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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">vestim</journal-id><journal-title-group><journal-title xml:lang="ru">Известия Национальной  академии наук Беларуси. Серия медицинских наук</journal-title><trans-title-group xml:lang="en"><trans-title>Proceedings of the National Academy of Sciences of Belarus, Medical series</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1814-6023</issn><issn pub-type="epub">2524-2350</issn><publisher><publisher-name>The Republican Unitary Enterprise Publishing House "Belaruskaya Navuka"</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.29235/1814-6023-2026-23-2-104-114</article-id><article-id custom-type="elpub" pub-id-type="custom">vestim-1083</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>КЛИНИЧЕСКАЯ И ЭКСПЕРИМЕНТАЛЬНАЯ МЕДИЦИНА</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>CLINICAL AND EXPERIMENTAL MEDICINE</subject></subj-group></article-categories><title-group><article-title>Роль молекулярно­генетических маркеров в развитии коморбидных заболеваний у недоношенных детей</article-title><trans-title-group xml:lang="en"><trans-title>The role of molecular genetic markers in the development of comorbid diseases in premature infants</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-4543-2862</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Михаленко</surname><given-names>Е. П.</given-names></name><name name-style="western" xml:lang="en"><surname>Mikhalenka</surname><given-names>A. P.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Михаленко Елена Петровна – канд. биол. наук, вед. науч. сотрудник</p><p>ул. Академическая, 27, 220072, г. Минск</p></bio><bio xml:lang="en"><p>Alena P. Mikhalenka – Ph. D. (Biol.), Leading Researcher</p><p>27, Akademicheskaya Str., 220072, Minsk</p></bio><email xlink:type="simple">E.Michalenko@igc.by</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0003-4103-7678</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Сухарева</surname><given-names>А. П.</given-names></name><name name-style="western" xml:lang="en"><surname>Sukharava</surname><given-names>A. P.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Сухарева Анастасия Павловна – врач-неонатолог, заведующий отделением. Клинический родильный дом Минской области</p><p>ул. Ф. Скорины, 16, 220076, г. Минск</p></bio><bio xml:lang="en"><p>Anastasiya P. Sukharava – Neonatologist, Head of the Department. Clinical Maternity Hospital of the Minsk Region</p><p>16, F. Skoriny Str., 220076, Minsk</p></bio><email xlink:type="simple">nstbor@yandex.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/0009-0007-5580-729X</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Артюшевская</surname><given-names>М. B.</given-names></name><name name-style="western" xml:lang="en"><surname>Rtsiusheuskaya</surname><given-names>M. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Артюшевская Марина Владимировна – канд. мед. наук, ассистент кафедры. Институт повышения квалификации и переподготовки кадров здравоохранения БГМУ</p><p>ул. П. Бровки, 3/3, 220013, г. Минск</p></bio><bio xml:lang="en"><p>Maryna V. Artsiusheuskaya – Ph. D. (Med.), Assistant of the Department. Institute for Advanced Training and Retraining of Healthcare Personnel of BSMU</p><p>3/3, P. Brovki Str., 220013</p></bio><email xlink:type="simple">6579542@bk.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/0000-0002-0175-9786</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Кильчевский</surname><given-names>А. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Kilchevsky</surname><given-names>A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Кильчевский Александр Владимирович – академик, д-р биол. наук, профессор, науч. руководитель лаборатории</p><p>ул. Академическая, 27, 220072, г. Минск</p></bio><bio xml:lang="en"><p>Aleksandr V. Kilchevsky – Academician, D. Sc. (Biol.), Professor, Scientific Director of the Laboratory</p><p>27, Akademicheskaya Str., 220072, Minsk</p></bio><email xlink:type="simple">Kilchev@presidium.bas-net.by</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Институт генетики и цитологии Национальной академии наук Беларуси</institution></aff><aff xml:lang="en"><institution>Institute of Genetics and Cytology of the National Academy of Sciences of Belarus</institution></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>Клинический родильный дом Минской области; &#13;
Белорусский государственный медицинский университет</institution></aff><aff xml:lang="en"><institution>Clinical Maternity Hospital of the Minsk Region; &#13;
