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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">actabiomedica</journal-id><journal-title-group><journal-title xml:lang="ru">Acta Biomedica Scientifica</journal-title><trans-title-group xml:lang="en"><trans-title>Acta Biomedica Scientifica</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2541-9420</issn><issn pub-type="epub">2587-9596</issn><publisher><publisher-name>Scientific Centre for Family Health and Human Reproduction Problems</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.29413/ABS.2023-8.2.4</article-id><article-id custom-type="elpub" pub-id-type="custom">actabiomedica-4068</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>ДИСКУССИОННЫЕ СТАТЬИ, ЛЕКЦИИ, НОВЫЕ ТРЕНДЫ МЕДИЦИНСКОЙ НАУКИ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>DISCUSSION PAPERS, LECTURES, NEW TRENDS IN MEDICAL SCIENCE</subject></subj-group></article-categories><title-group><article-title>Тиреоидный статус и ФНО-альфа у женщин в пострепродуктивном периоде с COVID-19 и через 12 месяцев после заболевания</article-title><trans-title-group xml:lang="en"><trans-title>Thyroid status and TNF-alpha in post-reproductive women with COVID-19 and 12 months after the disease</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-6512-1335</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Семёнова</surname><given-names>Н. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Semenova</surname><given-names>N. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Семёнова Наталья Викторовна – доктор биологических наук, ведущий научный сотрудник лаборатории патофизиологии.</p><p>664003, Иркутск, ул. Тимирязева, 16</p></bio><bio xml:lang="en"><p>Natalya V. Semenova – Dr. Sc. (Biol.), Leading Research Officer at the Laboratory of Pathophysiology.</p><p>Timiryazeva str. 16, Irkutsk 664003</p></bio><email xlink:type="simple">natkor_84@mail.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/0000-0003-2124-6328</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Колесников</surname><given-names>С. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Kolesnikov</surname><given-names>S. I.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Колесников Сергей Иванович – доктор медицинских наук, академик РАН, главный научный сотрудник, ФГБНУ «Научный центр проблем здоровья семьи и репродукции человека»; профессор, МГУ имени М.В. Ломоносова.</p><p>664003, Иркутск, ул. Тимирязева, 16</p></bio><bio xml:lang="en"><p>Sergey I. Kolesnikov – Dr. Sc. (Med.), Academician of the RAS, Chief Scientific Officer, Scientific Centre for Family Health and Human Reproduction Problems; Professor, Lomonosov Moscow State University.</p><p>Timiryazeva str. 16, Irkutsk 664003</p></bio><email xlink:type="simple">sikolesnikov2012@gmail.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/0000-0001-7954-9570</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Вырупаева</surname><given-names>Е. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Vyrupaeva</surname><given-names>E. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Вырупаева Екатерина Викторовна – аспирант.</p><p>664003, Иркутск, ул. Тимирязева, 16</p></bio><bio xml:lang="en"><p>Ekaterina V. Vyrupaeva – Postgraduate.</p><p>Timiryazeva str. 16, Irkutsk 664003</p></bio><email xlink:type="simple">goliafm@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/0000-0003-3588-6545</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Шолохов</surname><given-names>Л. Ф.</given-names></name><name name-style="western" xml:lang="en"><surname>Sholokhov</surname><given-names>L. F.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Шолохов Леонид Федорович – доктор медицинских наук, профессор, заведующий лабораторией физиологии и патологии эндокринной системы.</p><p>664003, Иркутск, ул. Тимирязева, 16</p></bio><bio xml:lang="en"><p>Leonid F. Sholokhov – Dr. Sc. (Med.), Professor, Head of the Laboratory of Physiology and Pathology of the Endocrine System.</p><p>Timiryazeva str. 16, Irkutsk 664003</p></bio><email xlink:type="simple">lfshol@mail.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/0000-0003-2910-0737</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Рычкова</surname><given-names>Л. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Rychkova</surname><given-names>L. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Рычкова Любовь Владимировна – доктор медицинских наук, профессор, член-корреспондент РАН, директор.</p><p>664003, Иркутск, ул. Тимирязева, 16</p></bio><bio xml:lang="en"><p>Lyubov V. Rychkova – Dr. Sc. (Med.), Corresponding Member of the RAS, Director.</p><p>Timiryazeva str. 16, Irkutsk 664003</p></bio><email xlink:type="simple">rychkova.nc@gmail.