ΠΠΊΡΠΏΡΠ΅ΡΡΠΈΡ Π² Π³Π΅ΡΠ΅ΡΠΎΠ»ΠΎΠ³ΠΈΡΠ½ΡΡ ΡΠΈΡΡΠ΅ΠΌΠ°Ρ Π³Π΅Π½ΠΎΠ² Ρ ΠΈΠΌΠ΅ΡΠ½ΡΡ ΠΈΠΌΠΌΡΠ½ΠΎΠ³Π»ΠΎΠ±ΡΠ»ΠΈΠ½ΠΎΠ² ΠΈ Π³Π΅Π½Π° Π±Π°ΡΡΡΠ°ΡΠ°
ΠΡΠΈ ΠΈΡΠΏΠΎΠ»ΡΠ·ΠΎΠ²Π°Π½ΠΈΠΈ Π³Π΅Π½ΠΎΠ² Ρ ΠΈΠΌΠ΅ΡΠ½ΠΎΠ³ΠΎ ΠΌΡΡΡ/ΡΠ΅Π»ΠΎΠ²Π΅ΠΊ IgE Π±ΡΠ» ΠΎΡΠ΅Π½Π΅Π½ ΡΡΠΎΠ²Π΅Π½Ρ Π±ΠΈΠΎΡΠΈΠ½ΡΠ΅Π·Π° ΡΠ΅Π»Π΅Π²ΠΎΠ³ΠΎ Π±Π΅Π»ΠΊΠ° in vivo Π² ΡΠ°Π·Π»ΠΈΡΠ½ΡΡ ΡΠΊΠ°Π½ΡΡ ΠΌΡΡΠΈ: ΡΠ΅Π»Π΅Π·Π΅Π½ΠΊΠ΅ (ΠΈΠΌΠΌΡΠ½ΠΎΠΊΠΎΠΌΠΏΠ΅ΡΠ΅Π½ΡΠ½ΡΠΉ ΠΎΡΠ³Π°Π½), ΠΏΠ΅ΡΠ΅Π½ΠΈ (ΡΠ΅ΡΠ΅Π· ΠΏΠ΅ΡΠ΅Π½Ρ ΠΏΡΠΎΡ ΠΎΠ΄ΠΈΡ Π±ΠΎΠ»ΡΡΠΎΠΉ ΠΎΠ±ΡΠ΅ΠΌ ΠΊΡΠΎΠ²ΠΈ), ΠΏΠΎΠ΄ΡΡΠΊΠ°Ρ Π»Π°ΠΏ (Π½Π΅ ΡΡΠΎΠ»Ρ Ρ ΠΎΡΠΎΡΠΎ ΡΠ½Π°Π±ΠΆΠ°ΡΡΡΡ ΠΊΡΠΎΠ²ΡΡ) ΠΈ Ρ ΡΡΡΠ΅Π²ΠΎΠΉ ΡΠΊΠ°Π½ΠΈ ΡΡΠ΅ΠΉ (Π² Π»ΡΠ±ΠΎΠΉ Ρ ΡΡΡΠ΅Π²ΠΎΠΉ ΡΠΊΠ°Π½ΠΈ Π΄Π²ΠΈΠΆΠ΅Π½ΠΈΠ΅ ΠΌΠΎΠ»Π΅ΠΊΡΠ» ΠΎΡΡΡΠ΅ΡΡΠ²Π»ΡΠ΅ΡΡΡ ΠΈΡΠΊΠ»ΡΡΠΈΡΠ΅Π»ΡΠ½ΠΎ Π·Π° ΡΡΠ΅Ρ Π΄ΠΈΡΡΡΠ·ΠΈΠΈ). Π’Π°ΠΊΠΆΠ΅ Π±ΡΠ»Π° Π΄Π°Π½Π°… Π§ΠΈΡΠ°ΡΡ Π΅ΡΡ >
- Π‘ΠΎΠ΄Π΅ΡΠΆΠ°Π½ΠΈΠ΅
- ΠΡΠ΄Π΅ΡΠΆΠΊΠ°
- ΠΠΈΡΠ΅ΡΠ°ΡΡΡΠ°
- ΠΡΡΠ³ΠΈΠ΅ ΡΠ°Π±ΠΎΡΡ
- ΠΠΎΠΌΠΎΡΡ Π² Π½Π°ΠΏΠΈΡΠ°Π½ΠΈΠΈ
Π‘ΠΎΠ΄Π΅ΡΠΆΠ°Π½ΠΈΠ΅
- Π‘ΠΏΠΈΡΠΎΠΊ ΠΎΠ±ΠΎΠ·Π½Π°ΡΠ΅Π½ΠΈΠΉ ΠΈ ΡΠΎΠΊΡΠ°ΡΠ΅Π½ΠΈΠΉ Π·
- ΠΠ±Π·ΠΎΡ Π»ΠΈΡΠ΅ΡΠ°ΡΡΡΡ
- 1. ΠΠΌΠΌΡΠ½ΠΎΠ³Π»ΠΎΠ±ΡΠ»ΠΈΠ½ Π ΠΊΠ°ΠΊ Π²ΠΎΠ·ΠΌΠΎΠΆΠ½ΡΠΉ Π°Π³Π΅Π½Ρ ΠΏΡΠΎΡΠΈΠ²ΠΎΠΎΠΏΡΡ ΠΎΠ»Π΅Π²ΠΎΠ³ΠΎ ΠΈΠΌΠΌΡΠ½ΠΈΡΠ΅ΡΠ°
- 1. Π‘Π²Π΅Π΄Π΅Π½ΠΈΡ ΠΎ ΡΡΠ½ΠΊΡΠΈΡΡ ΠΈΠΌΠΌΡΠ½ΠΎΠ³Π»ΠΎΠ±ΡΠ»ΠΈΠ½Π° Π
