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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">ateroskleroz</journal-id><journal-title-group><journal-title xml:lang="ru">Атеросклероз</journal-title><trans-title-group xml:lang="en"><trans-title>Ateroscleroz</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2078-256X</issn><issn pub-type="epub">2949-3633</issn><publisher><publisher-name>НИИТПМ-филиал ИЦиГ СО РАН</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.52727/2078-256X-2026-22-2-135-158</article-id><article-id custom-type="elpub" pub-id-type="custom">ateroskleroz-1191</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>ОРИГИНАЛЬНЫЕ СТАТЬИ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>ORIGINAL ARTICLES</subject></subj-group></article-categories><title-group><article-title>Ассоциация вариантов генов АРОЕ, СЕТР, TRIB1 и хромосомного региона 9р21.3 с липидными параметрами крови и прогнозом инфаркта миокарда</article-title><trans-title-group xml:lang="en"><trans-title>Association of variants of the APOE, CETP, TRIB1 genes and chromosomal region 9p21.3 with blood lipid parameters and prognosis of myocardial infarction</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-3999-8501</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Семаев</surname><given-names>С. Е.</given-names></name><name name-style="western" xml:lang="en"><surname>Semaev</surname><given-names>S. E.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Сергей Евгеньевич Семаев, младший научный сотрудник лаборатории молекулярно-генетических исследований терапевтических заболеваний; младший научный сотрудник сектора изучения моногенных форм распространенных заболеваний человека</p><p>630089, г. Новосибирск, ул. Бориса Богаткова, 175/1</p><p>630090, г. Новосибирск, пр. Академика Лаврентьева,10</p></bio><bio xml:lang="en"><p>Sergey E. Semaev, junior researcher at the laboratory of molecular genetic investigations of therapeutic diseases; junior researcher at the laboratory of the study of monogenic forms of common human diseases</p><p>175/1, Borisa Bogatkova st., Novosibirsk, 630089</p><p>10, Akademika Lavrentyeva ave., Novosibirsk, 630090</p></bio><email xlink:type="simple">sse281985@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/0000-0001-9371-2178</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Орлов</surname><given-names>П. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Orlov</surname><given-names>P. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Павел Сергеевич Орлов, научный сотрудник лаборатории молекулярно-генетических исследований терапевтических заболеваний; младший научный сотрудник лаборатории молекулярной генетики человека</p><p>630089, г. Новосибирск, ул. Бориса Богаткова, 175/1</p><p>630090, г. Новосибирск, пр. Академика Лаврентьева,10</p></bio><bio xml:lang="en"><p>Pavel S. Orlov, researcher at the laboratory of molecular genetic investigations of therapeutic diseases; junior researcher at the laboratory of human molecular genetics</p><p>175/1, Borisa Bogatkova st., Novosibirsk, 630089</p><p>10, Akademika Lavrentyeva ave., Novosibirsk, 630090</p></bio><email xlink:type="simple">orlovpavel86@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/0000-0001-9270-9188</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Щербакова</surname><given-names>Л. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Shcherbakova</surname><given-names>L. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Лилия Валерьевна Щербакова, старший научный сотрудник лаборатории клинико-популяционных и профилактических исследований терапевтических и эндокринных заболеваний</p><p>630089, г. Новосибирск, ул. Бориса Богаткова, 175/1</p></bio><bio xml:lang="en"><p>Liliya V. Shcherbakova, researcher in the laboratory of clinical-populational and prophylactic studies on internal and endocrine diseases</p><p>175/1, Borisa Bogatkova st., Novosibirsk, 630089</p></bio><email xlink:type="simple">scherbakovalv@bionet.nsc.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/0000-0002-0403-545X</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Иванощук</surname><given-names>Д. Е.