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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.2025-10.2.6</article-id><article-id custom-type="elpub" pub-id-type="custom">actabiomedica-5302</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>АКУШЕРСТВО И ГИНЕКОЛОГИЯ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>OBSTETRICS AND GYNAECOLOGY</subject></subj-group></article-categories><title-group><article-title>Эндокринные химические дизрапторы и репродуктивное здоровье женщины. Обзор литературы</article-title><trans-title-group xml:lang="en"><trans-title>Endocrine chemical disraptors and female reproductive health. Literature review</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-7014-6492</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Артымук</surname><given-names>Н. B.</given-names></name><name name-style="western" xml:lang="en"><surname>Artymuk</surname><given-names>N. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Артымук Наталья Владимировна – доктор медицинских наук, профессор, заведующая кафедрой акушерства и гинекологии им. проф. Г.А. Ушаковой </p><p>650056, Кемеровская область–Кузбасс, г. Кемерово, ул. Ворошилова, д. 22 А</p></bio><bio xml:lang="en"><p>Natalia V. Artymuk – Dr. Sc. (Med.), Professor, Head of the G.A. Ushakova Department of Obstetrics and Gynecology </p><p>Voroshilova str., 22 A, 650056 Kemerovo region – Kuzbass, Kemerovo</p></bio><email xlink:type="simple">artymuk@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/0000-0001-5570-1988</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Новикова</surname><given-names>О. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Novikova</surname><given-names>O. N.</given-names></name></name-alternatives><bio xml:lang="ru"><p> Новикова Оксана Николаевна – доктор медицинских наук, профессор кафедры акушерства и гинекологии им. проф. Г.А. Ушаковой</p><p>650056, Кемеровская область–Кузбасс, г. Кемерово, ул. Ворошилова, д. 22 А</p></bio><bio xml:lang="en"><p>Oxana N. Novikova – Dr. Sc. (Med.), Professor of the G.A. Ushakova Department of Obstetrics and Gynecology</p><p>Voroshilova str., 22 A, 650056 Kemerovo region – Kuzbass, Kemerovo</p></bio><email xlink:type="simple">oxana777_07@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/0000-0003-3871-5450</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Беглов</surname><given-names>Д. Е.</given-names></name><name name-style="western" xml:lang="en"><surname>Beglov</surname><given-names>D. E.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Беглов Дмитрий Евгеньевич – министр здравоохранения Кемеровской области – Кузбасса</p><p>650064, Кемерово, пр. Советский, 58</p></bio><bio xml:lang="en"><p>Dmitriy E. Beglov – Minister of Health of the Kemerovo Region – Kuzbass</p><p>pr. Soviet, 58, 650064 </p><p> </p></bio><email xlink:type="simple">beglik@gmail.com</email><xref ref-type="aff" rid="aff-2"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГБОУ ВО «Кемеровский государственный медицинский университет» Минздрава России</institution></aff><aff xml:lang="en"><institution>Kemerovo State Medical University</institution></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>Министерство здравоохранения Кемеровской области – Кузбасса</institution></aff><aff xml:lang="en"><institution>Ministry of Health of the Kemerovo Region – Kuzbass</institution></aff></aff-alternatives><pub-date pub-type="collection"><year>2025</year></pub-date><pub-date pub-type="epub"><day>19</day><month>05</month><year>2025</year></pub-date><volume>10</volume><issue>2</issue><fpage>57</fpage><lpage>67</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Артымук Н.B., Новикова О.Н., Беглов Д.Е., 2025</copyright-statement><copyright-year>2025</copyright-year><copyright-holder xml:lang="ru">Артымук Н.B., Новикова О.Н., Беглов Д.Е.</copyright-holder><copyright-holder xml:lang="en">Artymuk N.V., Novikova O.N., Beglov D.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.actabiomedica.ru/jour/article/view/5302">https://www.actabiomedica.ru/jour/article/view/5302</self-uri><abstract><p>В работе представлены данные систематических обзоров и метаанализов, посвященных проблеме влияния эндокринных химических дизрапторов (ЭХД) на репродуктивное здоровье женщин. ЭХД определяются как экзогенные химические вещества или комбинации химических веществ, которые влияют на любой аспект действия гормонов и вызывающие неблагоприятные последствия для здоровья интактного организма и/или его потомства в результате изменений эндокринной функции. В настоящее время раскрыты механизмы неблагоприятного воздействия многих ЭХД. Предполагается, что ЭХД могут действовать как агонисты или антагонисты стероидов, связываясь с рецепторами половых стероидов. ЭХД могут также действовать посредством негеномных механизмов путем блокирования рецепторов, связанных с G-белком. Наконец, вмешательство в действие стероидов может способствовать возникновению воспаления посредством различных механизмов, включая неспособность ограничить выработку активных форм кислорода. Этот систематический обзор содержит наиболее актуальные данные за последние 5 лет о неблагоприятном влиянии ЭХД на здоровье женщины и ее ребенка. Проведена оценка информационных баз данных Cochrane, MEDLINE, PubMed. Глубина поиска составила 5 лет.</p></abstract><trans-abstract xml:lang="en"><p>The review presents data from systematic reviews and metaanalyses addressing the issue of the eff ts of endocrine chemical disraptors (ECDs) on women’s reproductive health. ECDs are defi  as exogenous chemicals or combinations of chemicals that aff t any aspect of hormone action and cause adverse health eff ts to the intact organism and/or its off        as a result of changes in endocrine function. Currently, the mechanisms of adverse eff ts of many ECDs have been disclosed. It is suggested that ECDs can act as steroid agonists or antagonists by binding to sex steroid receptors. ECDs may also act through non-genomic mechanisms by blocking G protein-coupled receptors. Finally, interference with the action of steroids can contribute to infl       through various mechanisms, including the inability to limit the production of reactive oxygen species. This systematic review was contains the most relevant data over the past 5 years on the adverse eff  ts of ECD on the health of a woman and her child. Cochrane, MEDLINE, PubMed information bases were evaluated.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>эндокринные химические дизрапторы</kwd><kwd>репродуктивное здоровье</kwd><kwd>преждевременные роды</kwd></kwd-group><kwd-group xml:lang="en"><kwd>endocrine chemical disraptors</kwd><kwd>reproductive health</kwd><kwd>premature birth</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">La Merrill MA, Vandenberg LN, Smith MT, et al. Consensus on the key characteristics of endocrine-disrupting chemicals as a basis for hazard identifi tion. 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