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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="en"><front><journal-meta><journal-id journal-id-type="publisher-id">akusherstvo</journal-id><journal-title-group><journal-title xml:lang="en">Obstetrics, Gynecology and Reproduction</journal-title><trans-title-group xml:lang="ru"><trans-title>Акушерство, Гинекология и Репродукция</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2313-7347</issn><issn pub-type="epub">2500-3194</issn><publisher><publisher-name>IRBIS LLC</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.17749/2313-7347/ob.gyn.rep.2021.238</article-id><article-id custom-type="elpub" pub-id-type="custom">akusherstvo-1067</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="en"><subject>EDITORIAL</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>РЕДАКЦИОННАЯ СТАТЬЯ</subject></subj-group></article-categories><title-group><article-title>Neutrophil extracellular traps: a role in inflammation and dysregulated hemostasis as well as in patients with COVID-19 and severe obstetric pathology</article-title><trans-title-group xml:lang="ru"><trans-title>Внеклеточные ловушки нейтрофилов участие в процессах воспаления и дизрегуляции гемостаза, в том числе у пациентов с COVID-19 и тяжелой акушерской патологией</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-7415-4633</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Макацария</surname><given-names>А. Д.</given-names></name><name name-style="western" xml:lang="en"><surname>Makatsariya</surname><given-names>A. D.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Макацария Александр Давидович - доктор медицинских наук, профессор, академик РАН, заведующий кафедрой акушерства и гинекологии Клинического института детского здоровья имени Н.Ф. Филатова.</p><p>119991 Москва, ул. Большая Пироговская, д. 2, стр. 4.</p><p>Scopus Author ID: 57222220144.</p><p>Researcher ID: M-5660-2016.</p></bio><bio xml:lang="en"><p>Alexander D. Makatsariya - MD, Dr Sci Med, Academician of RAS, Professor, Head of the Department of Obstetrics and Gynecology, Filatov Clinical Institute of Children's Health, Sechenov University.</p><p>2 bldg. 4, Bolshaya Pirogovskaya Str., Moscow 119991.</p><p>Scopus Author ID: 57222220144.</p><p>Researcher ID: M-5660-2016.</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-7441-2778</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Слуханчук</surname><given-names>Е. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Slukhanchuk</surname><given-names>E. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Слуханчук Екатерина Викторовна - кандидат медицинских наук, доцент кафедры акушерства и гинекологии Клинического института детского здоровья имени Н.Ф. Филатова ПМГМУ им. И.М. Сеченова МЗ РФ; врач акушер-гинеколог отделения абдоминальной хирургии и онкологии 2, РНЦХ им. акад. Б.В. Петровского.</p><p>119991 Москва, ул. Большая Пироговская, д. 2, стр. 4; 119991 Москва, Абрикосовский пер., д. 2.</p></bio><bio xml:lang="en"><p>Ekaterina V. Slukhanchuk - MD, PhD, Associate Professor, Department of Obstetrics and Gynecology, Filatov Clinical Institute of Children's Health, Sechenov University, Moscow Russia; Obstetrician-Gynecologist, Department of Abdominal Surgery and Oncology 2, Petrovsky National Research Centre of Surgery.</p><p>2 bldg. 4, Bolshaya Pirogovskaya Str., Moscow 119991; 2 Abrikosovskiy Lane, Moscow 119991.</p></bio><email xlink:type="simple">beloborodova@rambler.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-8404-1042</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Бицадзе</surname><given-names>В. О.</given-names></name><name name-style="western" xml:lang="en"><surname>Bitsadze</surname><given-names>V. O.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Бицадзе Виктория Омаровна - доктор медицинских наук, профессор РАН, профессор кафедры акушерства и гинекологии Клинического института детского здоровья имени Н.Ф. Филатова.</p><p>119991 Москва, ул. Большая Пироговская, д. 2, стр. 4.</p><p>Scopus Author ID: 6506003478.</p><p>Researcher ID: F-8409-2017.</p></bio><bio xml:lang="en"><p>Victoria O. Bitsadze - MD, Dr Sci Med, Professor of RAS, Professor, Department of Obstetrics and Gynecology, Filatov Clinical Institute of Children's Health, Sechenov University.</p><p>2 bldg. 4, Bolshaya Pirogovskaya Str., Moscow 119991.</p><p>Scopus Author ID: 6506003478.</p><p>Researcher ID: F-8409-2017.