρ‚Π΅Π»ΡŒΡΡ‚Π²Π°. Π£ Π±ΠΎΠ»ΡŒΠ½Ρ‹Ρ…, рСстСноз Ρƒ ΠΊΠΎΡ‚ΠΎΡ€Ρ‹Ρ… Π½Π΅ Ρ€Π°Π·Π²ΠΈΠ²Π°Π΅Ρ‚ся, ΠΏΠΎΠ²Ρ‹ΡˆΠ΅Π½ΠΈΠ΅ уровня сСкЀЛА2(ПА) послС ангиопластики сущСствСнно мСньшС. ΠΠΊΡ‚ΠΈΠ²Π½ΠΎΡΡ‚ΡŒ сСкЀЛА2(ПА) послС ΠΊΠΎΡ€ΠΎΠ½Π°Ρ€Π½ΠΎΠΉ ангиопластики Π·Π½Π°Ρ‡ΠΈΡ‚Π΅Π»ΡŒΠ½ΠΎ увСличиваСтся Ρƒ Π±ΠΎΠ»ΡŒΠ½Ρ‹Ρ… с ΠΏΠΎΡΠ»Π΅Π΄ΡƒΡŽΡ‰ΠΈΠΌ рСстСнозом, Π² Ρ‚ΠΎ Π²Ρ€Π΅ΠΌΡ ΠΊΠ°ΠΊ Ρƒ Π±ΠΎΠ»ΡŒΠ½Ρ‹Ρ… Π±Π΅Π· Ρ€Π°Π·Π²ΠΈΠ²Π°ΡŽΡ‰Π΅Π³ΠΎΡΡ рСстСноза Π°ΠΊΡ‚ΠΈΠ²Π½ΠΎΡΡ‚ΡŒ Ρ„Π΅Ρ€ΠΌΠ΅Π½Ρ‚Π° Π½Π΅Π·Π½Π°Ρ‡ΠΈΡ‚Π΅Π»ΡŒΠ½Π° ΠΈ Π½Π΅ ΠΈΠ·ΠΌΠ΅Π½ΡΠ΅Ρ‚ся послС ангиопластики;

2. Π‘Ρ‹Π²ΠΎΡ€ΠΎΡ‚ΠΊΠ° ΠΊΡ€ΠΎΠ²ΠΈ* Π·Π΄ΠΎΡ€ΠΎΠ²Ρ‹Ρ… Π΄ΠΎΠ½ΠΎΡ€ΠΎΠ² Π½Π΅ ΠΏΡ€ΠΎΡΠ²Π»ΡΠ΅Ρ‚ активности сСкЀЛА2(ПА), нСсмотря Π½Π° ΠΏΡ€ΠΈΡΡƒΡ‚ствиС Π² Π½Π΅ΠΉ Π·Π½Π°Ρ‡ΠΈΡ‚Π΅Π»ΡŒΠ½ΠΎΠ³ΠΎ количСства Ρ„Π΅Ρ€ΠΌΠ΅Π½Ρ‚Π°. ΠΠΊΡ‚ΠΈΠ²Π½ΠΎΡΡ‚ΡŒ сСкЀЛА2(ПА) проявляСтся послС удалСния ΠΈΠ· ΡΡ‹Π²ΠΎΡ€ΠΎΡ‚ΠΊΠΈ всСх классов Π»ΠΈΠΏΠΎΠΏΡ€ΠΎΡ‚Π΅ΠΈΠ΄ΠΎΠ², Ρ‡Ρ‚ΠΎ ΡΠ²ΠΈΠ΄Π΅Ρ‚Π΅Π»ΡŒΡΡ‚Π²ΡƒΠ΅Ρ‚ ΠΎΠ± ΡƒΡ‡Π°ΡΡ‚ΠΈΠΈ Ρ†ΠΈΡ€ΠΊΡƒΠ»ΠΈΡ€ΡƒΡŽΡ‰ΠΈΡ… Π»ΠΈΠΏΠΎΠΏΡ€ΠΎΡ‚Π΅ΠΈΠ΄ΠΎΠ² Π² Ρ€Π΅Π³ΡƒΠ»ΡΡ†ΠΈΠΈ активности сСкЀЛА2(ИА);