- 2. ΠΠ½ΠΈΡΠΈΠ°ΡΠΈΡ ΡΠΈΠ½ΡΠ΅Π·Π° ΠΈΠΌΠΌΡΠ½ΠΎΠ³Π»ΠΎΠ±ΡΠ»ΠΈΠ½Π° Π
- 3. Π Π΅Π³ΡΠ»ΡΡΠΎΡΠ½ΡΠ΅ ΡΡΠ½ΠΊΡΠΈΠΈ ΠΈΠΌΠΌΡΠ½ΠΎΠ³Π»ΠΎΠ±ΡΠ»ΠΈΠ½Π° Π
- 4. ΠΠΌΠΌΡΠ½ΠΎΠ³Π»ΠΎΠ±ΡΠ»ΠΈΠ½ Π ΠΈ Π°Π»Π»Π΅ΡΠ³ΠΈΡΠ΅ΡΠΊΠ°Ρ ΡΠ΅Π°ΠΊΡΠΈΡ ΠΊΠ°ΠΊ ΡΠ°ΠΊΡΠΎΡΡ ΡΠ°Π·Π²ΠΈΡΠΈΡ ΠΈ ΠΈΠ½Π³ΠΈΠ±ΠΈΡΠΎΠ²Π°Π½ΠΈΡ ΡΠΎΡΡΠ° ΠΎΠΏΡΡ ΠΎΠ»Π΅ΠΉ
- 5. ΠΠΎΠ»ΠΈΡΠ΅ΡΡΠ²Π΅Π½Π½ΡΠ΅ ΠΎΡΠ΅Π½ΠΊΠΈ ΠΊΠΎΠ½ΡΠ΅Π½ΡΡΠ°ΡΠΈΠΈ ΠΈΠΌΠΌΡΠ½ΠΎΠ³Π»ΠΎΠ±ΡΠ»ΠΈΠ½ΠΎΠ² Π² ΡΠ΅ΡΠ°ΠΏΠΈΠΈ
- 2. ΠΠ΅Π½ΠΎΡΠ΅ΡΠ°ΠΏΠΈΡ
- 1. ΠΠ±ΡΠ΅Π΅ ΠΎΠΏΠΈΡΠ°Π½ΠΈΠ΅ ΡΠΈΠΏΠΎΠ² Π³Π΅Π½ΠΎΡΠ΅ΡΠ°ΠΏΠΈΠΈ
- 2. ΠΡΠ½ΠΎΠ²Π½ΡΠ΅ Π½Π°ΠΏΡΠ°Π²Π»Π΅Π½ΠΈΡ ΠΊΠ»ΠΈΠ½ΠΈΡΠ΅ΡΠΊΠΎΠ³ΠΎ ΠΏΡΠΈΠΌΠ΅Π½Π΅Π½ΠΈΡ Π³Π΅Π½ΠΎΡΠ΅ΡΠ°ΠΏΠΈΠΈ
- 3. Π₯ΠΈΠΌΠ΅ΡΠ½ΡΠ΅ Π°Π½ΡΠΈΡΠ΅Π»Π° ΠΊΠ°ΠΊ ΡΡΡΠ΅ΠΊΡΠΎΡΠ½ΡΠΉ Π±Π΅Π»ΠΎΠΊ ΡΠ΅ΡΠ°ΠΏΠΈΠΈ
- 4. Π€Π°ΠΊΡΠΎΡΡ, ΠΎΠ±Π΅ΡΠΏΠ΅ΡΠΈΠ²Π°ΡΡΠΈΠ΅ ΡΡΡΠ΅ΠΊΡΠΈΠ²Π½ΠΎΡΡΡ Π³Π΅Π½ΠΎΡΠ΅ΡΠ°ΠΏΠΈΠΈ
- 2. 4 1 ΠΠΎΡΡΠ°Π²ΠΊΠ° Π³Π΅Π½Π΅ΡΠΈΡΠ΅ΡΠΊΠΎΠ³ΠΎ ΠΌΠ°ΡΠ΅ΡΠΈΠ°Π»Π°
- 2. 4 2 ΠΠΊΡΠΏΡΠ΅ΡΡΠΈΡ Π³Π΅Π½ΠΎΠ²
- 3. ΠΠΊΡΠΏΠ΅ΡΠ΅ΡΡΠΈΡ Π³Π΅Π½ΠΎΠ² Π±Π°ΡΡΡΠ°ΡΠ° ΠΈ Ρ ΠΈΠΌΠ΅ΡΠ½ΠΎΠ³ΠΎ ΠΈΠΌΠΌΡΠ½ΠΎΠ³Π»ΠΎΠ±ΡΠ»ΠΈΠ½Π° 38 Π Π΅Π·ΡΠΌΠ΅ ΠΎΠ±Π·ΠΎΡΠ° Π»ΠΈΡΠ΅ΡΠ°ΡΡΡΡ
- ΠΠ°ΡΠ΅ΡΠΈΠ°Π»Ρ ΠΈ ΠΌΠ΅ΡΠΎΠ΄Ρ
- Π Π΅Π·ΡΠ»ΡΡΠ°ΡΡ ΠΈ ΠΎΠ±ΡΡΠΆΠ΄Π΅Π½ΠΈΠ΅
- 1. Π‘ΠΎΠ·Π΄Π°Π½ΠΈΠ΅ Π³Π΅Π½Π΅ΡΠΈΡΠ΅ΡΠΊΠΎΠΉ ΠΊΠΎΠ½ΡΡΡΡΠΊΡΠΈΠΈ ΠΈ Π°Π½Π°Π»ΠΈΠ· ΡΠΊΡΠΏΡΠ΅ΡΡΠΈΠΈ Π³Π΅Π½Π° Π±Π°ΡΡΡΠ°ΡΠ° Π² ΡΠΈΠ±ΡΠΎΠ±Π»Π°ΡΡΠ°Ρ ΡΠ΅Π»ΠΎΠ²Π΅ΠΊΠ° ΠΈ Π² ΡΠΌΠ±ΡΠΈΠΎΠ½Π΅ ΠΌΡΡΠΈ