</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-0725-9686</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Хизроева</surname><given-names>Д. Х.</given-names></name><name name-style="western" xml:lang="en"><surname>Khizroeva</surname><given-names>J. Kh.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Хизроева Джамиля Хизриевна - доктор медицинских наук, профессор кафедры акушерства и гинекологии Клинического института детского здоровья имени Н.Ф. Филатова.</p><p>119991 Москва, ул. Большая Пироговская, д. 2, стр. 4.</p><p>Scopus Author ID: 57194547147.</p><p>Researcher ID: F-8384-2017.</p></bio><bio xml:lang="en"><p>Jamilya Kh. Khizroeva - MD, Dr Sci Med, Professor, Department of Obstetrics and Gynecology, Filatov Clinical Institute of Children's Health, Sechenov University.</p><p>2 bldg. 4, Bolshaya Pirogovskaya Str., Moscow 119991.</p><p>Scopus Author ID: 57194547147.</p><p>Researcher ID: F-8384-2017.</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-3628-0804</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Третьякова</surname><given-names>М. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Tretyakova</surname><given-names>M. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Третьякова Мария Владимировна - кандидат медицинских наук, врач акушер-гинеколог отделения гинекологии.</p><p>119021 Москва, ул. Тимура Фрунзе, д. 15/1.</p></bio><bio xml:lang="en"><p>Maria V. Tretyakova - MD, PhD, Obstetrician-Gynecologist, Department of Gynecology, «Medical Center» LLC.</p><p>15/1 Timura Frunze Str., Moscow 119021.</p></bio><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-2541-3843</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Макацария</surname><given-names>Н. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Makatsariya</surname><given-names>N. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Макацария Наталия Александровна - кандидат медицинских наук, доцент кафедры акушерства и гинекологии Клинического института детского здоровья имени Н.Ф. Филатова.</p><p>119991 Москва, ул. Большая Пироговская, д. 2, стр. 4.</p><p>Researcher ID: F-8406-2017.</p></bio><bio xml:lang="en"><p>Nataliya A. Makatsariya - MD, PhD, Associate Professor, Department of Obstetrics and Gynecology, Filatov Clinical Institute of Children's Health, Sechenov University.</p><p>2 bldg. 4, Bolshaya Pirogovskaya Str., Moscow 119991.</p><p>Researcher ID: F-8406-2017.</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-1388-5827</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Акиньшина</surname><given-names>С. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Akinshina</surname><given-names>S. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Акиньшина Светлана Владимировна - кандидат медицинских наук, врач акушер-гинеколог, гематолог.</p><p>109004 Москва, ул. Земляной Вал, д. 62.</p></bio><bio xml:lang="en"><p>Svetlana V. Akinshina - MD, PhD, Obstetrician-Gynecologist, Hematologist, «Medical Centre for Women» LLC.</p><p>62 Str. Zemlyanoi Val, Moscow 109004.</p></bio><xref ref-type="aff" rid="aff-4"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-9783-1796</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Шкода</surname><given-names>А. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Shkoda</surname><given-names>A. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Шкода Андрей Сергеевич - доктор медицинских наук, профессор, главный врач.</p><p>123423 Москва, ул. Саляма Адиля, д.2/44.</p></bio><bio xml:lang="en"><p>Andrey S. Shkoda - MD, Dr Sci Med, Professor, Chief Physician, Vorokhobov City Clinical Hospital № 67.</p><p>2/44 Salyama Adilya Str., Moscow 123423.</p></bio><xref ref-type="aff" rid="aff-5"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-1339-4155</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Панкратьева</surname><given-names>Л. Л.</given-names></name><name name-style="western" xml:lang="en"><surname>Pankratyeva</surname><given-names>L. L.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Панкратьева Людмила Леонидовна - доктор медицинских наук, руководитель научно-клинического центра ГКБ № 67 им. Л.А. Ворохобова ДЗ г. Москвы; врач-неонатолог, врач-гематолог, доцент, профессор кафедры педиатрии и организации здравоохранения НМИЦ ДГОИ им. Дмитрия Рогачева МЗ РФ.</p><p>123423 Москва, ул. Саляма Адиля, д.2/44; 117997 Москва, ул. Саморы Машела, д. 1.</p><p>Scopus Author ID: 7006391091.</p><p>Author ID: 697284.