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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">ymj</journal-id><journal-title-group><journal-title xml:lang="ru">Якутский медицинский журнал</journal-title><trans-title-group xml:lang="en"><trans-title>Yakut Medical Journal</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1813-1905</issn><issn pub-type="epub">2312-1017</issn><publisher><publisher-name>ЯНЦ КМП</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.1234/YMJ.2022.77.29</article-id><article-id custom-type="elpub" pub-id-type="custom">ymj-170</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>НАУЧНЫЕ ОБЗОРЫ И ЛЕКЦИИ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>SCIENTIFIC REVIEWS AND LECTURES</subject></subj-group></article-categories><title-group><article-title>Нарушение транспортной регуляции ионов и жидкости в легких при COVID-19</article-title><trans-title-group xml:lang="en"><trans-title>Disruption of transport regulation of ions and fluid in the lungs with COVID-19</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>Синякин</surname><given-names>И. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Sinyakin</surname><given-names>I. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Синякин Иван Алексеевич – студент.</p></bio><bio xml:lang="en"><p>Ivan A. Sinyakin – student of the Amur State Medical Academy, 4th year, group 405, medical faculty.</p></bio><email xlink:type="simple">sinyakin.ivan2016@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>Баталова</surname><given-names>Т. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Batalova</surname><given-names>T. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Баталова Татьяна Анатольевна – д.б.н., доцент, зав. кафедрой.</p></bio><bio xml:lang="en"><p>Tatyana A. Batalova – Associate Professor, Doctor of Biological Sciences, Head of the department of Physiology and Pathophysiology of the Amur State Medical Academy.</p></bio><email xlink:type="simple">batalova_ta@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГБОУ ВО «Амурская ГМА»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Amur State Medical Academy</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2022</year></pub-date><pub-date pub-type="epub"><day>05</day><month>02</month><year>2025</year></pub-date><volume>0</volume><issue>1</issue><fpage>114</fpage><lpage>117</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Синякин И.А., Баталова Т.А., 2025</copyright-statement><copyright-year>2025</copyright-year><copyright-holder xml:lang="ru">Синякин И.А., Баталова Т.А.</copyright-holder><copyright-holder xml:lang="en">Sinyakin I.A., Batalova T.A.</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://ymj.elpub.ru/jour/article/view/170">https://ymj.elpub.ru/jour/article/view/170</self-uri><abstract><p>В статье рассмотрены научные данные, основанные на современной литературе о нарушении транспорта ионов и жидкости в легких при COVID-19. Авторы исследования считают, что ингибирование TRPV4 (осмотически активируемого канала, связанного с ваниллоидным рецептором 4) имеет важное терапевтическое значение у пациентов с COVID-19, в частности мощные перспективы для защиты альвеолярно-капиллярного барьера и даже для регенерации поврежденного барьера. Клиническое испытание I фазы с использованием селективного ингибитора TRPV4 продемонстрировало благоприятный профиль безопасности у здоровых добровольцев группы контроля и у пациентов, страдающих кардиогенным отеком легких. Защита альвеолярно-капиллярного барьера селективным ингибитором TRPV4 также была бы полезна для устранения возможного легочного фиброза как позднего последствия COVID-19.</p></abstract><trans-abstract xml:lang="en"><p>The article discusses scientific data on impaired transport of ions and fluids in the lungs with COVID-19. The authors of the study believe that inhibition of TRPV4 has important therapeutic benefits in COVID-19 patients in particular, powerful prospects for the protection of the alveolar-capillary barrier and even for the regeneration of a damaged barrier. A phase I of the clinical trial using a selective TRPV4 inhibitor demonstrated a favorable safety profile in healthy control volunteers and in patients with cardiogenic pulmonary edema. The protection of the alveolar-capillary barrier with a selective TRPV4 inhibitor would also be useful in eliminating possible pulmonary fibrosis as a late consequence of COVID-19.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>COVID-19</kwd><kwd>ENaC</kwd><kwd>GPCR</kwd><kwd>SARS-CoV-2</kwd><kwd>TRPV4</kwd></kwd-group><kwd-group xml:lang="en"><kwd>COVID-19</kwd><kwd>ENaC</kwd><kwd>GPCR</kwd><kwd>SARS-CoV-2</kwd><kwd>TRPV4</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">Синякин И.А. Обонятельная дисфункция как ключевой симптом COVID-19: обзор, основанный на современных исследованиях / И.А. Синякин, А.А. Панова, Т.А. Баталова // Якутский медицинский журнал. – 2021. – № 2(74). – С. 104-108. doi: 10.25789/YMJ.2021.74.27.</mixed-citation><mixed-citation xml:lang="en">Sinyakin I.A. Olfactory dysfunction as a key symptom of COVID-19: a review based on modern research / I. 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