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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 custom-type="elpub" pub-id-type="custom">ymj-2181</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>ОРИГИНАЛЬНЫЕ ИССЛЕДОВАНИЯ</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>Количественный анализ индукции фактора некроза опухоли клетками цельной крови ex vivo в присутствии антигена микобактерий туберкулеза</article-title><trans-title-group xml:lang="en"><trans-title>Quantitative assessment of tumor necrosis factor induction by the whole blood cells ex vivo, in the presence of Mycobacterium tuberculosis antigens</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>Мордовская</surname><given-names>Л. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Mordovskaya</surname><given-names>L. I.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Мордовская Лариса Ивановна – д.м.н., с.н.с.</p></bio><bio xml:lang="en"><p>Mordovskaya Larisa Ivanovna – MD, senior researcher</p><p>Sakha Republic (Yakutia)</p></bio><email xlink:type="simple">limordovskaya@mail.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>Владимирский</surname><given-names>М. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Vladimirskii</surname><given-names>M. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Владимирский Михаил Александрович – д.м.н., проф., руковод. лаб.</p></bio><bio xml:lang="en"><p>Vladimirskii Mikhail Alexandrovich – MD, Professor, Head of the Molecular diagnostics laboratory</p><p>Moscow</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>Шипина</surname><given-names>Л. К.</given-names></name><name name-style="western" xml:lang="en"><surname>Shipina</surname><given-names>L. K.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Шипина Любовь Климовна – к.б.н., с.н.с.</p></bio><bio xml:lang="en"><p>Shipina Liubov’ Klimovna – Candidate of Biological Science, senior researcher, Molecular diagnostics laboratory</p><p>Moscow</p></bio><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Аксенова</surname><given-names>Е. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Aksenova</surname><given-names>E. I.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Аксенова Екатерина Ивановна – н.с.</p></bio><bio xml:lang="en"><p>Aksenova Ekaterina Ivanovna – researcher, Nanostructures laboratory</p><p>Moscow</p></bio><xref ref-type="aff" rid="aff-4"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Сазыкин</surname><given-names>А. Ю.</given-names></name><name name-style="western" xml:lang="en"><surname>Sazykin</surname><given-names>A. Yu.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Сазыкин Алексей Юрьевич – к.б.н., доцент</p></bio><bio xml:lang="en"><p>Sazykin Aleksei Yurievich – Candidate of Biological Science, associate professor, Department of Immunology</p></bio><xref ref-type="aff" rid="aff-5"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru">ГУ НПЦ «Фтизиатрия» МЗ РС (Я)<country>Россия</country></aff><aff xml:lang="en">State Institution “Research-Practice Center ‘Phthisiatry’ ”, Ministry of Health<country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru">НИИ фтизиопульмонологии Первого МГМУ им. И.М. Сеченова<country>Россия</country></aff><aff xml:lang="en">Research Institute of Phthisiopulmonology, I.M. Sechenov First Moscow State Medical University (MSMU)<country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru">НИИ фтизиопульмонологии Первого МГМУ им. и.м. Сеченова<country>Россия</country></aff><aff xml:lang="en">Research Institute of Phthisiopulmonology I.M. Sechenov First Moscow State Medical University (MSMU)<country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-4"><aff xml:lang="ru">НИИ эпидемиологии и микробиологии им. Н.Ф. Гамалеи МЗ и СР<country>Россия</country></aff><aff xml:lang="en">Gamaleya Research Institute of Epidemiology and Microbiology, Ministry of Health and Social Development of Russian Federation<country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-5"><aff xml:lang="ru">НИИ физико-химической биологии им. А.Н. Белозерского МГУ им. М.В. Ломоносова<country>Россия</country></aff><aff xml:lang="en">Belozersky Research Institute of Physico-Chemical Biology, Lomonosov Moscow State University<country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2011</year></pub-date><pub-date pub-type="epub"><day>19</day><month>10</month><year>2025</year></pub-date><volume>0</volume><issue>4</issue><fpage>38</fpage><lpage>40</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Мордовская Л.И., Владимирский М.А., Шипина Л.К., Аксенова Е.И., Сазыкин А.Ю., 2025</copyright-statement><copyright-year>2025</copyright-year><copyright-holder xml:lang="ru">Мордовская Л.И., Владимирский М.А., Шипина Л.К., Аксенова Е.И., Сазыкин А.Ю.</copyright-holder><copyright-holder xml:lang="en">Mordovskaya L.I., Vladimirskii M.A., Shipina L.K., Aksenova E.I., Sazykin A.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://ymj.elpub.ru/jour/article/view/2181">https://ymj.elpub.ru/jour/article/view/2181</self-uri><abstract><p>Изучена эффективность применения метода индукции фактора некроза опухоли (ФНО-α) в образцах цельной крови в присутствии антигенов микобактерий туберкулеза: туберкулина PPD и смеси специфических рекомбинантных антигенов ESAT-6 и CFP-10 для дифференциальной диагностики активной туберкулезной инфекции. Разработана собственная тест-система иммуноферментного анализа для количественного определения ФНО-α а образцах плазмы крови. На материалах исследований образцов крови 46 подростков с туберкулезным инфицированием (латентной инфекцией) и активным туберкулезом легких показана возможность дифференцирования активного туберкулеза от латентной инфекции при использовании антигенов ESAT-6 и CFP-10 в качестве индуктора ФНО-α.</p></abstract><trans-abstract xml:lang="en"><p>We studied an efficacy of whole-blood method of tumor necrosis factor-alpha (TNF-alpha) induction in the presence of Mycobacterium tuberculosis antigens (tuberculin PPD and a mixture of specific recombinant ESAT-6 and CFP-10 antigens), for differential diagnosis of active tubercular infection. A customized test system with immunoenzyme assay was developed, to quantify TNF-alpha in plasma samples. Based on findings of blood sample investigations in 46 adolescents with tubercular infection (latent infection) and active pulmonary tuberculosis, the study demonstrated the possibility of differentiation between active and latent tubercular infection, using ESAT-6 and CFP-10 antigens as TNF-alpha inducers.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>дети и подростки</kwd><kwd>туберкулеза</kwd><kwd>фактора некроза опухоли</kwd><kwd>антигены</kwd></kwd-group><kwd-group xml:lang="en"><kwd>children</kwd><kwd>adolescents</kwd><kwd>tuberculosis</kwd><kwd>tumor necrosis factor</kwd><kwd>antigens</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">Anti-TNF immunotherapy reduces CD8+ T cell–mediated antimicrobial activity against Mycobacterium tuberculosis in humans / H. Bruns [et al.] // J. Clin. 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