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<article article-type="editorial" 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.2024.542</article-id><article-id custom-type="elpub" pub-id-type="custom">akusherstvo-2167</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>The concept of thromboinflammation underlying thrombotic complications, tumor progression and metastasis in gynecological cancer patients</article-title><trans-title-group xml:lang="ru"><trans-title>Концепция тромбовоспаления как основы тромботических осложнений, прогрессии опухоли и метастазирования у онкогинекологических больных</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 - д.м.н., проф., академик РАН.</p><p>119991 Москва, ул. Трубецкая, д. 8, стр. 2</p><p>Scopus Author ID 57222220144; WoS ResearcherID M-5660-2016</p></bio><bio xml:lang="en"><p>Alexander D. Makatsariya - MD, Dr Sci Med, Prof., Academician of RAS.</p><p>8 bldg. 2, Trubetskaya Str., Moscow 119991</p><p>Scopus Author ID 57222220144; WoS ResearcherID 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 - к.м.н.</p><p>119991 Москва, ул. Трубецкая, д. 8, стр. 2</p></bio><bio xml:lang="en"><p>Ekaterina V. Slukhanchuk - MD, PhD.</p><p>8 bldg. 2, Trubetskaya 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/0000-0001-8404-1042</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 - д.м.н., проф., профессор РАН.</p><p>119991 Москва, ул. Трубецкая, д. 8, стр. 2</p><p>Scopus Author ID 6506003478; WoS ResearcherID F-8409-2017</p></bio><bio xml:lang="en"><p>Victoria O. Bitsadze - MD, Dr Sci Med, Prof., Professor of RAS.</p><p>8 bldg. 2, Trubetskaya Str., Moscow 119991</p><p>Scopus Author ID 6506003478; WoS ResearcherID F-8409-2017</p></bio><email xlink:type="simple">vikabits@mail.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>A. G.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Солопова Антонина Григорьевна - д.м.н., проф.</p><p>119991 Москва, ул. Трубецкая, д. 8, стр. 2</p><p>Scopus Author ID 6505479504; WoS ResearcherID Q-1385-2015</p></bio><bio xml:lang="en"><p>Antonina G. 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Khizroeva - MD, Dr Sci Med, Prof.</p><p>8 bldg. 2, Trubetskaya Str., Moscow 119991</p><p>Scopus Author ID 57194547147; WoS ResearcherID 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/0000-0001-6396-4948</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. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Ашрафян Лев Андреевич - д.м.н., проф., академик РАН.</p><p>117997 Москва, ул. академика Опарина, д. 4</p><p>Scopus Author ID 57194173388</p></bio><bio xml:lang="en"><p>Lev A. Ashrafyan - MD, Dr Sci Med, Prof., Academician of RAS.</p><p>4 Academika Oparina Str., Moscow 117997</p><p>Scopus Author ID 57194173388</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/0000-0003-2976-7128</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>Серов Владимир Николаевич - д.м.н., проф., академик РАН.</p><p>117997 Москва, ул. академика Опарина, д. 4</p></bio><bio xml:lang="en"><p>Vladimir N. 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Voynovskiy - MD, Dr Sci Med, Prof.</p><p>2/44 Salyama Adilya Str., Moscow 123423</p><p>WoS ResearcherlD S-6385-2016</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/0000-0002-3337-4995</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Унгиадзе</surname><given-names>Д. Ю.</given-names></name><name name-style="western" xml:lang="en"><surname>Ungiadze</surname><given-names>J. Yu.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Унгиадзе Джумбер Юрьевич - д.м.н., проф.</p><p>6010 Автономная Республика Аджария, Батуми, ул. Ниношвили, д. 35</p></bio><bio xml:lang="en"><p>Jumber Yu. Ungiadze - MD, Dr Sci Med, Prof.</p><p>35 Ninoshvili Str., Batumi, Autonomous Republic of Adjara 6010</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/0000-0003-2136-1641</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>A. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Лазарчук Арина Владимировна.</p><p>119991 Москва, ул. Трубецкая, д. 8, стр. 2</p></bio><bio xml:lang="en"><p>Arina V. Lazarchuk.</p><p>8 bldg. 2, Trubetskaya 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/0000-0002-3628-0804</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 - к.м.н.</p><p>119991 Москва, ул. Трубецкая, д. 8, стр. 2</p></bio><bio xml:lang="en"><p>Maria V. Tretyakova - MD, PhD.</p><p>8 bldg. 2, Trubetskaya 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. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Макацария Наталия Александровна - к.м.н.</p><p>119991 Москва, ул. Трубецкая, д. 8, стр. 2</p><p>WoS ResearcherID F-8406-2017</p></bio><bio xml:lang="en"><p>Nataliya A. Makatsariya - MD, PhD.