- 2. ΠΠ°Π»Π»ΠΈΡΡΠΈΡΠ΅ΡΠΊΠ°Ρ ΡΡΠ°Π½ΡΡΠ΅ΠΊΡΠΈΡ
- 3. ΠΠΊΡΠΏΡΠ΅ΡΡΠΈΡ Π³Π΅Π½ΠΎΠ² Ρ ΠΈΠΌΠ΅ΡΠ½ΠΎΠ³ΠΎΠ Π² ΡΠ°Π·Π»ΠΈΡΠ½ΡΡ ΡΠΊΠ°Π½ΡΡ ΠΈ ΠΎΡΠ³Π°Π½Π°Ρ ΠΌΡΡΠ΅ΠΉ, ΠΈΠΌΠΌΡΠ½Π½ΡΠΉ ΠΎΡΠ²Π΅Ρ Π½Π° ΠΊΡΠ΅Π½ΠΎΠ³Π΅Π½Π½ΡΠ΅ Π΄Π΅ΡΠ΅ΡΠΌΠΈΠ½Π°Π½ΡΡ
- 4. ΠΡΠ²ΠΎΠ΄ ΡΠΎΡΠΌΡΠ»Ρ ΠΏΠΎΠ΄ΡΡΠ΅ΡΠ° ΠΊΠΎΠ»ΠΈΡΠ΅ΡΡΠ²Π° ΡΠΊΡΠΏΡΠ΅ΡΡΠΈΡΠΎΠ²Π°Π½Π½ΠΎΠ³ΠΎ Ρ ΠΈΠΌΠ΅ΡΠ½ΠΎΠ³ΠΎ Π±Π΅Π»ΠΊΠ°
- 5. ΠΠΎΠ»ΠΈΡΠ΅ΡΡΠ²Π΅Π½Π½ΡΠΉ Π°Π½Π°Π»ΠΈΠ· ΡΠΊΡΠΏΡΠ΅ΡΡΠΈΠΈ Ρ ΠΈΠΌΠ΅ΡΠ½ΠΎΠ³ΠΎΠ ΠΈ ΠΈΠΌΠΌΡΠ½Π½ΠΎΠ³ΠΎ ΠΎΡΠ²Π΅ΡΠ° Π½Π° ΠΊΡΠ΅Π½ΠΎΠ³Π΅Π½Π½ΡΠ΅ Π΄Π΅ΡΠ΅ΡΠΌΠΈΠ½Π°Π½ΡΡ
- Π²ΡΠ²ΠΎΠ΄Ρ
ΠΠΊΡΠΏΡΠ΅ΡΡΠΈΡ Π² Π³Π΅ΡΠ΅ΡΠΎΠ»ΠΎΠ³ΠΈΡΠ½ΡΡ ΡΠΈΡΡΠ΅ΠΌΠ°Ρ Π³Π΅Π½ΠΎΠ² Ρ ΠΈΠΌΠ΅ΡΠ½ΡΡ ΠΈΠΌΠΌΡΠ½ΠΎΠ³Π»ΠΎΠ±ΡΠ»ΠΈΠ½ΠΎΠ² ΠΈ Π³Π΅Π½Π° Π±Π°ΡΡΡΠ°ΡΠ° (ΡΠ΅ΡΠ΅ΡΠ°Ρ, ΠΊΡΡΡΠΎΠ²Π°Ρ, Π΄ΠΈΠΏΠ»ΠΎΠΌ, ΠΊΠΎΠ½ΡΡΠΎΠ»ΡΠ½Π°Ρ)
Π ΠΏΠΎΡΠ»Π΅Π΄Π½ΠΈΠ΅ Π΄Π΅ΡΡΠΈΠ»Π΅ΡΠΈΡ ΠΎΠ΄Π½ΠΈΠΌ ΠΈΠ· Π½Π°ΠΈΠ±ΠΎΠ»Π΅Π΅ Π²ΠΎΡΡΡΠ΅Π±ΠΎΠ²Π°Π½Π½ΡΡ ΠΏΠΎΠ΄Ρ ΠΎΠ΄ΠΎΠ² Π² Π±ΠΈΠΎΠ»ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠΈΡ ΠΈ Π±ΠΈΠΎΠΌΠ΅Π΄ΠΈΡΠΈΠ½ΡΠΊΠΈΡ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΡΡ ΡΡΠ°Π»ΠΎ ΡΠΎΠ·Π΄Π°Π½ΠΈΠ΅ Π³Π΅Π½Π΅ΡΠΈΡΠ΅ΡΠΊΠΈΡ ΠΊΠΎΠ½ΡΡΡΡΠΊΡΠΈΠΉ Π΄Π»Ρ ΡΠΊΡΠΏΡΠ΅ΡΡΠΈΠΈ ΡΠ΅Π»Π΅Π²ΡΡ Π±Π΅Π»ΠΊΠΎΠ² Π½Π΅ΠΏΠΎΡΡΠ΅Π΄ΡΡΠ²Π΅Π½Π½ΠΎ Π² ΠΆΠΈΠΎΠΌ ΠΎΡΠ³Π°Π½ΠΈΠ·ΠΌΠ΅. Π ΡΠΎΠΎΡΠ²Π΅ΡΡΡΠ²ΠΈΠΈ Ρ ΠΊΠΎΠ½Π΅ΡΠ½ΡΠΌΠΈ ΠΏΡΠ°ΠΊΡΠΈΡΠ΅ΡΠΊΠΈΠΌΠΈ ΠΏΡΠΈΠ»ΠΎΠΆΠ΅Π½ΠΈΡΠΌΠΈ ΡΡΠΎΠΉ ΠΌΠ΅ΡΠΎΠ΄ΠΎΠ»ΠΎΠ³ΠΈΠΈ ΡΡΠΎΡΠΌΠΈΡΠΎΠ²Π°Π»ΠΈΡΡ Π΄Π²Π° ΠΎΡΠ½ΠΎΠ²Π½ΡΡ Π½Π°ΠΏΡΠ°Π²Π»Π΅Π½ΠΈΡ — Π³Π΅Π½ΠΎΡΠ΅ΡΠ°ΠΏΠΈΡ ΠΈ ΠΠΠ-ΠΈΠΌΠΌΡΠ½ΠΈΠ·Π°ΡΠΈΡ. ΠΠ΄Π½ΠΈΠΌ ΠΈΠ· Π½Π°ΠΈΠ±ΠΎΠ»Π΅Π΅ Π²ΠΎΡΡΡΠ΅Π±ΠΎΠ²Π°Π½Π½ΡΡ Π½Π°ΠΏΡΠ°Π²Π»Π΅Π½ΠΈΠΉ ΠΏΡΠΈΠΌΠ΅Π½Π΅Π½ΠΈΡ Π³Π΅Π½ΠΎΡΠ΅ΡΠ°ΠΏΠΈΠΈ ΡΠ²Π»ΡΠ΅ΡΡΡ ΠΏΠΎΠ΄Ρ ΠΎΠ΄ Ρ ΠΏΡΠΈΠΌΠ΅Π½Π΅Π½ΠΈΠ΅ΠΌ ΠΈΠ½ΡΡΠ°ΡΠ΅Π», ΠΊΠΎΡΠΎΡΡΠΉ ΡΠΎΡΡΠΎΠΈΡ Π²ΠΎ Π²Π²Π΅Π΄Π΅Π½ΠΈΠΈ Π² ΠΎΡΠ³Π°Π½ΠΈΠ·ΠΌ Π³Π΅Π½Π΅ΡΠΈΡΠ΅ΡΠΊΠΈΡ ΠΊΠΎΠ½ΡΡΡΡΠΊΡΠΈΠΉ, ΠΊΠΎΠ΄ΠΈΡΡΡΡΠΈΡ Π°Π½ΡΠΈΡΠ΅Π»Π° Ρ Π·Π°ΠΏΡΠΎΠ³ΡΠ°ΠΌΠΌΠΈΡΠΎΠ²Π°Π½Π½ΡΠΌΠΈ Π°Π½ΡΠΈΠ³Π΅Π½ΡΠ²ΡΠ·ΡΠ²Π°ΡΡΠΈΠΌΠΈ ΠΈ/ΠΈΠ»ΠΈ ΡΡΡΠ΅ΠΊΡΠΎΡΠ½ΡΠΌΠΈ ΡΡΠ½ΠΊΡΠΈΡΠΌΠΈ.
Π ΡΠ²ΡΠ·ΠΈ Ρ ΡΡΠΈΠΌ Π½Π΅ΠΎΠ±Ρ ΠΎΠ΄ΠΈΠΌΠΎ, Ρ ΠΎΠ΄Π½ΠΎΠΉ ΡΡΠΎΡΠΎΠ½Ρ, ΠΈΡΠΊΠ°ΡΡ ΠΎΠΏΡΠΈΠΌΠ°Π»ΡΠ½ΡΠ΅ ΡΠΏΠΎΡΠΎΠ±Ρ Π²Π²Π΅Π΄Π΅Π½ΠΈΡ Π² ΠΊΠ»Π΅ΡΠΊΠΈ ΡΡΠΆΠ΅ΡΠΎΠ΄Π½ΡΡ Π³Π΅Π½ΠΎΠ², Π° Ρ Π΄ΡΡΠ³ΠΎΠΉ — ΠΈΠ·ΡΡΠΈΡΡ Π·Π°ΠΊΠΎΠ½ΠΎΠΌΠ΅ΡΠ½ΠΎΡΡΠΈ ΡΠΊΡΠΏΡΠ΅ΡΡΠΈΠΈ Π²Π²Π΅Π΄Π΅Π½Π½ΡΡ Π³Π΅Π½ΠΎΠ² Π² Π·Π°Π²ΠΈΡΠΈΠΌΠΎΡΡΠΈ ΠΎΡ ΡΠΈΠΏΠ° ΡΠΊΠ°Π½ΠΈ. ΠΠ΅ΡΡΠΌΠ° Π²Π°ΠΆΠ½ΠΎ ΡΠ°ΠΊΠΆΠ΅ ΠΎΡΠ΅Π½ΠΈΡΡ ΠΈΠΌΠΌΡΠ½Π½ΡΠΉ ΠΎΡΠ²Π΅Ρ ΠΎΡΠ³Π°Π½ΠΈΠ·ΠΌΠ° Π½Π° ΠΊΡΠ΅Π½ΠΎΠ³Π΅Π½Π½ΡΠ΅ Π΄Π΅ΡΠ΅ΡΠΌΠΈΠ½Π°Π½ΡΡ ΡΠΈΠ½ΡΠ΅Π·ΠΈΡΡΡΡΠΈΡ ΡΡ ΡΠ΅ΠΊΠΎΠΌΠ±ΠΈΠ½Π°Π½ΡΠ½ΡΡ Π±Π΅Π»ΠΊΠΎΠ².
