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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">clinmed</journal-id><journal-title-group><journal-title xml:lang="ru">Клиническая медицина</journal-title><trans-title-group xml:lang="en"><trans-title>Clinical Medicine (Russian Journal)</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">0023-2149</issn><issn pub-type="epub">2412-1339</issn><publisher><publisher-name>ООО «Медицинское информационное агентство»</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.30629/0023-2149-2024-102-9-10-698-706</article-id><article-id custom-type="elpub" pub-id-type="custom">clinmed-945</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 И ЛЕКЦИИ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>REVIEWS AND LECTURES</subject></subj-group></article-categories><title-group><article-title>Хитиназа-3-подобный белок 1 (CHI3L1, YKL-40) при сердечно-сосудистой патологии</article-title><trans-title-group xml:lang="en"><trans-title>Chitinase-3-like protein 1 (CHI3L1, YKL-40) in cardiovascular pathology</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-5416-8579</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Алиева</surname><given-names>А. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Alieva</surname><given-names>A. M.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Алиева Амина Магомедовна — канд. мед. наук, доцент</p><p>Москва</p></bio><bio xml:lang="en"><p>Amina M. Alieva — Candidate of Medical Sciences, Associate Professor</p><p>Moscow</p></bio><email xlink:type="simple">amisha_alieva@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/0000-0003-1613-3716</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Валиев</surname><given-names>Р. К.</given-names></name><name name-style="western" xml:lang="en"><surname>Valiev</surname><given-names>R. K.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Валиев Рамиз Камраддинович — канд. мед. наук</p><p>Москва</p></bio><bio xml:lang="en"><p>Ramiz K. Valiev — Candidate of Medical Sciences</p><p>Moscow</p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-0886-6290</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Байкова</surname><given-names>И. Е.</given-names></name><name name-style="western" xml:lang="en"><surname>Baykova</surname><given-names>I. E.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Байкова Ирина Евгеньевна — канд. мед. наук, доцент</p><p>Москва</p></bio><bio xml:lang="en"><p>Irina E. Baykova — Candidate of Medical Sciences, Associate Professor</p><p>Moscow</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-7181-4680</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Теплова</surname><given-names>Н. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Teplova</surname><given-names>N. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Теплова Наталья Вадимовна — д-р мед. наук, профессор</p><p>Москва</p></bio><bio xml:lang="en"><p>Natalia V. Teplova — Doctor of Medical Sciences, Professor</p><p>Moscow</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-3000-0987</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Шнахова</surname><given-names>Л. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Shnakhova</surname><given-names>L. M.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Шнахова Лидия Мухамедовна — врач</p><p>Москва</p></bio><bio xml:lang="en"><p>Lidiya M. Shnakhova — Doctor of Medical Sciences</p><p>Moscow</p></bio><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-1794-9258</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Сарыев</surname><given-names>М. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Saryev</surname><given-names>M. N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Сарыев Мухаммет Нурыевич — врач</p><p>Москва</p></bio><bio xml:lang="en"><p>Mukhammet N. Saryev — doctor</p><p>Moscow</p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-5352-8499</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Котикова</surname><given-names>И. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Kotikova</surname><given-names>I. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Котикова Ирина Александровна — студентка,</p><p>Москва</p></bio><bio xml:lang="en"><p>Irina A. Kotikova — student</p><p>Moscow</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-1699-0881</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Никитин</surname><given-names>И. Г.</given-names></name><name name-style="western" xml:lang="en"><surname>Nikitin</surname><given-names>I. G.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Никитин Игорь Геннадиевич — д.м.н., профессор</p><p>Москва</p></bio><bio xml:lang="en"><p>Igor G. Nikitin — Doctor of Medical Sciences, Professor</p><p>Moscow</p></bio><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГАОУ ВО «Российский национальный исследовательский медицинский университет им. Н.