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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">helmholtzeyeinstitute</journal-id><journal-title-group><journal-title xml:lang="ru">Российский офтальмологический журнал</journal-title><trans-title-group xml:lang="en"><trans-title>Russian Ophthalmological Journal</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2072-0076</issn><issn pub-type="epub">2587-5760</issn><publisher><publisher-name>Real time Publishers</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.21516/2072-0076-2022-15-1-78-88</article-id><article-id custom-type="elpub" pub-id-type="custom">helmholtzeyeinstitute-891</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>КЛИНИЧЕСКИЕ ИССЛЕДОВАНИЯ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>CLINICAL STUDIES</subject></subj-group></article-categories><title-group><article-title>Выраженность эндотелиальной дисфункции, оксидативного стресса, нарушений липидного обмена, снижения упругоэластических свойств и тонуса периферических сосудов у пациентов с разными вариантами течения первичной открытоугольной глаукомы в зависимости от полиморфизма генов биологических часов</article-title><trans-title-group xml:lang="en"><trans-title>The severity of endothelial dysfunction, oxidative stress, lipid metabolism disorders, decreased elastic properties and tone of peripheral vessels in patients with different POAG course variants, depending on the polymorphism of the genes of the biological clock</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>Филиппова</surname><given-names>Ю. Е.</given-names></name><name name-style="western" xml:lang="en"><surname>Filippova</surname><given-names>Yu. E.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Юлия Евгеньевна Филиппова - аспирант кафедры офтальмологии</p><p>ул. Прокопия Артамонова, д. 5/11, Тюмень, 625051</p></bio><bio xml:lang="en"><p>Yuliya E. Filippova - PhD Student, chair of ophthalmology</p><p>5/11, Prokopiya Artamonova St., Tyumen, 625051</p></bio><email xlink:type="simple">juliya180592@yandex.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>Малишевская</surname><given-names>Т. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Malishevskaya</surname><given-names>T. N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Татьяна Николаевна Малишевская - д-р мед. наук, руководитель отделения аналитической работы</p><p>ул. Садовая-Черногрязская, д. 14/19, Москва, 105064</p></bio><bio xml:lang="en"><p>Tatyana N. Malishevskaya - Dr. of Med. Sci., head of the department of analytical work</p><p>4/19, Sadovaya-Chernogryazskaya St., Moscow, 105062</p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Коломейчук</surname><given-names>С. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Kolomeichuk</surname><given-names>S. N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Сергей Николаевич Коломейчук - канд. биол. наук, заведующий лабораторией генетики, протеомики и метаболомики Университетского НИИ биотехнологий и биомедицины, ведущий сотрудник лаборатории генетики</p><p>ул. Одесская, д. 54, Тюмень, 625023</p><p>ул. Пушкинская, д. 11, Петрозаводск, 185910</p></bio><bio xml:lang="en"><p>Sergey N. Kolomeichuk - Cand. of Biol. Sci., head of the laboratory of genetics, proteomics and metabolomics of the university research institute of biotechnology and biomedicine3, leading researcher of the laboratory of genetics4</p><p>54, Odesskaya St., Tyumen, 625023</p><p>11, Pushkinskaya St., Petrozavodsk, 185910</p></bio><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Губин</surname><given-names>Д. Г.</given-names></name><name name-style="western" xml:lang="en"><surname>Gubin</surname><given-names>D. G.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Денис Геннадьевич Губин - д-р мед. наук, профессор, заведующий лабораторией хронобиологии Университетского НИИ биотехнологий и биомедицины, профессор кафедры биологии, ведущий научный сотрудник Отделения артериальной гипертонии и коронарной недостаточности научного отдела клинической кардиологии</p><p>ул. Одесская, д. 54, Тюмень, 625023</p><p>ул. Мельникайте, д. 111, Томск, 625026</p></bio><bio xml:lang="en"><p>Denis G. Gubin - Dr. of Med. Sci., professor, head of the department of Chronobiology of the university research institute of biotechnology and biomedicine, professor, chair of biology, leading researcher of the department of arterial hypertension and coronary insufficiency of the scientific department of clinical cardiology</p><p>54, Odesskaya St., Tyumen, 625023</p><p>111, Melnikaite St., Tyumen, 625026</p></bio><xref ref-type="aff" rid="aff-4"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Власова</surname><given-names>А. