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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">rmt</journal-id><journal-title-group><journal-title xml:lang="ru">Общая реаниматология</journal-title><trans-title-group xml:lang="en"><trans-title>General Reanimatology</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1813-9779</issn><issn pub-type="epub">2411-7110</issn><publisher><publisher-name>FSBI "SRIGR" RAMS</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.15360/1813-9779-2019-5-106-126</article-id><article-id custom-type="elpub" pub-id-type="custom">rmt-1821</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 КРАТКИЕ СООБЩЕНИЯ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>REVIEWS &amp; SHORT COMMUNICATIONS</subject></subj-group></article-categories><title-group><article-title>Роль протеолитических систем стромы в опухолевой прогрессии (обзор)</article-title><trans-title-group xml:lang="en"><trans-title>The Role of Stromal Proteolytic Systems in Cancer Progression (Review)</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>Кугаевская</surname><given-names>Е. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Kugaevskaya</surname><given-names>E. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Россия, 119121, г. Москва, ул. Погодинская, д.10</p></bio><bio xml:lang="en"><p>10 Pogodinskaya Str., 119121 Moscow, Russia</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>Тимошенко</surname><given-names>О. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Timoshenko</surname><given-names>O. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Россия, 119121, г. Москва, ул. Погодинская, д.10</p></bio><bio xml:lang="en"><p>10 Pogodinskaya Str., 119121 Moscow, Russia</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>Гуреева</surname><given-names>Т. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Gureeva</surname><given-names>T. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Россия, 119121, г. Москва, ул. Погодинская, д.10</p></bio><bio xml:lang="en"><p>10 Pogodinskaya Str., 119121 Moscow, Russia</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>Соловьева</surname><given-names>Н. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Solovieva</surname><given-names>N. I.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Россия, 119121, г. Москва, ул. Погодинская, д.10</p></bio><bio xml:lang="en"><p>10 Pogodinskaya Str., 119121 Moscow, Russia</p></bio><email xlink:type="simple">Nina.Solovyeva@ibmc.msk.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>НИИ биомедицинской химии им. В. Н. Ореховича</institution><country>Россия</country></aff><aff xml:lang="en"><institution>V. N. Orekhovich Research Institute of Biomedical Chemistry</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2019</year></pub-date><pub-date pub-type="epub"><day>08</day><month>11</month><year>2019</year></pub-date><volume>15</volume><issue>5</issue><fpage>106</fpage><lpage>126</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Кугаевская Е.В., Тимошенко О.С., Гуреева Т.А., Соловьева Н.И., 2019</copyright-statement><copyright-year>2019</copyright-year><copyright-holder xml:lang="ru">Кугаевская Е.В., Тимошенко О.С., Гуреева Т.А., Соловьева Н.И.</copyright-holder><copyright-holder xml:lang="en">Kugaevskaya E.V., Timoshenko O.S., Gureeva T.A., Solovieva N.I.</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.reanimatology.com/rmt/article/view/1821">https://www.reanimatology.com/rmt/article/view/1821</self-uri><abstract><p>Онкологические заболевания являются жизнеугрожающей патологией, занимающей второе место среди причин заболеваемости и смертности после сердечно-сосудистых заболеваний. Выяснение механизмов процесса канцерогенеза позволяет расширить арсенал средств для предупреждения развития критических состояний при этой патологии.В настоящее время протеолитические системы опухолевого микроокружения (ОМ) рассматриваются в качестве ключевых регуляторов процессов опухолевой прогрессии, обеспечивающих опухолевый рост, инвазию и метастазирование.В обзоре рассмотрены структура и роль ОМ в прогрессии опухоли. Приводятся современные данные о роли протеолитических систем во взаимодействии клеток стромы с клетками опухоли при различных типах рака человека.Наиболее изученными протеолитическими системами, вовлеченными в опухолевую прогрессию, являются система матриксных металлопротеиназ (ММП), системы активатора плазминогена урокиназного типа (uPA-система), а также различные катепсины, гранзимы и эластаза. Ингибирование внеклеточного протеолиза при развитии онкологического процесса рассматривается в качестве действенного подхода в терапии рака.</p></abstract><trans-abstract xml:lang="en"><p>Oncological diseases belong to life-threatening pathologies being the second most frequent cause of morbidity and mortality after cardiovascular diseases. Clarification of carcinogenesis mechanisms makes it possible to expand the stock of tools available for prevention of critical illness accompanying this pathological condition.Nowadays, proteolytic systems of tumor microenvironment (ТМЕ) are regarded as key regulators of a tumor progression including tumor growth, invasion and metastazing. The review discusses ТМЕ structure and role in cancer progression.Recent data decipher the role of proteolytic systems in the interaction stromal cells with tumor cells in different types of cancer in humans. The most known proteolytic systems contributed to cancer progression are matrix metalloproteinase system (MMP), urokinase-type plasminogen activator system (uPA-system), various cathepsins, granzymes, and elastase. Inhibition of extracellular proteolysis in the course of an oncological process is considered an effective approach to cancer therapy.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>канцерогенез</kwd><kwd>опухолевое микроокружение</kwd><kwd>строма</kwd><kwd>матриксные металлопротеиназы</kwd><kwd>uPA-система</kwd><kwd>протеолиз</kwd><kwd>опухолевая прогрессия</kwd><kwd>инвазия</kwd><kwd>метастазирование</kwd></kwd-group><kwd-group xml:lang="en"><kwd>carcinogenesis</kwd><kwd>tumor microenvironment</kwd><kwd>stroma</kwd><kwd>matrix metalloproteinases</kwd><kwd>uPA-system</kwd><kwd>proteolysis</kwd><kwd>cancer progression</kwd><kwd>invasion</kwd><kwd>metastasis</kwd></kwd-group><funding-group><funding-statement xml:lang="ru">Работа выполнена в рамках Программы фундаментальных научных исследований государственных академий наук на 2013–2020 годы.</funding-statement></funding-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Bussard K.M., Mutkus L., Stumpf K., Gomez-Manzano C., Marini F.C. 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