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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">10.47470/0016-9900-2023-102-7-689-694</article-id><article-id custom-type="edn" pub-id-type="custom">glwiya</article-id><article-id custom-type="elpub" pub-id-type="custom">medlit-3272</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>МЕДИЦИНА ТРУДА</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>OCCUPATIONAL HEALTH</subject></subj-group></article-categories><title-group><article-title>Полиморфные локусы генов-кандидатов у пациентов с профессиональными болезнями</article-title><trans-title-group xml:lang="en"><trans-title>Analysis of polymorphic loci of candidate genes in patients with occupational diseases</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-9641-0327</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Черняк</surname><given-names>Юрий Ильич</given-names></name><name name-style="western" xml:lang="en"><surname>Chernyak</surname><given-names>Yury I.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Доктор биол. наук, вед. науч. сотр. лаб. иммуно-биохимических и молекулярно-генетических исследований ФГБНУ «Восточно-Сибирский институт медико-экологических исследований», 665827, Ангарск.</p><p>e-mail: yuri_chernyak@hotmail.com</p></bio><bio xml:lang="en"><p>Dr. of Sci. (Biol.), Leading researcher of East Siberian Institute of Medical and Ecological Research, 3 Bldg., 12-a Microdistrict, P.O. Box 1170, Angarsk, 665827, Russia.</p><p>e-mail: yuri_chernyak@hotmail.com</p></bio><email xlink:type="simple">yuri_chernyak@hotmail.com</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-2522-0467</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Меринова</surname><given-names>Алла П.</given-names></name><name name-style="western" xml:lang="en"><surname>Merinova</surname><given-names>Alla P.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГБНУ «Восточно-Сибирский институт медико-экологических исследований»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>East Siberian Institute of Medical and Ecological Research</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2023</year></pub-date><pub-date pub-type="epub"><day>31</day><month>08</month><year>2023</year></pub-date><volume>102</volume><issue>7</issue><fpage>689</fpage><lpage>694</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Черняк Ю.И., Меринова А.П., 2023</copyright-statement><copyright-year>2023</copyright-year><copyright-holder xml:lang="ru">Черняк Ю.И., Меринова А.П.</copyright-holder><copyright-holder xml:lang="en">Chernyak Y.I., Merinova A.P.</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/3272">https://www.rjhas.ru/jour/article/view/3272</self-uri><abstract><sec><title>Введение</title><p>Введение. Особенности формирования и течения вибрационной болезни (ВБ) и нейросенсорной тугоухости (НСТ) в известной степени детерминируются генетическими факторами. Последние определяют актуальность поиска персонализированных подходов к профилактике и медицинскому сопровождению пациентов с названными профессиональными болезнями.</p><p>Цель работы — изучение распределения генотипов полиморфных локусов генов-кандидатов у пациентов с профессиональными болезнями, обусловленными воздействием вибрации и шума.</p></sec><sec><title>Материалы и методы</title><p>Материалы и методы. С использованием методов ПЦР-ПДРФ и ПЦР в режиме реального времени изучены полиморфные варианты генов HSPA1B (rs1061581), IL17A (rs2275913), IL10 (rs1800872) и TNF-α (rs1800629) генов у 398 мужчин. Обследованы 268 пациентов с ВБ, распределённые в две группы: ВБлок (n = 117) и ВБкомб (n = 151), в которых ВБ была обусловлена воздействием локальной вибрации либо комбинированным воздействием локальной и общей вибрации соответственно. К исследованию также были привлечены 96 пациентов с установленным диагнозом профессиональной НСТ и 34 индивида группы сравнения без производственного контакта с физическими факторами.</p></sec><sec><title>Результаты</title><p>Результаты. Выявлена повышенная частота GG-HSPA1B (1267A/G) генотипа (p = 0,058) у пациентов с ВБкомб по сравнению с таковыми из группы ВБлок. Установлено значимое различие носителей С/С-генотипа полиморфного локуса IL10 (rs1800872) в группе пациентов с НСТ относительно группы сравнения (р = 0,036). Результаты регрессионного анализа свидетельствуют о том, что носительство А-аллеля снижает риск формирования НСТ.</p></sec><sec><title>Ограничения исследования</title><p>Ограничения исследования. К ограничениям следует отнести количество обследованных во всех группах, особенно в группе сравнения, а также отсутствие групп работников, не имеющих в условиях воздействия физического фактора профессиональной патологии.</p></sec><sec><title>Заключение</title><p>Заключение. Полученные результаты расширяют наши представления о генетических особенностях, которые могут детерминировать чувствительность индивидов к воздействию физических факторов, обусловливающих формирование профессиональной патологии, и определяют направления следующих этапов исследований.</p><p>Соблюдение этических стандартов. Исследование одобрено локальным этическим комитетом по биомедицинской этике ФГБНУ «Восточно-Сибирский институт медико-экологических исследований» (заключение № 6 от 15.11.2012 г. и № 5 от 20.03.2023 г.). От каждого участника исследования получено письменное информированное согласие.</p></sec><sec><title>Участие авторов</title><p>Участие авторов:Черняк Ю.