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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">nogr</journal-id><journal-title-group><journal-title xml:lang="ru">Экспериментальная и клиническая гастроэнтерология</journal-title><trans-title-group xml:lang="en"><trans-title>Experimental and Clinical Gastroenterology</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1682-8658</issn><publisher><publisher-name>«Global Media Technologies»</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.31146/1682-8658-ecg-203-7-68-80</article-id><article-id custom-type="elpub" pub-id-type="custom">nogr-2013</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>КЛИНИЧЕСКАЯ ГАСТРОЭНТЕРОЛОГИЯ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>CLINICAL GASTROENTEROLOGY</subject></subj-group></article-categories><title-group><article-title>Алгоритм экспресс-диагностики хронических аутоиммунных гепатитов по слюне методом монохромного анализа наночастиц</article-title><trans-title-group xml:lang="en"><trans-title>Algorithm of rapid diagnosis of chronic autoimmune hepatitis by saliva by the method of monochrome analysis of nanoparticles</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>Чой</surname><given-names>Ен Джун</given-names></name><name name-style="western" xml:lang="en"><surname>Choi</surname><given-names>En D.</given-names></name></name-alternatives><email xlink:type="simple">drchoiworld@gmail.com</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Центр европейской и восточной медицины</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Center of European and Oriental Medicine</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2022</year></pub-date><pub-date pub-type="epub"><day>07</day><month>10</month><year>2022</year></pub-date><volume>0</volume><issue>7</issue><fpage>68</fpage><lpage>80</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Чой Е.Д., 2022</copyright-statement><copyright-year>2022</copyright-year><copyright-holder xml:lang="ru">Чой Е.Д.</copyright-holder><copyright-holder xml:lang="en">Choi E.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.nogr.org/jour/article/view/2013">https://www.nogr.org/jour/article/view/2013</self-uri><abstract><p>Хронический аутоиммунный гепатит является актуальной проблемой современной медицины ввиду широкой распространённости среди всех аутоиммунных заболеваний (более 25%) и трудностью его диагностики, связанной с отсутствием надёжных серологических тестов для его выявления. Целью настоящей работы явилось изучение возможности метода монохромного анализа наночастиц в неинвазивном выявлении АИГ и разработка алгоритма экспресс-диагностики хронических аутоиммунных гепатитов по слюне. Поставленная цель решалась выполнением ряда задач: разработка диагностического алгоритма монохромного анализа наночастиц для определения выраженности и патофизиологической направленности гомеостатических сдвигов у больных с верифицированным диагнозом хронического аутоиммунного гепатита по образцам ротоглоточных смывов (слюны), а также расчёт показателей диагностической специфичности и чувствительности теста. Материалы и методы: исследования проводились в «Центре европейской и восточной медицины» с 2019 по 2022 год, и были обследованы 14 пациентов с верифицированным диагнозом аутоиммунного гепатита. Установлено, что наиболее типичные спектры слюны больных с аутоиммунным поражением печени характеризовались трёхмодальностью и преимущественностью рассеяния света на частицах сверхкрупного диаметра (свыше 1000 нм) и значительным увеличением вклада в светорассеяние наночастиц мелкого и среднего гидродинамического размера, что являлось статистически достоверным (р&lt;0,001) при проведении сравнительного анализа со спектрами слюны практически здоровых лиц и пациентов с общесоматическими заболеваниями печени не аутоиммунного генеза. Показатели диагностической чувствительности в отношении аутоиммунного гепатита составили 95%, диагностической специфичности - 93%. Выводы: результатами проведенного научного исследования явились разработанный алгоритм применения лазерной спектроскопии слюны для неинвазивной экспресс-диагностики хронических аутоиммунных гепатитов, когда со своевременно выставленным диагнозом лечебные мероприятия будут являться максимально эффективными и направленными на профилактику осложнений и системных проявлений заболевания, и расчёт показателей диагностической чувствительности и специфичности метода монохромного анализа наночастиц.</p></abstract><trans-abstract xml:lang="en"><p>Сhronic autoimmune hepatitis is an urgent problem of modern medicine due to the widespread prevalence among all autoimmune diseases (more than 25%) and the difficulty of its diagnosis due to the lack of reliable serological tests for its detection. The purpose of this work was to study the possibility of the method of monochrome analysis of nanoparticles in noninvasive detection of AIG and to develop an algorithm for rapid diagnosis of chronic autoimmune hepatitis by saliva. The goal was solved by performing a number of tasks: the development of a diagnostic algorithm for monochrome analysis of nanoparticles to determine the severity and pathophysiological orientation of homeostatic shifts in patients with a verified diagnosis of chronic autoimmune hepatitis using samples of oropharyngeal flushes (saliva), as well as the calculation of diagnostic specificity and sensitivity of the test. Materials and methods: The studies were conducted at the Center for European and Oriental Medicine from 2019 to 2022, and 14 patients with a verified diagnosis of autoimmune hepatitis were examined. It was found that the most typical saliva spectra of patients with autoimmune liver damage were characterized by three-modality and predominance of light scattering on particles of super-large diameter (over 1000 nm) and a significant increase in the contribution to light scattering of nanoparticles of small and medium hydrodynamic size, which was statistically significant (p&lt;0.001) when conducting a comparative analysis with the saliva spectra of practically healthy individuals and patients with general somatic liver diseases of non-autoimmune genesis. The indicators of diagnostic sensitivity for autoimmune hepatitis were 95%, diagnostic specificity - 93%. Conclusions: the results of the conducted scientific research were the developed algorithm for the use of laser spectroscopy of saliva for noninvasive rapid diagnosis of chronic autoimmune hepatitis, when with a timely diagnosis, therapeutic measures will be maximally effective and aimed at preventing complications and systemic manifestations of the disease, and the calculation of diagnostic sensitivity and specificity of the method of monochrome analysis of nanoparticles.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>хронический аутоиммунный гепатит</kwd><kwd>алгоритм экспресс-диагностики</kwd><kwd>чувствительность и специфичность теста</kwd><kwd>слюна</kwd><kwd>монохромный анализ наночастиц</kwd></kwd-group><kwd-group xml:lang="en"><kwd>chronic autoimmune hepatitis</kwd><kwd>rapid diagnostic algorithm</kwd><kwd>sensitivity and specificity of the test</kwd><kwd>saliva</kwd><kwd>monochrome analysis of nanoparticles</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">Lewin M., Vilgrain V., Ozenne V., et al. 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