</p></bio><bio xml:lang="en"><p>Liudmila L. Pankratyeva - MD, Dr Sci Med, Head of the Clinical Research Center, Vorokhobov City Clinical Hospital № 67; Neonatologist, Hematologist, Associate Professor, Professor of the Department of Pediatrics and Health Organization, Dmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology.</p><p>2/44 Salyama Adilya Str., Moscow 123423; 1 Samora Machel Str., Moscow 117997.</p><p>Scopus Author ID: 7006391091.</p><p>Author ID: 697284.</p></bio><xref ref-type="aff" rid="aff-6"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-4467-240X</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Ди Ренцо</surname><given-names>Д. К.</given-names></name><name name-style="western" xml:lang="en"><surname>Di Renzo</surname><given-names>G. C.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Ди Ренцо Джан Карло - доктор медицинских наук, профессор кафедры акушерства и гинекологии Клинического института детского здоровья имени Н.Ф. Филатова ПМГМУ им. И.М. Сеченова МЗ РФ; директор Центра пренатальной и репродуктивной медицины Университета Перуджи; почетный генеральный секретарь Международной федерации акушеров-гинекологов (FIGO).</p><p>119991 Москва, ул. Большая Пироговская, д. 2, стр. 4; Умбрия, Перуджа, Piazza Italia.</p><p>Scopus Author ID: 7103191096.</p><p>Researcher ID: P-3819-2017.</p></bio><bio xml:lang="en"><p>Gian C. Di Renzo - MD, Dr Sci Med, Professor, Department of Obstetrics and Gynecology, Filatov Clinical Institute of Children's Health, Sechenov University; Director of the Center for Prenatal and Reproductive Medicine, University of Perugia, Italy; Honorary Secretary General of the International Federation of Gynecology and Obstetrics (FIGO).</p><p>2 bldg. 4, Bolshaya Pirogovskaya Str., Moscow 119991; Umbria, Perugia, Piazza Italia.</p><p>Scopus Author ID: 7103191096.</p><p>Researcher ID: P-3819-2017.</p></bio><xref ref-type="aff" rid="aff-7"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-5525-4353</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Риццо</surname><given-names>Д.</given-names></name><name name-style="western" xml:lang="en"><surname>Rizzo</surname><given-names>G.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Риццо Джузеппе - доктор медицинских наук, профессор кафедры акушерства и гинекологии Клинического института детского здоровья имени Н.Ф. Филатова ПМГМУ им. И.М. Сеченова МЗ РФ; профессор, директор департамента перинатологии, Римский университет Тор Вергата.</p><p>119991 Москва, ул. Большая Пироговская, д. 2, стр. 4; Рим.</p><p>Scopus Author ID: 7102724281.</p><p>Researcher ID: G-8234-2018.</p></bio><bio xml:lang="en"><p>Giuseppe Rizzo - MD, Dr Sci Med, Professor, Department of Obstetrics and Gynecology, Filatov Clinical Institute of Children's Health, Sechenov University; Professor, Director, Division of Maternal and Fetal Medicine, Ospedale Cristo Re, University of Rome Tor Vergata.</p><p>2 bldg. 4, Bolshaya Pirogovskaya Str., Moscow 119991; Rome.</p><p>Scopus Author ID: 7102724281.</p><p>Researcher ID: G-8234-2018.</p></bio><xref ref-type="aff" rid="aff-8"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-7756-8935</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Григорьева</surname><given-names>К. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Grigorieva</surname><given-names>K. N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Григорьева Кристина Николаевна - ординатор кафедры акушерства и гинекологии Клинического института детского здоровья имени Н.Ф. Филатова.</p><p>119991 Москва, ул. Большая Пироговская, д. 2, стр. 4.</p></bio><bio xml:lang="en"><p>Kristina N. Grigoreva - MD, Medical Resident, Department of Obstetrics and Gynecology, Filatov Clinical Institute of Children's Health, Sechenov University.</p><p>2 bldg. 4, Bolshaya Pirogovskaya Str., Moscow 119991.</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-5888-0774</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Цибизова</surname><given-names>В. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Tsibizova</surname><given-names>V. I.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Цибизова Валентина Ивановна - кандидат медицинских наук, акушер-гинеколог НИЛ оперативной гинекологии Института перинатологии и педиатрии; врач отделения функциональной и ультразвуковой диагностики НМИЦ им. В.А. Алмазова МЗ РФ.</p><p>197341 Санкт-Петербург, ул. Аккуратова, д. 2.</p></bio><bio xml:lang="en"><p>Valentina I. Tsibizova - MD, PhD, Obstetrician-Gynecologist, Research Laboratory of Operative Gynecology, Institute of Perinatology and Pediatrics; Physician, Department of Functional and Ultrasound Diagnostics, Almazov National Medical Research Centre.