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/0000-0002-7965-8061</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Петрова</surname><given-names>А. Г.</given-names></name><name name-style="western" xml:lang="en"><surname>Petrova</surname><given-names>А. G.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Петрова Алла Германовна – доктор медицинских наук, профессор, заведующая лабораторией инфектологии и иммунопрофилактики в педиатрии.</p><p>664003, Иркутск, ул. Тимирязева, 16</p></bio><bio xml:lang="en"><p>Alla G. Petrova – Dr. Sc. (Med.), Professor, Head of the Laboratory of Infectology and Immunoprophylaxis.</p><p>Timiryazeva str. 16, Irkutsk 664003</p></bio><email xlink:type="simple">rudial75@gmail.com</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>Ахмедзянова</surname><given-names>М. Р.</given-names></name><name name-style="western" xml:lang="en"><surname>Akhmedzyanova</surname><given-names>M. R.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Ахмедзянова Маргарита Рашидовна – младший научный сотрудник лабораторией физиологии и патологии эндокринной системы.</p><p>664003, Иркутск, ул. Тимирязева, 16</p></bio><bio xml:lang="en"><p>Margarita R. Akhmedzyanova – Junior Research Officer at the Laboratory of Physiology and Pathology of the Endocrine System.</p><p>Timiryazeva str. 16, Irkutsk 664003</p></bio><email xlink:type="simple">margarita.axmedzyanova@mail.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/0000-0003-3255-2013</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Даренская</surname><given-names>М. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Darenskaya</surname><given-names>M. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Даренская Марина Александровна – доктор биологических наук, ведущий научный сотрудник лаборатории патофизиологии.</p><p>664003, Иркутск, ул. Тимирязева, 16</p></bio><bio xml:lang="en"><p>Marina A. Darenskaya – Dr. Sc. (Biol.), Leading Research Officer at the Laboratory of Pathophysiology.</p><p>Timiryazeva str. 16, Irkutsk 664003</p></bio><email xlink:type="simple">mops_my@front.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/0000-0003-3354-2992</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Колесникова</surname><given-names>Л. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Kolesnikova</surname><given-names>L. I.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Колесникова Любовь Ильинична – доктор медицинских наук, профессор, академик РАН, научный руководитель.</p><p>664003, Иркутск, ул. Тимирязева, 16</p></bio><bio xml:lang="en"><p>Lyubov I. Kolesnikova – Dr. Sc. (Med.), Professor, Academician of the RAS, Scientific Advisor.</p><p>Timiryazeva str. 16, Irkutsk 664003</p></bio><email xlink:type="simple">iphr@sbamsr.irk.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГБНУ «Научный центр проблем здоровья семьи и репродукции человека»</institution></aff><aff xml:lang="en"><institution>Scientific Centre for Family Health and Human Reproduction Problems</institution></aff></aff-alternatives><pub-date pub-type="collection"><year>2023</year></pub-date><pub-date pub-type="epub"><day>03</day><month>05</month><year>2023</year></pub-date><volume>8</volume><issue>2</issue><fpage>33</fpage><lpage>42</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Семёнова Н.В., Колесников С.И., Вырупаева Е.В., Шолохов Л.Ф., Рычкова Л.В., Петрова А.Г., Ахмедзянова М.Р., Даренская М.А., Колесникова Л.И., 2023</copyright-statement><copyright-year>2023</copyright-year><copyright-holder xml:lang="ru">Семёнова Н.В., Колесников С.И., Вырупаева Е.В., Шолохов Л.Ф., Рычкова Л.В., Петрова А.Г., Ахмедзянова М.Р., Даренская М.А., Колесникова Л.И.</copyright-holder><copyright-holder xml:lang="en">Semenova N.V., Kolesnikov S.I., Vyrupaeva E.V., Sholokhov l.F., Rychkova L.V., Petrova А.G., Akhmedzyanova M.R., Darenskaya M.A., Kolesnikova L.I.</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.actabiomedica.ru/jour/article/view/4068">https://www.actabiomedica.ru/jour/article/view/4068</self-uri><abstract><sec><title>Цель исследования</title><p>Цель исследования. Оценка тиреоидного статуса и его взаимосвязь с фактором некроза опухоли альфа (ФНО-альфа) у женщин в пострепродуктивном периоде в острую фазу среднетяжёлого течения COVID-19 и через 12 месяцев после заболевания.</p></sec><sec><title>Методы</title><p>Методы. 