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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">10.47470/0016-9900-2020-99-6-610-617</article-id><article-id custom-type="elpub" pub-id-type="custom">medlit-34</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>ГИГИЕНА ДЕТЕЙ И ПОДРОСТКОВ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>HYGIENE OF CHILDREN AND ADOLESCENTS</subject></subj-group></article-categories><title-group><article-title>Скрининг и пост-скрининг маркеров загрязнения атмосферного воздуха в пробах слюны детей дошкольного возраста</article-title><trans-title-group xml:lang="en"><trans-title>Screening and post-screening of air pollution markers in mixed saliva of preschool children</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-0170-3085</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Хрипач</surname><given-names>Людмила Васильевна</given-names></name><name name-style="western" xml:lang="en"><surname>Khripach</surname><given-names>Ludmila V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Доктор биол. наук, зав. лаб. биохимических и молекулярно-генетических методов исследования ФГБУ «Центр стратегического планирования и управления медико-биологическими рисками здоровью» ФМБА России, 119121, Москва.</p><p>e-mail: LKhripach@cspmz.ru</p></bio><bio xml:lang="en"><p>MD, Ph.D., DSci., head of the laboratory of biochemical and molecular genetics methods, Centre for Strategic Planning, Federal Medical Biological Agency of Russia.</p><p>e-mail: LKhripach@csp</p></bio><email xlink:type="simple">LKhripach@cspmz.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/0000-0001-5279-5018</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Князева</surname><given-names>Т. Д.</given-names></name><name name-style="western" xml:lang="en"><surname>Knyazeva</surname><given-names>T. D.</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/0000-0001-9339-9310</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Железняк</surname><given-names>Е. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Zheleznyak</surname><given-names>E. 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/0000-0002-4652-1755</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Маковецкая</surname><given-names>А. К.</given-names></name><name name-style="western" xml:lang="en"><surname>Makovetskaya</surname><given-names>A. K.</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/0000-0002-4622-8110</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Коганова</surname><given-names>З. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Koganova</surname><given-names>Z. 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/0000-0003-4319-7192</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Бударина</surname><given-names>О. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Budarina</surname><given-names>O. 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/0000-0003-3505-8344</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Сабирова</surname><given-names>З. Ф.</given-names></name><name name-style="western" xml:lang="en"><surname>Sabirova</surname><given-names>Z. F.</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/0000-0002-2262-6800</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Ингель</surname><given-names>Ф. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Ingel</surname><given-names>F. 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/0000-0002-8386-911X</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Демина</surname><given-names>Н. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Demina</surname><given-names>N. N.</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/0000-0002-6181-4628</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Лебедева</surname><given-names>Н. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Lebedeva</surname><given-names>N. V.</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>ФГБУ «Центр стратегического планирования и управления медико-биологическими рисками здоровью» ФМБА России</institution></aff><aff xml:lang="en"><institution>Centre for Strategic Planning and Management of Biomedical Health Risks of the Federal Medical Biological Agency</institution></aff></aff-alternatives><pub-date pub-type="collection"><year>2020</year></pub-date><pub-date pub-type="epub"><day>09</day><month>09</month><year>2020</year></pub-date><volume>99</volume><issue>6</issue><fpage>610</fpage><lpage>617</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Хрипач Л.В., Князева Т.Д., Железняк Е.В., Маковецкая А.К., Коганова З.И., Бударина О.В., Сабирова З.Ф., Ингель Ф.И., Демина Н.Н., Лебедева Н.В., 2020</copyright-statement><copyright-year>2020</copyright-year><copyright-holder xml:lang="ru">Хрипач Л.В., Князева Т.Д., Железняк Е.В., Маковецкая А.К., Коганова З.И., Бударина О.В., Сабирова З.Ф., Ингель Ф.И., Демина Н.Н., Лебедева Н.В.</copyright-holder><copyright-holder xml:lang="en">Khripach L.V., Knyazeva T.D., Zheleznyak E.V., Makovetskaya A.K., Koganova Z.I., Budarina O.V., Sabirova Z.F., Ingel F.I., Demina N.N., Lebedeva N.V.</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/34">https://www.rjhas.ru/jour/article/view/34</self-uri><abstract><sec><title>Введение</title><p>Введение. Неинвазивная диагностика с использованием проб смешанной слюны является перспективным направлением, которое требует дальнейших исследований. Данное двухэтапное исследование направлено на выявление достоверных биохимических и иммунологических маркеров влияния загрязнений атмосферного воздуха в пробах слюны детей дошкольного возраста.