</p><p>2 Akkuratova Str., Saint Petersburg 197341.</p></bio><xref ref-type="aff" rid="aff-9"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-9899-9910</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Гри</surname><given-names>Ж.-К.</given-names></name><name name-style="western" xml:lang="en"><surname>Gris</surname><given-names>J.-C.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Гри Жан-Кристоф - доктор медицинских наук, профессор кафедры акушерства и гинекологии Клинического института детского здоровья имени Н.Ф. Филатова; профессор гематологии, университет Монпелье.</p><p>119991 Москва, ул. Большая Пироговская, д. 2, стр. 4; 34090 Монпелье, Rue Auguste Broussonnet, 163.</p><p>Researcher ID: AAA-2923-2019.</p></bio><bio xml:lang="en"><p>Jean-Christophe Gris - MD, Dr Sci Med, Professor, Department of Obstetrics and Gynecology, Filatov Clinical Institute of Children's Health, Sechenov University,; University of Montpellier.</p><p>2 bldg. 4, Bolshaya Pirogovskaya Str., Moscow 119991; 163 Rue Auguste Broussonnet, Montpellier 34090.</p><p>Researcher ID: AAA-2923-2019.</p></bio><xref ref-type="aff" rid="aff-10"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-9576-1368</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Элалами</surname><given-names>И.</given-names></name><name name-style="western" xml:lang="en"><surname>Elalamy</surname><given-names>I.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Элалами Исмаил - доктор медицинских наук, профессор кафедры акушерства и гинекологии Клинического института детского здоровья имени Н.Ф. Филатова ПМГМУ им. И.М. Сеченова МЗ РФ; профессор медицинского Университета Сорбонны; директор гематологии Центра Тромбозов, Госпиталь Тенон.</p><p>119991 Москва, ул. Большая Пироговская, д. 2, стр. 4; 75006 Париж, Улица медицинского факультета, д. 12; 75020 Париж, Китайская улица, д. 4.</p><p>Scopus Author ID: 7003652413.</p><p>Researcher ID: AAC-9695-2019.</p></bio><bio xml:lang="en"><p>Ismail Elalamy - MD, Dr Sci Med, Professor, Department of Obstetrics and Gynecology, Filatov Clinical Institute of Children's Health, Sechenov University; Professor, Medicine Sorbonne University, Paris, France; Director of Hematology, Department of Thrombosis Center, Hospital Tenon.</p><p>2 bldg. 4, Bolshaya Pirogovskaya Str., Moscow 119991; 12 Rue de l’École de Médecine, 75006 Paris; 4 Rue de la Chine, 75020 Paris.</p><p>Scopus Author ID: 7003652413.</p><p>Researcher ID: AAC-9695-2019.</p></bio><xref ref-type="aff" rid="aff-11"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Первый Московский государственный медицинский университет имени И.М. Сеченова Министерства здравоохранения Российской Федерации (Сеченовский Университет)</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Sechenov University</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>Первый Московский государственный медицинский университет имени И.М. Сеченова Министерства здравоохранения Российской Федерации (Сеченовский Университет); Российский научный центр хирургии имени академика Б.В. Петровского</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Sechenov University; Petrovsky National Research Centre of Surgery</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>ООО «Лечебный Центр»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>«Medical Center» LLC</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-4"><aff xml:lang="ru"><institution>ООО «Медицинский женский центр»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>«Medical Centre for Women» LLC</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-5"><aff xml:lang="ru"><institution>Городская клиническая больница № 67 имени Л.А. Ворохобова Департамента здравоохранения города Москвы</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Vorokhobov City Clinical Hospital № 67, Moscow Healthcare Department</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-6"><aff xml:lang="ru"><institution>Городская клиническая больница № 67 имени Л.А. Ворохобова Департамента здравоохранения города Москвы; Национальный медицинский исследовательский центр детской гематологии, онкологии и иммунологии имени Дмитрия Рогачева Министерства здравоохранения Российской Федерации</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Vorokhobov City Clinical Hospital № 67, Moscow Healthcare Department; Dmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology, Health Ministry of Russian Federation</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-7"><aff xml:lang="ru"><institution>Первый Московский государственный медицинский университет имени И.