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<article article-type="review-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">10.25789/YMJ.2026.93.23</article-id><article-id custom-type="elpub" pub-id-type="custom">ymj-3206</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</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>SCIENTIFIC REVIEWS</subject></subj-group></article-categories><title-group><article-title>Влияние внутриопухолевого микробиома на терапию рака поджелудочной железы</article-title><trans-title-group xml:lang="en"><trans-title>The influence of the intratumor microbiome on pancreatic cancer therapy</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-6893-4673</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Федорова</surname><given-names>М. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Fedorova</surname><given-names>M. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Федорова Мария Сергеевна – канд. биол. наук, мл. науч. сотр., </p><p>ул. Вавилова, д. 32, г. Москва, 119991</p></bio><email xlink:type="simple">fedorowams@yandex.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0005-1904-7516</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Филатова</surname><given-names>А. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Filatova</surname><given-names>A. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Филатова Алёна Алексеевна – врачпатологоанатом, </p><p>ул. Большая Серпуховская, д. 27, г. Москва, 117997</p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-6247-9481</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Калинин</surname><given-names>Д. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Kalinin</surname><given-names>D. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Калинин Дмитрий Валерьевич – канд. мед. наук, зав. патологоанатомическим отделением, </p><p>ул. Большая Серпуховская, д. 27, г. Москва, 117997</p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-2942-6393</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Павлов</surname><given-names>В. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Pavlov</surname><given-names>V. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Павлов Владислав Сергеевич – канд. биол. наук, мл. науч. сотр., </p><p>ул. Вавилова, д. 32, г. Москва, 119991</p></bio><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru">ФГБУН «Институт молекулярной биологии имени В.А. Энгельгардта Российской академии наук»<country>Россия</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru">ФГБУ «Национальный медицинский исследовательский центр хирургии имени А.В. Вишневского» Министерства здравоохранения Российской Федерации<country>Россия</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2026</year></pub-date><pub-date pub-type="epub"><day>28</day><month>03</month><year>2026</year></pub-date><volume>0</volume><issue>1</issue><fpage>111</fpage><lpage>115</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Федорова М.С., Филатова А.А., Калинин Д.В., Павлов В.С., 2026</copyright-statement><copyright-year>2026</copyright-year><copyright-holder xml:lang="ru">Федорова М.С., Филатова А.А., Калинин Д.В., Павлов В.С.</copyright-holder><copyright-holder xml:lang="en">Fedorova M.S., Filatova A.A., Kalinin D.V., Pavlov V.S.</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/3206">https://ymj.elpub.ru/jour/article/view/3206</self-uri><abstract><p>Рак поджелудочной железы (РПЖ) представляет собой одну из наиболее сложных проблем современной онкологии. Он отличается повышающимися с каждым годом показателями заболеваемости, крайне низкими показателями выживаемости, агрессивным и нередко бессимптомным течением, что ставит вопрос о необходимости поиска более эффективных терапевтических стратегий. В настоящее время манипуляция микробиомом рассматривается как мощный вспомогательный инструмент, который может повысить эффективность существующих методов лечения. Данный обзор обобщает современные данные о роли внутриопухолевого микробиома в терапии РПЖ, рассматривая его влияние на эффективность лечения и обсуждая потенциал таргетного воздействия на микробные сообщества как вспомогательного метода, способного улучшить исходы пациентов.</p></abstract><trans-abstract xml:lang="en"><p>Pancreatic cancer represents one of the most challenging problems in modern oncology. It is characterized by annually increasing incidence rates, extremely low survival rates, and aggressive, often asymptomatic progression, raising the question of the need to search for more effective therapeutic strategies. Currently, microbiome manipulation is considered a powerful auxiliary tool that can enhance the effectiveness of existing treatments. This review summarizes current data on the role of the intratumoral microbiome in pancreatic cancer therapy, considering its influence on treatment efficacy and discussing the potential of targeted impact on microbial communities as an auxiliary method capable of improving patient outcomes.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>микробиом</kwd><kwd>рак поджелудочной железы</kwd><kwd>микроокружение опухоли</kwd><kwd>химиотерапия</kwd><kwd>иммунотерапия</kwd><kwd>трансплантация фекальной микробиоты</kwd></kwd-group><kwd-group xml:lang="en"><kwd>microbiome</kwd><kwd>pancreatic cancer</kwd><kwd>tumor microenvironment</kwd><kwd>chemotherapy</kwd><kwd>immunotherapy</kwd><kwd>fecal microbiota transplantation</kwd></kwd-group><funding-group xml:lang="ru"><funding-statement>Работа выполнена в рамках проекта РНФ № 24-25-00460.</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">Набока М. 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