3. НативныС Π»ΠΈΠΏΠΎΠΏΡ€ΠΎΡ‚Π΅ΠΈΠ΄Ρ‹ Ρ€Π°Π·Π½Ρ‹Ρ… классов (Π›ΠžΠΠŸ, Π›ΠΠŸ ΠΈ Π›Π’ΠŸ) ΠΈΠ½Π³ΠΈΠ±ΠΈΡ€ΡƒΡŽΡ‚ Π°ΠΊΡ‚ΠΈΠ²Π½ΠΎΡΡ‚ΡŒ ΠΊΠ°ΠΊ ΠΎΡ‡ΠΈΡ‰Π΅Π½Π½ΠΎΠΉ сСкЀЛА2(ПА), Ρ‚Π°ΠΊ ΠΈ ΡΠ΅ΠΊΠ€Π›Π2(ПА), содСрТащСйся Π² ΡΡ‹Π²ΠΎΡ€ΠΎΡ‚ΠΊΠ΅ ΠΊΡ€ΠΎΠ²ΠΈ;

4. ΠžΠΊΠΈΡΠ»Π΅Π½Π½Ρ‹Π΅ Π»ΠΈΠΏΠΎΠΏΡ€ΠΎΡ‚Π΅ΠΈΠ΄Ρ‹ (ΠΎΠΊΠ›ΠžΠΠŸ, ΠΎΠΊΠ›ΠΠŸ ΠΈ ΠΎΠΊΠ›Π’ΠŸ), ΡΡ‚ΠΈΠΌΡƒΠ»ΠΈΡ€ΡƒΡŽΡ‚ Π°ΠΊΡ‚ΠΈΠ²Π½ΠΎΡΡ‚ΡŒ сСкЀЛА2(ПА). ВлияниС окислСнных Π»ΠΈΠΏΠΎΠΏΡ€ΠΎΡ‚Π΅ΠΈΠ΄ΠΎΠ² Π½Π° ΡΠ΅ΠΊΠ€Π›Π2(ПА) зависит ΠΎΡ‚ ΡΡ‚Π΅ΠΏΠ΅Π½ΠΈ измСнСния ΠΈΡ… Ρ„осфолипидного состава, происходящСго ΠΏΡ€ΠΈ окислСнии;

5. ΠŸΡ€ΠΎΠ²Π΅Π΄Ρ‘Π½ Π°Π½Π°Π»ΠΈΠ· влияния Π»ΠΈΠΏΠΈΠ΄ΠΎΠ², входящих Π² ΡΡ‚Ρ€ΡƒΠΊΡ‚ΡƒΡ€Ρƒ Π»ΠΈΠΏΠΎΠΏΡ€ΠΎΡ‚Π΅ΠΈΠ΄Π½ΠΎΠΉ частицы, Π½Π° Π°ΠΊΡ‚ΠΈΠ²Π½ΠΎΡΡ‚ΡŒ сСкЀЛА2(ИА). Π₯олСстСрин ΠΈ ΡΡ„ΠΈΡ€Ρ‹ холСстСрина Π½Π΅ ΠΎΠΊΠ°Π·Ρ‹Π²Π°ΡŽΡ‚ влияния Π½Π° Π°ΠΊΡ‚ΠΈΠ²Π½ΠΎΡΡ‚ΡŒ сСкЀЛА2(ПА), Π² Ρ‚ΠΎ Π²Ρ€Π΅ΠΌΡ ΠΊΠ°ΠΊ сфингомиСлин Π² ΡΠΎΡΡ‚Π°Π²Π΅ Π»ΠΈΠΏΠΎΠΏΡ€ΠΎΡ‚Π΅ΠΈΠ΄ΠΎΠ² ΠΈΠ½Π³ΠΈΠ±ΠΈΡ€ΡƒΠ΅Ρ‚, Π° ΠΎΠΊΠΈΡΠ»Π΅Π½Π½Ρ‹ΠΉ фосфатидилхолин Π°ΠΊΡ‚ΠΈΠ²ΠΈΡ€ΡƒΠ΅Ρ‚ сСкЀЛА2(ПА);

