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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.2024.489</article-id><article-id custom-type="elpub" pub-id-type="custom">akusherstvo-1955</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>REVIEW ARTICLES</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>НАУЧНЫЕ ОБЗОРЫ</subject></subj-group></article-categories><title-group><article-title>The role of the microenvironment in tumor growth and spreading</article-title><trans-title-group xml:lang="ru"><trans-title>Роль микроокружения в росте и распространении опухоли</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-8404-1042</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. О.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Бицадзе Виктория Омаровна – д.м.н., профессор РАН, профессор кафедры акушерства, гинекологии и перинатальной медицины Клинического института детского здоровья имени Н.Ф. Филатова. Scopus Author ID: 6506003478. Researcher ID: F-8409-2017</p><p>119991 Москва, ул. Большая Пироговская, д. 2, стр. 4</p></bio><bio xml:lang="en"><p>Victoria O. Bitsadze – MD, Dr Sci Med, Professor of RAS, Professor, Department of Obstetrics, Gynecology and Perinatal Medicine, Filatov Clinical Institute of Children’s Health. Scopus Author ID: 6506003478. Researcher ID: F-8409-2017</p><p>2 bldg. 4, Bolshaya Pirogovskaya Str., Moscow 119991</p><p> </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>Е. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Слуханчук Екатерина Викторовна – к.м.н., доцент кафедры акушерства, гинекологии и перинатальной медицины Клинического института детского здоровья имени Н.Ф. Филатова. Scopus Author ID: 57217824907. WOS Researcher ID: AAW-3812-2021</p><p>119991 Москва, ул. Большая Пироговская, д. 2, стр. 4</p></bio><bio xml:lang="en"><p>Ekaterina V. Slukhanchuk – MD, PhD, Associate Professor, Department of Obstetrics, Gynecology and Perinatal Medicine, Filatov Clinical Institute of Children’s Health. Scopus Author ID: 57217824907. WOS Researcher ID: AAW-3812-2021</p><p>2 bldg. 4, Bolshaya Pirogovskaya Str., Moscow 119991</p></bio><email xlink:type="simple">ekaterina@ginekologhirurg.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-7456-2386</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Солопова</surname><given-names>А. Г.</given-names></name><name name-style="western" xml:lang="en"><surname>Solopova</surname><given-names>А. G.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Солопова Антонина Григорьевна – д.м.н., профессор кафедры акушерства, гинекологии и перинатальной медицины Клинического института детского здоровья имени Н.Ф. Филатова. Scopus Author ID: 6505479504. Researcher ID: Q-1385-2015</p><p>119991 Москва, ул. Большая Пироговская, д. 2, стр. 4</p></bio><bio xml:lang="en"><p>Antonina G. Solopova – MD, Dr Sci Med, Professor, Department of Obstetrics, Gynecology and Perinatal Medicine, Filatov Clinical Institute of Children's Health. Scopus Author ID: 6505479504. Researcher ID: Q-1385-2015</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/0000-0002-0725-9686</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 – д.м.н., профессор кафедры акушерства, гинекологии и перинатальной медицины Клинического института детского здоровья имени Н.Ф. Филатова. Scopus Author ID: 57194547147. Researcher ID: F-8384-2017</p><p>119991 Москва, ул. Большая Пироговская, д. 2, стр. 4</p></bio><bio xml:lang="en"><p>Jamilya Kh. Khizroeva – MD, Dr Sci Med, Professor, Department of Obstetrics, Gynecology and Perinatal Medicine, Filatov Clinical Institute of Children’s Health. Scopus Author ID: 57194547147. Researcher ID: F-8384-2017</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/0000-0002-8882-1588</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Якубова</surname><given-names>Ф. Э.</given-names></name><name name-style="western" xml:lang="en"><surname>Yakubova</surname><given-names>F. E.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Якубова Фидан Эльчин кызы – клинический ординатор кафедры акушерства, гинекологии и перинатальной медицины 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>Fidan E. Yakubova – MD, Clinical Resident, Department of Obstetrics, Gynecology and Perinatal Medicine, Filatov Clinical Institute of Children's Health</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"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Оруджова</surname><given-names>Э. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Orudzhova</surname><given-names>Е. А.