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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">mes</journal-id><journal-title-group><journal-title xml:lang="ru">Экстремальная биомедицина</journal-title><trans-title-group xml:lang="en"><trans-title>Extreme Medicine</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">3033-8964</issn><issn pub-type="epub">3033-8972</issn><publisher><publisher-name>Centre for Strategic Planning of the Federal Medical and Biological Agency</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.47183/mes.2022.001</article-id><article-id custom-type="elpub" pub-id-type="custom">mes-189</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>ОРИГИНАЛЬНОЕ ИССЛЕДОВАНИЕ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>ORIGINAL RESEARCH</subject></subj-group></article-categories><title-group><article-title>Моделирование миелоабляционной цитостатической терапии циклофосфаном сопровождается желудочно-кишечным стазом у крыс</article-title><trans-title-group xml:lang="en"><trans-title>Modelling myeloablative cytostatic therapy with cyclophosphamide is accompanied by gastrointestinal stasis in rats</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>Шефер</surname><given-names>Т. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Schäfer</surname><given-names>T. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Тимур Васильевич Шефер,</p><p>д. 4, ул. Лесопарковая, г. Санкт-Петербург, 195043.</p></bio><bio xml:lang="en"><p>Timur V. Schäfer,</p><p>4, Lesoparkovaya str., Saint-Petersburg, 195043.</p></bio><email xlink:type="simple">schafer@yandex.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>Ивницкий</surname><given-names>Ю. Ю.</given-names></name><name name-style="western" xml:lang="en"><surname>Ivnitsky</surname><given-names>Ju. Ju.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Санкт-Петербург.</p></bio><bio xml:lang="en"><p>Saint-Petersburg.</p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Рейнюк</surname><given-names>В. Л.</given-names></name><name name-style="western" xml:lang="en"><surname>Rejniuk</surname><given-names>V. L.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Санкт-Петербург.</p></bio><bio xml:lang="en"><p>Saint-Petersburg.</p></bio><xref ref-type="aff" rid="aff-2"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Государственный научно-исследовательский испытательный институт военной медицины Министерства обороны Российской Федерации</institution><country>Россия</country></aff><aff xml:lang="en"><institution>State Scientific Research Test Institute of the Military Medicine of Defense Ministry of the Russian Federation</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>Научно-клинический центр токсикологии имени академика С. Н. Голикова Федерального медико-биологического агентства</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Golikov Research Clinical Center of Toxicology of the Federal Medical Biological Agency</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2022</year></pub-date><pub-date pub-type="epub"><day>28</day><month>10</month><year>2024</year></pub-date><volume>24</volume><issue>1</issue><fpage>51</fpage><lpage>55</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Шефер Т.В., Ивницкий Ю.Ю., Рейнюк В.Л., 2024</copyright-statement><copyright-year>2024</copyright-year><copyright-holder xml:lang="ru">Шефер Т.В., Ивницкий Ю.Ю., Рейнюк В.Л.</copyright-holder><copyright-holder xml:lang="en">Schäfer T.V., Ivnitsky J.J., Rejniuk V.L.</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.extrememedicine.ru/jour/article/view/189">https://www.extrememedicine.ru/jour/article/view/189</self-uri><abstract><p>Циклофосфан применяют для лечения лимфом, лейкозов, некоторых солидных опухолей и аутоиммунных заболеваний. При миелоабляционной цитостатической терапии его назначают в дозах, вызывающих необратимую панцитопению. Ранние токсические эффекты при таких дозах проявляются астеническим и эметическим синдромами, ограничивающими переносимость лечения. Введение циклофосфана крысам в дозах ≥ 600 мг/кг сопровождается гипераммониемией и симптоматикой, характерной для острой интоксикации солями аммония. Возможным механизмом этих феноменов является эндотоксемия, обусловленная повышением проницаемости энтерогематического барьера вследствие нарушений моторики желудочнокишечного тракта. Целью настоящей работы была проверка этой гипотезы. Рентгенологически изучали перистальтику желудочно-кишечного тракта крыс в течение 25 ч после введения циклофосфана в дозе 1000 мг/кг, биоэквивалентной его миелоабляционной дозе для человека. Внутрибрюшинное, подкожное или внутрижелудочное введение циклофосфана замедляло желудочно-кишечный транзит сульфата бария. При подкожном введении циклофосфана этот эффект был умеренным, а при внутрижелудочном — проявлялся полной остановкой транзита. Таким образом, моделирование на крысах миелоабляционной цитостатической терапии циклофосфаном сопряжено с развитием желудочно-кишечного стаза. Выявленные изменения могут способствовать поступлению в кровь продуктов жизнедеятельности кишечной микрофлоры и формированию эндотоксемии.</p></abstract><trans-abstract xml:lang="en"><p>Cyclophosphamide is used for the treatment of lymphoma, leukaemia, some solid tumours, and autoimmune disorders. When carrying out myeloablative cytostatic therapy, the doses of cyclophosphamide are prescribed, which cause irreversible pancytopenia. Early toxic effects of such doses are manifested by asthenic and emetic syndromes, limiting the treatment tolerance. Administration of cyclophosphamide in a dose of ≥ 600 mg/kg is accompanied by hyperammonaemia and symptoms, specific to the acute ammonium salt intoxication. Endotoxemia, resulting from the increase in the intestinal barrier permeability due to the impaired gastrointestinal motility, is considered the possible mechanism underlying these phenomena. The study was aimed to test this hypothesis. Radiographic assessment of the rat gastrointestinal peristalsis was performed within 25 h after administration of cyclophosphamide in a dose of 1000 mg/kg, which was equivalent to myeloablative dose for humans. Intraperitoneal, subcutaneous or intragastric administration of cyclophosphamide slowed down the gastrointestinal transit of bariumsulfate. In the case of subcutaneous cyclophosphamide injection, a moderate effect was observed. In the case of cyclophosphamide administered by gavage, the effect was manifested by a complete halt of transit. Thus,  modelling myeloablative cytostatic therapy with cyclophosphamide in rats is associated with gastrointestinal stasis. The changes reported may promote the entry of the gut microbial products into the bloodstream and ensuing endotoxemia.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>циклофосфан</kwd><kwd>миелоабляционная цитостатическая терапия</kwd><kwd>крысиная модель</kwd><kwd>рентгенография</kwd><kwd>желудочно-кишечный стаз</kwd></kwd-group><kwd-group xml:lang="en"><kwd>cyclophosphamide</kwd><kwd>myeloablative cytostatic therapy</kwd><kwd>rat model</kwd><kwd>radiography</kwd><kwd>gastrointestinal stasis</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">Emadi A, Jones RJ, Brodsky RA. Cyclophosphamide and cancer: golden anniversary. Nature reviews. Clinical Oncology. 2009; 6 (11): 638–47.</mixed-citation><mixed-citation xml:lang="en">Emadi A, Jones RJ, Brodsky RA. Cyclophosphamide and cancer: golden anniversary. Nature reviews. 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