</given-names></name><name name-style="western" xml:lang="en"><surname>Ivanoshchuk</surname><given-names>D. E.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Динара Евгеньевна Иванощук, научный сотрудник лаборатории молекулярно-генетических исследований терапевтических заболеваний; младший научный сотрудник лаборатории молекулярной генетики человека</p><p>630089, г. Новосибирск, ул. Бориса Богаткова, 175/1</p><p>630090, г. Новосибирск, пр. Академика Лаврентьева,10</p></bio><bio xml:lang="en"><p>Dinara E. Ivanoshchuk, researcher at the laboratory of molecular genetic investigations of therapeutic diseases;  junior researcher at the laboratory of human molecular genetics</p><p>175/1, Borisa Bogatkova st., Novosibirsk, 630089</p><p>10, Akademika Lavrentyeva ave., Novosibirsk, 630090</p></bio><email xlink:type="simple">dinara2084@mail.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/0000-0001-6539-0466</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Малютина</surname><given-names>С. К.</given-names></name><name name-style="western" xml:lang="en"><surname>Malyutina</surname><given-names>S. K.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Софья Константиновна Малютина, д-р мед. наук, проф., главный научный сотрудник, зав. лабораторией этиопатогенеза и клиники внутренних заболеваний</p><p>630089, г. Новосибирск, ул. Бориса Богаткова, 175/1</p></bio><bio xml:lang="en"><p>Sofia K. Malyutina, doctor of medical sciences, professor, head of the laboratory of etiopathogenesis and clinics of internal diseases</p><p>175/1, Borisa Bogatkova st., Novosibirsk, 630089</p></bio><email xlink:type="simple">smalyutina@hotmail.com</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-5701-7856</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Гафаров</surname><given-names>В. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Gafarov</surname><given-names>V. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Валерий Васильевич Гафаров, д-р мед. наук, проф., главный научный сотрудник, зав. лабораторией психологических и социологических проблем терапевтических заболеваний</p><p>630089, г. Новосибирск, ул. Бориса Богаткова, 175/1</p></bio><bio xml:lang="en"><p>Valery V. Gafarov, doctor of medical sciences, professor, head of the laboratory psychological and sociological problems of therapeutic diseases</p><p>175/1, Borisa Bogatkova st., Novosibirsk, 630089</p></bio><email xlink:type="simple">valery.gafarov@gmail.com</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-4936-8362</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Рагино</surname><given-names>Ю. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Ragino</surname><given-names>Yu. I.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Юлия Игоревна Рагино, д-р мед. наук, проф., чл.-корр. РАН, главный научный сотрудник, руководитель</p><p>630089, г. Новосибирск, ул. Бориса Богаткова, 175/1</p></bio><bio xml:lang="en"><p>Yulia I. Ragino, doctor of medical sciences, professor, corresponding member of the RAS, head</p><p>175/1, Borisa Bogatkova st., Novosibirsk, 630089</p></bio><email xlink:type="simple">ragino@mail.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/0000-0001-6108-1025</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Шахтшнейдер</surname><given-names>Е. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Shakhtshneider</surname><given-names>E. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Елена Владимировна Шахтшнейдер, д-р мед. наук, ведущий научный сотрудник лаборатории молекулярно-генетических исследований терапевтических заболеваний; зав. сектором изучения моногенных форм распространенных заболеваний человека</p><p>630089, г. Новосибирск, ул. Бориса Богаткова, 175/1</p><p>630090, г. Новосибирск, пр. Академика Лаврентьева,10</p></bio><bio xml:lang="en"><p>Elena V. Shakhtshneider, doctor of medical sciences, leading researcher; head of the laboratory of the study of monogenic forms of common human diseases</p><p>175/1, Borisa Bogatkova st., Novosibirsk, 630089</p><p>10, Akademika