</p><p>8 bldg. 2, Trubetskaya Str., Moscow 119991</p><p>WoS ResearcherID 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/0000-0003-2011-1237</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Сальникова</surname><given-names>П. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Salnikova</surname><given-names>P. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Сальникова Полина Владимировна.</p><p>119991 Москва, ул. Трубецкая, д. 8, стр. 2</p></bio><bio xml:lang="en"><p>Polina V. Salnikova.</p><p>8 bldg. 2, Trubetskaya 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/0000-0003-0764-4477</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Гашимова</surname><given-names>Н. Р.</given-names></name><name name-style="western" xml:lang="en"><surname>Gashimova</surname><given-names>N. R.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Гашимова Нилуфар Рамиль кызы.</p><p>119991 Москва, ул. Трубецкая, д. 8, стр. 2</p></bio><bio xml:lang="en"><p>Nilufar R. Gashimova - MD.</p><p>8 bldg. 2, Trubetskaya 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/0000-0002-7756-8935</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>Grigoreva</surname><given-names>K. N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Григорьева Кристина Николаевна.</p><p>119991 Москва, ул. Трубецкая, д. 8, стр. 2</p></bio><bio xml:lang="en"><p>Kristina N. Grigoreva - MD.</p><p>8 bldg. 2, Trubetskaya 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/0000-0003-2038-0023</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Закашанский</surname><given-names>К. Л.</given-names></name><name name-style="western" xml:lang="en"><surname>Zakashansky</surname><given-names>K. L.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Закашанский Константин Львович.</p><p>10029-6574 Нью-Йорк, ящик 1173, Пятая авеню, 1176</p></bio><bio xml:lang="en"><p>Konstantin L. Zakashansky - MD.</p><p>1176 Fifth Avenue, Box 1173, New York 10029-6574</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/0000-0002-9576-1368</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., проф.</p><p>119991 Москва, ул. Трубецкая, д. 8, стр. 2; Франция, 75006 Париж, Улица медицинского факультета, д. 12; Франция, 75020 Париж, Китайская улица, д. 4</p><p>Scopus Author ID 7003652413; WoS ResearcherID AAC-9695-2019</p></bio><bio xml:lang="en"><p>Ismail Elalamy - MD, Dr Sci Med, Prof.</p><p>8 bldg. 2, Trubetskaya Str., Moscow 119991; 12 Rue de Г Ecole de Medecine, Paris 75006, France; 4 Rue de la Chine, Paris 75020, France</p><p>Scopus Author ID 7003652413; WoS ResearcherID AAC-9695-2019</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/0000-0002-9899-9910</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., проф.</p><p>119991 Москва, ул. Трубецкая, д. 8, стр. 2; Франция, 34090 Монпелье, ул. Огюста Бруссоне, д. 163</p><p>Scopus Author ID 7005114260; WoS ResearcherID AAA-2923-2019</p></bio><bio xml:lang="en"><p>Jean-Christophe Gris - MD, Dr Sci Med, Prof.</p><p>8 bldg. 2, Trubetskaya Str., Moscow 119991; 163 Rue Auguste Broussonnet, Montpellier 34090, France</p><p>Scopus Author ID 7005114260; WoS ResearcherID AAA-2923-2019</p></bio><xref ref-type="aff" rid="aff-7"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru">ФГАОУ ВО Первый Московский государственный медицинский университет имени И.М. Сеченова Министерства здравоохранения Российской Федерации (Сеченовский Университет)<country>Россия</country></aff><aff xml:lang="en">Sechenov University<country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru">ФГБУ «Национальный медицинский исследовательский центр акушерства, гинекологии и перинатологии имени академика В.И. Кулакова» Министерства здравоохранения Российской Федерации<country>Россия</country></aff><aff xml:lang="en">Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology, Health Ministry of Russian Federation<country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru">ГБУЗ «Городская клиническая больница № 67 имени Л.А. Ворохобова Департамента здравоохранения города Москвы»<country>Россия</country></aff><aff xml:lang="en">Vorokhobov City Clinical Hospital № 67, Moscow Healthcare Department<country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-4"><aff xml:lang="ru">Батумский государственный университет имени Шота Руставели<country>Грузия</country></aff><aff xml:lang="en">Shota Rustaveli Batumi State University<country>Georgia</country></aff></aff-alternatives><aff-alternatives id="aff-5"><aff xml:lang="ru">Медицинская школа Икан в Маунт-Синай<country>Соединённые Штаты Америки</country></aff><aff xml:lang="en">Icahn School of Medicine at Mount Sinai<country>United States</country></aff></aff-alternatives><aff-alternatives id="aff-6"><aff xml:lang="ru">ФГАОУ ВО Первый Московский государственный медицинский университет имени И.