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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">arthyper</journal-id><journal-title-group><journal-title xml:lang="ru">Артериальная гипертензия</journal-title><trans-title-group xml:lang="en"><trans-title>"Arterial’naya Gipertenziya" ("Arterial Hypertension")</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1607-419X</issn><issn pub-type="epub">2411-8524</issn><publisher><publisher-name>Antihypertensive League</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.18705/1607-419X-2019-25-3-225-231</article-id><article-id custom-type="elpub" pub-id-type="custom">arthyper-1813</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>Статьи</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>Articles</subject></subj-group></article-categories><title-group><article-title>Роль инсулинорезистентности и артериальной гипертензии в процессах репликативного клеточного старения</article-title><trans-title-group xml:lang="en"><trans-title>Replicative cell ageing: the role of insulin resistance in patients with arterial hypertension</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-7891-6850</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Дудинская</surname><given-names>Е. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Dudinskaya</surname><given-names>E. N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Дудинская Екатерина Наильевна — кандидат медицинских наук, заведующая лабораторией возрастных метаболических эндокринных нарушений.</p><p>1-ая Леонова ул., д. 16, Москва, 129226</p></bio><bio xml:lang="en"><p>Ekaterina N. Dudinskaya - MD, PhD, Head, Laboratory of the Age-related Metabolic and Endocrine Disorders.</p><p>16, 1st Leonov street, Moscow, 129226</p></bio><email xlink:type="simple">katharina.gin@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/0000-0002-4193-688X</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Ткачева</surname><given-names>О. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Tkacheva</surname><given-names>O. N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Ткачева Ольга Николаевна — доктор медицинских наук, профессор, директор.</p><p>Москва</p></bio><bio xml:lang="en"><p>Olga N. Tkacheva - MD, PhD, DSc, Professor, Director.</p></bio><email xlink:type="simple">ontkacheva@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/0000-0002-2028-3939</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Мачехина</surname><given-names>Л. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Matchekhina</surname><given-names>L. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Мачехина Любовь Викторовна — кандидат медицинских наук, научный сотрудник лаборатории возрастных метаболических эндокринных нарушений.</p><p>Москва</p></bio><bio xml:lang="en"><p>Lyubov V. Matchekhina - MD, PhD, Researcher, Laboratory of the Age-related Metabolic and Endocrine Disorders.</p><p>Moscow</p></bio><email xlink:type="simple">mlv66@list.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/0000-0002-1628-5093</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Котовская</surname><given-names>Ю. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Kotovskaya</surname><given-names>Yu. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Котовская Юлия Викторовна—доктор медицинских наук, профессор, заместитель директора по научной работе.</p><p>Москва</p></bio><bio xml:lang="en"><p>Yulia V. Kotovskaya - MD, PhD, DSc, Professor, Deputy Director on Research.</p><p>Moscow</p></bio><email xlink:type="simple">kotovskaya@bk.ru</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>Леонтьева</surname><given-names>И. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Leonteva</surname><given-names>I. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Леонтьева Ирина Викторовна — доктор медицинских наук, профессор, главный научный сотрудник отдела детской кардиологии и аритмологии.</p></bio><bio xml:lang="en"><p>Irina V. Leontieva - MD, PhD, DSc, Professor, Leading Researcher, Department of Peadiatrics Cardiology and Arrhythmology.</p><p>Moscow</p></bio><email xlink:type="simple">lirina2006@mail.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-8491-0228</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Ковалев</surname><given-names>И. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Kovalev</surname><given-names>I. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Ковалев Игорь Александрович — доктор медицинских наук, профессор, заведующий отделом детской кардиологии и аритмологии.