Π Π½Π°ΡΡΠΎΡΡΠ΅ΠΉ ΡΠ°Π±ΠΎΡΠ΅ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π»ΠΈ Π³Π΅Π½Π΅ΡΠΈΡΠ΅ΡΠΊΠΈΠ΅ ΠΊΠΎΠ½ΡΡΡΡΠΊΡΠΈΠΈ Π΄Π»Ρ ΡΠΊΡΠΏΡΠ΅ΡΡΠΈΠΈ ΠΏΡΠΎΡΡΡΡ ΠΎΠ΄Π½ΠΎΠ΄ΠΎΠΌΠ΅Π½Π½ΡΡ ΠΈ ΡΠ»ΠΎΠΆΠ½ΡΡ ΠΌΡΠ»ΡΡΠΈΠ΄ΠΎΠΌΠ΅Π½Π½ΡΡ Π±Π΅Π»ΠΊΠΎΠ²ΡΡ ΠΌΠΎΠ»Π΅ΠΊΡΠ». ΠΠΎΡΠ»Π΅Π΄ΠΎΠ²Π°ΡΠ΅Π»ΡΠ½ΠΎ ΡΠ°ΡΡΠΌΠΎΡΡΠ΅Π½Ρ Π³Π΅Π½Π΅ΡΠΈΡΠ΅ΡΠΊΠΈΠ΅ ΠΊΠΎΠ½ΡΡΡΡΠΊΡΠΈΠΈ, Π½Π΅ΠΎΠ±Ρ ΠΎΠ΄ΠΈΠΌΡΠ΅ Π΄Π»Ρ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΡ in vivo ΡΠΊΡΠΏΡΠ΅ΡΡΠΈΠΈ Π³Π΅Π½Π° Π±Π°ΡΡΡΠ°ΡΠ°Π²ΠΎΠ·ΠΌΠΎΠΆΠ½ΠΎΡΡΠΈ ΠΊΠ°ΡΠ΅ΡΡΠ²Π΅Π½Π½ΠΎΠΉ ΠΈ ΠΊΠΎΠ»ΠΈΡΠ΅ΡΡΠ²Π΅Π½Π½ΠΎΠΉ ΠΎΡΠ΅Π½ΠΊΠΈ ΡΠΊΡΠΏΡΠ΅ΡΡΠΈΠΈ ΡΡΠΎΠ³ΠΎ Π³Π΅Π½Π° Π² ΡΠ΅Π»ΠΎΠ²Π΅ΡΠ΅ΡΠΊΠΈΡ ΡΠΈΠ±ΡΠΎΠ±Π»Π°ΡΡΠ°Ρ ΡΠΊΡΠΏΡΠ΅ΡΡΠΈΡ Π³Π΅Π½Π° Π±Π°ΡΡΡΠ°ΡΠ° ΠΊΠ»Π΅ΡΠΊΠ°ΠΌΠΈ Π²Π·ΡΠΎΡΠ»ΠΎΠ³ΠΎ ΠΎΡΠ³Π°Π½ΠΈΠ·ΠΌΠ° ΠΏΠΎΡΠ»Π΅ ΡΡΠ°Π½ΡΡΠ΅ΠΊΡΠΈΠΈ Π² ΠΊΠ»Π΅ΡΠΊΠΈ ΡΠΌΠ±ΡΠΈΠΎΠ½Π° Π½Π° ΡΡΠ°Π΄ΠΈΠΈ ΠΌΠΎΡΡΠ»ΡΠ²ΠΎΠ·ΠΌΠΎΠΆΠ½ΠΎΡΡΡ ΡΠΊΡΠΏΡΠ΅ΡΡΠΈΠΈ Π³Π΅Π½ΠΎΠ² Ρ ΠΈΠΌΠ΅ΡΠ½ΡΡ Π°Π½ΡΠΈΡΠ΅Π» ΠΌΡΡΡ-ΡΠ΅Π»ΠΎΠ²Π΅ΠΊ ΠΏΡΠΈ Π²Π²Π΅Π΄Π΅Π½ΠΈΠΈ Π³Π΅Π½ΠΎΠ² in vitro ΠΈ Π² ΠΊΠ»Π΅ΡΠΊΠΈ ΡΠ°Π·Π»ΠΈΡΠ½ΡΡ ΠΎΡΠ³Π°Π½ΠΎΠ² ΠΈ ΡΠ°ΡΡΠ΅ΠΉ ΡΠ΅Π»Π° ΠΌΡΡΠ΅ΠΉ in vivo.