М. Сеченова Министерства здравоохранения Российской Федерации (Сеченовский Университет); Центр пренатальной и репродуктивной медицины Университета Перуджи</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Sechenov University; Center for Prenatal and Reproductive Medicine, University of Perugia</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-8"><aff xml:lang="ru"><institution>Первый Московский государственный медицинский университет имени И.М. Сеченова Министерства здравоохранения Российской Федерации (Сеченовский Университет); Римский университет Тор Вергата</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Sechenov University; University of Rome Tor Vergata</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-9"><aff xml:lang="ru"><institution>Национальный медицинский исследовательский центр имени В.А. Алмазова Министерства здравоохранения Российской Федерации</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Almazov National Medical Research Centre, Health Ministry of Russian Federation</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-10"><aff xml:lang="ru"><institution>Первый Московский государственный медицинский университет имени И.М. Сеченова Министерства здравоохранения Российской Федерации (Сеченовский Университет); Университет Монпелье</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Sechenov University; University of Montpellier</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-11"><aff xml:lang="ru"><institution>Первый Московский государственный медицинский университет имени И.М. Сеченова Министерства здравоохранения Российской Федерации (Сеченовский Университет); Медицинский Университет Сорбонны; Госпиталь Тенон</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Sechenov University; Medicine Sorbonne University; Hospital Tenon</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2021</year></pub-date><pub-date pub-type="epub"><day>08</day><month>09</month><year>2021</year></pub-date><volume>15</volume><issue>4</issue><fpage>335</fpage><lpage>350</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Makatsariya A.D., Slukhanchuk E.V., Bitsadze V.O., Khizroeva J.K., Tretyakova M.V., Makatsariya N.A., Akinshina S.V., Shkoda A.S., Pankratyeva L.L., Di Renzo G.C., Rizzo G., Grigorieva K.N., Tsibizova V.I., Gris J., Elalamy I., 2021</copyright-statement><copyright-year>2021</copyright-year><copyright-holder xml:lang="ru">Макацария А.Д., Слуханчук Е.В., Бицадзе В.О., Хизроева Д.Х., Третьякова М.В., Макацария Н.А., Акиньшина С.В., Шкода А.С., Панкратьева Л.Л., Ди Ренцо Д.К., Риццо Д., Григорьева К.Н., Цибизова В.И., Гри Ж., Элалами И.</copyright-holder><copyright-holder xml:lang="en">Makatsariya A.D., Slukhanchuk E.V., Bitsadze V.O., Khizroeva J.K., Tretyakova M.V., Makatsariya N.A., Akinshina S.V., Shkoda A.S., Pankratyeva L.L., Di Renzo G.C., Rizzo G., Grigorieva K.N., Tsibizova V.I., Gris J., Elalamy I.</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.gynecology.su/jour/article/view/1067">https://www.gynecology.su/jour/article/view/1067</self-uri><abstract><p>Numerous studies have proven a close relationship between inflammatory diseases and the state of hypercoagulability. In fact, thromboembolic complications represent one of the main causes of disability and mortality in acute and chronic inflammatory diseases, cancer and obstetric complications. Despite this, the processes of hemostasis and immune responses have long been considered separately; currently, work is underway to identify the molecular basis for a relationship between such systems. It has been identified that various pro-inflammatory stimuli are capable of triggering a coagulation cascade, which in turn modulates inflammatory responses. Neutrophil extracellular traps (NETs) are the networks of histones of extracellular DNA generated by neutrophils in response to inflammatory stimuli. The hemostasis is activated against infection in order to minimize the spread of infection and, if possible, inactivate the infectious agent. Another molecular network is based on fibrin. Over the last 10 years, there has been accumulated a whole body of evidence that NETs and fibrin are able to form a united network within a thrombus, stabilizing each other. Similarities and molecular cross-reactions are also present in the processes of fibrinolysis and lysis of NETs. Both NETs