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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-218-10-63-76</article-id><article-id custom-type="elpub" pub-id-type="custom">nogr-2549</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>ОЖИРЕНИЕ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>OBESITY</subject></subj-group></article-categories><title-group><article-title>Микробиота кишечника при комбинированном лечении колоректального рака с использованием аутопробиотиков</article-title><trans-title-group xml:lang="en"><trans-title>Gut microbiota in the combined treatment of colorectal cancer using autoprobiotics</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-2569-6660</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Ермоленко</surname><given-names>Е. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Ermolenko</surname><given-names>E. I.</given-names></name></name-alternatives><email xlink:type="simple">lermolenko1@yandex.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/0000-0003-0275-6621</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Алехина</surname><given-names>Г. Г.</given-names></name><name name-style="western" xml:lang="en"><surname>Alyokhina</surname><given-names>G. G.</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"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-4958-5850</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Кащенко</surname><given-names>В. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Kashchenko</surname><given-names>V. A.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-8514-5377</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Захаренко</surname><given-names>А. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Zakharenko</surname><given-names>A. A.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-9927-5607</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Тен</surname><given-names>О. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Ten</surname><given-names>O. A.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0004-5269-0039</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Морозова</surname><given-names>А. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Morozova</surname><given-names>A. 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"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-7878-6339</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Цапиева</surname><given-names>А. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Tsapieva</surname><given-names>A. N.</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"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-7925-7743</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Ильина</surname><given-names>А. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Ilyina</surname><given-names>A. S.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-4961-7381</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Овчинников</surname><given-names>Т. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Ovchinnikov</surname><given-names>T. S.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-1847-3231</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Пунченко</surname><given-names>О. Е.</given-names></name><name name-style="western" xml:lang="en"><surname>Punchenko</surname><given-names>O. E.</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"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-2732-5676</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Гладышев</surname><given-names>Н. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Gladyshev</surname><given-names>N. 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"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-6214-9770</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Дмитриев</surname><given-names>А. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Dmitriev</surname><given-names>A. 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"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-2312-5589</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Суворов</surname><given-names>А. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Suvorov</surname><given-names>A. N.</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>ФГБНУ “Институт экспериментальной медицины”</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Institute of Experimental Medicine</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>Федеральное государственное бюджетное учреждение “Северо-Западный окружной научно-клинический центр имени Л. Г. Соколова”</institution><country>Россия</country></aff><aff xml:lang="en"><institution>North-Western district scientific and clinical centre named after L. G. Sokolov Federal Medical and Biological Agency</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>ФГБОУ ВО “Первый Санкт-Петербургский государственный медицинский университет имени Павлова И. П.”</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Academician I. P. Pavlov First St. Petersburg 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>15</day><month>03</month><year>2024</year></pub-date><volume>0</volume><issue>10</issue><fpage>63</fpage><lpage>76</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Ермоленко Е.И., Алехина Г.Г., Кащенко В.А., Захаренко А.А., Тен О.А., Морозова А.С., Цапиева А.Н., Ильина А.С., Овчинников Т.С., Пунченко О.Е., Гладышев Н.С., Дмитриев А.В., Суворов А.Н., 2024</copyright-statement><copyright-year>2024</copyright-year><copyright-holder xml:lang="ru">Ермоленко Е.И., Алехина Г.Г., Кащенко В.А., Захаренко А.А., Тен О.А., Морозова А.С., Цапиева А.Н., Ильина А.С., Овчинников Т.С., Пунченко О.Е., Гладышев Н.С., Дмитриев А.В., Суворов А.Н.</copyright-holder><copyright-holder xml:lang="en">Ermolenko E.I., Alyokhina G.G., Kashchenko V.A., Zakharenko A.A., Ten O.A., Morozova A.S., Tsapieva A.N., Ilyina A.S., Ovchinnikov T.S., Punchenko O.E., Gladyshev N.S., Dmitriev A.V., Suvorov A.N.</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/2549">https://www.nogr.org/jour/article/view/2549</self-uri><abstract><p>Несмотря на большие успехи в лечении онкологических заболеваний, остается актуальным разработка медицинских технологий, позволяющих предотвратить или уменьшить осложнения терапии, в частности, связанные с оперативным вмешательством и введением антибиотиков. Целью исследования явилась оценка эффективности использования аутопробиотиков на основе индигенных непатогенных штаммов Enterococcus faecium и E. hirae при комплексной терапии колоректального рака (КРР) в раннем послеоперационном периоде. Использование аутопробиотиков не вызывало побочных эффектов, приводило к снижению уровня провоспалительных цитокинов IL-6 и IL-18 в сыворотке крови. Выявлены особенности микробиома кишечника у больных с КРР, принципиально отличающиеся от данных других авторов увеличением альфа-биоразнообразия, представительства лактобацилл, бифидобактерий, Bacteroides thetaiotaomicron и его дополнительные различия, связанные с отсутствием непатогенных энтерококков: большее количество Parvimonas micra, меньшее количество Akkermansia sp., увеличение содержания Klebsiella sp., Fusobacterium nucleatum и Clostridium perfringens. Применение аутопробиотиков приводило к элиминации P. micra, снижению количественного содержания C. perfringens, что способствовало нормализации микробиоты у большинства пациентов. Доказана эффективность аутопробиотиков при терапии КРР, которая, по-видимому, связана с изменением состава кишечного микробиоценоза.</p></abstract><trans-abstract xml:lang="en"><p>Despite great advances in the treatment of oncological diseases, the development of medical technologies to prevent or reduce complications of therapy, in particular, those associated with surgery and the introduction of antibiotics, remains relevant. The aim of the study was to evaluate the effectiveness of the use of autoprobiotics based on indigenous non-pathogenic strains of Enterococcus faecium and E. hirae in the complex therapy of colorectal cancer (CRC) in the early postoperative period. The use of autoprobiotics did not cause side effects and led to a decrease in the level of pro-inflammatory cytokines (IL-6 and IL-18) in the blood serum. The features of the intestinal microbiome in patients with CRC were revealed, which are fundamentally different from those of other authors by an increase in alpha- biodiversity, lactobacilli, bifidobacteria, Bacteroides thetaiotaomicron and its additional differences associated with the absence of non-pathogenic enterococci: a greater amount of Parvimonas micra, a smaller amount of Akkermansia spp., an increase in the content of Klebsiella sp., Fusobacterium nucleatum and Clostridium perfringens. The use of autoprobiotics led to the elimination of P. micra, a decrease in C. perfringens, which led to the normalization of the microbiota in most patients. The effectiveness of autoprobiotics in the treatment of CRC has been proven, which, apparently, is associated with a change in the composition of intestinal microbiocenosis.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>микробиом</kwd><kwd>Enterococcus spp</kwd><kwd>Parvimonas micra</kwd><kwd>альфа-разнообразие</kwd><kwd>дисбиоз кишечника</kwd><kwd>интерлейкины</kwd></kwd-group><kwd-group xml:lang="en"><kwd>microbiome</kwd><kwd>Enterococcus spp</kwd><kwd>Parvimonas micra</kwd><kwd>alpha-biodiversity</kwd><kwd>intestinal dysbiosis</kwd><kwd>interleukins</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">Hooper L. V., Littman D. R., Macpherson A. J.Interactions between the microbiota and the immune system. Science. 2012 Jun; 336 (6086): 1268-1273. doi: 10.1126/science.1223490.</mixed-citation><mixed-citation xml:lang="en">Hooper L. V., Littman D. R., Macpherson A. 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