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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.2025-10.4.13</article-id><article-id custom-type="elpub" pub-id-type="custom">actabiomedica-5560</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>МОРФОЛОГИЯ, ФИЗИОЛОГИЯ И ПАТОФИЗИОЛОГИЯ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>MORPHOLOGY, PHYSIOLOGY AND PATHOPHYSIOLOGY</subject></subj-group></article-categories><title-group><article-title>Синдром «спортивного сердца» у молодых спортсменов и изолированная систолическая гипертензия: могут ли «спортивные гены» лежать в основе их взаимосвязи? Результаты пилотного исследования</article-title><trans-title-group xml:lang="en"><trans-title>Young “athlete’s hearts” and isolated systolic hypertension: can “athlete’s genes” underlie their relationship? Results from the pilot study</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-3104-3639</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Коломейчук</surname><given-names>С. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Kolomeichuk</surname><given-names>S. N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>625023; г. Тюмень; ул. Одесская; 54,</p><p>185910; г. Петрозаводск; ул.; Пушкинская 11</p></bio><bio xml:lang="en"><p>Sergey N. Kolomeichuk – Cand. Sc. (Biol.); Head of the Laboratory for Genomics; Proteomics; and Metabolomics; Research Institute of Biomedicine and Biomedical Technologies; Tyumen State Medical University; senior research officer at the Laboratory of Genetics; Institute of Biology; Karelian Research Centre; Russian Academy of Sciences</p><p>Odesskaya; 54; Tyumen 625023,</p><p>Pushkinskaya str.; 11; Petrozavodsk 185910</p></bio><email xlink:type="simple">sergey_kolomeychuk@rambler.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/0000-0003-2779-9046</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Путилов</surname><given-names>А. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Putilov</surname><given-names>A. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>117485; г. Москва; Бутлерова; 5А</p></bio><bio xml:lang="en"><p>Arcady A. Putilov – Dr. Sc. (Biol.); Leading Researcher at the Laboratory of Sleep/Wake Neurobiology</p><p>Butlerova 5A; Moscow 117485</p></bio><email xlink:type="simple">putilov@google.com</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-2088-5101</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Мейгал</surname><given-names>А. Ю.</given-names></name><name name-style="western" xml:lang="en"><surname>Meigal</surname><given-names>A. Yu.</given-names></name></name-alternatives><bio xml:lang="ru"><p>185910; г. Петрозаводск; пр. Ленина; 33</p></bio><bio xml:lang="en"><p>Alexander Y. Meigal – Dr. Sc. (Med.); Head of the Laboratory of the New Methods in Physiological Research</p><p>Prosp. Lenina; 33; Petrozavodsk 185910</p></bio><email xlink:type="simple">meigal@petrsu.ru</email><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-7840-939X</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Морозов</surname><given-names>А. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Morozov</surname><given-names>A. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>185910; г. Петрозаводск; ул.; Пушкинская 11</p></bio><bio xml:lang="en"><p>Artem V. Morozov – leading biologist at the Laboratory of Animal Ecophysiology</p><p>Pushkinskaya str.; 11; Petrozavodsk 185910</p></bio><email xlink:type="simple">artem.morozow@yandex.ru</email><xref ref-type="aff" rid="aff-4"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-4975-5821</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Будкевич</surname><given-names>Е. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Budkevich</surname><given-names>E. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>355017; г. Ставрополь Пушкина ул.; 1</p></bio><bio xml:lang="en"><p>Elena V. Budkevich – Cand. Sc. (Med.); Leading Researcher at the “nanobiotechnology and biophysics” research laboratory</p><p>Pushkina str.; 1; Stavropol 355017</p></bio><email xlink:type="simple">evbudkevich@ncfu.ru</email><xref ref-type="aff" rid="aff-5"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-7471-4792</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Марков</surname><given-names>А. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Markov</surname><given-names>A. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>625023; г. Тюмень; ул. Одесская; 54</p></bio><bio xml:lang="en"><p>Alexander A. Markov – Cand. Sc. (Med.); Director of the Research Institute of Biomedicine and Biomedical Technologies; Associate Professor of the Department of Medical Prevention and Rehabilitation</p><p>Odesskaya; 54; Tyumen 625023</p></bio><email xlink:type="simple">markova@tyumsmu.ru</email><xref ref-type="aff" rid="aff-6"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-2028-1033</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Губин</surname><given-names>Д. Г.</given-names></name><name name-style="western" xml:lang="en"><surname>Gubin</surname><given-names>D. G.</given-names></name></name-alternatives><bio xml:lang="ru"><p>625023; г. Тюмень; ул. Одесская; 54,</p><p>625026; г. Тюмень; ул. Мельникайте; 111</p></bio><bio xml:lang="en"><p>Denis G. Gubin – Dr. Sc. (Biol.); Head of the Laboratory of Chronobiology; Tyumen State Medical University; Leading Researcher; Tyumen Cardiology Research Center</p><p>Odesskaya; 54; Tyumen 625023,</p><p>Melnikaite str.; 111; Tyumen 625026</p></bio><email xlink:type="simple">dgubin@mail.ru</email><xref ref-type="aff" rid="aff-7"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Тюменский государственный медицинский университет;&#13;
Институт биологии Карельского научного центра РАН</institution></aff><aff xml:lang="en"><institution>Tyumen State Medical University;&#13;
Institute of Biology, Karelian Research Centre, Russian Academy of Sciences</institution></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>Институт высшей нервной деятельности и нейрофизиологии РАН</institution></aff><aff xml:lang="en"><institution>Institute of Higher Nervous Activity and Neurophysiology of the Russian Academy of Sciences</institution></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>Институт высоких биомедицинских технологий Петрозаводского государственного университета</institution></aff><aff xml:lang="en"><institution>Institute of High Biomedical Technologies, Petrozavodsk State University</institution></aff></aff-alternatives><aff-alternatives id="aff-4"><aff xml:lang="ru"><institution>Институт биологии Карельского научного центра РАН</institution></aff><aff xml:lang="en"><institution>Institute of Biology, Karelian Research Centre, Russian Academy of Sciences</institution></aff></aff-alternatives><aff-alternatives id="aff-5"><aff xml:lang="ru"><institution>Северо-Кавказский федеральный университет</institution></aff><aff xml:lang="en"><institution>North Caucasus Federal University</institution></aff></aff-alternatives><aff-alternatives id="aff-6"><aff xml:lang="ru"><institution>Тюменский государственный медицинский университет</institution></aff><aff xml:lang="en"><institution>Tyumen State Medical University</institution></aff></aff-alternatives><aff-alternatives id="aff-7"><aff xml:lang="ru"><institution>Тюменский государственный медицинский университет;&#13;
Тюменский кардиологический научный центр</institution></aff><aff xml:lang="en"><institution>Tyumen State Medical University ;&#13;
Tyumen Cardiology Research Center</institution></aff></aff-alternatives><pub-date pub-type="collection"><year>2025</year></pub-date><pub-date pub-type="epub"><day>23</day><month>09</month><year>2025</year></pub-date><volume>10</volume><issue>4</issue><fpage>129</fpage><lpage>139</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Коломейчук С.Н., Путилов А.А., Мейгал А.Ю., Морозов А.В., Будкевич Е.В., Марков А.А., Губин Д.Г., 2025</copyright-statement><copyright-year>2025</copyright-year><copyright-holder xml:lang="ru">Коломейчук С.Н., Путилов А.А., Мейгал А.Ю., Морозов А.В., Будкевич Е.В., Марков А.А., Губин Д.Г.</copyright-holder><copyright-holder xml:lang="en">Kolomeichuk S.N., Putilov A.A., Meigal A.Y., Morozov A.V., Budkevich E.V., Markov A.A., Gubin D.G.</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/5560">https://www.actabiomedica.ru/jour/article/view/5560</self-uri><abstract><sec><title>Введение</title><p>Введение. Занятия интенсивными аэробными упражнениями могут привести к специфическому; непатологическому состоянию; известному как изолированная систолическая гипертензия или «сердце спортсмена»; характеризующемуся повышенным систолическим артериальным давлением. Побочные эффекты реакции сердца на интенсивные тренировки могут быть обусловлены индивидуальными генетическими факторами.</p></sec><sec><title>Цель</title><p>Цель. Анализ минимального набора полиморфных вариантов генов в связи с индивидуальными различиями гемодинамических параметров у спортсменов и контрольной группы нетренированных лиц.