И. Пирогова» Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>N.I. Pirogov Russian National Research Medical University of the Ministry of Health of the Russian Federation</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>ГБУЗ «Московский клинический научный центр имени А.С. Логинова Департамента здравоохранения города Москвы»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Moscow Clinical Scientific and Practical Center named after A. S. Loginov of the Department of Health of the City of Moscow</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>ФГАОУ ВО «Первый Московский государственный медицинский университет им. И.М. Сеченова» Минздрава России (Сеченовский Университет)</institution><country>Россия</country></aff><aff xml:lang="en"><institution>I.M. Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation (Sechenov University)</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2024</year></pub-date><pub-date pub-type="epub"><day>05</day><month>02</month><year>2025</year></pub-date><volume>102</volume><issue>9-10</issue><fpage>698</fpage><lpage>706</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Алиева А.М., Валиев Р.К., Байкова И.Е., Теплова Н.В., Шнахова Л.М., Сарыев М.Н., Котикова И.А., Никитин И.Г., 2025</copyright-statement><copyright-year>2025</copyright-year><copyright-holder xml:lang="ru">Алиева А.М., Валиев Р.К., Байкова И.Е., Теплова Н.В., Шнахова Л.М., Сарыев М.Н., Котикова И.А., Никитин И.Г.</copyright-holder><copyright-holder xml:lang="en">Alieva A.M., Valiev R.K., Baykova I.E., Teplova N.V., Shnakhova L.M., Saryev M.N., Kotikova I.A., Nikitin I.G.</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.clinmedjournal.com/jour/article/view/945">https://www.clinmedjournal.com/jour/article/view/945</self-uri><abstract><p>Сердечно-сосудистые заболевания (ССЗ) представляют собой глобальную медицинскую, социальную и экономическую проблему. В настоящее время продолжаются поиск и изучение новых биологических маркеров, которые способны обеспечить раннюю диагностику ССЗ, служить лабораторным инструментом оценки эффективности проводимого лечения или использоваться в качестве прогностических маркеров и критериев стратификации риска. Интерес ученых сосредоточен на изучении хитиназы-3-подобного белка 1 (CHI3L1, YKL-40) при ССЗ. Точные данные о роли CHI3L1 как в норме, так и при патологических состояниях до сих пор остаются не ясными. Имеющиеся данные свидетельствуют о том, что CHI3L1, возможно, регулирует пролиферацию, дифференцировку клеток, программируемую клеточную гибель, а также участвует в эмбриональном развитии, ангиогенезе, воспалительных реакциях, ремоделировании тканей,  и ряде других процессов. Согласно данным проведенных клинических исследований, CHI3L1 является перспективной молекулой, обладающей диагностическим и прогностическим потенциалом при ССЗ. Окончательное подтверждение роли CHI3L1 при сердечно-сосудистой патологии будет получено в результате будущих исследований.</p></abstract><trans-abstract xml:lang="en"><p>Cardiovascular diseases (CVD) represent a global medical, social, and economic issue. Currently, the search and study of new biological markers that can provide early diagnosis of CVD, serve as laboratory tools for assessing the effectiveness of treatment, or be used as prognostic markers and risk stratification criteria are ongoing. Scientists are particularly interested in studying chitinase-3-like protein 1 (CHI3L1, YKL-40) in relation to CVD. The precise role of CHI3L1 in both normal and pathological conditions remains unclear. Existing data suggest that CHI3L1 may regulate cell proliferation, differentiation, programmed cell death, as well as participate in embryonic development, angiogenesis, inflammatory responses, tissue remodeling, and a number of other processes. According to clinical studies conducted, CHI3L1 is a promising molecule with diagnostic and prognostic potential in CVD. The definitive confirmation of the role of CHI3L1 in cardiovascular pathology will be obtained through future research.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>сердечно-сосудистые заболевания</kwd><kwd>ишемическая болезнь сердца</kwd><kwd>биологический маркер</kwd><kwd>CHI3L1</kwd><kwd>YKL-40</kwd></kwd-group><kwd-group xml:lang="en"><kwd>cardiovascular diseases</kwd><kwd>ischemic heart disease</kwd><kwd>biological marker</kwd><kwd>CHI3L1</kwd><kwd>YKL-40</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">Roth G.A., Mensah G.A., Johnson C.O., Addolorato G., Ammirati E., Baddour L.M. et al. GBD-NHLBI-JACC Global burden of cardiovascular diseases writing group. 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