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Оруджова Эсмира Афлатуновна – зав. центром амбулаторной медицинской помощи женской консультации</p><p>123423 Москва, ул. Саляма Адиля, д. 2/44</p></bio><bio xml:lang="en"><p>Esmira A. Orudzhova – MD, Head of Antenatal Outpatient Care Center</p><p>2/44 Salyama Adilya Str., Moscow 123423</p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-8100-0189</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Дегтярева</surname><given-names>Н. Д.</given-names></name><name name-style="western" xml:lang="en"><surname>Degtyareva</surname><given-names>N. D.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Дегтярева Наталья Дмитриевна – студент 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>Natalia D. Degtyareva – Student, Filatov Clinical Institute of Children’s Health</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/0000-0002-4556-5449</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Егорова</surname><given-names>Е. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Egorova</surname><given-names>Е. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Егорова Елена Сергеевна – к.м.н., доцент кафедры акушерства, гинекологии и перинатальной медицины Клинического института детского здоровья имени Н.Ф. Филатова. Scopus Author ID: 5720982859</p><p>119991 Москва, ул. Большая Пироговская, д. 2, стр. 4</p></bio><bio xml:lang="en"><p>Elena S. Egorova – MD, PhD, Associate Professor, Department of Obstetrics, Gynecology and Perinatal Medicine, Filatov Clinical Institute of Children's Health. Scopus Author ID: 5720982859</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/0000-0002-2541-3843</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. А.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Макацария Наталия Александровна – к.м.н., доцент кафедры акушерства, гинекологии и перинатальной медицины Клинического института детского здоровья имени Н.Ф. Филатова. Researcher ID: F-8406-2017</p><p>119991 Москва, ул. Большая Пироговская, д. 2, стр. 4</p></bio><bio xml:lang="en"><p>Nataliya A. Makatsariya – MD, PhD, Associate Professor, Department of Obstetrics, Gynecology and Perinatal Medicine, Filatov Clinical Institute of Children's Health</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"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Самбурова</surname><given-names>Н. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Samburova</surname><given-names>N. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Самбурова Наталья Викторовна – к.м.н., доцент кафедры патофизиологии Института цифрового биодизайна и моделирования живых систем. Scopus Author ID: 57208129705</p><p>119991 Москва, ул. Большая Пироговская, д. 2, стр. 4</p></bio><bio xml:lang="en"><p>Natalia V. Samburova – MD, PhD, Associate Professor, Department of Pathophysiology, Institute of Biodesign and Modeling of Complex Systems. Scopus Author ID: 57208129705</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/0000-0003-2976-7128</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Серов</surname><given-names>В. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Serov</surname><given-names>V. N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Владимир Николаевич Серов – д.м.н., профессор, академик РАН, главный научный сотрудник; президент Российского общества акушеров-гинекологов</p><p>117997 Москва, ул. академика Опарина, д. 4</p></bio><bio xml:lang="en"><p>Vladimir N. Serov – MD, Dr Sci Med, Professor, Academician of RАS, Chief Researcher; President of the Russian Society</p><p>4 Academika Oparina Str., Moscow 117997</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/0000-0001-6396-4948</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Ашрафян</surname><given-names>Л. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Ashrafyan</surname><given-names>L. А.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Ашрафян Лев Андреевич – д.м.н., профессор, академик РАН, заслуженный врач Российской Федерации, директор Института онкогинекологии и маммологии, зам. директора</p><p>117997 Москва, ул. академика Опарина, д. 4</p></bio><bio xml:lang="en"><p>Lev A. Ashrafyan – MD, Dr Sci Med, Professor, Academician of RАS, Honored Doctor of the Russian Federation, Director of the Institute of Oncogynecology and Mammology, Deputy Director</p><p>4 Academika Oparina Str., Moscow 117997</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/0000-0003-1070-7336</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Асланова</surname><given-names>З. Д.</given-names></name><name name-style="western" xml:lang="en"><surname>Aslanova</surname><given-names>Z. D.