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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 pub-id-type="doi">10.33667/2078-5631-2025-19-80-85</article-id><article-id custom-type="elpub" pub-id-type="custom">medalphabet-4521</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>Пробиотики и микробиота полости рта: проблемы и перспективы</article-title><trans-title-group xml:lang="en"><trans-title>Probiotics and oral microbiota: problems and prospects</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-3811-9459</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Прокопенко</surname><given-names>Е. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Prokopenko</surname><given-names>E. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Прокопенко Елена Валерьевна, руководитель отдела развития и сопровождения МИС и сервисов департамента по развитию медицинской деятельности ООО «Инвитро»</p><p>Москва</p></bio><bio xml:lang="en"><p>Prokopenko Elena V., head of Dept for Development and Maintenance of MIS and Services of the Dept for Development of Medical Activities of Invitro LLC</p><p>Moscow</p></bio><email xlink:type="simple">elvprokopenko@gmail.com</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-4689-3591</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Орлова</surname><given-names>С. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Orlova</surname><given-names>S. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Орлова Светлана Владимировна, д.м.н., проф., зав. кафедрой диетологии и клинической нутрициологии, главный научный сотрудник</p><p>Москва</p></bio><bio xml:lang="en"><p>Orlova Svetlana V., DM Sci (habil.), professor, head of Dept of Dietetics and Clinical Nutritiology, Chief Researcher</p><p>Moscow</p></bio><email xlink:type="simple">orlova-sv@rudn.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/0000-0003-4099-2967</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Подопригора</surname><given-names>И. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Podoprigora</surname><given-names>I. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Подопригора Ирина Викторовна, к.м.н., доцент, зав. кафедрой микробиологии им. В.С. Киктенко медицинского факультета</p><p>Москва</p></bio><bio xml:lang="en"><p>Podoprigora Irina V., PhD Med, associate professor, head of Dept of Microbiology </p><p>Moscow</p></bio><email xlink:type="simple">podoprigora-iv@rudn.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/0000-0003-3220-0333</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Никитина</surname><given-names>Е. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Nikitina</surname><given-names>E. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Никитина Елена Александровна, к.м.н., доцент кафедры диетологии и клинической нутрициологии, научный сотрудник3, эксперт Методического аккредитационно-симуляционного центра</p><p>Москва</p></bio><bio xml:lang="en"><p>Nikitina Elena A., PhD Med, associate professor at Dept of Dietetics and Clinical Nutrition, Research Fellow, Expert of the Methodological Accreditation and Simulation Center</p><p>Moscow</p></bio><email xlink:type="simple">nikitina-ea1@rudn.ru</email><xref ref-type="aff" rid="aff-4"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-1820-7862</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Геворкян</surname><given-names>А. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Gevorkyan</surname><given-names>A. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Геворкян Алексей Альбертович, к.м.н., доцент, доцент кафедры терапевтической стоматологии</p><p>Москва</p></bio><bio xml:lang="en"><p>Gevorkyan Alexey A., PhD Med associate professor at Dept of Therapeutic Dentistry</p><p>Moscow</p></bio><email xlink:type="simple">alexeygevorkyan@mail.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/0009-0004-1157-8622</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Орлова</surname><given-names>А. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Orlova</surname><given-names>A. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Орлова Анастасия Алексеевна, студентка Медицинского института </p><p>Москва</p></bio><bio xml:lang="en"><p>Orlova Anastasia A., student at Institute of Medicine </p><p>Moscow</p></bio><email xlink:type="simple">1032202909@rudn.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/0009-0001-3424-6485</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Айдын</surname><given-names>Э. Э.</given-names></name><name name-style="western" xml:lang="en"><surname>Aydin</surname><given-names>E. E.