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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">nefr</journal-id><journal-title-group><journal-title xml:lang="ru">Нефрология</journal-title><trans-title-group xml:lang="en"><trans-title>Nephrology (Saint-Petersburg)</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1561-6274</issn><issn pub-type="epub">2541-9439</issn><publisher><publisher-name>Pavlov First Saint-Petersburg State Medical University</publisher-name></publisher></journal-meta><article-meta><article-id custom-type="elpub" pub-id-type="custom">nefr-163</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 ЛЕКЦИИ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>REVIEWS AND LECTURES</subject></subj-group></article-categories><title-group><article-title>Гемолитико-уремический синдром, ассоциированный с шига-токсин-продуцирующей Esherichia соїі</article-title><trans-title-group xml:lang="en"><trans-title>Hemolytic uremic syndrome associated with shiga-toxin-producing Esherichia coli</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>Эмирова</surname><given-names>Хадижа Мартовна</given-names></name><name name-style="western" xml:lang="en"><surname>Emirova</surname><given-names>Khadizha</given-names></name></name-alternatives><email xlink:type="simple">kh.emirova@outlook.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>Толстова</surname><given-names>Евгения Михайловна</given-names></name><name name-style="western" xml:lang="en"><surname>Tolstova</surname><given-names>Evgeniya M.</given-names></name></name-alternatives><email xlink:type="simple">tepec@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>Каган</surname><given-names>Михаил Юдович</given-names></name><name name-style="western" xml:lang="en"><surname>Kagan</surname><given-names>Olga M.</given-names></name></name-alternatives><email xlink:type="simple">mkaganorenburg@yahoo.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>Орлова</surname><given-names>Ольга Михайловна</given-names></name><name name-style="western" xml:lang="en"><surname>Orlova</surname><given-names>Mikhail Yu.</given-names></name></name-alternatives><email xlink:type="simple">olmigor@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>Абасеева</surname><given-names>Татьяна Юрьевна</given-names></name><name name-style="western" xml:lang="en"><surname>Abaseeva</surname><given-names>Tatiana</given-names></name></name-alternatives><email xlink:type="simple">tatyanaab@mail.ru</email><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Панкратенко</surname><given-names>Татьяна Евгеньевна</given-names></name><name name-style="western" xml:lang="en"><surname>Pancratenko</surname><given-names>Tatiana E.</given-names></name></name-alternatives><email xlink:type="simple">tatiana2103@inbox.ru</email><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Шпикалова</surname><given-names>Ирина Юрьевна</given-names></name><name name-style="western" xml:lang="en"><surname>Shpikalova</surname><given-names>Irina Yu.</given-names></name></name-alternatives><email xlink:type="simple">ikucherova@yandex.ru</email><xref ref-type="aff" rid="aff-4"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru">Московский государственный медико-стоматологический университет им. А.И. Евдокимова<country>Россия</country></aff><aff xml:lang="en">Moscow State University of Medicine and Dentistry named after A.I.Evdokimov<country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru">Областная детская клиническая больница<country>Россия</country></aff><aff xml:lang="en">Orenburg Regional Children’s Hospital<country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru">Московский областной научно-исследовательский клинический институт им. М.Ф. Владимирского<country>Россия</country></aff><aff xml:lang="en">Moscow Regional Scientific Research Clinical Institute named after M.F.Vladimirskiy<country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-4"><aff xml:lang="ru">Детская городская клиническая больница святого Владимира<country>Россия</country></aff><aff xml:lang="en">St. Vladimir's Clinical Children Hospital<country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2016</year></pub-date><pub-date pub-type="epub"><day>01</day><month>03</month><year>2016</year></pub-date><volume>20</volume><issue>2</issue><fpage>18</fpage><lpage>32</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Эмирова Х.М., Толстова Е.М., Каган М.Ю., Орлова О.М., Абасеева Т.Ю., Панкратенко Т.Е., Шпикалова И.Ю., 2016</copyright-statement><copyright-year>2016</copyright-year><copyright-holder xml:lang="ru">Эмирова Х.М., Толстова Е.М., Каган М.Ю., Орлова О.М., Абасеева Т.Ю., Панкратенко Т.Е., Шпикалова И.Ю.</copyright-holder><copyright-holder xml:lang="en">Emirova K., Tolstova E.M., Kagan O.M., Orlova M.Y., Abaseeva T., Pancratenko T.E., Shpikalova I.Y.</copyright-holder><license 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://journal.nephrolog.ru/jour/article/view/163">https://journal.nephrolog.ru/jour/article/view/163</self-uri><abstract><p>Значительный прогресс в понимании природы этого заболевания в последнее десятилетие позволяет говорить о гемолитико-уремическом синдроме как о гетерогенной группе заболеваний, относящихся к одному классу тромботических микроангиопатий, характеризующихся различной этиологией и патогенезом. Представленный обзор посвящен наиболее распространенной форме гемолитико-уремическом синдрома, ассоциированного с шига- токсин-продуцирующей E.coli (STEC-ГУС). Обобщены последние данные, касающиеся этиологии, патогенеза и терапии типичного гемолитико-уремического синдрома с акцентом на механизмы реализации патологического процесса и новые подходы к терапии.</p></abstract><trans-abstract xml:lang="en"><p>Based on significant progress in understanding the disease pathogenesis in the past decade hemolytic-uremic syndrome is appear to be heterogeneous group of diseases from the class of thrombotic microangiopathy with different etiology and pathogenesis. This review is dedicated to the most common form of hemolytic-uremic syndrome associated with Shiga toxin-producing E.coli (STEC-HUS). We summarized the latest data about etiology, pathogenesis and therapy of typical hemolytic-uremic syndrome with a focus on the mechanisms of the pathological process and new therapy approaches.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>гемолитико-уремический синдром</kwd><kwd>тромботическая микроангиопатия</kwd><kwd>шига-токсин</kwd><kwd>гемолитическая анемия</kwd><kwd>тромбоцитопения</kwd><kwd>острое повреждение почек</kwd></kwd-group><kwd-group xml:lang="en"><kwd>hemolytic uremic syndrome</kwd><kwd>thrombotic microangiopathy</kwd><kwd>Shiga toxin</kwd><kwd>hemolytic anemia</kwd><kwd>thrombocytopenia</kwd><kwd>acute kidney injury</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">Karmali M.A., Petric M., Lim C. et al. Escherichia coli cytotoxin., haemolytic-uraemic syndrome., and haemorrhagic colitis. 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