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Асланова Замиля Джамалидиновна – аспирант кафедры акушерства, гинекологии и перинатальной медицины Клинического института детского здоровья имени Н.Ф. Филатова. Scopus Author ID: 57194173388</p><p>119991 Москва, ул. Большая Пироговская, д. 2, стр. 4</p></bio><bio xml:lang="en"><p>Zamilya D. Aslanova – MD, Postgraduate Student, Department of Obstetrics, Gynecology and Perinatal Medicine, Filatov Clinical Institute of Children's Health</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/0000-0003-2136-1641</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Лазарчук</surname><given-names>А. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Lazarchuk</surname><given-names>А. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Лазарчук Арина Владимировна – студент 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>Arina V. Lazarchuk – Student, Filatov Clinical Institute of Children’s Health</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/0009-0004-6250-325X</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Кудрявцева</surname><given-names>Е. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Kudryavtseva</surname><given-names>Е. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Кудрявцева Екатерина Сергеевна – студент 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>Ekaterina S. Kudryavtseva – Student, Filatov Clinical Institute of Children’s Health</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/0000-0003-4768-115X</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Солопова</surname><given-names>А. Е.</given-names></name><name name-style="western" xml:lang="en"><surname>Solopova</surname><given-names>А. Е.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Солопова Алина Евгеньевна – д.м.н., профессор кафедры акушерства, гинекологии и перинатальной медицины Клинического института детского здоровья имени Н.Ф. Филатова; ведущий научный сотрудник отдела лучевой диагностики. Scopus Author ID: 24460923200. Researcher ID: P-8659-2015</p><p>119991 Москва, ул. Большая Пироговская, д. 2, стр. 4; 117997 Москва, ул. академика Опарина, д. 4</p></bio><bio xml:lang="en"><p>Alina E. Solopova – MD, Dr Sci Med, Professor, Department of Obstetrics, Gynecology and Perinatal Medicine, Filatov Clinical Institute of Children’s Health; Leading Researcher, Department of Radiation Diagnostics. Scopus Author ID: 24460923200. Researcher ID: P-8659-2015.</p><p>2 bldg. 4, Bolshaya Pirogovskaya Str., Moscow 119991; 4 Academika Oparina Str., Moscow 117997</p><p> </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>Капанадзе</surname><given-names>Д. Л.</given-names></name><name name-style="western" xml:lang="en"><surname>Kapanadze</surname><given-names>D. L.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Капанадзе Дареджан Левановна – к.м.н., директор</p><p>0179 Тбилиси, ул. Узнадзе, д. 78</p></bio><bio xml:lang="en"><p>Daredzhan L. Kapanadze – MD, PhD, Director</p><p>78 Uznadze Str., Tbilisi 0179</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/0000-0002-9899-9910</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 – д.м.н., профессор кафедры акушерства, гинекологии и перинатальной медицины Клинического института детского здоровья имени Н.Ф. Филатова; профессор гематологии, зав. лабораторией гематологии факультета биологических и фармацевтических наук Университета Монпелье и Университетской больницы Нима; иностранный член РАН. Scopus Author ID: 7005114260. Researcher ID: AAA-2923-2019</p><p>119991 Москва, ул. Большая Пироговская, д. 2, стр. 4; 34090 Монпелье, ул. Огюста Бруссоне, д. 163</p></bio><bio xml:lang="en"><p>Jean-Christophe Gris – MD, Dr Sci Med, Professor, Department of Obstetrics, Gynecology and Perinatal Medicine, Filatov Clinical Institute of Children’s Health; Professor of Haematology, Head of the Laboratory of Haematology, Faculty of Biological and Pharmaceutical Sciences Montpellier University and University Hospital of Nîmes; Foreign Member of RAS. Scopus Author ID: 7005114260. Researcher ID: AAA-2923-2019</p><p>2 bldg. 4, Bolshaya Pirogovskaya Str., Moscow 119991</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/0000-0002-9576-1368</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 – д.м.н., профессор кафедры акушерства, гинекологии и перинатальной медицины Клинического института детского здоровья имени Н.Ф. Филатова; профессор; директор гематологии Центра Тромбозов. Scopus Author ID: 7003652413. Researcher ID: AAC-9695-2019.