ΠΡΠ»ΠΈ ΡΠΊΠΎΠ½ΡΡΡΡΠΈΡΠΎΠ²Π°Π½Ρ ΠΏΠ»Π°Π·ΠΌΠΈΠ΄Ρ, Π½Π΅ΡΡΡΠΈΠ΅ Π³Π΅Π½ Π±Π°ΡΡΡΠ°ΡΠ° ΠΏΠΎΠ΄ ΠΊΠΎΠ½ΡΡΠΎΠ»Π΅ΠΌ ΡΡΠΊΠ°ΡΠΈΠΎΡΠΈΡΠ΅ΡΠΊΠΈΡ ΡΠ΅Π³ΡΠ»ΡΡΠΎΡΠ½ΡΡ ΡΠ»Π΅ΠΌΠ΅Π½ΡΠΎΠ² Π΄Π»Ρ Π΅Π³ΠΎ ΡΠΊΡΠΏΡΠ΅ΡΡΠΈΠΈ Π² ΡΡΠΊΠ°ΡΠΈΠΎΡΠ°Ρ .
ΠΠ° ΠΏΠ΅ΡΠ²ΠΎΠΌ ΡΡΠ°ΠΏΠ΅ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΡ ΡΠ°Π±ΠΎΡΠ° ΡΠ²Π»ΡΠ»Π°ΡΡ ΠΏΠΎΠΈΡΠΊΠΎΠ²ΠΎΠΉ. ΠΡΠ»ΠΎ Π½Π΅ΠΎΠ±Ρ ΠΎΠ΄ΠΈΠΌΠΎ ΠΎΠΏΡΠ΅Π΄Π΅Π»ΠΈΡΡ ΠΏΡΠΈΠ½ΡΠΈΠΏΠΈΠ°Π»ΡΠ½ΡΡ Π²ΠΎΠ·ΠΌΠΎΠΆΠ½ΠΎΡΡΡ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΡ ΡΠΊΡΠΏΡΠ΅ΡΡΠΈΠΈ Π³Π΅Π½Π° Π±Π°ΡΡΡΠ°ΡΠ° Π² ΡΡΠΊΠ°ΡΠΈΠΎΡΠΈΡΠ΅ΡΠΊΠΈΡ ΡΠΈΡΡΠ΅ΠΌΠ°Ρ . Π Π°Π±ΠΎΡΠ° Π²ΡΡΡΡΠΏΠ°Π»Π° ΠΏΡΠ΅Π΄ΡΠ΅ΡΠ΅ΠΉ ΡΠ°Π±ΠΎΡ ΠΏΠΎ ΡΠΎΠ·Π΄Π°Π½ΠΈΡ Ρ ΠΈΠΌΠ΅ΡΠ½ΡΡ ΠΏΠΎΠ»Π½ΠΎΡΠ°Π·ΠΌΠ΅ΡΠ½ΡΡ ΠΈΠΌΠΌΡΠ½ΠΎΠ³Π»ΠΎΠ±ΡΠ»ΠΈΠ½ΠΎΠ².
ΠΡΠΈ ΡΠ°Π±ΠΎΡΠ΅ Ρ Ρ ΠΈΠΌΠ΅ΡΠ½ΡΠΌΠΈ ΠΌΡΡΡ-ΡΠ΅Π»ΠΎΠ²Π΅ΠΊ ΠΈΠΌΠΌΡΠ½ΠΎΠ³Π»ΠΎΠ±ΡΠ»ΠΈΠ½Π°ΠΌΠΈ ΠΊΠ»Π°ΡΡΠ° Π ΠΎΡΠ½ΠΎΠ²Π½ΠΎΠΉ Π·Π°Π΄Π°ΡΠ΅ΠΉ Π±ΡΠ»ΠΎ Π°ΠΏΡΠΎΠ±ΠΈΡΠΎΠ²Π°Π½ΠΈΠ΅ ΠΏΠΎΠ΄Ρ ΠΎΠ΄Π° ΠΊ ΡΠΊΡΠΏΡΠ΅ΡΡΠΈΠΈ Π³Π΅Π½ΠΎΠ² ΠΈΠΌΠΌΡΠ½ΠΎΠ³Π»ΠΎΠ±ΡΠ»ΠΈΠ½ΠΎΠ² in vitro ΠΈ in vivo. ΠΠΎΠ½ΠΊΡΠ΅ΡΠ½ΠΎ — Π°Π½Π°Π»ΠΈΠ· ΡΠΊΡΠΏΡΠ΅ΡΡΠΈΠΈ ΠΏΠΎΠ΄ Π³Π΅ΡΠ΅ΡΠΎΠ»ΠΎΠ³ΠΈΡΠ½ΡΠΌ ΠΏΡΠΎΠΌΠΎΡΠΎΡΠΎΠΌ ΠΈ ΠΎΡΠ΅Π½ΠΊΠ° ΡΡΠΎΠ²Π½Ρ Π±ΠΈΠΎΡΠΈΠ½ΡΠ΅Π·Π° ΡΠ΅Π»Π΅Π²ΠΎΠ³ΠΎ Π±Π΅Π»ΠΊΠ°.
