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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">cmedas</journal-id><journal-title-group><journal-title xml:lang="ru">Непрерывное медицинское образование и наука</journal-title><trans-title-group xml:lang="en"><trans-title>Continuing Medical Education and Science</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2949-6292</issn><issn pub-type="epub">3033-585X</issn><publisher><publisher-name>AGU</publisher-name></publisher></journal-meta><article-meta><article-id custom-type="elpub" pub-id-type="custom">cmedas-57</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>ЛИТЕРАТУРНЫЙ ОБЗОР</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>LITERARY REVIEW</subject></subj-group></article-categories><title-group><article-title>Проявления инфекции Helicobacter pylori вне системы пищеварения</article-title><trans-title-group xml:lang="en"><trans-title>Manifestations of Helicobacter pylori infection outside the digestive system</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>Сарсенбаева</surname><given-names>А. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Sarsenbaevа</surname><given-names>A. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Сарсенбаева Айман Силкановна, д-р мед. наук,  профессор кафедры терапии Института  дополнительного профессионального образования</p><p>454021, г. Челябинск, ул. Островского, 81, ГБУЗ OКБ № 3; тел. +7 351 742-82-57</p></bio><bio xml:lang="en"><p>Chelyabinsk</p></bio><email xlink:type="simple">kafedraterapii@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Домрачева</surname><given-names>Е. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Domracheva</surname><given-names>E. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Домрачева Екатерина Владимировна, канд. мед. наук,  гастроэнтеролог</p><p>Челябинск</p></bio><bio xml:lang="en"><p>Chelyabinsk</p></bio><email xlink:type="simple">gastro74@mal.ru</email><xref ref-type="aff" rid="aff-2"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Федеральное государственное бюджетное образовательное учреждение высшего образования «Южно-Уральский государственный медицинский университет» Министерства здравоохранения Российской Федерации</institution><country>Россия</country></aff><aff xml:lang="en"><institution>South-Urals State Medical University</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>ООО «Гастроэнтерологическая практика Уфимцева К.А.»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Medical Center “Gastroenterological Practice Ufimtseva K.A.”</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2021</year></pub-date><pub-date pub-type="epub"><day>02</day><month>08</month><year>2023</year></pub-date><volume>16</volume><issue>4</issue><fpage>29</fpage><lpage>42</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Сарсенбаева А.С., Домрачева Е.В., 2023</copyright-statement><copyright-year>2023</copyright-year><copyright-holder xml:lang="ru">Сарсенбаева А.С., Домрачева Е.В.</copyright-holder><copyright-holder xml:lang="en">Sarsenbaevа A.S., Domracheva E.V.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://cmedas.elpub.ru/jour/article/view/57">https://cmedas.elpub.ru/jour/article/view/57</self-uri><abstract><p>Инфекция Helicobacter pylori (H. pylori) приводит к различным заболеваниям, таким как язва желудка и двенадцатиперстной кишки, хронический гастрит и злокачественные заболевания, в том числе MALT-лимфома и рак желудка. На сегодняшний день изучены различные факторы патогенности и вирулентности бактерии H. pylori. Взаимодействие инфекции с клетками макроорганизма приводит к индукции воспалительных реакций посредством высвобождения цитокинов, активации апоптоза или пролиферации, что ведет к воспалению и нарушению функции эпителиального барьера. Этот процесс может способствовать перемещению факторов вирулентности H. pylori и медиаторов воспаления в кровоток и способствовать или усиливать развитие системного воспалительного ответа и возможные клинические эффекты инфекции H. pylori за пределами желудка. Целью данного обзора является уточнение имеющихся данных о связи инфекции H. pylori с заболеваниями сердечно-сосудистой, нервной, эндокринной систем, аутоиммунными заболеваниями и некоторыми другими патологиями вне системы пищеварения.</p></abstract><trans-abstract xml:lang="en"><p>Helicobacter pylori (H. pylori) infection leads to various diseases such as gastric and duodenal ulcers, chronic gastritis and malignant diseases, including MALT lymphoma and stomach cancer. To date, various factors of pathogenicity and virulence of the H. pylori bacterium have been studied. The interaction of infection with host cells leads to the induction of inflammatory responses through the release of cytokines, activation of apoptosis or proliferation, which leads to inflammation and dysfunction of the epithelial barrier. This process can facilitate the movement of H. pylori virulence factors and inflammatory mediators into the bloodstream and promote or enhance the development of a systemic inflammatory response and the possible clinical effects of H. pylori infections outside the stomach. The purpose of this review is to clarify the available data on the relationship of H. pylori infection with diseases of the cardiovascular, nervous, endocrine systems, autoimmune diseases, and some other pathologies outside the digestive system.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>Helicobacter pylori</kwd><kwd>атеросклероз</kwd><kwd>аутоиммунные заболевания</kwd><kwd>болезнь Альцгеймера</kwd><kwd>болезнь Паркинсона</kwd><kwd>сахарный диабет</kwd></kwd-group><kwd-group xml:lang="en"><kwd>Helicobacter pylori</kwd><kwd>atherosclerosis</kwd><kwd>autoimmune diseases</kwd><kwd>Alzheimer's disease</kwd><kwd>Parkinson's disease</kwd><kwd>diabetes</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">Blaser M. J., Atherton J. C. Helicobacter pylori persistence: biology and disease // J. Clin. Invest. 2004. Т. 113, № 3. 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