Belarusian State Medical University</institution></aff></aff-alternatives><pub-date pub-type="collection"><year>2026</year></pub-date><pub-date pub-type="epub"><day>27</day><month>05</month><year>2026</year></pub-date><volume>23</volume><issue>2</issue><fpage>104</fpage><lpage>114</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Михаленко Е.П., Сухарева А.П., Артюшевская М.B., Кильчевский А.В., 2026</copyright-statement><copyright-year>2026</copyright-year><copyright-holder xml:lang="ru">Михаленко Е.П., Сухарева А.П., Артюшевская М.B., Кильчевский А.В.</copyright-holder><copyright-holder xml:lang="en">Mikhalenka A.P., Sukharava A.P., rtsiusheuskaya M.V., Kilchevsky A.</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://vestimed.belnauka.by/jour/article/view/1083">https://vestimed.belnauka.by/jour/article/view/1083</self-uri><abstract><p>Уровень заболеваемости недоношенных новорожденных остается стабильно высоким. Развитие у них таких заболеваний, как бронхолёгочная дисплазия (БЛД), ретинопатия недоношенных (РН), перивентрикулярная лейкомаляция (ПВЛ), является важной медицинской и социальной проблемой. Поиск новых маркеров генетической предрасположенности к коморбидным заболеваниям у недоношенных новорожденных будет способствовать пониманию патогенетических механизмов и позволит определять риски развития патологии. Цель данного исследования – установить влияние полиморфизма генов антиоксидантной системы (SOD2, GSTP1) и генов матриксных мелаллопротеиназ (MMP2, MMP9) на формирование коморбидных заболеваний у недоношенных детей. Выявлено, что носительство аллеля T (генотипы CT и TT) полиморфизма rs4880 гена SOD2 ассоциировано с повышенной концентрацией лактата в крови ( p = 0,022), что может указывать на роль данного полиморфизма в метаболизме и реакции на окислительный стресс. В то же время влияния генетического полиморфизма ферментов антиоксидантной защиты (SOD2 и GSTP1) на риск развития коморбидной патологии не установлено. Факторами, участвующими в патогенезе развития коморбидной патологии у недоношенных детей в сроке гестации 28–31 неделя являются генотип АА локуса rs17576 гена MMP9, а также сочетание генотипа АА локуса rs17576 гена MMP9 с генотипом GG локуса rs243866 гена MMP2 ( р = 0,01 и р = 0,0037 соответственно).</p></abstract><trans-abstract xml:lang="en"><p>The incidence of morbidity in premature infants remains consistently high. The development of diseases such as bronchopulmonary dysplasia, retinopathy of prematurity, and periventricular leukomalacia in premature infants is a significant medical and social problem. The search for new markers of genetic predisposition to comorbid diseases in premature infants will contribute to an understanding of pathogenetic mechanisms and will help determine the risks of pathologу development. The aim of this study was to identify the influence of polymorphisms of antioxidant system genes (SOD2, GSTP1) and matrix metalloproteinase genes (MMP2, MMP9) on the formation of comorbid diseases in premature infants. It was found that carriage of the T allele (CT and TT genotypes) of the rs4880 polymorphism of the SOD2 gene is associated with an increased concentration of lactate in the blood ( p = 0.022). This finding may indicate its role in metabolism and response to oxidative stress. At the same time, the influence of genetic polymorphism of antioxidant defense enzymes (SOD2 and GSTP1) on the risk of developing comorbid pathology has not been established. The factors involved in the pathogenesis of comorbid pathology in preterm infants born at 28–31 weeks of gestation are the AA genotype of the rs17576 locus in the MMP9 gene, as well as the combination of the AA genotype of the rs17576 locus in the MMP9 gene with the GG genotype of the rs243866 locus in the MMP2 gene ( p = 0.01 and p = 0.0037, respectively).</p></trans-abstract><kwd-group xml:lang="ru"><kwd>недоношенные новорожденные</kwd><kwd>коморбидные заболевания</kwd><kwd>гены антиоксидантной системы</kwd><kwd>гены матриксных мелаллопротеиназ</kwd></kwd-group><kwd-group xml:lang="en"><kwd>prematurity</kwd><kwd>comorbid diseases</kwd><kwd>antioxidant system genes</kwd><kwd>matrix metalloproteinase genes</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">Preterm birth // World Health Organization. – Geneva, 2023. – URL: https://www.who.int/news-room/fact-sheets/de- tail/preterm-birth (date of access: 10.12.2025).</mixed-citation><mixed-citation xml:lang="en">Preterm birth. 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