</p></sec><sec><title>Методы</title><p>Методы. Критериям включения соответствовали 98 человек. В качестве испытуемых были отобраны лица мужского пола возраст 18–30 лет; профессионально занимающиеся спортом более 4 лет; без серьезных патологий. Участников разделяли на группы согласно основным типам спортивной специализации. Измерялись основные антропометрические параметры; а также оценено функциональное состояние сердечнососудистой системы в состоянии покоя. Генетический анализ проводился с использованием ДНК; выделенной из образцов крови. Варианты генов ACTN3; ACE; PPARA и BDKRB2; ассоциированные с развитием и функционированием сердца; изучали методом ПЦР. Статистический анализ проводился с использованием статистического пакета SPSS версия 22.0 (IBM; Armonk; США).</p></sec><sec><title>Результаты и обсуждение</title><p>Результаты и обсуждение. Были определены три полиморфных варианта генов (ACTN3 R577X; ACE I/D и BDKRB2 -9/+9); которые достоверно предсказывали значения систолического артериального давления. Полиморфные варианты генов ACE и BDKRB2 ассоциированы с высоким уровнем систолического артериального давления у спортсменов группы силовой направленности. Полиморфный вариант I/D гена ACE был дифференцированно связан с силовыми тренировками по сравнению с тренировками на скорость и выносливость. Сочетание доминантных аллелей четырех генов является предиктором повышенного систолического артериального давления у спортсменов силовой специализации.</p></sec><sec><title>Выводы</title><p>Выводы. Определенные варианты генов могут влиять на развитие специфических для тренировок и преимущественно неблагоприятных характеристик состава тела. Три полиморфных варианта генов могут независимо предсказывать ремоделирование сердца и будущие осложнения со здоровьем у молодых спортсменов.</p></sec></abstract><trans-abstract xml:lang="en"><sec><title>Introduction</title><p>Introduction. Engaging in intense aerobic exercises can lead to a specific; nonpathological condition known as isolated systolic hypertension or “athlete’s heart”; characterized by elevated systolic blood pressure. The side effects of the heart’s response to intense training can be attributed to individual genetic factors.</p></sec><sec><title>The aim</title><p>The aim. To analyze a minimal set of polymorphic gene variants in relation to personal differences in hemodynamic parameters among athletes and a control group of untrained individuals.</p></sec><sec><title>Methods</title><p>Methods. The study cohort comprised 98 participants who met the specified inclusion criteria. All subjects were male individuals aged between 18 and 30 years; actively engaged in professional sports for a minimum of four years and free from serious medical conditions. Individuals were examined at Republican Autonomous Healthcare Institution of Karelia “Medical and Physical Education Dispensary” and grouped according to sports disciplines. Comprehensive measurements of key anthropometric parameters were conducted; along with an assessment of the functional state of the cardiovascular system at rest. The genetic analysis was performed using DNA extracted from blood samples. ACTN3; ACE; PPARA and BDKRB2 gene variants associated with heart development and functioning were studied by PCR. Statistical analysis was performed using the statistical package SPSS version 22.0 (IBM; Armonk; USA).</p></sec><sec><title>Results</title><p>Results. I/D ACE gene variant was distinctly associated with power-oriented training compared to speed-oriented and endurance-oriented athletes. The combination of dominant alleles from studied genes occurred to be predictor of higher systolic blood pressure in power-oriented athletes.</p></sec><sec><title>Conclusion</title><p>Conclusion. We found that genetic variants may affect to the development of training-specific and mostly disadvantageous characteristics of body composition. Three polymorphic gene variants could independently predict heart remodeling and future health complications in young athletes.</p></sec></trans-abstract><kwd-group xml:lang="ru"><kwd>тренированность спортсменов</kwd><kwd>адаптация сердца</kwd><kwd>генетические маркеры</kwd><kwd>показатели артериального давления</kwd><kwd>спортивные результаты</kwd></kwd-group><kwd-group xml:lang="en"><kwd>blood pressure parameters</kwd><kwd>athlete’s training</kwd><kwd>heart adaptation</kwd><kwd>genetic markers</kwd><kwd>athletic performance</kwd></kwd-group><funding-group><funding-statement xml:lang="en">The study was supported in part by the Ministry of Science and Higher Education (government topic FMEN 2022- 0009). The study was also supported by the West-Siberian Science and Education Center, Government of Tyumen District, Decree of 20.11.2020, No. [928-rp] The funding organizations had no role in the design or conduct of this research. 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