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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">medlit</journal-id><journal-title-group><journal-title xml:lang="ru">Гигиена и санитария</journal-title><trans-title-group xml:lang="en"><trans-title>Hygiene and Sanitation</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">0016-9900</issn><issn pub-type="epub">2412-0650</issn><publisher><publisher-name>Federal Scientific Center of Hygiene named after F.F. Erisman</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.47470/0016-9900-2020-99-1-103-108</article-id><article-id custom-type="elpub" pub-id-type="custom">medlit-239</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>ЗДОРОВЬЕ НАСЕЛЕНИЯ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>POPULATION HEALTH</subject></subj-group></article-categories><title-group><article-title>Анализ комбинированной субхронической токсичности свинца и кадмия по их действию на сердечно-сосудистую систему</article-title><trans-title-group xml:lang="en"><trans-title>Studying combined subchronic toxicity of lead and cadmium with a special focus in terms of their cardiovascular effects</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-1871-8593</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Минигалиева</surname><given-names>Ильзира Амировна</given-names></name><name name-style="western" xml:lang="en"><surname>Minigalieva</surname><given-names>Ilzira A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Кандидат биол. наук, зав. лаб. промышленной токсикологии ЕМНЦ ПОЗРПП Роспотребнадзора, 620014, Екатеринбург.</p><p>e-mail: Ilzira-minigalieva@yandex.ru</p></bio><bio xml:lang="en"><p>MD, Ph.D., head of the Laboratory of industrial toxicology of Yekaterinburg Medical Research Center for Prophylaxis and Health Protection in Industrial Workers, Yekaterinburg, 620014, Russian Federation.</p><p>e-mail: ilzira-minigalieva@yandex.ru</p></bio><email xlink:type="simple">Ilzira-minigalieva@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/0000-0002-0927-4062</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Клинова</surname><given-names>С. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Klinova</surname><given-names>S. V.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.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/0000-0001-6718-3217</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Панов</surname><given-names>В. Г.</given-names></name><name name-style="western" xml:lang="en"><surname>Panov</surname><given-names>V. G.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-1743-7642</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Сутункова</surname><given-names>М. П.</given-names></name><name name-style="western" xml:lang="en"><surname>Sutunkova</surname><given-names>M. P.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.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/0000-0002-6475-7753</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Гурвич</surname><given-names>В. Б.</given-names></name><name name-style="western" xml:lang="en"><surname>Gurvich</surname><given-names>V. B.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.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/0000-0002-1442-6737</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Привалова</surname><given-names>Л. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Privalova</surname><given-names>L. I.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.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/0000-0001-7387-5287</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Валамина</surname><given-names>И. Е.</given-names></name><name name-style="western" xml:lang="en"><surname>Valamina</surname><given-names>I. E.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-3"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФБУН «Екатеринбургский медицинский-научный центр профилактики и охраны здоровья рабочих промпредприятий» Роспотребнадзора</institution></aff><aff xml:lang="en"><institution>Yekaterinburg Medical Research Center for Prophylaxis and Health Protection in Industrial Workers</institution></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>ФБУН «Институт промышленной экологии» УрО РАН</institution></aff><aff xml:lang="en"><institution>Institute of Industrial Ecology, the Urals Branch of the Russian Academy of Sciences</institution></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>Центральная научно-исследовательская лаборатория Уральского государственного медицинского университета</institution></aff><aff xml:lang="en"><institution>Central Research Laboratory, Ural State Medical University</institution></aff></aff-alternatives><pub-date pub-type="collection"><year>2020</year></pub-date><pub-date pub-type="epub"><day>30</day><month>01</month><year>2020</year></pub-date><volume>99</volume><issue>1</issue><fpage>103</fpage><lpage>108</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Минигалиева И.А., Клинова С.В., Панов В.Г., Сутункова М.П., Гурвич В.Б., Привалова Л.И., Валамина И.Е., 2020</copyright-statement><copyright-year>2020</copyright-year><copyright-holder xml:lang="ru">Минигалиева И.А., Клинова С.В., Панов В.