М. Сеченова Министерства здравоохранения Российской Федерации (Сеченовский Университет); Медицинский Университет Сорбонны; Госпиталь Тенон<country>Россия</country></aff><aff xml:lang="en">Sechenov University; Medicine Sorbonne University; Hospital Tenon<country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-7"><aff xml:lang="ru">ФГАОУ ВО Первый Московский государственный медицинский университет имени И.М. Сеченова Министерства здравоохранения Российской Федерации (Сеченовский Университет); Университет Монпелье<country>Россия</country></aff><aff xml:lang="en">Sechenov University; University of Montpellier<country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2024</year></pub-date><pub-date pub-type="epub"><day>12</day><month>09</month><year>2024</year></pub-date><volume>18</volume><issue>4</issue><fpage>450</fpage><lpage>463</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Makatsariya A.D., Slukhanchuk E.V., Bitsadze V.O., Solopova A.G., Khizroeva J.K., Ashrafyan L.A., Serov V.N., Voynovskiy A.Е., Ungiadze J.Y., Lazarchuk A.V., Tretyakova M.V., Makatsariya N.A., Salnikova P.V., Gashimova N.R., Grigoreva K.N., Zakashansky K.L., Elalamy I., Gris J., 2024</copyright-statement><copyright-year>2024</copyright-year><copyright-holder xml:lang="ru">Макацария А.Д., Слуханчук Е.В., Бицадзе В.О., Солопова А.Г., Хизроева Д.Х., Ашрафян Л.А., Серов В.Н., Войновский А.Е., Унгиадзе Д.Ю., Лазарчук А.В., Третьякова М.В., Макацария Н.А., Сальникова П.В., Гашимова Н.Р., Григорьева К.Н., Закашанский К.Л., Элалами И., Гри Ж.</copyright-holder><copyright-holder xml:lang="en">Makatsariya A.D., Slukhanchuk E.V., Bitsadze V.O., Solopova A.G., Khizroeva J.K., Ashrafyan L.A., Serov V.N., Voynovskiy A.Е., Ungiadze J.Y., Lazarchuk A.V., Tretyakova M.V., Makatsariya N.A., Salnikova P.V., Gashimova N.R., Grigoreva K.N., Zakashansky K.L., Elalamy I., Gris J.</copyright-holder><license 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/2167">https://www.gynecology.su/jour/article/view/2167</self-uri><abstract><p>The results of recent studies show that tumor biology, coagulation activation, and inflammatory reactions profoundly contribute to the thrombosis pathogenesis in cancer as well as tumor progression, metastasis, and developing chemoresistance. Cancer is an independent predictor of thrombosis. During carcinogenesis, tumor cells express proinflammatory cytokines, proangiogenic and procoagulant factors, and also stimulate other cells to express various components promoting emerging thromboinflammation. The discovery of neutrophil extracellular traps (NETs) provides an opportunity to take a new look at biology and a role neutrophils may play in thromboinflammation and tumorigenesis. The close interplay between tumor cells, tumor-associated neutrophils and NETs as well as other players in the tumor microenvironment underlies activation of thromboinflammation in cancer patients not only resulting in thrombus formation, but also promoting tumor growth and dissemination.</p></abstract><trans-abstract xml:lang="ru"><p>Результаты исследований последних лет показывают, что в патогенез тромбоза при раке, а также в прогрессию опухоли, метастазирование и формирование химиорезистентности большой вклад вносят биология опухоли, активация свертывания и воспаления. Рак является независимым предиктором тромбоза. Опухолевые клетки в процессе канцерогенеза экспрессируют провоспалительные цитокины, проангиогенные и прокоагулянтные факторы, а также стимулируют другие клетки к экспрессии различных компонентов, способствуя развитию тромбовоспаления. Открытие внеклеточных ловушек нейтрофилов (англ. neutrophil extracellular traps, NETs) дает возможность по-новому взглянуть на биологию нейтрофилов и их участие в тромбовоспалении и опухолевом процессе. Тесное взаимодействие между опухолевыми клетками, опухоль-ассоциированными нейтрофилами и NETs с участием других игроков микроокружения опухоли лежит в основе активации тромбовоспаления у онкологических пациентов, что не только приводит к тромбообразованию, но и способствует росту и диссеминации опухоли.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>тромбовоспаление</kwd><kwd>нетоз</kwd><kwd>внеклеточные ловушки нейтрофилов</kwd><kwd>NETs</kwd><kwd>нейтрофилы</kwd><kwd>химиорезистентность</kwd><kwd>тромбоз</kwd></kwd-group><kwd-group xml:lang="en"><kwd>thromboinflammation</kwd><kwd>NETosis</kwd><kwd>neutrophil extracellular traps</kwd><kwd>NETs</kwd><kwd>neutrophils</kwd><kwd>chemoresistance</kwd><kwd>thrombosis</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">Brinkmann V., Reichard U., Goosmann C. et al. Neutrophil extracellular traps kill bacteria. 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