</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></bio><bio xml:lang="en"><p>Ismail Elalamy – MD, Dr Sci Med, Professor, Department of Obstetrics, Gynecology and Perinatal Medicine, Filatov Clinical Institute of Children’s Health; Professor; Director of Hematology, Department of Thrombosis Center. Scopus Author ID: 7003652413. Researcher ID: AAC-9695-2019</p><p>2 bldg. 4, Bolshaya Pirogovskaya Str., Moscow 119991; 12 Rue de l’École de Médecine, Paris 75006; 4 Rue de la Chine, Paris 75020</p></bio><xref ref-type="aff" rid="aff-7"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Ай</surname><given-names>Д.</given-names></name><name name-style="western" xml:lang="en"><surname>Ay</surname><given-names>С.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Aй Джихан – д.м.н., профессор, клиническое подразделение гематологии и гемостазиологии, медицинское отделение I. ScopusAuthor ID: 55356863800.</p><p>119991 Москва, ул. Большая Пироговская, д. 2, стр. 4; 11010 Вена, Universitätsring, д. 1 </p></bio><bio xml:lang="en"><p>Cihan Ay – MD, PhD, Professor, Clinical Unit of Hematology and Hemostasiology, Department of Medicine I. Scopus Author ID: 55356863800</p><p>10 Universitätsring, Vienna 1010</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/0000-0001-7415-4633</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>А. D.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Макацария Александр Давидович – д.м.н., профессор, академик РАН, зав. кафедрой акушерства, гинекологии и перинатальной медицины Клинического института детского здоровья имени Н.Ф. Филатова; вице-президент Российского общества акушеров-гинекологов (РОАГ); Заслуженный врач Российской Федерации; Почетный профессор Венского Университета. Scopus Author ID: 57222220144. Researcher ID: M-5660-2016</p><p>119991 Москва, ул. Большая Пироговская, д. 2, стр. 4</p></bio><bio xml:lang="en"><p>Alexander D. Makatsariya – MD, Dr Sci Med, Academician of RAS, Professor, Head of the Department of Obstetrics, Gynecology and Perinatal Medicine, Filatov Clinical Institute of Children’s Health; Honorary Doctor of the Russian Federation</p><p>2 bldg. 4, Bolshaya Pirogovskaya Str., Moscow 119991</p></bio><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГАОУ ВО 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>Родильный дом № 1 – филиал ГБУЗ «Городская клиническая больница № 67 имени Л.А. Ворохобова Департамента здравоохранения города Москвы»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Maternity Hospital No. 1 – Branch of Vorokhobov City Clinical Hospital No. 67 Moscow City Healthcare Department</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>ФГБУ «Национальный медицинский исследовательский центр акушерства, гинекологии и перинатологии имени академика В.И. Кулакова» Министерства здравоохранения Российской Федерации</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology, Health Ministry of Russian Federation</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-4"><aff xml:lang="ru"><institution>ФГАОУ ВО Первый Московский государственный медицинский университет имени И.М. Сеченова Министерства здравоохранения Российской Федерации (Сеченовский университет); ФГБУ «Национальный медицинский исследовательский центр акушерства, гинекологии и перинатологии имени академика В.И. Кулакова» Министерства здравоохранения Российской Федерации</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Sechenov University; Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology, Health Ministry of Russian Federation</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-5"><aff xml:lang="ru"><institution>Центр патологии беременности и гемостаза</institution><country>Грузия</country></aff><aff xml:lang="en"><institution>Center for Pathology of Pregnancy and Hemostasis</institution><country>Georgia</country></aff></aff-alternatives><aff-alternatives id="aff-6"><aff xml:lang="ru"><institution>ФГАОУ ВО Первый Московский государственный медицинский университет имени И.М. Сеченова Министерства здравоохранения Российской Федерации (Сеченовский университет); Университет Монпелье</institution><country>Франция</country></aff><aff xml:lang="en"><institution>Sechenov University; Montpellier University</institution><country>France</country></aff></aff-alternatives><aff-alternatives id="aff-7"><aff xml:lang="ru"><institution>ФГАОУ ВО Первый Московский государственный медицинский университет имени И.М. Сеченова Министерства здравоохранения Российской Федерации (Сеченовский университет); Медицинский Университет Сорбонны; Госпиталь Тенон</institution><country>Франция</country></aff><aff xml:lang="en"><institution>Sechenov University; Medicine Sorbonne University; Hospital Tenon</institution><country>France</country></aff></aff-alternatives><aff-alternatives id="aff-8"><aff xml:lang="ru"><institution>ФГАОУ ВО Первый Московский государственный медицинский университет имени И.