ΠΡΠΈ ΠΈΡΠΏΠΎΠ»ΡΠ·ΠΎΠ²Π°Π½ΠΈΠΈ Π³Π΅Π½ΠΎΠ² Ρ ΠΈΠΌΠ΅ΡΠ½ΠΎΠ³ΠΎ ΠΌΡΡΡ/ΡΠ΅Π»ΠΎΠ²Π΅ΠΊ IgE Π±ΡΠ» ΠΎΡΠ΅Π½Π΅Π½ ΡΡΠΎΠ²Π΅Π½Ρ Π±ΠΈΠΎΡΠΈΠ½ΡΠ΅Π·Π° ΡΠ΅Π»Π΅Π²ΠΎΠ³ΠΎ Π±Π΅Π»ΠΊΠ° in vivo Π² ΡΠ°Π·Π»ΠΈΡΠ½ΡΡ ΡΠΊΠ°Π½ΡΡ ΠΌΡΡΠΈ: ΡΠ΅Π»Π΅Π·Π΅Π½ΠΊΠ΅ (ΠΈΠΌΠΌΡΠ½ΠΎΠΊΠΎΠΌΠΏΠ΅ΡΠ΅Π½ΡΠ½ΡΠΉ ΠΎΡΠ³Π°Π½), ΠΏΠ΅ΡΠ΅Π½ΠΈ (ΡΠ΅ΡΠ΅Π· ΠΏΠ΅ΡΠ΅Π½Ρ ΠΏΡΠΎΡ ΠΎΠ΄ΠΈΡ Π±ΠΎΠ»ΡΡΠΎΠΉ ΠΎΠ±ΡΠ΅ΠΌ ΠΊΡΠΎΠ²ΠΈ), ΠΏΠΎΠ΄ΡΡΠΊΠ°Ρ Π»Π°ΠΏ (Π½Π΅ ΡΡΠΎΠ»Ρ Ρ ΠΎΡΠΎΡΠΎ ΡΠ½Π°Π±ΠΆΠ°ΡΡΡΡ ΠΊΡΠΎΠ²ΡΡ) ΠΈ Ρ ΡΡΡΠ΅Π²ΠΎΠΉ ΡΠΊΠ°Π½ΠΈ ΡΡΠ΅ΠΉ (Π² Π»ΡΠ±ΠΎΠΉ Ρ ΡΡΡΠ΅Π²ΠΎΠΉ ΡΠΊΠ°Π½ΠΈ Π΄Π²ΠΈΠΆΠ΅Π½ΠΈΠ΅ ΠΌΠΎΠ»Π΅ΠΊΡΠ» ΠΎΡΡΡΠ΅ΡΡΠ²Π»ΡΠ΅ΡΡΡ ΠΈΡΠΊΠ»ΡΡΠΈΡΠ΅Π»ΡΠ½ΠΎ Π·Π° ΡΡΠ΅Ρ Π΄ΠΈΡΡΡΠ·ΠΈΠΈ). Π’Π°ΠΊΠΆΠ΅ Π±ΡΠ»Π° Π΄Π°Π½Π° ΠΊΠΎΠ»ΠΈΡΠ΅ΡΡΠ²Π΅Π½Π½Π°Ρ ΠΎΡΠ΅Π½ΠΊΠ° ΠΈΠΌΠΌΡΠ½Π½ΠΎΠ³ΠΎ ΠΎΡΠ²Π΅ΡΠ° ΠΎΡΠ³Π°Π½ΠΈΠ·ΠΌΠ° Π½Π° ΡΡΠΆΠ΅ΡΠΎΠ΄Π½ΡΠ΅ Π°Π½ΡΠΈΠ³Π΅Π½Π½ΡΠ΅ Π΄Π΅ΡΠ΅ΡΠΌΠΈΠ½Π°Π½ΡΡ ΡΠΈΠ½ΡΠ΅Π·ΠΈΡΠΎΠ²Π°Π½Π½ΡΡ Π°Π½ΡΠΈΡΠ΅Π». ΠΠΎΠ»ΡΡΠ΅Π½ΠΈΠ΅ ΡΠ°ΠΊΠΈΡ Π΄Π°Π½Π½ΡΡ Π±ΡΠ»ΠΎ Π²Π°ΠΆΠ½ΠΎ Ρ ΡΠΎΡΠΊΠΈ Π·ΡΠ΅Π½ΠΈΡ ΡΠ°ΠΊ Π½Π°Π·ΡΠ²Π°Π΅ΠΌΠΎΠΉ ΠΠΠ-ΠΈΠΌΠΌΡΠ½ΠΈΠ·Π°ΡΠΈΠΈ.
ΠΠΠΠΠ ΠΠΠ’ΠΠ ΠΠ’Π£Π Π«.
Π²ΡΠ²ΠΎΠ΄Ρ.
1. Π‘ΠΎΠ·Π΄Π°Π½Ρ Π³Π΅Π½Π΅ΡΠΈΡΠ΅ΡΠΊΠΈΠ΅ ΠΊΠΎΠ½ΡΡΡΡΠΊΡΠΈΠΈ Π΄Π»Ρ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΡ ΡΠΊΡΠΏΡΠ΅ΡΡΠΈΠΈ Π³Π΅Π½Π° Π±Π°ΡΡΡΠ°ΡΠ° Π² ΡΡΠΊΠ°ΡΠΈΠΎΡΠΈΡΠ΅ΡΠΊΠΈΡ ΡΠΈΡΡΠ΅ΠΌΠ°Ρ ΠΏΠΎΠΊΠ°Π·Π°Π½ΠΎ, ΡΡΠΎ ΡΠΊΠ°Π·Π°Π½Π½ΡΠ΅ ΠΊΠΎΠ½ΡΡΡΡΠΊΡΠΈΠΈ ΡΡΡΠ΅ΠΊΡΠΈΠ²Π½ΠΎ ΡΠΊΡΠΏΡΠ΅ΡΡΠΈΡΡΡΡΡΡ Π² ΡΠ°Π·Π»ΠΈΡΠ½ΡΡ ΡΡΠΊΠ°ΡΠΈΠΎΡΠΈΡΠ΅ΡΠΊΠΈΡ ΡΠΈΡΡΠ΅ΠΌΠ°Ρ .