</p></bio><bio xml:lang="en"><p>Igor A. Kovalev - MD, PhD, DSc, Professor, Head, Department of Peadiatrics Cardiology and Arrhythmology.</p><p>Moscow</p></bio><email xlink:type="simple">kovalev@pedklin.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-7115-0186</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Школьникова</surname><given-names>М. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Shkolnikova</surname><given-names>M. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Школьникова Мария Александровна — доктор медицинских наук, профессор, научный руководитель.</p><p>Москва</p></bio><bio xml:lang="en"><p>Maria A. Shkolnikova - MD, PhD, DSc, Professor, Research Leader.</p><p>Moscow</p></bio><email xlink:type="simple">arrithmolog@gmail.com</email><xref ref-type="aff" rid="aff-2"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Федеральное государственное бюджетное образовательное учреждение высшего образования «Российский национальный исследовательский медицинский университет имени Н.И. Пирогова» Министерства здравоохранения Российской Федерации, Обособленное структурное подразделение Российский геронтологический научноклинический центр</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Pirogov Russian National Research Medical University of Ministry of Health of Russian federation Russian Gerontology Research and Clinical Centre</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>Федеральное государственное бюджетное образовательное учреждение высшего образования «Российский национальный исследовательский медицинский университет имени Н. И. Пирогова» Минздрава России, Обособленное структурное подразделение Научно-исследовательский клинический институт педиатрии им. Ю.Е. Вельтищева</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Pirogov Russian National Research Medical University of Ministry of Health of Russian federation The Research and Clinical Institute for Pediatrics named after Academician Yuri Veltischev</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2019</year></pub-date><pub-date pub-type="epub"><day>31</day><month>08</month><year>2019</year></pub-date><volume>25</volume><issue>3</issue><fpage>225</fpage><lpage>231</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Дудинская Е.Н., Ткачева О.Н., Мачехина Л.В., Котовская Ю.В., Леонтьева И.В., Ковалев И.А., Школьникова М.А., 2019</copyright-statement><copyright-year>2019</copyright-year><copyright-holder xml:lang="ru">Дудинская Е.Н., Ткачева О.Н., Мачехина Л.В., Котовская Ю.В., Леонтьева И.В., Ковалев И.А., Школьникова М.А.</copyright-holder><copyright-holder xml:lang="en">Dudinskaya E.N., Tkacheva O.N., Matchekhina L.V., Kotovskaya Y.V., Leonteva I.V., Kovalev I.A., Shkolnikova M.A.</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://htn.almazovcentre.ru/jour/article/view/1813">https://htn.almazovcentre.ru/jour/article/view/1813</self-uri><abstract><p>В обзоре изложены основные сведения о процессах репликативного клеточного и сосудистого старения. Особое внимание уделяется проблеме артериальной гипертензии (АГ) и инсулинорезистентности (ИР). Обсуждаются механизмы возникновения ИР и АГ, их роль в развитии основных возраст-ассоциированных изменений сосудов, трансформации старения сосудов в болезнь, вклад в продолжительность жизни. Рассматриваются возможные пути воздействия на данные процессы.</p></abstract><trans-abstract xml:lang="en"><p>The review presents basic information about the processes of replicative cellular and vascular aging. Special attention is paid to the problem of hypertension and insulin resistance. The mechanisms of the onset of insulin resistance and hypertension, their role in the development of major age-related vascular changes, the transformation of vascular aging into disease, and their contribution to life expectancy are discussed. Possible ways of influencing these processes are considered.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>инсулинорезистентность</kwd><kwd>активность теломеразы</kwd><kwd>сосудистое старение</kwd><kwd>артериальная гипертензия</kwd><kwd>жесткость сосудов</kwd></kwd-group><kwd-group xml:lang="en"><kwd>insulin resistance</kwd><kwd>telomerase activity</kwd><kwd>vascular ageing</kwd><kwd>hypertension</kwd><kwd>arterial stiffness</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">Mendis S, Puska P, Norrving B. Global atlas on cardiovascular disease prevention and control. WHO, World Heart Federation, World Stroke Organization. 2017; p. 155.</mixed-citation><mixed-citation xml:lang="en">Mendis S, Puska P, Norrving B. Global atlas on cardiovascular disease prevention and control. 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