Lavrentyeva ave., Novosibirsk, 630090</p></bio><email xlink:type="simple">2117409@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Научно-исследовательский институт терапии и профилактической медицины – филиал Федерального государственного бюджетного научного учреждения «Федеральный исследовательский центр Институт цитологии и генетики Сибирского отделения Российской академии наук»; Федеральное государственное бюджетное научное учреждение «Федеральный исследовательский центр Институт цитологии и генетики Сибирского отделения Российской академии наук»</institution></aff><aff xml:lang="en"><institution>Research Institute of Internal and Preventive Medicine – Branch of the Institute of Cytology and Genetics, Siberian Branch of Russian Academy of Sciences; Institute of Cytology and Genetics, Siberian Branch of Russian Academy of Sciences</institution></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>Научно-исследовательский институт терапии и профилактической медицины – филиал Федерального государственного бюджетного научного учреждения «Федеральный исследовательский центр Институт цитологии и генетики Сибирского отделения Российской академии наук»</institution></aff><aff xml:lang="en"><institution>Research Institute of Internal and Preventive Medicine – Branch of the Institute of Cytology and Genetics, Siberian Branch of Russian Academy of Sciences</institution></aff></aff-alternatives><pub-date pub-type="collection"><year>2026</year></pub-date><pub-date pub-type="epub"><day>30</day><month>06</month><year>2026</year></pub-date><volume>22</volume><issue>2</issue><fpage>135</fpage><lpage>158</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Семаев С.Е., Орлов П.С., Щербакова Л.В., Иванощук Д.Е., Малютина С.К., Гафаров В.В., Рагино Ю.И., Шахтшнейдер Е.В., 2026</copyright-statement><copyright-year>2026</copyright-year><copyright-holder xml:lang="ru">Семаев С.Е., Орлов П.С., Щербакова Л.В., Иванощук Д.Е., Малютина С.К., Гафаров В.В., Рагино Ю.И., Шахтшнейдер Е.В.</copyright-holder><copyright-holder xml:lang="en">Semaev S.E., Orlov P.V., Shcherbakova L.V., Ivanoshchuk D.E., Malyutina S.K., Gafarov V.V., Ragino Y.I., Shakhtshneider E.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://ateroskleroz.elpub.ru/jour/article/view/1191">https://ateroskleroz.elpub.ru/jour/article/view/1191</self-uri><abstract><p>Сердечно-сосудистые заболевания, в том числе атеросклеротические, – одна из ведущих причин заболеваемости и смертности в России. Гиперлипидемия относится к самым распространенным нарушениям метаболизма, приводящим к развитию атеросклероза в случае несвоевременной диагностики и отсутствия лечения. Атеросклероз – наиболее частая причина ишемической болезни сердца (ИБС), самым неблагоприятным исходом которой является инфаркт миокарда (ИМ). Нарушения обмена липидов могут быть связаны не только с образом жизни, но и с генетической предрасположенностью. Цель исследования — изучить ассоциацию вариантов генов АРОЕ, СЕТР, TRIB1 и хромосомного региона 9р21.3 с липидными параметрами, а также с прогнозом ИМ у европеоидного населения Западной Сибири (Россия). Материал и методы. В исследование включено 3125 участников проекта HAPIEE (58,3 ± 7 лет; мужчин 47,9 %, женщин 52,1 %). Сбор данных о новых случаях ИМ в наблюдаемой когорте проводился на основе Новосибирского городского регистра инфаркта миокарда и регистра смертности в течение 12 лет (2003–2015 гг.). Генотипирование проводили с помощью аллель-специфической Real-Time PCR с применением технологии TaqMan (Биолабмикс, Новосибирск, Россия) на приборе CFX-96 Real-Time PCR System (Bio-Rad Laboratories, Inc, USA). Результаты. Варианты rs429358 и rs7412 гена APOE статистически значимо ассоциированы со средними уровнями общего холестерина (ОХС) (p &lt; 0,0001), холестерина липопротеинов высокой плотности (ХС ЛПВП) (р = 0,019 в общей группе), холестерина липопротеинов низкой плотности (ХС ЛПНП) (p &lt; 0,0001), ХС не-ЛПВП, триглицеридов (ТГ) (p &lt; 0,0001), а также с индексом атерогенности (ИА) (p &lt; 0,0001). Выявлена статистически значимая ассоциация варианта rs708272 гена