</p></sec><sec><title>Материал и методы</title><p>Материал и методы. Пробы смешанной слюны были отобраны у 112 детей 5-7 лет из 6 детских садов, расположенных на расстояниях 1,7-5,9 км от комплекса предприятий по переработке сельскохозяйственной продукции. На этапе скрининга в пробах слюны определяли интенсивность люминол-зависимой хемилюминесценции (ЛЗХЛ), содержание секреторного IgA (sIgA), ИЛ-8, мочевой кислоты, активность α-амилазы и лизосомального фермента N-ацетил-β-D-глюкозаминидазы (NAG); на этапе пост-скрининга - содержание ИЛ-1β и ИЛ-6.</p></sec><sec><title>Результаты</title><p>Результаты. Скрининг показал, что только те маркеры, которые можно рассматривать как косвенные признаки активации фагоцитов, связаны с уровнями экспозиции детей выбросами промзоны достоверными уравнениями: ЛЗХЛ (y = 6,98-0,17x; p = 7,2 • 10-9); ИЛ-8 (y = 776,2-83,2x; p = 3 • 10-4); NAG (y = 13,94-0,93x; p = 0,037). Чтобы проверить, не является ли это совпадение случайным, было подобрано еще 2 показателя в виде функциональной «вилки»: ИЛ-1β (лейкоцитарный пироген) и ИЛ-6 (кофактор дифференцировки В-лимфоцитов). Методами регрессионного, корреляционного и кластерного анализа подтверждено, что все 4 «фагоцитарных» маркера достоверно увеличиваются по мере приближения детских садов к промзоне и образуют единый кластер, перешитый достоверными коэффициентами взаимной корреляции. Содержание ИЛ-6 было связано с уровнями экспозиции зависимостью подъем-спад и вопреки общепринятым представлениям не имело никакой связи с содержанием sIgA. Полученные данные, возможно, имеют отношение к отсутствию способности ИЛ-6 и дефензинов индуцировать sIgA у мышей [Boyaka et al., 2001]. </p></sec><sec><title>Заключение</title><p>Заключение. Результаты обследования свидетельствуют о том, что градиент выбросов промзоны содержит взвешенные вещества и не содержит гаптенов или иммунотоксичных соединений. Пост-скрининг может оказаться полезным приемом при использовании проб слюны как недостаточно изученного объекта.</p></sec></abstract><trans-abstract xml:lang="en"><sec><title>Introduction</title><p>Introduction. salivary diagnostics is a promising area that requires further research.</p></sec><sec><title>The aim of the study</title><p>The aim of the study. The two-stage study is aimed at identifying reliable biochemical and immunological markers of the influence of atmospheric air pollution in saliva samples in preschool children.</p></sec><sec><title>Material and methods</title><p>Material and methods. Mixed saliva samples were taken from 112 children aged 5-7 years in 6 kindergartens located at distances of 1.7-5.9 km from the complex of agricultural processing enterprises. At the screening stage, the intensity of luminol-dependent chemiluminescence (LC), levels of secretory IgA (sIgA), IL-8, uric acid, activities of α-amylase, and lysosomal enzyme N-acetyl-β-d-glucosaminidase (NAG) were determined in saliva samples; at the post-screening stage, IL-1b and IL-6 were added.</p></sec><sec><title>Results</title><p>Results. In children at the screening stage only those markers that can be considered as indirect signs of phagocyte activation were associated with exposure levels to industrial zone emissions by significant equations: CL (y=6.98-0.17 x; p=7.2*10-9); IL-8 (y=776.2-83.2 x; p=3*10-4); NAG (y=13.94-0.93 x; p=0.037). To check whether this coincidence is random, we selected two additional markers in the form of functional “fork”: IL-1β (leukocyte pyrogen) and IL-6 (cofactor of B-lymphocyte differentiation). Methods of regression, correlation, and cluster analysis confirmed all 4 “phagocytic” markers significantly to increase along the gradient of industrial emissions and form a single cluster, cross-linked with significant correlation coefficients. IL-6 saliva content was associated with exposure levels by a rise-fall relationship, and, contrary to conventional beliefs, had no connection with sIgA content. The last finding may be related to the lack of ability of IL-6 and defensins to induce sIgA in mice [Boyaka et al., 2001].</p></sec><sec><title>Conclusion</title><p>Conclusion. The survey results suppose that emission gradient from the industrial zone contains PM and does not contain haptens or immunotoxic compounds. Post-screening can be a useful technique when using saliva samples as insufficiently studied objects.</p></sec></trans-abstract><kwd-group xml:lang="ru"><kwd>загрязнение атмосферного воздуха</kwd><kwd>дети</kwd><kwd>смешанная слюна</kwd><kwd>люминол-зависимая хемилюминесценция</kwd><kwd>ИЛ-1β</kwd><kwd>ИЛ-6</kwd><kwd>ИЛ-8</kwd><kwd>секреторный IgA</kwd><kwd>зависимость «экспозиция - эффект»</kwd></kwd-group><kwd-group xml:lang="en"><kwd>outdoor air pollution</kwd><kwd>children</kwd><kwd>mixed saliva</kwd><kwd>luminol-enchanced chemiluminescence</kwd><kwd>IL-1β</kwd><kwd>L-6</kwd><kwd>IL-8</kwd><kwd>sIgA</kwd><kwd>exposition-response relationships</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">Miller C.S., Foley J.D., Bailey A.L., Campell C.L., Humphries R.L., Christodoulides N. et al. Current developments in salivary diagnostics. 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