85 женщин в возрасте от 45 до 69 лет были разделены на группы: женщины, не болевшие COVID-19, не привитые, с отсутствием антител к COVID-19 (IgG) – контроль (n = 15); женщины в острой фазе COVID-19 со среднетяжёлым течением, сопровождающимся пневмонией – основная группа (n = 57); пациентки из основной группы, согласившиеся пройти обследование через 12 месяцев после COVID-19 (n = 14); женщины с наличием в крови IgG, отрицающие какие-либо симптомы COVID-19 за последние 12 месяцев – бессимптомное течение COVID-19 (n = 13). Женщины, принимающие заместительную гормональную терапию, имеющие в анамнезе заболевания щитовидной железы, были исключены из исследования.</p></sec><sec><title>Результаты</title><p>Результаты. У 75,4 % пациенток с COVID-19 отмечен эутиреоз, в 12,3 % случаев – субклинический гипертиреоз. Выявлено повышение уровня свободного тироксина (Т4св.) в группе женщин с COVID-19 по сравнению с контролем (р = 0,004) и группой переболевших COVID-19 бессимптомно (р = 0,054). Не выявлено статистически значимой разницы по уровню тиреотропного гормона между исследуемыми группами. Уровень C-реактивного белка в группе женщин с COVID-19 был закономерно выше по сравнению с контролем (р = 0,009) и с группой переболевших бессимптомно (р = 0,001). Выявлен более низкий уровень ФНО-альфа в группе переболевших без клинических признаков по сравнению с контролем (р = 0,007) и с группой с COVID-19 (р = 0,00007). При анализе корреляционных взаимосвязей выявлена положительная корреляция между уровнем Т4св. и ФНО-альфа у женщин с COVID-19 (r = 0,38; p = 0,004).</p></sec><sec><title>Заключение</title><p>Заключение. Среднетяжёлое течение COVID-19 у женщин в пострепродуктивном периоде ассоциировано с повышением Т4св., который положительно коррелирует с уровнем ФНО-альфа. Через 12 месяцев после COVID-19 тиреоидный статус у женщин сохраняется на уровне острой фазы заболевания.</p></sec></abstract><trans-abstract xml:lang="en"><sec><title>The aim</title><p>The aim. To assess the thyroid status and its relationship with tumor necrosis factor alpha (TNF-alpha) in post-reproductive women in the acute phase of the COVID-19 of moderate course and 12 months after the disease.</p></sec><sec><title>Materials and methods</title><p>Materials and methods. 85 women aged 45 to 69 years were divided into groups: women without COVID-19, not vaccinated, with no antibodies to COVID-19 (IgG) – control group (n = 15); women in the acute phase of COVID-19 of a moderate course, accompanied by pneumonia – main group (n = 57); patients from the main group who agreed to be examined 12 months after having COVID-19 (n = 14); women with IgG in blood who deny any symptoms of COVID-19 in the last 12 months – asymptomatic COVID-19 (n = 13). Using hormone replacement therapy and the presence of thyroid disease in history were the exclusion criteria from the study.</p></sec><sec><title>Results</title><p>Results. 75.4 % of patients with COVID-19 had euthyroidism, 12.3 % had subclinical hyperthyroidism. An increase of free thyroxine (free T4) level in women with COVID-19 as compared to the control group (p = 0.004) and the group with asymptomatic COVID-19 (p = 0.054) was found. There was no statistically significant difference in the level of thyroid stimulating hormone between the groups. The level of C-reactive protein in women with COVID-19 was naturally higher as compared to the control group (p = 0.009) and the group of asymptomatic patients (p = 0.001). A lower TNF-alpha level was found in the group of patients without clinical signs of COVID-19 as compared to the control group (p = 0.007) and the group with COVID-19 (p = 0.00007). The analysis of correlation relationships revealed a positive correlation between of free T4 and TNF-alpha levels in women with COVID-19 (r = 0.38, p = 0.004).</p></sec><sec><title>Conclusions</title><p>Conclusions. The moderate course of COVID-19 in the post-reproductive women is associated with an increase of free T4 level, which positively correlates with TNF-alpha level. Twelve months after COVID-19, thyroid status in women remains at the level of the acute phase of the disease.</p></sec></trans-abstract><kwd-group xml:lang="ru"><kwd>COVID-19</kwd><kwd>отдалённые последствия</kwd><kwd>тиреоидный статус</kwd><kwd>фактор некроза опухоли альфа</kwd><kwd>пострепродуктивный период</kwd></kwd-group><kwd-group xml:lang="en"><kwd>COVID-19</kwd><kwd>long-term consequences</kwd><kwd>thyroid status</kwd><kwd>tumor necrosis factor alpha</kwd><kwd>post-reproductive period</kwd></kwd-group><funding-group><funding-statement xml:lang="ru">Работа выполнена при поддержке при поддержке Совета по грантам Президента РФ (МД-3674.2022.1.4) с использованием оборудования ЦКП «Центр разработки прогрессивных персонализированных технологий здоровья» ФГБНУ «Научный центр проблем здоровья семьи и репродукции человека» (Иркутск).</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">Weiss P, Murdoch DR. 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