6. ВлияниС сфингомиСлина ΠΈ ΠΎΠΊΠΈΡΠ»Π΅Π½Π½ΠΎΠ³ΠΎ фосфатидилхолина Π½Π° Π°ΠΊΡ‚ΠΈΠ²Π½ΠΎΡΡ‚ΡŒ сСкЀЛА2(ПА) носит ΠΊΠΎΠ½ΠΊΡƒΡ€Π΅Π½Ρ‚Π½Ρ‹ΠΉ Ρ…Π°Ρ€Π°ΠΊΡ‚Π΅Ρ€. ИзмСнСниС ΡΠΎΠΎΡ‚Π½ΠΎΡˆΠ΅Π½ΠΈΡ ΠΌΠ΅ΠΆΠ΄Ρƒ концСнтрациями этих фосфолипидов, Π° Ρ‚Π°ΠΊΠΆΠ΅ ΠΌΠ΅ΠΆΠ΄Ρƒ концСнтрациями Π½Π°Ρ‚ΠΈΠ²Π½Ρ‹Ρ… ΠΈ ΠΎΠΊΠΈΡΠ»Π΅Π½Π½Ρ‹Ρ… Π»ΠΈΠΏΠΎΠΏΡ€ΠΎΡ‚Π΅ΠΈΠ΄ΠΎΠ² ΠΌΠΎΠΆΠ΅Ρ‚ ΠΈΠ·ΠΌΠ΅Π½ΡΡ‚ΡŒ Π°ΠΊΡ‚ΠΈΠ²Π½ΠΎΡΡ‚ΡŒ сСкЀЛА2(ИА) Π² ΠΊΡ€ΠΎΠ²ΠΈ Ρ‡Π΅Π»ΠΎΠ²Π΅ΠΊΠ°, приводя Π»ΠΈΠ±ΠΎ ΠΊ Π΅Ρ‘ ΠΈΠ½Π³ΠΈΠ±ΠΈΡ€ΠΎΠ²Π°Π½ΠΈΡŽ, Π»ΠΈΠ±ΠΎ ΠΊ ΡΡ‚имуляции.

ΠŸΡ€Π°ΠΊΡ‚ΠΈΡ‡Π΅ΡΠΊΠΈΠ΅ Ρ€Π΅ΠΊΠΎΠΌΠ΅Π½Π΄Π°Ρ†ΠΈΠΈ.

ΠžΠΏΡ€Π΅Π΄Π΅Π»Π΅Π½ΠΈΠ΅ ΠΊΠΎΠ½Ρ†Π΅Π½Ρ‚Ρ€Π°Ρ†ΠΈΠΈ ΠΈ Π°ΠΊΡ‚ивности сСкЀЛА2(ПА) Π² ΡΡ‹Π²ΠΎΡ€ΠΎΡ‚ΠΊΠ΅ ΠΊΡ€ΠΎΠ²ΠΈ Π±ΠΎΠ»ΡŒΠ½Ρ‹Ρ… Π˜Π‘Π‘ послС Ρ‚Ρ€Π°Π½ΡΠ»ΡŽΠΌΠΈΠ½Π°Π»ΡŒΠ½ΠΎΠΉ ΠΊΠΎΡ€ΠΎΠ½Π°Ρ€Π½ΠΎΠΉ ангиопластики ΠΌΠΎΠΆΠ½ΠΎ Ρ€Π΅ΠΊΠΎΠΌΠ΅Π½Π΄ΠΎΠ²Π°Ρ‚ΡŒ Π² ΠΊΠ°Ρ‡Π΅ΡΡ‚Π²Π΅ прогностичСского ΠΏΠ°Ρ€Π°ΠΌΠ΅Ρ‚Ρ€Π° для ΠΈΠ΄Π΅Π½Ρ‚ΠΈΡ„ΠΈΠΊΠ°Ρ†ΠΈΠΈ ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ² с ΠΏΠΎΠ²Ρ‹ΡˆΠ΅Π½Π½Ρ‹ΠΌ риском развития рСстСноза.

ΠŸΠΎΠΊΠ°Π·Π°Ρ‚ΡŒ вСсь тСкст

Бписок Π»ΠΈΡ‚Π΅Ρ€Π°Ρ‚ΡƒΡ€Ρ‹

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