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Vlasova</surname><given-names>A. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Анастасия Сергеевна Власова - аспирант кафедры офтальмологии, врач-офтальмолог глаукомного отделения</p><p>ул. Прокопия Артамонова, д. 5/11, Тюмень, 625051</p><p>ул. Мельникайте, д. 111, Томск, 625026</p></bio><bio xml:lang="en"><p>Anastasiya S. Vlasova - PhD Student, chair of ophthalmology, ophthalmologist, glaucoma department</p><p>5/11, Prokopiya Artamonova St., Tyumen, 625051</p><p>118, Bldg. 1, Kholodil’naya St., Tyumen, 625048</p></bio><xref ref-type="aff" rid="aff-5"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>АНЧОО ДПО «Западно-Сибирский институт последипломного медицинского образования»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>West Siberian Institute of Postgraduate Medical Education</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>ФГБУ «НМИЦ глазных болезней им. Гельмгольца» Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Helmholtz National Medical Research Center of Eye Diseases</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>ФГБОУ ВО «Тюменский государственный медицинский университет»; ФГБУН ФИЦ «Карельский научный центр РАН»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Tyumen State Medical University; Karelian Scientific Center of the Russian Academy of Sciences</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-4"><aff xml:lang="ru"><institution>ФГБОУ ВО «Тюменский государственный медицинский университет»; Тюменский кардиологический научный центр, филиал Томского НИМЦ РАМН</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Tyumen State Medical University; Tyumen Cardiology Research Center, branch of the Tomsk Medical Research Center of the Russian Academy of Sciences</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-5"><aff xml:lang="ru"><institution>АНЧОО ДПО «Западно-Сибирский институт последипломного медицинского образования»; ГАУЗ Тюменской области «Областной офтальмологический диспансер»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>West Siberian Institute of Postgraduate Medical Education; Regional Ocular Health Clinic</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2022</year></pub-date><pub-date pub-type="epub"><day>26</day><month>03</month><year>2022</year></pub-date><volume>15</volume><issue>1</issue><fpage>78</fpage><lpage>88</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Филиппова Ю.Е., Малишевская Т.Н., Коломейчук С.Н., Губин Д.Г., Власова А.С., 2022</copyright-statement><copyright-year>2022</copyright-year><copyright-holder xml:lang="ru">Филиппова Ю.Е., Малишевская Т.Н., Коломейчук С.Н., Губин Д.Г., Власова А.С.</copyright-holder><copyright-holder xml:lang="en">Filippova Y.E., Malishevskaya T.N., Kolomeichuk S.N., Gubin D.G., Vlasova A.S.</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://roj.igb.ru/jour/article/view/891">https://roj.igb.ru/jour/article/view/891</self-uri><abstract><p>Цель работы - выявить взаимосвязь дисфункции сосудистого эндотелия, атеросклеротических повреждений сосудов верхних и нижних конечностей, состояния антиоксидантной и прооксидантной системы, липидного профиля у пациентов с разными вариантами течения первичной открытоугольной глаукомы (ПОУГ) — носителей полиморфизма генов биологических часов.Материал и методы. 47 пациентов с развитой стадией ПОУГ прошли обследование, включавшее визометрию, биомикроскопию, офтальмоскопию, периметрию, тонометрию, термометрию, определение показателей липидного обмена, оксидативного стресса и антиоксидантной системы. Определяли также степень эндотелиальной дисфункции методом пробы с реактивной гиперемией, упругоэластические свойства и тонус сосудистой стенки методом объемной сфигмоманометрии. Прогрессирование ПОУГ оценивали по данным статической автоматизированной периметрии и оптической когерентной томографии. В условиях стационара проводили исследование суточного профиля мелатонина и типирование ключевых генов биологических часов методом полимеразной цепной реакции в реальном времени. Взятие генетического материала проводилось методом буккального соскоба. Полиморфные варианты были идентифицированы для генов CLOCK rs1801260 3111T/C и MTNR1B. У 16 пациентов проведен анализ мелатонина в образцах слюны, взятых в разное время суток в лабораторных условиях с контролируемым питанием и освещением по протоколу DLMO.