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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">aids</journal-id><journal-title-group><journal-title xml:lang="ru">ВИЧ-инфекция и иммуносупрессии</journal-title><trans-title-group xml:lang="en"><trans-title>HIV Infection and Immunosuppressive Disorders</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2077-9828</issn><publisher><publisher-name>Baltic Medical Education Center</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.22328/2077-9828-2018-10-4-25-36</article-id><article-id custom-type="elpub" pub-id-type="custom">aids-389</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>АНАЛИТИЧЕСКИЙ ОБЗОР</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>ANALYTICAL REVIEW</subject></subj-group></article-categories><title-group><article-title>СОСТОЯНИЕ ИММУНИТЕТА У ВИЧ-ИНФИЦИРОВАННЫХ ПАЦИЕНТОВ, КОИНФИЦИРОВАННЫХ ВИРУСОМ ГЕПАТИТА C</article-title><trans-title-group xml:lang="en"><trans-title>IMMUNE STATUS IN HIV-INFECTED PATIENTS COINFECTED WITH HEPАTITIS C VIRUS (HCV)</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>Шмагель</surname><given-names>К. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Shmagel</surname><given-names>K. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Шмагель Константин Владимирович — д.м.н., зав. лабораторией экологической иммунологии</p><p>614990, Пермь, ул. Ленина, 13А</p></bio><email xlink:type="simple">shmagel@iegm.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>Черешнев</surname><given-names>В. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Chereshnev</surname><given-names>V. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Черешнев Валерий Александрович</p><p>академик РАН, д.м.н., г.н.с. лаборатории экологической иммунологии </p><p>г.н.с. </p><p>620041, Екатеринбург, ул. Первомайская, 106</p></bio><email xlink:type="simple">secretar@iip.uran.ru</email><xref ref-type="aff" rid="aff-2"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Институт экологии и генетики микроорганизмов — филиал ФГБУН «Пермский федеральный исследовательский центр» УрО РАН</institution><country>Россия</country></aff><aff xml:lang="en"><institution>IEGM UB RAS</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>Институт экологии и генетики микроорганизмов — филиал ФГБУН «Пермский федеральный исследовательский центр» УрО РАН;&#13;
ФГБУН «Институт иммунологии и физиологии» УрО РАН</institution><country>Россия</country></aff><aff xml:lang="en"><institution>IEGM UB RAS; &#13;
IIP UB RAS</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2018</year></pub-date><pub-date pub-type="epub"><day>16</day><month>01</month><year>2019</year></pub-date><volume>10</volume><issue>4</issue><fpage>25</fpage><lpage>36</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Шмагель К.В., Черешнев В.А., 2019</copyright-statement><copyright-year>2019</copyright-year><copyright-holder xml:lang="ru">Шмагель К.В., Черешнев В.А.</copyright-holder><copyright-holder xml:lang="en">Shmagel K.V., Chereshnev V.A.</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://hiv.bmoc-spb.ru/jour/article/view/389">https://hiv.bmoc-spb.ru/jour/article/view/389</self-uri><abstract><p>Среди коинфекций, сопутствующих ВИЧ-инфекции, чаще всего встречается вирусный гепатит С. В России более половины ВИЧ-инфицированных пациентов коинфицировано ВГС. Обе инфекции могут оказывать взаимное отрицательное влияние, что отражается в увеличении заболеваемости и смертности коинфицированных пациентов по сравнению с моноинфицированными. Негативная роль ВИЧ-инфекции в развитии гепатита C проявляется ускорением процесса фиброзирования и формирования цирроза печени, а также частого возникновения гепатоцеллюлярной карциномы. Менее изучены эффекты ВГС-инфекции на течение ВИЧ-инфекции. Известно, что гепатит может замедлять восстановление иммунитета на фоне получения антиретровирусной терапии. Кроме того, нарушение печеночного барьера для продуктов, поступающих из кишечника, по-видимому, способно приводить к дополнительной активации иммунитета, углублению иммунодефицита, усилению системного воспаления и развитию СПИД-неассоциированных заболеваний, в первую очередь болезней сердечно-сосудистой системы. Решение проблемы большинство исследователей видит в раннем начале антиретровирусной терапии, а также в переходе от интерферонотерапии к назначению препаратов прямого действия при лечении ВГС-инфекции.</p></abstract><trans-abstract xml:lang="en"><p>The most common co-infection associated with HIV infection is viral hepatitis C. More than half of HIV-infected patients is coinfected with HCV in Russia. Both infections can have a reciprocal negative effect, what is reflected in an increase in the morbidity and mortality of co-infected patients compared with mono-infected patients. The negative role of HIV infection in the development of hepatitis C is manifested by the acceleration of the process of fibrosis and the formation of cirrhosis of the liver, as well as the frequent occurrence of hepatocellular carcinoma. The effects of HCV infection on the course of HIV infection have been less studied. It is known that hepatitis can slow down the immune reconstitution while receiving antiretroviral therapy. In addition, a violation of the hepatic barrier for products supplying from the intestine, apparently, can lead to additional activation of the immune system, aggravatted immunodeficiency, increased systemic inflammation and the development of AIDS-non-associated diseases, primarily cardiovascular diseases. Most researchers see the solution of the problem in the early start of antiretroviral therapy, as well as in the transition from interferon therapy to the appointment of drugs of direct action in the treatment of HCV infection.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>ВИЧ-инфекция</kwd><kwd>коинфекция вирусом гепатита C</kwd><kwd>фиброз и цирроз печени</kwd><kwd>антиретровирусная терапия</kwd><kwd>микробная транслокация</kwd><kwd>системное воспаление</kwd><kwd>СПИД-неассоциированные заболевания</kwd></kwd-group><kwd-group xml:lang="en"><kwd>HIV infection</kwd><kwd>co-infection with hepatitis C virus</kwd><kwd>fibrosis and cirrhosis of the liver</kwd><kwd>antiretroviral therapy</kwd><kwd>microbial translocation</kwd><kwd>systemic inflammation</kwd><kwd>HIV non-associated diseases</kwd></kwd-group><funding-group><funding-statement xml:lang="ru">Работа выполнена при поддержке гранта РФФИ № 17-54-30006.</funding-statement></funding-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Boulougoura A., Sereti I. 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