CETP с уровнем ХС ЛПВП (p &lt; 0,0001), ИА (р = 0,001) и варианта rs1333049 региона 9р21.3 с уровнем ОХС (р = 0,004), ХС ЛПНП (р = 0,001), ХС не-ЛПВП (р = 0,005) в группе мужчин. Среди носителей вариантов rs429358 и rs7412 гена АРОЕ обнаружены статистически значимые различия по прогнозу ИМ в группе женщин (р = 0,0010). Для rs708272 гена СЕТР выявлена статистически значимая ассоциация в подгруппе мужчин (р = 0,028). Для rs1333049 региона 9р21.3 показаны статистически значимые различия в общей группе (р = 0,010). Заключение. В рамках данной работы выявлена статистически значимая ассоциация вариантов генов АРОЕ, СЕТР и хромосомного региона 9р21.3 с липидными параметрами крови, а также с прогнозом по ИМ в группе европеоидного населения Западной Сибири.</p></abstract><trans-abstract xml:lang="en"><p>Cardiovascular diseases, including atherosclerotic diseases, are among the leading causes of morbidity and mortality in Russia. Hyperlipidemia is one of the most common metabolic disorders, leading to the development of atherosclerosis if undiagnosed and untreated. Atherosclerosis is the most common cause of coronary heart disease (CHD), the most unfavorable outcome of which is myocardial infarction (MI). Lipid metabolism disorders can be associated not only with lifestyle but also with genetic predisposition. The aim of this study was to investigate the association of variants in the APOE, CETP, TRIB1 genes, and chromosomal region 9p21.3 with lipid parameters and the prognosis of MI in the Caucasian population of Western Siberia (Russia). Material and methods. The study included 3125 participants of the HAPIEE project (58.3 ± 7 years; men 47.9 %, women 52.1 %). Data on new cases of MI in the observed cohort were collected from the Novosibirsk City Registry of Myocardial Infarction and Mortality Register over 12 years (2003–2015). Genotyping was performed using allele-specific Real-Time PCR with TaqMan technology (Biolabmix, Novosibirsk, Russia) on a CFX-96 Real-Time PCR System (Bio-Rad Laboratories, Inc, USA). Results. Variants rs429358 and rs7412 of the APOE gene were statistically significantly associated with the average levels of TC (p &lt; 0.0001), HDL-C (p = 0.019 in the overall group), LDL-C (p &lt; 0.0001), non-HDL-C, TG (p &lt; 0.0001), and IA (p &lt; 0.0001). A statistically significant association was found between the rs708272 variant of the CETP gene with the level of HDL-C (p &lt; 0.0001), AI (p = 0.001) and the rs1333049 variant of the 9p21.3 region with the level of TC (p = 0.004), LDL-C (p = 0.001), non-HDL-C (p = 0.005) in the group of men. Among the carriers of the rs429358 and rs7412 APOE gene variants, statistically significant differences were found in the prognosis of MI in the group of women (p = 0.0010). For rs708272 of the CETP gene, a statistically significant association was found in the subgroup of men (p = 0.028). For rs1333049 of the 9p21.3 region, statistically significant differences were shown in the overall group (p = 0.010). Conclusion. In this study, a statistically significant association of variants of the APOE, CETP genes and the chromosomal region 9p21.3 with blood lipid parameters, as well as with the prognosis for MI in the group of Caucasian in- habitants of Western Siberia, was revealed.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>АРОЕ</kwd><kwd>СЕТР</kwd><kwd>TRIB1</kwd><kwd>rs1333049</kwd><kwd>ОХС</kwd><kwd>ХС ЛПНП</kwd><kwd>ХС ЛПВП</kwd></kwd-group><kwd-group xml:lang="en"><kwd>АРОЕ</kwd><kwd>СЕТР</kwd><kwd>TRIB1</kwd><kwd>rs1333049</kwd><kwd>TC</kwd><kwd>LDL-C</kwd><kwd>HDL-C</kwd></kwd-group><funding-group><funding-statement xml:lang="ru">Молекулярно-генетические исследования выполнены в рамках темы Государственного задания FWNR-2025-0006.</funding-statement><funding-statement xml:lang="en">Molecular genetic studies were carried out within the framework of the State Assignment FWNR-2025-0006.</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">Российский статистический ежегодник. 2024: Статистический сборник/Росстат. 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