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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">medalphabet</journal-id><journal-title-group><journal-title xml:lang="ru">Медицинский алфавит</journal-title><trans-title-group xml:lang="en"><trans-title>Medical alphabet</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2078-5631</issn><issn pub-type="epub">2949-2807</issn><publisher><publisher-name>ООО «Альфмед»</publisher-name></publisher></journal-meta><article-meta><article-id custom-type="elpub" pub-id-type="custom">medalphabet-105</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>Статьи</subject></subj-group></article-categories><title-group><article-title>Рак поджелудочной железы: повреждения генома и возможности персонализированной медицины</article-title><trans-title-group xml:lang="en"><trans-title>Pancreatic cancer: genome damage and possibilities of personalized medicine</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>Романова</surname><given-names>Т. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Romanova</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>Григорьева</surname><given-names>И. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Grigoryeva</surname><given-names>I. N.</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"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Ефимова</surname><given-names>О. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Efimova</surname><given-names>O. V.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-3"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГБНУ «Научно-исследовательский институт терапии и профилактической медицины» Сибирского отделения Российской академии наук</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Institute for Internal Medicine and Preventive Medicine</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>ФГАОУ ВО «Новосибирский национальный исследовательский государственный университет»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Novosibirsk State University</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>ФГБНУ «Научно-исследовательский институт терапии и профилактической медицины» Сибирского отделения Российской академии наук; ГБУЗ НО «Городская клиническая больница № 7»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Institute for Internal Medicine and Preventive Medicine; Municipal Clinical Hospital No. 7</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2017</year></pub-date><pub-date pub-type="epub"><day>23</day><month>03</month><year>2017</year></pub-date><volume>1</volume><issue>9</issue><issue-title>Практическая гастроэнтерология</issue-title><fpage>34</fpage><lpage>39</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Романова Т.И., Григорьева И.Н., Ефимова О.В., 2017</copyright-statement><copyright-year>2017</copyright-year><copyright-holder xml:lang="ru">Романова Т.И., Григорьева И.Н., Ефимова О.В.</copyright-holder><copyright-holder xml:lang="en">Romanova T.I., Grigoryeva I.N., Efimova O.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://www.med-alphabet.com/jour/article/view/105">https://www.med-alphabet.com/jour/article/view/105</self-uri><abstract><p>В статье представлен обзор результатов ряда исследований в области генетики рака поджелудочной железы (РПЖ). Описаны наиболее часто выявляемые дефекты в генах TP53, KRAS, TGFBR 2, PIK3CA, CDKN 2A, SMAD 4 и индуцируемые ими изменения основных сигнальных, а также некоторые иммунологические механизмы опухолевой прогрессии и метастазирования при РПЖ. В обзоре представлены возможности использования выявленных молекулярно-генетических особенностей для выбора новых мишеней для таргетной терапии этого злокачественного вида опухоли с целью повышения эффективности лечения больных РПЖ и дальнейшего развития персонализированной медицины.</p></abstract><trans-abstract xml:lang="en"><p>In this review we described the most frequently detected genomic alterations, defects in the genes TP53, KRAS, TGFBR 2, PIK3CA, CDKN2A, SMAD4, changes of the main signaling pathways those genes, certain immunological mechanisms of tumor progression and metastasis in pancreatic cancer (PC). The review reflects the possibility of using the identified molecular and genomic alterations to choose new targets for targeted therapy in order to increase the effectiveness of treatment of patients with PC and further development of personalized medicine.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>рак поджелудочной железы</kwd><kwd>повреждения генома</kwd><kwd>сигнальные пути</kwd><kwd>персонализированная медицина</kwd></kwd-group><kwd-group xml:lang="en"><kwd>pancreatic cancer</kwd><kwd>genomic alterations</kwd><kwd>signaling pathways</kwd><kwd>personalized medicine</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">Siegel R. L., Miller K. D., Jemal A. Cancer statistics, 2016. CA Cancer J. Clin. 2016; 66: 7-30.</mixed-citation><mixed-citation xml:lang="en">Siegel R. L., Miller K. D., Jemal A. Cancer statistics, 2016. CA Cancer J. 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