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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-211-3-74-79</article-id><article-id custom-type="elpub" pub-id-type="custom">nogr-2338</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>ОБЗОР</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>REVIEW</subject></subj-group></article-categories><title-group><article-title>Генетические особенности патогенеза аденокарцином поджелудочной железы</article-title><trans-title-group xml:lang="en"><trans-title>Genetic features of pathogenesis in pancreatic adenocarcinomas</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>Набока</surname><given-names>М. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Naboka</surname><given-names>M. V.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.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>Гараев</surname><given-names>Т. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Garaev</surname><given-names>T. I.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.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>Ляпустина</surname><given-names>О. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Lyapustina</surname><given-names>O. S.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.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>Вьюшков</surname><given-names>Д. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Viushkov</surname><given-names>D. M.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Федеральное государственное бюджетное образовательное учреждение высшего образования «Омский государственный медицинский университет» Министерства здравоохранения Российской Федерации</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Omsk State Medical University</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2023</year></pub-date><pub-date pub-type="epub"><day>25</day><month>07</month><year>2023</year></pub-date><volume>0</volume><issue>3</issue><fpage>74</fpage><lpage>79</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Набока М.В., Гараев Т.И., Ляпустина О.С., Вьюшков Д.М., 2023</copyright-statement><copyright-year>2023</copyright-year><copyright-holder xml:lang="ru">Набока М.В., Гараев Т.И., Ляпустина О.С., Вьюшков Д.М.</copyright-holder><copyright-holder xml:lang="en">Naboka M.V., Garaev T.I., Lyapustina O.S., Viushkov D.M.</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/2338">https://www.nogr.org/jour/article/view/2338</self-uri><abstract><p>На сегодняшний день проблема онкологических заболеваний под-желудочной железы в высоком проценте летальности. По прогнозам МАИР, к 2030 году рак поджелудочной железы станет второй основной причиной смертности от рака. Поскольку пациенты обычно поступают с прогрессирующим заболеванием и плохо реагируют на химиотерапию широкого спектра действия, общая выживаемость составляет всего 10%. Это подчеркивает острую клиническую необходимость в определении новых терапевтических подходов для пациентов с аденокарциномой поджелудочной железы. Цель: Выявить закономерности генетических изменений в развитии карциномы поджелудочной железы и рассмотреть пути патогенеза данного процесса. Материалы и методы: данные мульти-генетических панелей мемриального онкологического центра имени Слоуна Кеттеринга, статей журнала «Cancers» и статей ресурса PubMed. Результаты: в ходе работы были обнаружены основные и альтернативные пути патогенеза рака поджелудочной железы, установлены гипотезы о схожих путях патогенеза у опухолей других локализаций и о наличии фундаментальных патогенетических звеньях в патогенезе, указывающих на универсальность некоторых генетических изменений в опухолевом росте.</p></abstract><trans-abstract xml:lang="en"><p>To date, the problem of pancreatic cancer is the high mortality rate. The IARC predicts that pancreatic cancer will become the second leading cause of cancer deaths by 2030. Because patients usually present with advanced disease and respond poorly to broad-spectrum chemotherapy, overall survival is only 10%. This highlights the urgent clinical need to identify new therapeutic approaches for patients with pancreatic adeno-carcinoma. Objective: To identify patterns of genetic changes in the development of pancreatic carcinoma and to consider pathogenesis of this process. Materials and methods: data from multi-genetic panels of Memorial Sloan Kettering Cancer Center, articles of the journal Cancers, and PubMed re-source articles. Results: the work has uncovered major and alternative pathways in the pathogenesis of pancreatic cancer, established hypotheses of similar pathways in tumors of other localizations and the presence of fundamental pathogenetic links in pathogenesis, indicating the universality of certain genetic changes in tumor growth.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>поджелудочная железа</kwd><kwd>аденокарцинома</kwd><kwd>патогенез</kwd><kwd>опухолевый рост</kwd><kwd>дисплазия</kwd><kwd>мутации</kwd><kwd>KRAS</kwd><kwd>BRCA</kwd></kwd-group><kwd-group xml:lang="en"><kwd>pancreatic</kwd><kwd>adenocarcinoma</kwd><kwd>pathogenesis</kwd><kwd>tumor growth</kwd><kwd>dysplasia</kwd><kwd>mutations</kwd><kwd>KRAS</kwd><kwd>BRCA</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">Global Cancer Statistics 2020: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries. 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