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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">avk</journal-id><journal-title-group><journal-title xml:lang="ru">Архивъ внутренней медицины</journal-title><trans-title-group xml:lang="en"><trans-title>The Russian Archives of Internal Medicine</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2226-6704</issn><issn pub-type="epub">2411-6564</issn><publisher><publisher-name>“SINAPS” LLC</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.20514/2226-6704-2020-10-6-414-421</article-id><article-id custom-type="elpub" pub-id-type="custom">avk-1104</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>ОБЗОРНЫЕ СТАТЬИ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>REVIEW ARTICLES</subject></subj-group></article-categories><title-group><article-title>Фактор некроза опухоли-альфа и возрастассоциированная патология</article-title><trans-title-group xml:lang="en"><trans-title>Tumor Necrosis Factor-Alpha and Age-Related Pathologies</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-4131-8432</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Тополянская</surname><given-names>С. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Topolyanskaya</surname><given-names>S. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Светлана Викторовна Тополянская</p><p>Кафедра госпитальной терапии № 2</p><p>Москва</p></bio><bio xml:lang="en"><p>Svetlana V. Topolyanskaya</p><p>Hospital Therapy Department № 2</p><p>Moscow</p></bio><email xlink:type="simple">sshekshina@yahoo.com</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГАОУ ВО Первый Московский государственный медицинский университет имени И.М. Сеченова Министерства здравоохранения РФ (Сеченовский Университет)</institution><country>Россия</country></aff><aff xml:lang="en"><institution>I.M. Sechenov First Moscow State Medical University (Sechenov University), RF Health Ministry</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2020</year></pub-date><pub-date pub-type="epub"><day>02</day><month>12</month><year>2020</year></pub-date><volume>10</volume><issue>6</issue><fpage>414</fpage><lpage>421</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Тополянская С.В., 2020</copyright-statement><copyright-year>2020</copyright-year><copyright-holder xml:lang="ru">Тополянская С.В.</copyright-holder><copyright-holder xml:lang="en">Topolyanskaya S.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.medarhive.ru/jour/article/view/1104">https://www.medarhive.ru/jour/article/view/1104</self-uri><abstract><p>В обзоре отражены современные представления о понятии «inflammaging» и роли субклини ческого воспаления при различной возрастассоциированной патологии. Особое внимание уделено фактору некроза опухоли-α — ключевому цитокину, принимающему важное участие как в патогенезе хронических воспалительных заболеваний, так и в процессах старения. Повышенное содержание фактора некроза опухоли-α приводит к возникновению и прогрессированию различных заболеваний, к усугублению старческой астении, к инвалидизации и смертности лиц пожилого и старческого возраста. Фактор некроза опухоли-α оказывает влияние на различные факторы риска сердечно-сосудистой патологии, способствует возникновению и прогрессированию атеросклероза и связанных с ним заболеваний. Этот цитокин может усугублять также различные метаболические нарушения, в первую очередь, инсулинорезистентность и сахарный диабет. Фактор некроза опухоли-α — ключевой цитокин, стимулирующий костную резорбцию (с возникновением остеопороза) и саркопению. Имеющиеся в нас тоящее время данные подтверждают важную роль фактора некроза опухоли-α при различных возраст-ассоциированных заболеваниях.</p></abstract><trans-abstract xml:lang="en"><p>Modern concepts about the «inflammaging» and the role of subclinical inflammation in various age-associated pathology are described in the review. Particular attention is paid to the tumor necrosis factor-α, a key cytokine that plays an important role in the pathogenesis of chronic inflammatory diseases as well as in aging. The increased levels of tumor necrosis factor-α leads to the onset and progression of various diseases, to severity of frailty, to disability and mortality of elderly persons. Tumor necrosis factor-α affects different risk factors for cardiovascular diseases, contributes to the onset and progression of atherosclerosis and related pathology. This cytokine can also aggravate various metabolic disorders, mainly — insulin resistance and diabetes mellitus. Tumor necrosis factor-α is a key cytokine that stimulates bone resorption (up to osteoporosis) and sarcopenia (up to cachexia). Currently available data confirm the important role of tumor necrosis factor-α in various age-associated disorders.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>воспаление</kwd><kwd>цитокины</kwd><kwd>фактор некроза опухоли-α (ФНО-α)</kwd><kwd>атеросклероз</kwd><kwd>старение</kwd><kwd>старческий возраст</kwd><kwd>долгожители</kwd></kwd-group><kwd-group xml:lang="en"><kwd>inflammation</kwd><kwd>cytokines</kwd><kwd>tumor necrosis factor-α (TNF-α)</kwd><kwd>atherosclerosis</kwd><kwd>aging</kwd><kwd>old age</kwd><kwd>long-livers</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">Franceschi C., Bonafe M., Valentin S., et al. Inflamm-aging. An evolutionary perspective on immunosenescence. Ann N Y Acad Sci. 2000;908:244-54. 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