Г., Сутункова М.П., Гурвич В.Б., Привалова Л.И., Валамина И.Е.</copyright-holder><copyright-holder xml:lang="en">Minigalieva I.A., Klinova S.V., Panov V.G., Sutunkova M.P., Gurvich V.B., Privalova L.I., Valamina I.E.</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://www.rjhas.ru/jour/article/view/239">https://www.rjhas.ru/jour/article/view/239</self-uri><abstract><sec><title>Введение</title><p>Введение. Воздействие свинца и кадмия является важным фактором риска для здоровья работающих в медеплавильном производстве. Многочисленные эпидемиологические исследования выявили связь между воздействием свинца и кадмия и последующим развитием гипертонии и сердечно-сосудистых заболеваний.</p></sec><sec><title>Материал и методы</title><p>Материал и методы. В эксперименте исследовано свыше 50 физиологических, цитологических, морфологических (с морфометрией отдельных органов) и биохимических показателей состояния организма контрольных и подопытных животных в конце экспозиционного периода (6 нед), на протяжении которого проводилось наблюдение за общим состоянием крыс. Проведено математическое моделирование комбинированного действия свинца и кадмия по некоторым показателям состояния организма животных с помощью методики поверхности отклика.</p></sec><sec><title>Результаты</title><p>Результаты. Получено дополнительное подтверждение ранее обоснованных постулатов о типологической неоднозначности комбинированной токсичности, которая зависит от того, какой именно эффект рассматривается, от его уровня и от соотношения действующих доз, и, таким образом, для одной и той же токсической комбинации может варьировать от синергизма до противонаправленности. В том же эксперименте нами впервые показана неоднозначность комбинированного действия также и по показателям кардиоваскулярной токсичности (регистрация электрокардиограммы и измерение артериального давления). По большинству показателей электрокардиограммы тип комбинированного действия свинца и кадмия может быть расценен как аддитивный, но по амплитуде зубца Р – как противонаправленное действие. В частности, установлено противонаправленное влияние свинца и кадмия на артериальное давление у крыс.</p></sec><sec><title>Заключение</title><p>Заключение. По результатам субхронического эксперимента при комбинированном воздействии свинца и кадмия на сердечно-сосудистую систему в ионной форме на крысах показана неоднозначность типов комбинированной токсичности.</p></sec></abstract><trans-abstract xml:lang="en"><sec><title>Introduction</title><p>Introduction. Exposure to lead and cadmium is an important risk factor for the health of workers in copper smelters and refiners. Numerous epidemiological studies have revealed a relationship between exposure to lead and cadmium and the development of hypertension and cardiovascular disease.</p></sec><sec><title>Material and methods</title><p>Material and methods. At the closing stage of the experiment, we registered over 50 characteristics of animals’ health status, including functional, cytological, morphological (with morphometry of certain organs) and biochemical indices. The exposure period accounted for 6 weeks, during which we monitored the general health status of the exposed animals and the control group. Experimental estimates of some of the health indices were used for mathematical modeling of the combined Pb+Cd exposure via Response Surface Methodology.</p></sec><sec><title>Results</title><p>Results. The obtained results were consistent with our earlier conclusions that there are different types of combined Pb+Cd toxicity. The ultimate interaction of toxic agents is determined by what effect is being considered, the level of the effect, and the ratio of the doses. The same toxic mixture can produce a range of interactions, from synergism to antagonism. In this study, we discovered cardiovascular toxicity indices (ECG, BP) to do also suggest that there are different types of combined Pb+Cd toxicity. Most ECG features suggest a synergistic relationship between Pb and Cd, except for P-wave, which amplitude may be interpreted as an indication of Pb-Cd antagonism. Moreover, the antagonistic relationship between Pb and Cd was established with respect to their effects on blood pressure in rats.</p></sec><sec><title>Conclusion</title><p>Conclusion. It is shown that there are different types of lead and cadmium combined cardiovascular toxicity in ionic form in rats.</p></sec></trans-abstract><kwd-group xml:lang="ru"><kwd>свинец</kwd><kwd>кадмий</kwd><kwd>комбинированная токсичность</kwd><kwd>субхроническая интоксикация</kwd><kwd>влияние на сердечно-сосудистую систему</kwd></kwd-group><kwd-group xml:lang="en"><kwd>lead</kwd><kwd>cadmium</kwd><kwd>combined toxic action</kwd><kwd>subchronic intoxication</kwd><kwd>influence on the cardiovascular system</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">Hernàndez A.F., Tsatsakis A.M. Human exposure to chemical mixtures: Challenges for the integration of toxicology with epidemiology data in risk assessment. Food Chem Toxicol. 2017; 103: 188-93. https://doi.org/10.1016/j.fct.2017.03.012</mixed-citation><mixed-citation xml:lang="en">Hernàndez A.F., Tsatsakis A.M. 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