Результаты. Выявлены предикторы прогрессирования глаукомы — выраженная эндотелиальная дисфункция и оксидативный стресс, способствующие акцелерации атерогенеза и снижению упругоэластических свойств сосудистой стенки периферических сосудов. Выявлены взаимосвязи полиморфизма циркадного гена Clock 3111t-c с нарушениями метаболизма липидов и усилением перекисного окисления липидов у пациентов с прогрессированием ПОУГ. Носители G-аллеля гена MTNR1B имеют тенденцию к более высокому уровню триглицеридов (ТГ), нарастающему в вечерние часы при прогрессировании глаукомы. Показано, что не средний уровень мелатонина, а фазовые и амплитудные характеристики его суточного уровня могут влиять на состояние сосудистой стенки периферических сосудов у пациентов с ПОУГ.Заключение. Прогрессирование ПОУГ ассоциировано с выраженным оксидативным стрессом, ослаблением антиоксидантной защиты и дислипопротеинемией. Различия в липидном профиле (дислипидемия) и показателях выраженности оксидативного стресса и антиоксидантной защиты у пациентов со стабилизированным и прогрессирующим течением глаукомы взаимосвязаны с полиморфизмом гена Clock 3111t-c (генотип CG).</p></abstract><trans-abstract xml:lang="en"><p>The purpose is to find out the relations of the vascular endothelium dysfunction, atherosclerotic damage to the vessels of the upper and lower limbs, the state of the antioxidant and prooxidant systems, and the lipid profile in patients with different POAG course — carriers of biological clock gene polymorphism.Materials and methods. 47 patients with advanced POAG underwent an examination that included visometry, biomicroscopy, ophthalmoscopy, perimetry, tonometry, thermometry, as well as determination of lipid metabolism, indicators of oxidative stress and antioxidant system. All patients were also tested for the degree of endothelial dysfunction by reactive hyperemia method, and the elastic properties and vascular wall tone by the volumetric sphygmomanometry method. POAG progression was determined by static automated perimetry and optical coherence tomography. The hospitalized patients were examined for daily melatonin profile and key biological clock genes typed by real-time polymerase chain reaction. The genetic material was taken by buccal scraping. Polymorphic variants were identified for CLOCK rs1801260 3111T/C and MTNR1B genes. 16 patients (S-POAG — 8, A-POAG — 8) were tested for melatonin taken from saliva samples at different times of the day in laboratory conditions with controlled nutrition and lighting using the DLMO protocol.Results. The predictors of glaucoma progression were found to be pronounced endothelial dysfunction and oxidative stress, which contribute to the acceleration of atherogenesis and a decrease in the elastic properties of the vascular wall of peripheral vessels. Clock 3111t-c circadian gene polymorphism was found to be interrelated with lipid metabolism disorders and increased lipid peroxidation in patients with POAG progression. Carriers of the G allele of the MTNR1B gene tend to have a higher level of triglyceride (TG) which grows in the evening hours if glaucoma is progressing. We showed that the phasal and amplitude characteristics of daily melatonin level, rather than its average level, may affect the state of the vascular wall of peripheral vessels in POAG patients.Conclusion. POAG progression is associated with pronounced oxidative stress, weakened antioxidant protection and dyslipoproteinemia. Differences in the lipid profile (dyslipidemia) and the indicators of oxidative stress and antioxidant protection in patients with stable and progressing glaucoma course are mutually related with Clock 3111t-c gene polymorphism (CG genotype).</p></trans-abstract><kwd-group xml:lang="ru"><kwd>эндотелиальная дисфункция</kwd><kwd>полиморфизм ключевых генов</kwd><kwd>биологические ритмы</kwd><kwd>мелатонин</kwd><kwd>первичная открытоугольная глаукома</kwd></kwd-group><kwd-group xml:lang="en"><kwd>endothelial dysfunction</kwd><kwd>polymorphism of key genes</kwd><kwd>biological rhythms</kwd><kwd>melatonin</kwd><kwd>primary open-angle glaucoma</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">Нероев В.В., Киселева О.А., Бессмертный А.М. Основные результаты мультицентрового исследования эпидемиологических особенностей первичной открытоугольной глаукомы в Российской Федерации. 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