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<article 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" xmlns:ali="http://www.niso.org/schemas/ali/1.0/" article-type="review-article" dtd-version="1.2" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher-id">Perm Medical Journal</journal-id><journal-title-group><journal-title xml:lang="en">Perm Medical Journal</journal-title><trans-title-group xml:lang="ru"><trans-title>Пермский медицинский журнал (сетевое издание "Perm medical journal")</trans-title></trans-title-group></journal-title-group><issn publication-format="print">0136-1449</issn><issn publication-format="electronic">2687-1408</issn><publisher><publisher-name xml:lang="en">Eco-Vector</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">95761</article-id><article-id pub-id-type="doi">10.17816/pmj38476-84</article-id><article-categories><subj-group subj-group-type="toc-heading" xml:lang="en"><subject>Literature review</subject></subj-group><subj-group subj-group-type="toc-heading" xml:lang="ru"><subject>Обзор литературы</subject></subj-group><subj-group subj-group-type="article-type"><subject>Review Article</subject></subj-group></article-categories><title-group><article-title xml:lang="en">Exosomes and myocardial infarction: scientific and practical interest</article-title><trans-title-group xml:lang="ru"><trans-title>Экзосомы и инфаркт миокарда: научный и практический интерес</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Khlynova</surname><given-names>O. V.</given-names></name><name xml:lang="ru"><surname>Хлынова</surname><given-names>О. В.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>MD, PhD, Professor, Corresponding Member of the Russian Аcademy of Sciences, Head of Department of Hospital Therapy and Cardiology</p></bio><bio xml:lang="ru"><p>доктор медицинских наук, профессор, член-корреспондент РАН, заведующая кафедрой госпитальной терапии и кардиологии</p></bio><email>olgakhlynova@mail.ru</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Rodionov</surname><given-names>R. A.</given-names></name><name xml:lang="ru"><surname>Родионов</surname><given-names>Р. А.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>postgraduate student of Department of Hospital Therapy and Cardiology</p></bio><bio xml:lang="ru"><p>аспирант кафедры госпитальной терапии и кардиологии</p></bio><email>olgakhlynova@mail.ru</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Karpunina</surname><given-names>N. S.</given-names></name><name xml:lang="ru"><surname>Карпунина</surname><given-names>Н. С.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>MD, PhD, Аssistant Professor, Professor of Department of Hospital Therapy and Cardiology</p></bio><bio xml:lang="ru"><p>доктор медицинских наук, доцент, профессор кафедры госпитальной терапии и кардиологии</p></bio><email>olgakhlynova@mail.ru</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Shishkina</surname><given-names>E. A.</given-names></name><name xml:lang="ru"><surname>Шишкина</surname><given-names>Е. А.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>MD, PhD, Аssistant Professor of Department of Hospital Therapy and Cardiology</p></bio><bio xml:lang="ru"><p>доктор медицинских наук, доцент кафедры госпитальной терапии и кардиологии</p></bio><email>olgakhlynova@mail.ru</email><xref ref-type="aff" rid="aff1"/></contrib></contrib-group><aff-alternatives id="aff1"><aff><institution xml:lang="en">E.A. Vagner Perm State Medical University</institution></aff><aff><institution xml:lang="ru">Пермский государственный медицинский университет имени академика Е.А. Вагнера</institution></aff></aff-alternatives><pub-date date-type="pub" iso-8601-date="2021-08-15" publication-format="electronic"><day>15</day><month>08</month><year>2021</year></pub-date><volume>38</volume><issue>4</issue><issue-title xml:lang="en"/><issue-title xml:lang="ru"/><fpage>76</fpage><lpage>84</lpage><history><date date-type="received" iso-8601-date="2022-01-01"><day>01</day><month>01</month><year>2022</year></date><date date-type="accepted" iso-8601-date="2022-01-01"><day>01</day><month>01</month><year>2022</year></date></history><permissions><copyright-statement xml:lang="en">Copyright ©; 2021, Khlynova O.V., Rodionov R.A., Karpunina N.S., Shishkina E.A.</copyright-statement><copyright-statement xml:lang="ru">Copyright ©; 2021, Хлынова О.В., Родионов Р.А., Карпунина Н.С., Шишкина Е.А.</copyright-statement><copyright-year>2021</copyright-year><copyright-holder xml:lang="en">Khlynova O.V., Rodionov R.A., Karpunina N.S., Shishkina E.A.</copyright-holder><copyright-holder xml:lang="ru">Хлынова О.В., Родионов Р.А., Карпунина Н.С., Шишкина Е.А.</copyright-holder><ali:free_to_read xmlns:ali="http://www.niso.org/schemas/ali/1.0/"/><license><ali:license_ref xmlns:ali="http://www.niso.org/schemas/ali/1.0/">http://creativecommons.org/licenses/by-sa/4.0</ali:license_ref></license></permissions><self-uri xlink:href="https://permmedjournal.ru/PMJ/article/view/95761">https://permmedjournal.ru/PMJ/article/view/95761</self-uri><abstract xml:lang="en"><p>A review of the literature on the biological role of exosomes in the pathophysiology of a number of pathological conditions, including damage to the heart muscle in the variant of myocardial infarction (MI), is presented. In the last decade, exosomes have begun to be actively studied; a lot of data have appeared on their nature and role in intercellular transport and signaling both in normal conditions and in pathology. Exosomes are important carriers of biological information, facilitating intercellular communication and participating in the pathophysiology of various cardiovascular diseases. In myocardial infarction, massive cardiomyocyte death triggers a strong inflammatory response, which is a vital process for cardiac damage, repair, and remodeling. A growing body of evidence suggests that exosomes are involved in the inflammatory response and immune regulation after MI.</p></abstract><trans-abstract xml:lang="ru"><p>Представлен обзор литературы о биологической роли экзосом в патофизиологии ряда патологических состояний, включая поражение сердечной мышцы в варианте инфаркта миокарда. В последнее десятилетие экзосомы стали активно изучаться, появилось множество данных об их природе и роли в межклеточном транспорте и сигналинге как в норме, так и при патологии. Экзосомы являются важными носителями биологической информации, облегчающими межклеточную коммуникацию и участвующими в патофизиологии различных сердечно-сосудистых заболеваний. При инфаркте миокарда массивная гибель кардиомиоцитов вызывает сильную воспалительную реакцию, которая является жизненно важным процессом повреждения, восстановления и ремоделирования сердца. Все больше данных свидетельствует о том, что экзосомы участвуют в воспалительной реакции и иммунной регуляции после инфаркта миокарда.</p></trans-abstract><kwd-group xml:lang="en"><kwd>exosomes</kwd><kwd>pathology</kwd><kwd>myocardial infarction</kwd></kwd-group><kwd-group xml:lang="ru"><kwd>экзосомы</kwd><kwd>патология</kwd><kwd>инфаркт миокарда</kwd></kwd-group><funding-group/></article-meta></front><body></body><back><ref-list><ref id="B1"><label>1.</label><mixed-citation>Mozaffarian D., Benjamin E.J., Go A.S., Arnett D.K., Blaha M.J., Cushman M. et al. Heart Disease and Stroke Statistics-2015 Update A Report From the American Heart Association. Circulation 2015; 131: E29–E322.</mixed-citation></ref><ref id="B2"><label>2.</label><mixed-citation>Ailawadi S., Wang X., Gu H., Fan G.C. Pathologic function and therapeutic potential of exosomes in cardiovascular disease. 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