and von Willebrand factor (vWF) are involved in thrombosis as well as inflammation. During the development of these conditions, a series of events occurs in the microvascular network, including endothelial activation, NETs formation, vWF secretion, adhesion, aggregation, and activation of blood cells. The activity of vWF multimers is regulated by the specific metalloproteinase ADAMTS-13 (a disintegrin and metalloproteinase with a thrombospondin type 1 motif, member 13). Studies have shown that interactions between NETs and vWF can lead to arterial and venous thrombosis and inflammation. In addition, the contents released from activated neutrophils or NETs result in decreased ADAMTS-13 activity, which can occur in both thrombotic microangiopathies and acute ischemic stroke. Recently, NETs have been envisioned as a cause of endothelial damage and immunothrombosis in COVID-19. In addition, vWF and ADAMTS-13 levels predict COVID-19 mortality. In this review, we summarize the biological characteristics and interactions of NETs, vWF, and ADAMTS-13, the effect of NETs on hemostasis regulation and discuss their role in thrombotic conditions, sepsis, COVID-19, and obstetric complications.</p></abstract><trans-abstract xml:lang="ru"><p>Многочисленными исследованиями доказана тесная связь воспалительных заболеваний с состоянием гиперкоагуляции. Фактически, тромбоэмболические осложнения являются одной из основных причин инвалидности и смертности при острых и хронических воспалительных заболеваниях, онкологических заболеваниях и при акушерских осложнениях. Несмотря на это, процессы гемостаза и иммунные реакции долгое время рассматривались по отдельности; в настоящее время идет работа по выявлению молекулярных основ взаимосвязи между этими системами. Уже известно, что различные провоспа-лительные стимулы способны запускать коагуляционный каскад, который в свою очередь модулирует воспалительные реакции. Внеклеточные ловушки нейтрофилов (англ. neutrophil extracellular traps, NETs) представляют собой сети из гистонов внеклеточной ДНК, генерируемые нейтрофилами в ответ на воспалительные стимулы. Система гемостаза активируется в ответ на инфицирование с целью минимизировать распространение инфекции и по возможности инактивировать инфекционный агент. Еще одну молекулярную сеть представляет собой фибрин. За последние 10 лет появилось много данных о том, что NETs и фибрин способны формировать единую сеть внутри тромба, стабилизируя друг друга. Сходства и перекрестные молекулярные реакции присутствуют также и в процессах фибринолиза и лизиса NETs. Как NETs, так и фактор фон Виллебранда (vWF) являются участниками и тромбоза и воспаления. В процессе развития этих состояний в микросо-судистой сети происходит серия событий, включающая активацию эндотелия, образование NETs, секрецию vWF, адгезию, агрегацию и активацию клеток крови. Активность мультимеров vWF регулируется специфической металлопротеиназой ADAMTS-13 (англ. a disintegrin and metalloproteinase with a thrombospondin type 1 motif, member 13). Исследования показали, что взаимодействия между NETs и vWF могут приводить к артериальному и венозному тромбозу, а также воспалению. Кроме того, содержимое, высвобождаемое из активированных нейтрофилов или NETs, вызывает снижение активности ADAMTS-13, что может происходить как при тромботических микроангиопатиях, так и при остром ишемическом инсульте. В последнее время NETs рассматривают как причину повреждения эндотелия и иммунотромбоза при COVID-19. Кроме того, уровни vWF и ADAMTS-13 позволяют прогнозировать смертность от COVID-19. В данном обзоре мы суммируем биологические характеристики и взаимодействия NETs, vWF и ADAMTS-13, влияние NETs на регуляцию системы гемостаза, а также обсуждаем их роль в тромботических состояниях, при сепсисе, COVID-19 и акушерских осложнениях.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>нейтрофилы</kwd><kwd>внеклеточные ловушки нейтрофилов</kwd><kwd>NETs</kwd><kwd>тромбоз</kwd><kwd>фибрин</kwd><kwd>фибринолиз</kwd><kwd>фактор фон Виллебранда</kwd><kwd>vWF</kwd><kwd>ADAMTS-13</kwd><kwd>COVID-19</kwd></kwd-group><kwd-group xml:lang="en"><kwd>neutrophils</kwd><kwd>neutrophil extracellular traps</kwd><kwd>NETs</kwd><kwd>thrombosis</kwd><kwd>fibrin</kwd><kwd>fibrinolysis</kwd><kwd>von Willebrand factor</kwd><kwd>vWF</kwd><kwd>ADAMTS-13</kwd><kwd>COVID-19</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">Antoniak S. The coagulation system in host defense. 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