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Айдын Эмрие Эрденовна, студентка Медицинского института </p><p>Москва</p></bio><bio xml:lang="en"><p>Aydin Emriye E., student at Institute of Medicine </p><p>Moscow</p></bio><email xlink:type="simple">emma.aydin@mail.ru</email><xref ref-type="aff" rid="aff-3"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ООО «ИНВИТРО»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>INVITRO LLC</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>ФГАОУ ВО «Российский университет дружбы народов имени Патриса Лумумбы» (РУДН) ; ГБУЗ «Научно-практический центр детской психоневрологии Департамента здравоохранения г. Москвы»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Peoples’ Friendship University of Russia named after Patrice Lumumba (RUDN) ; Scientific and Practical Center for Child Psychoneurology of the Moscow City Health Department</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>ФГАОУ ВО «Российский университет дружбы народов имени Патриса Лумумбы» (РУДН)</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Peoples’ Friendship University of Russia named after Patrice Lumumba (RUDN)</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-4"><aff xml:lang="ru"><institution>ФГАОУ ВО «Российский университет дружбы народов имени Патриса Лумумбы» (РУДН) ; ГБУЗ «Научно-практический центр детской психоневрологии Департамента здравоохранения г. Москвы» ; ФГБУ «Национальный медицинский исследовательский центр терапии и профилактической медицины» Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Peoples’ Friendship University of Russia named after Patrice Lumumba (RUDN) ; Scientific and Practical Center for Child Psychoneurology of the Moscow City Health Department ; National Medical Research Center for Therapy and Preventive Medicine of the Russian Ministry of Health</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2025</year></pub-date><pub-date pub-type="epub"><day>30</day><month>08</month><year>2025</year></pub-date><volume>1</volume><issue>19</issue><issue-title>«Диетология и нутрициология»</issue-title><fpage>80</fpage><lpage>85</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Прокопенко Е.В., Орлова С.В., Подопригора И.В., Никитина Е.А., Геворкян А.А., Орлова А.А., Айдын Э.Э., 2025</copyright-statement><copyright-year>2025</copyright-year><copyright-holder xml:lang="ru">Прокопенко Е.В., Орлова С.В., Подопригора И.В., Никитина Е.А., Геворкян А.А., Орлова А.А., Айдын Э.Э.</copyright-holder><copyright-holder xml:lang="en">Prokopenko E.V., Orlova S.V., Podoprigora I.V., Nikitina E.A., Gevorkyan A.A., Orlova A.A., Aydin E.E.</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/4521">https://www.med-alphabet.com/jour/article/view/4521</self-uri><abstract><p>Микробиом полости рта представляет собой сложную экосистему, которая играет ключевую роль в поддержании здоровья полости рта и всего организма. Дисбиоз способствует возникновению таких распространенных заболеваний, как кариес, заболевания пародонта, галитоз, и может изменять течение и патогенез ряда системных заболеваний. Пробиотики стали перспективной терапевтической и профилактической стратегией, оказывая свое действие через различные механизмы. Клинические исследования и метаанализы свидетельствуют о потенциальной пользе ряда пробиотических штаммов, однако эффективность применения пробиотиков зависит от конкретного штамма, дозировки, длительности применения и других факторов.</p></abstract><trans-abstract xml:lang="en"><p>The oral microbiome is a complex ecosystem that plays a key role in maintaining oral and overall health. Dysbiosis contributes to the development of common diseases such as dental caries, periodontal disease, halitosis, and can alter the course and pathogenesis of a number of systemic diseases. Probiotics have become a promising therapeutic and preventive strategy, exerting their effect through various mechanisms. Clinical studies and meta-analyses indicate the potential benefit of a number of probiotic strains, but the effectiveness of probiotics depends on the specific strain, dosage, duration of use, and other factors.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>микробиота полости рта</kwd><kwd>пробиотики</kwd><kwd>дисбиоз</kwd><kwd>заболевания пародонта</kwd><kwd>кариес</kwd><kwd>галитоз</kwd></kwd-group><kwd-group xml:lang="en"><kwd>oral microbiota</kwd><kwd>probiotics</kwd><kwd>dysbiosis</kwd><kwd>periodontal disease</kwd><kwd>dental caries</kwd><kwd>halitosis</kwd></kwd-group><funding-group><funding-statement xml:lang="ru">Публикация выполнена при поддержке Программы стратегического академического лидерства РУДН.</funding-statement><funding-statement xml:lang="en">The publication was supported by the RUDN Strategic Academic Leadership Program.</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">Rajasekaran JJ, Krishnamurthy HK, Bosco J, Jayaraman V, Krishna K, Wang T, Bei K. 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