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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">10.29235/1814-6023-2022-19-4-413-423</article-id><article-id custom-type="elpub" pub-id-type="custom">vestim-880</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>Печеночно-интестинальная ось: физиология сквозь призму микробиома</article-title><trans-title-group xml:lang="en"><trans-title>Gut-liver axis: physeology through the prism of the microbiome</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>Салимов</surname><given-names>У. Р.</given-names></name><name name-style="western" xml:lang="en"><surname>Salimov</surname><given-names>U. R.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Салимов Умид Равшанович – кандидат медицинских наук, докторант.</p><p>ул. Семашко, 8, 220045, Минск</p></bio><bio xml:lang="en"><p>Umid R. Salimov – Ph. D. (Med.), Doctoral student, Minsk Scientific and Practical Center of Surgery, Transplantology and Hematology.</p><p>8, Semashko Str., 220045, Minsk</p></bio><email xlink:type="simple">ussalimov@gmail.com</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>Стома</surname><given-names>И. О.</given-names></name><name name-style="western" xml:lang="en"><surname>Stoma</surname><given-names>I. O.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Стома Игорь Олегович – доктор медицинских наук, профессор, ректор.</p><p>ул. Ланге, 5, 246000, Гомель</p></bio><bio xml:lang="en"><p>Igor O. Stoma – D. Sc. (Med.), Professor, Rector, Gomel State Medical University.</p><p>5, Lange Str., 246000, Gomel</p></bio><email xlink:type="simple">igor.stoma@gmail.com</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>Ковалев</surname><given-names>А. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Kovalev</surname><given-names>A. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Ковалев Алексей Алексеевич – старший преподаватель.</p><p>ул. Ланге, 5, 246000, Гомель</p></bio><bio xml:lang="en"><p>Aliaksei A. Kovalev ‒ senior lecturer, Gomel State Medical University.</p><p>5, Lange  Str.,  246000,  Gomel</p></bio><email xlink:type="simple">kovalev.data.analysis.gsmu@yandex.by</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>Щерба</surname><given-names>А. Е.</given-names></name><name name-style="western" xml:lang="en"><surname>Scherba</surname><given-names>A. E.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Щерба Алексей Евгеньевич – доктор медицинских наук, заместитель директора.</p><p>ул. Семашко, 8, 220045, Минск</p></bio><bio xml:lang="en"><p>Aliaksei E. Shcherba – D. Sc. (Med.), Deputy Director, Minsk Scientific and Practical Center of Surgery, Transplantology and Hematology.</p><p>8, Semashko Str., 220045, Minsk</p></bio><email xlink:type="simple">aleina@tut.by</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>Штурич</surname><given-names>И. П.</given-names></name><name name-style="western" xml:lang="en"><surname>Shturich</surname><given-names>I. P.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Штурич Иван Павлович ‒ кандидат медицинских наук, доцент, заведующий отделением.</p><p>ул. Семашко, 8, 220045, Минск</p></bio><bio xml:lang="en"><p>Ivan P. Shturich ‒ Ph. D. (Med.), Associate Professor, Head of the Department, Minsk Scientific and Practical Center of Surgery, Transplantology and Hematology.</p><p>8, Semashko Str., 220045, Minsk</p></bio><email xlink:type="simple">rcotrb@gmail.com</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>Руммо</surname><given-names>О. О.</given-names></name><name name-style="western" xml:lang="en"><surname>Rummo</surname><given-names>O. O.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Руммо Олег Олегович ‒ академик, доктор медицинских наук, профессор, директор.</p><p>ул. Семашко, 8, 220045, Минск</p></bio><bio xml:lang="en"><p>Oleg O. Rummo ‒ Academician, D. Sc. (Med.), Professor, Director, Minsk Scientific and Practical Center of Surgery, Transplantology and Hematology.</p><p>8, Semashko Str., 220045, Minsk</p></bio><email xlink:type="simple">olegrumm@tut.by</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Минский научно-практический центр хирургии, трансплантрологии и гематологии</institution></aff><aff xml:lang="en"><institution>Minsk Scientific Practical Center of Surgery, Transplantology and Hematology</institution></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>Гомельский государственный медицинский университет</institution></aff><aff xml:lang="en"><institution>Gomel State Medical University</institution></aff></aff-alternatives><pub-date pub-type="collection"><year>2022</year></pub-date><pub-date pub-type="epub"><day>29</day><month>11</month><year>2022</year></pub-date><volume>19</volume><issue>4</issue><fpage>413</fpage><lpage>423</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Салимов У.Р., Стома И.О., Ковалев А.А., Щерба А.Е., Штурич И.П., Руммо О.О., 2022</copyright-statement><copyright-year>2022</copyright-year><copyright-holder xml:lang="ru">Салимов У.Р., Стома И.О., Ковалев А.А., Щерба А.Е., Штурич И.П., Руммо О.О.</copyright-holder><copyright-holder xml:lang="en">Salimov U.R., Stoma I.O., Kovalev A.A., Scherba A.E., Shturich I.P., Rummo O.O.</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/880">https://vestimed.belnauka.by/jour/article/view/880</self-uri><abstract><p>В данной работе представлено краткое историческое описание эволюции взглядов на развитие концепции функционирования печеночно-интестинальной оси и ее физиологии. Описаны и обсуждены основные принципы физиологического функционирования нового, «виртуального», органа человека и их роль в патогенезе заболеваний печени, в том числе после перенесенной трансплантации печени.</p><p>Приведены полученные нами данные о секвенировании нового поколения, дающие представление о микробиомной палитре пациентов, страдающих хроническими диффузными заболеваниями печени различной этиологии. Cобственное исследование было представлено на основании изучения данных 12 обследованных в пред- и посттрансплантационном периоде пациентов, страдающих хроническими диффузными поражениями печени. Полученные результаты свидетельствуют о важном значении микробиома кишечника в естественном процессе реконвалесценции после перенесенной трансплантации печени.</p></abstract><trans-abstract xml:lang="en"><p>This paper presents a brief historical description of the evolution of views on the development of the concept of the gut liver axis functioning and its physiological aspects. The “new virtual human organ” physiological fundamentals and their role in the pathogenesis of chronic liver diseases, including late post-transplant period, are described and discussed.</p><p>Based on own experience, results of a new generation sequencing describing the characteristics of the microbiome palette in patients suffering from chronic liver diseases of various etiologies are presented. Personal study was based on 12 patients suffering chronic liver disease, who were examined before and after liver transplantation. The obtained results indicate the importance of the intestinal microbiome in the natural process of recovery after liver transplantation.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>печеночно-интестинальная ось</kwd><kwd>трансплантация печени</kwd><kwd>клаудины</kwd><kwd>секвенирование нового поколения</kwd><kwd>микробиота</kwd><kwd>кишечно-интестинальный барьер</kwd></kwd-group><kwd-group xml:lang="en"><kwd>leaky gut</kwd><kwd>gut-liver axis</kwd><kwd>liver transplantation</kwd><kwd>new generation sequesting</kwd><kwd>tight junctions</kwd><kwd>claudine</kwd><kwd>gutvascular barier</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">IgA antibodies to dietary antigens in liver cirrhosis / U. Volta [et al.] // Ric. Clin. 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