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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">perinatology</journal-id><journal-title-group><journal-title xml:lang="ru">Российский вестник перинатологии и педиатрии</journal-title><trans-title-group xml:lang="en"><trans-title>Rossiyskiy Vestnik Perinatologii i Pediatrii (Russian Bulletin of Perinatology and Pediatrics)</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1027-4065</issn><issn pub-type="epub">2500-2228</issn><publisher><publisher-name>Ltd. “The National Academy of Pediatric Science and Innovation”</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.21508/1027-4065-2018-63-1-14-21</article-id><article-id custom-type="elpub" pub-id-type="custom">perinatology-613</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>ОБЗОР ЛИТЕРАТУРЫ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>REVIEWS</subject></subj-group></article-categories><title-group><article-title>Влияние социальных, медицинских и экологических факторов на формирование спорадических врожденных пороков сердца</article-title><trans-title-group xml:lang="en"><trans-title>Influence of the social, medicinal and environmental factors upon the development of sporadic congenital heart diseases</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-8785-7896</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Шабалдин</surname><given-names>А. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Shabaldin</surname><given-names>A. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>д.м.н., вед. научн. сотр. лаборатории клеточных технологий Научно-исследовательского института комплексных проблем сердечно-сосудистых заболеваний</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/0000-0002-4467-8732</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Цепокина</surname><given-names>А. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Tsepokina</surname><given-names>A. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>мл.н.с. лаборатории геномной медицины Научно-исследовательского института комплексных проблем сердечно- сосудистых заболеваний</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Шмулевич</surname><given-names>С. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Shmulevich</surname><given-names>S. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>зав. отделением детской кардиологии Кемеровского кардиологического диспансера</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/0000-0002-1966-3985</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Табакаев</surname><given-names>М. Ю.</given-names></name><name name-style="western" xml:lang="en"><surname>Tabakaev</surname><given-names>M. Yu.</given-names></name></name-alternatives><bio xml:lang="ru"><p>мл.н.с. лаборатории управленческих технологий Научно-исследовательского института комплексных проблем сердечно-сосудистых заболеваний</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Шабалдина</surname><given-names>Е. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Shabaldina</surname><given-names>E. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>д.м.н., зав. кафедрой оториноларингологии и клинической иммунологии Кемеровского государственного медицинского университета</p></bio><xref ref-type="aff" rid="aff-3"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГБНУ «Научно–исследовательский институт комплексных проблем сердечно-сосудистых заболеваний», Кемерово</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Research Institute for Complex Issues of Cardiovascular Diseases, Kemerovo</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>ГБУЗ «Кемеровский областной клинический кардиологический диспансер имени академика Л.С. Барбараша», Кемерово</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Kemerovo Regional Clinical Cardiology Dispensary named after Academician L.A. Barabash, Kemerovo</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>ГБОУ ВПО «Кемеровский государственный медицинский университет» Минздрава РФ, Кемерово</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Kemerovo State Medical University, Kemerovo</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2018</year></pub-date><pub-date pub-type="epub"><day>13</day><month>03</month><year>2018</year></pub-date><volume>63</volume><issue>1</issue><fpage>14</fpage><lpage>21</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Ltd. “The National Academy of Pediatric Science and Innovation”, 2018</copyright-statement><copyright-year>2018</copyright-year><copyright-holder xml:lang="ru">Ltd. “The National Academy of Pediatric Science and Innovation”</copyright-holder><copyright-holder xml:lang="en">Ltd. “The National Academy of Pediatric Science and Innovation”</copyright-holder><license xlink:href="https://www.ped-perinatology.ru/jour/about/submissions#copyrightNotice" xlink:type="simple"><license-p>https://www.ped-perinatology.ru/jour/about/submissions#copyrightNotice</license-p></license></permissions><self-uri xlink:href="https://www.ped-perinatology.ru/jour/article/view/613">https://www.ped-perinatology.ru/jour/article/view/613</self-uri><abstract><p>Эпидемиологические исследования показали рост врожденных пороков сердца в промышленных регионах Российской Федерации. Несмотря на высокие достижения в кардиологии и кардиохирургии, этиология и патогенез большинства врожденных пороков сердца до сих пор неизвестны. Цель настоящего обзора: анализ данных литературы, посвященной влиянию комплекса экзогенных и эндогенных, в том числе генетических факторов, на развитие спорадических врожденных пороков сердца, не сочетающихся с хромосомными аномалиями. Показано, что спорадические врожденные пороки сердца ассоциированы с женскими социальными факторами, такими как низкий социальный статус и уровень образования, табакокурение, алкоголизм. Загрязнение атмосферного воздуха наночастицами размером менее 10 мкм является фактором риска формирования пороков сердца и другой патологии сердечно-сосудистой системы. Доказаны ассоциативные связи между аллелями и генотипами полиморфных вариантов генов GATA6, NPPB (rs198388 и rs198389), CYP1A1, CYP1B1, NAT2 и врожденными пороками сердца у детей.</p></abstract><trans-abstract xml:lang="en"><p>The epidemiological studies have shown an increase of congenital heart diseases in the industrial regions of the Russian Federation. The etiology and pathogenesis of most congenital heart defects are still unknown despite high achievements in cardiology and cardiac surgery. The purpose of this review is to analyze the literature data devoted to the influence of a complex of exogenous and endogenous factors, including the genetic ones, upon the development of the sporadic congenital heart diseases, which are not associated with the chromosomal abnormalities. It isshown that the sporadic congenital heart diseases associate with the women's social factors such as a low social status and level of education, smoking, and alcohol. The air pollution with nanoparticles smaller than 10 µm is a risk factor for the development of the congenital heart diseases and other pathological conditions of the cardiovascular system. It has been proven that the alleles and genotypes of polymorphic variants of genes GATA6, NPPB (rs198388 and rs198389), CYP1A1, CYP1B1, and NAT2 have the associative links with the congenital heart disease in the children.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>дети</kwd><kwd>врожденные пороки сердца</kwd><kwd>факторы окружающей среды</kwd><kwd>медицинские и социальные факторы</kwd><kwd>полиморфные варианты генов</kwd><kwd>GATA6</kwd><kwd>NPPB</kwd><kwd>CYP1A1</kwd><kwd>CYP1B1</kwd><kwd>NAT2</kwd></kwd-group><kwd-group xml:lang="en"><kwd>children</kwd><kwd>congenital heart diseases</kwd><kwd>environmental factors</kwd><kwd>medical and social factors</kwd><kwd>polymorphic variants of genes</kwd><kwd>GATA6</kwd><kwd>NPPB</kwd><kwd>CYP1A1</kwd><kwd>CYP1B1</kwd><kwd>NAT2</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">Регистр врожденных аномалий: http://www.eurocat-network.eu, дата обращения 04.12.2017</mixed-citation><mixed-citation xml:lang="en">Bokeria L.A., Gudkova R.G. 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