2. ΠΡΠ²Π΅Π΄Π΅Π½Π° ΡΠΎΡΠΌΡΠ»Π° ΠΏΠΎΠ΄ΡΡΠ΅ΡΠ° ΠΊΠΎΠ»ΠΈΡΠ΅ΡΡΠ²Π° ΡΠΊΡΠΏΡΠ΅ΡΡΠΈΡΠΎΠ²Π°Π½Π½ΠΎΠ³ΠΎ in vivo Ρ ΠΈΠΌΠ΅ΡΠ½ΠΎΠ³ΠΎ Π±Π΅Π»ΠΊΠ° Π² ΠΏΡΠΈΡΡΡΡΡΠ²ΠΈΠΈ Π°Π½ΡΠΈΡΠ΅Π» ΠΊ Π²ΠΈΠ΄ΠΎΡΠΏΠ΅ΡΠΈΡΠΈΡΠ½ΡΠΌ Π΄Π΅ΡΠ΅ΡΠΌΠΈΠ½Π°Π½ΡΠ°ΠΌ.
3. ΠΡΠΈ Π²Π²Π΅Π΄Π΅Π½ΠΈΠΈ Π³Π΅Π½ΠΎΠ² ΠΌΠ΅ΡΠΎΠ΄ΠΎΠΌ Π±Π°Π»Π»ΠΈΡΡΠΈΡΠ΅ΡΠΊΠΎΠΉ ΡΡΠ°Π½ΡΡΠ΅ΠΊΡΠΈΠΈ ΠΎΠΏΡΠ΅Π΄Π΅Π»Π΅Π½Ρ ΡΡΠ»ΠΎΠ²ΠΈΡ ΡΠΊΡΠΏΡΠ΅ΡΡΠΈΠΈ Π³Π΅Π½ΠΎΠ² Ρ ΠΈΠΌΠ΅ΡΠ½ΠΎΠ³ΠΎ IgE Π² ΡΠ°Π·Π»ΠΈΡΠ½ΡΡ ΡΠΊΠ°Π½ΡΡ ΠΈ ΠΎΡΠ³Π°Π½Π°Ρ ΠΌΡΡΠ΅ΠΉ in vivo — Ρ ΡΠΎΡΠΊΠΈ Π·ΡΠ΅Π½ΠΈΡ ΠΈΠΌΠΌΡΠ½Π½ΠΎΠ³ΠΎ ΠΎΡΠ²Π΅ΡΠ° Π½Π° ΠΊΡΠ΅Π½ΠΎΠ³Π΅Π½Π½ΡΠ΅ Π΄Π΅ΡΠ΅ΡΠΌΠΈΠ½Π°Π½ΡΡ ΡΠΊΡΠΏΡΠ΅ΡΡΠΈΡΡΡΡΠΈΡ ΡΡ Π³Π΅Π½ΠΎΠ² ΠΈ Π²ΠΎΠ·ΠΌΠΎΠΆΠ½ΠΎΡΡΠΈ ΠΏΡΠΎΠ²Π΅Π΄Π΅Π½ΠΈΡ ΠΠΠ-ΠΈΠΌΠΌΡΠ½ΠΈΠ·Π°ΡΠΈΠΈ.
4. ΠΠ° ΠΏΡΠΈΠΌΠ΅ΡΠ΅ ΡΠΊΡΠΏΡΠ΅ΡΡΠΈΠΈ Π³Π΅Π½ΠΎΠ² Ρ ΠΈΠΌΠ΅ΡΠ½ΠΎΠ³ΠΎ IgE, ΡΡΠ°Π½ΡΡΠΈΡΠΈΡΠΎΠ²Π°Π½Π½ΡΡ Π² ΡΠ°Π·Π»ΠΈΡΠ½ΡΠ΅ ΡΠΊΠ°Π½ΠΈ ΠΈ ΠΎΡΠ³Π°Π½Ρ ΠΌΡΡΠ΅ΠΉ (Π²Π²Π΅Π΄Π΅Π½ΠΈΠ΅ ΠΌΠ΅ΡΠΎΠ΄ΠΎΠΌ Π±Π°Π»Π»ΠΈΡΡΠΈΡΠ΅ΡΠΊΠΎΠΉ ΡΡΠ°Π½ΡΡΠ΅ΠΊΡΠΈΠΈ), ΠΎΡΠ΅Π½Π΅Π½Ρ Π²ΠΎΠ·ΠΌΠΎΠΆΠ½ΠΎΡΡΠΈ ΠΠΠ-ΠΈΠΌΠΌΡΠ½ΠΈΠ·Π°ΡΠΈΠΈ, Π° ΡΠ°ΠΊΠΆΠ΅ ΡΡΡΠ°Π½ΠΎΠ²Π»Π΅Π½ΠΎ, ΡΡΠΎ ΠΈΠΌΠΌΡΠ½Π½ΡΠΉ ΠΎΡΠ²Π΅Ρ Π½Π° ΠΊΡΠ΅Π½ΠΎΠ³Π΅Π½Π½ΡΠ΅ Π΄Π΅ΡΠ΅ΡΠΌΠΈΠ½Π°Π½ΡΡ Π½Π΅ Π·Π°Π²ΠΈΡΠΈΡ Π½ΠΈ ΠΎΡ ΡΠΈΠΏΠ° ΡΠΊΠ°Π½ΠΈ, Π² ΠΊΠΎΡΠΎΡΠΎΠΉ ΡΠΊΡΠΏΡΠ΅ΡΡΠΈΡΠΎΠ²Π°Π»ΡΡ ΡΡΠΆΠ΅ΡΠΎΠ΄Π½ΡΠΉ Π³Π΅Π½, Π½ΠΈ ΠΎΡ Π΅Π³ΠΎ ΠΊΠΎΠ»ΠΈΡΠ΅ΡΡΠ²Π°.
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