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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 custom-type="elpub" pub-id-type="custom">ateroskleroz-52</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>ОБЗОРЫ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>REVIEWS</subject></subj-group></article-categories><title-group><article-title>НАРУШЕНИЯ ЛИПИДНОГО ОБМЕНА У БОЛЬНЫХ РАКОМ ПОДЖЕЛУДОЧНОЙ ЖЕЛЕЗЫ</article-title><trans-title-group xml:lang="en"><trans-title>LIPID METABOLISM DISORDERS In PANCREATIC CANCER</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>Григорьева</surname><given-names>И. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Grigorieva</surname><given-names>I. N.</given-names></name></name-alternatives><email xlink:type="simple">igrigorieva@ngs.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>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-2"/></contrib><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-3"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>НИИТПМ - филиал ИЦиГ СО РАН; Новосибирский национальный исследовательский государственный университет</institution></aff><aff xml:lang="en"><institution>Institute of Internal and Preventive Medicine - Branch of Federal Reseach Institute of Cytology and Genetics of SB RAS; Novosibirsk State National Research University</institution></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>МУЗ Городская клиническая больница № 7</institution></aff><aff xml:lang="en"><institution>Institute of Internal and Preventive Medicine - Branch of Federal Reseach Institute of Cytology and Genetics of SB RAS; City Clinical Hospital N 7</institution></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>НИИТПМ - филиал ИЦиГ СО РАН</institution></aff><aff xml:lang="en"><institution>Institute of Internal and Preventive Medicine - Branch of Federal Reseach Institute of Cytology and Genetics of SB RAS</institution></aff></aff-alternatives><pub-date pub-type="collection"><year>2017</year></pub-date><pub-date pub-type="epub"><day>27</day><month>09</month><year>2019</year></pub-date><volume>13</volume><issue>3</issue><fpage>43</fpage><lpage>49</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Григорьева И.Н., Ефимова О.В., Романова Т.И., 2019</copyright-statement><copyright-year>2019</copyright-year><copyright-holder xml:lang="ru">Григорьева И.Н., Ефимова О.В., Романова Т.И.</copyright-holder><copyright-holder xml:lang="en">Grigorieva I.N., Efimova O.V., Romanova T.I.</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/52">https://ateroskleroz.elpub.ru/jour/article/view/52</self-uri><abstract><p>При раке поджелудочной железы (РПЖ) доказана роль ожирения не только как фактора риска РПЖ, но и как фактора, связанного со снижением выживаемости при РПЖ в зрелом возрасте. При РПЖ отмечено усиление липогенеза: повышенная потребность раковых клеток в жирных кислотах (ЖК) реализуется не только путем усиления липогенеза de novo , но и путем усвоения экзогенных ЖК, хотя несколько метаанализов не подтвердили значение диетических жиров в повышении риска РПЖ. Метаболическое перепрограммирование раковых клеток направлено на обеспечение быстрой пролиферации опухолевых клеток: переход на аэробный гликолиз, повышение экспрессии ферментов, участвующих в образовании ЖК (цитрат-синтаза, АТФ-цитратлиаза и синтаза ЖК), что обусловлено мутацией гена TP53 . В качестве терапевтических агентов при РПЖ предлагают ингибировать синтазу ЖК, а также воздействовать на прениляцию и постпрениляцию онкогенов, в частности KRAS , как известными препаратами, учитывая плейотропный эффект аторвастатина, так и вновь синтезированным ингибитором фарнезилтрансферазы R115777.</p></abstract><trans-abstract xml:lang="en"><p>In pancreatic cancer (PC) proved the role of obesity not only as a PC risk factor, but also as a factor associated with reduced survival in PC in adulthood. In PC is marked by increased lipogenesis: an increased need of cancer cells in the fatty acid (FA) is implemented not only by increasing lipogenesis de novo, but also by the exogenous FA assimilation, although several meta-analyses have not confirmed the importance of dietary fat in increasing the PC risk. Metabolic reprogramming of cancer cells is aimed at ensuring the rapid proliferation of tumor cells: the transition to aerobic glycolysis, increased expression of enzymes involved in the FA formation (citrate-synthase, ATP-citrate lyase and FA synthase - FASN), due to a mutation of the gene TP53 . As therapeutic agents in PC offer to inhibit FASN, and also impact prenylation and post-prenylation of oncogenes, in particular, KRAS , known as drugs, given the pleiotropic effect of atorvastatin and newly synthesized inhibitor farnesyltransferase R115777.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>липидный обмен</kwd><kwd>рак поджелудочной железы</kwd><kwd>ген ТР53</kwd><kwd>жирные кислоты</kwd></kwd-group><kwd-group xml:lang="en"><kwd>KRAS</kwd><kwd>lipid metabolism</kwd><kwd>pancreatic cancer</kwd><kwd>gene TP53</kwd><kwd>KRAS</kwd><kwd>fatty acids</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">Григорьева И.Н. Острый и хронический панкреатит. Новосибирск: Наука, 2011. 101 с.</mixed-citation><mixed-citation xml:lang="en">Григорьева И.Н. Острый и хронический панкреатит. 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