И. — концепция и дизайн исследования, сбор материала и обработка данных, статистическая обработка, написание текста, редактирование;Меринова А.П. — сбор материала и обработка данных.Все соавторы — утверждение окончательного варианта статьи, ответственность за целостность всех частей статьи.</p></sec><sec><title>Благодарность</title><p>Благодарность. Авторы выражают благодарность сотрудникам клиники ФГБНУ «Восточно-Сибирский институт медико-экологических исследований» за организацию обследования, руководителю НИР проф. РАН, д.м.н. О.Л. Лахману за консультативную помощь в процессе подготовки рукописи.</p></sec><sec><title>Конфликт интересов</title><p>Конфликт интересов. Авторы декларируют отсутствие явных и потенциальных конфликтов интересов в связи с публикацией данной статьи.</p></sec><sec><title>Финансирование</title><p>Финансирование. Работа выполнена в рамках государственного задания ФГБНУ ВСИМЭИ (№№ 0534-2016-0006 и 123032000007-8).</p></sec><sec><title>Поступила</title><p>Поступила: 23.03.2023 / Принята к печати: 07.06.2023 / Опубликована: 30.08.2023</p></sec></abstract><trans-abstract xml:lang="en"><sec><title>Introduction</title><p>Introduction. Development and progress features of vibration syndrome (VS) and noise-induced hearing loss (NIHL) are determined by genetic factors to a certain extent. The latter define the relevance of the search for individual approaches to prevention and medical support of patients with these occupational diseases.</p><p>The aim of the study was to investigate the genotypes distribution of polymorphic loci of candidate genes in patients with occupational diseases caused by vibration and noise impact.</p></sec><sec><title>Materials and methods</title><p>Materials and methods. Polymorphic variants of the HSPA1B (rs1061581), IL17A (rs2275913), IL10 (rs1800872), and TNF-α (rs1800629) genes of three hundred ninety eight males were studied using PCR-RFLP and real-time PCR methods, including 268  patients with VS divided into two groups: VShtv (n = 117) and VScomb (n = 151), in which VS was caused by exposure to hand-transmitted vibration (HTV) or combined exposure to HTV and whole-body vibration (COMB), respectively. The study also involved 96 patients with occupational NIHL diagnosis and 34 individuals of the comparison group without occupational contact with physical factors.</p></sec><sec><title>Results</title><p>Results. The increase in GG-HSPA1B (1267A/G) genotype frequency  (p=0.058) was found in VScomb patients compared with those from the VShtv group. There was a significant difference in carriers of the C/C genotype of the IL10 (rs1800872) polymorphic locus in the group of NIHL patients relative to the comparison group (p=0.036). The results of regression analysis indicate the carriage of the A allele to reduce the risk of NIHL development.</p></sec><sec><title>Limitations</title><p>Limitations. The limitations include the number of examined cases in all groups, especially in comparison group and the lack of groups of workers with no occupational exposure to a physical factor.</p></sec><sec><title>Conclusion</title><p>Conclusion. The obtained results expand the understanding of the genetic features able to determine sensitivity to the physical factors exposure that define the development of occupational pathology and the issues to be resolved at the next stage of research.</p><p>Compliance with ethical standards. The study was approved by the Biomedical Ethics Committee of the East Siberian Institute of Medical and Ecological Research (Protocols No. 6 of 15.11.2012 and No. 5 of 20.03.2023). The voluntary informed consent was signed by all study participants.</p></sec><sec><title>Contribution</title><p>Contribution:Chernyak Yu.I. — concept and study design, final statistical data analysis, text writing and editing; Merinova A.P. — sample collection, implementation of methods and data analysis.All authors are responsible for the integrite of all parts of the manuscript and approval of the manuscript final version. </p></sec><sec><title>Acknowledgment</title><p>Acknowledgment. The study was supported within a framework of State Assignment for East Siberian Institute of Medical and Ecological Research (Nos. 0534-2016-0006 and 123032000007-8). The authors are grateful to Institute’s Clinic-physicians for organizing the medical examination, as well as to project leader, Prof. Oleg L. Lakhman for useful comments in the process of the manuscript preparing. </p></sec><sec><title>Conflict of interests</title><p>Conflict of interests. The authors declare no conflicts of interest.</p></sec><sec><title>Received</title><p>Received: March 23, 2023 / Accepted: June 6, 2023 / Published: August 30, 2023</p></sec></trans-abstract><kwd-group xml:lang="ru"><kwd>физические факторы</kwd><kwd>профессиональные болезни</kwd><kwd>вибрационная болезнь</kwd><kwd>нейросенсорная тугоухость</kwd><kwd>полиморфизм генов</kwd></kwd-group><kwd-group xml:lang="en"><kwd>physical factors</kwd><kwd>occupational diseases</kwd><kwd>vibration syndrome</kwd><kwd>noise-induced hearing loss</kwd><kwd>genetic polymorphism</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">Рукавишников В.С., Панков В.А., Лахман О.Л., Бодиенкова Г.М., Дружинина П.Н., Колычева И.В. и др. Общие закономерности формирования неспецифических патогенетических механизмов при воздействии на организм физических факторов производственной среды. 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