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<article article-type="research-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">diaendo</journal-id><journal-title-group><journal-title xml:lang="ru">Сахарный диабет</journal-title><trans-title-group xml:lang="en"><trans-title>Diabetes mellitus</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2072-0351</issn><issn pub-type="epub">2072-0378</issn><publisher><publisher-name>Endocrinology research centre</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.14341/2072-0351-5707</article-id><article-id custom-type="elpub" pub-id-type="custom">diaendo-5707</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>Статьи</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>Articles</subject></subj-group></article-categories><title-group><article-title>Факторы тубулоинтерстициального поражения почек при сахарном диабете</article-title><trans-title-group xml:lang="en"><trans-title>Factors of tubulointerstitial lesions in diabetic kidneys</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Шамхалова</surname><given-names>Минара Шамхаловна</given-names></name><name name-style="western" xml:lang="en"><surname>Shamkhalova</surname><given-names>Minara Shamkhalovna</given-names></name></name-alternatives><email xlink:type="simple">-</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Курумова</surname><given-names>Ксения Олеговна</given-names></name><name name-style="western" xml:lang="en"><surname>Kurumova</surname><given-names>Kseniya Olegovna</given-names></name></name-alternatives><email xlink:type="simple">olya.l90@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Шестакова</surname><given-names>Марина Владимировна</given-names></name><name name-style="western" xml:lang="en"><surname>Shestakova</surname><given-names>Marina Vladimirovna</given-names></name></name-alternatives><email xlink:type="simple">-</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГУ Эндокринологический научный центр, Москва</institution></aff><aff xml:lang="en"><institution>Endocrinology Research Centre, Moscow</institution></aff></aff-alternatives><pub-date pub-type="collection"><year>2009</year></pub-date><pub-date pub-type="epub"><day>15</day><month>12</month><year>2009</year></pub-date><volume>12</volume><issue>4</issue><issue-title>№4 (2009)</issue-title><fpage>61</fpage><lpage>65</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Шамхалова М.Ш., Курумова К.О., Шестакова М.В., 2009</copyright-statement><copyright-year>2009</copyright-year><copyright-holder xml:lang="ru">Шамхалова М.Ш., Курумова К.О., Шестакова М.В.</copyright-holder><copyright-holder xml:lang="en">Shamkhalova M.S., Kurumova K.O., Shestakova M.V.</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://www.dia-endojournals.ru/jour/article/view/5707">https://www.dia-endojournals.ru/jour/article/view/5707</self-uri><abstract><p>Вместе с ростом числа больных с классическими проявлениями диабетической нефропатиии (ДН) (узелковый или диффузный гломеру-лосклероз) у больных сахарным диабетом (СД), в основном сахарным диабетом 2 типа (СД2), все чаще выявляется почечная патологияс преимущественным поражением интерстиция и канальцев почек: ишемическая нефропатия, инфекция мочевых путей, интерстици-альный нефрит и другие. Но и при гломерулярных заболеваниях почек (ДН, гломерулонефрит) скорость снижения почечной фильтрациисвязана с выраженностью тубулоинтерстициального фиброза (ТИФ). В развитии тубулоинтерстициального повреждения определенароль сложных процессов межклеточных взаимодействий, которые активизируются под влиянием иммунных и неиммунных факторов.Исследования по определению наиболее значимых факторов ремоделирования тубулоинтерстиция у больных СД способны углубить нашипредставления о механизмах нефросклероза и определить возможности прогнозирования почечной функции. </p></abstract><trans-abstract xml:lang="en"><p>As the number of cases with classical manifestations of diabetic nephropathy (DN), i.e. nodular or diffuse glomerulosclerosis, grows, an increasinglylarger number of DM patients especially those with DM2 present with renal pathology largely affecting interstitium and tubules (ischemic nephropathy,urinary infection, interstitial nephritis, etc.). The rate of renal filtration impairment in glomerular diseases (DN, glomerulonephritis) is also relatedto the severity of tubulointerstitial fibrosis (TIF). Intricate intercellular interactions activated by immune and non-immune factors have been shownto play an important role in the development of tubulointerstitial lesions. Studies of the most important factors contributing to remodeling tubulointerstitiumin DM patients may provide a deeper insight into the mechanisms of nephrosclerosis and extend possibilities for prognostication of renalfunction. </p></trans-abstract><kwd-group xml:lang="ru"><kwd>еndothelial dysfunction</kwd><kwd>сахарный диабет</kwd><kwd>тубулоинтерстициальный фиброз</kwd><kwd>эндотелиальная дисфункция</kwd><kwd>хроническая почечная недостаточ- ность</kwd></kwd-group><kwd-group xml:lang="en"><kwd>diabetes mellitus</kwd><kwd>tubulointerstitial fibrosis</kwd><kwd>chronic renal failure</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">Шестакова М.В., Дедов И.И. Сахарный диабет и хроническая болезнь почек: Медицинское Информационное Агентство, 2009 г.</mixed-citation><mixed-citation xml:lang="en">Шестакова М.В., Дедов И.И. 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