М. Сеченова Министерства здравоохранения Российской Федерации (Сеченовский университет); Венский университет</institution><country>Австрия</country></aff><aff xml:lang="en"><institution>University of Vienna</institution><country>Austria</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2024</year></pub-date><pub-date pub-type="epub"><day>06</day><month>03</month><year>2024</year></pub-date><volume>18</volume><issue>1</issue><fpage>96</fpage><lpage>111</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Bitsadze V.О., Slukhanchuk Е.V., Solopova А.G., Khizroeva J.K., Yakubova F.E., Orudzhova Е.А., Degtyareva N.D., Egorova Е.S., Makatsariya N.А., Samburova N.V., Serov V.N., Ashrafyan L.А., Aslanova Z.D., Lazarchuk А.V., Kudryavtseva Е.S., Solopova А.Е., Kapanadze D.L., Gris J., Elalamy I., Ay С., Makatsariya А.D., 2024</copyright-statement><copyright-year>2024</copyright-year><copyright-holder xml:lang="ru">Бицадзе В.О., Слуханчук Е.В., Солопова А.Г., Хизроева Д.Х., Якубова Ф.Э., Оруджова Э.А., Дегтярева Н.Д., Егорова Е.С., Макацария Н.А., Самбурова Н.В., Серов В.Н., Ашрафян Л.А., Асланова З.Д., Лазарчук А.В., Кудрявцева Е.С., Солопова А.Е., Капанадзе Д.Л., Гри Ж., Элалами И., Ай Д., Макацария А.Д.</copyright-holder><copyright-holder xml:lang="en">Bitsadze V.О., Slukhanchuk Е.V., Solopova А.G., Khizroeva J.K., Yakubova F.E., Orudzhova Е.А., Degtyareva N.D., Egorova Е.S., Makatsariya N.А., Samburova N.V., Serov V.N., Ashrafyan L.А., Aslanova Z.D., Lazarchuk А.V., Kudryavtseva Е.S., Solopova А.Е., Kapanadze D.L., Gris J., Elalamy I., Ay С., Makatsariya А.D.</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/1955">https://www.gynecology.su/jour/article/view/1955</self-uri><abstract><sec><title>Introduction</title><p>Introduction. The tumor microenvironment (TME) consisting of non-tumor cells and other components plays a crucial role in cancer development by promoting uncontrolled tumor growth.</p></sec><sec><title>Aim</title><p>Aim: to detail all the components in TME and their contribution to carcinogenesis by analyzing available publications.</p></sec><sec><title>Results</title><p>Results. Currently, TME study is of great interest in the medical field. Its crucial role in the tumor initiation, progression, and spreading is emphasized. Several constituents have been identified in TME including cancer-associated fibroblasts, neutrophils, adipocytes, tumor vasculature, lymphocytes, extracellular matrix, dendritic cells, neutrophil extracellular traps, etc. Thromboinflammatory reactions are also considered an important TME element.</p></sec><sec><title>Conclusion</title><p>Conclusion. TME constituents can serve as new targets for both diagnostics and antitumor therapy.</p></sec></abstract><trans-abstract xml:lang="ru"><sec><title>Введение</title><p>Введение. Микроокружение опухоли (МОО) играет одну из самых важных ролей в онкогенезе. В его состав помимо опухолевых клеток входят и неопухолевые клетки и другие компоненты, стимулирующие и способствующие неконтролируемой пролиферации опухоли.</p></sec><sec><title>Цель</title><p>Цель: в статье подробно изложены все участники МОО и их вклад в онкогенез. Обзор основан на анализе предыдущих исследований по данной проблеме.</p></sec><sec><title>Результаты</title><p>Результаты. Микроокружению опухоли в настоящее время уделяется большое внимание в литературе. Выделяют его особую роль в инициации, прогрессии опухоли и метастазировании. В исследованиях описаны различные компоненты МОО, такие как рак-ассоциированные фибробласты, нейтрофилы, адипоциты, сосудистая сеть опухоли, лимфоциты, внеклеточный матрикс, дендритные клетки, внеклеточные ловушки и другие. Важную роль отводят участникам реакций тромбовоспаления как неотъемлемой части МОО.</p></sec><sec><title>Заключение</title><p>Заключение. Компоненты МОО могут выступать в роли новых мишеней как диагностики, так и противоопухолевой терапии.</p></sec></trans-abstract><kwd-group xml:lang="ru"><kwd>микроокружение опухоли</kwd><kwd>МОО</kwd><kwd>прогрессия опухоли</kwd><kwd>рост опухоли</kwd><kwd>рак</kwd><kwd>метастазирование</kwd></kwd-group><kwd-group xml:lang="en"><kwd>tumor microenvironment</kwd><kwd>TME</kwd><kwd>tumor progression</kwd><kwd>tumor growth</kwd><kwd>cancer</kwd><kwd>metastasis</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">LeBleu V. 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