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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">cancersp</journal-id><journal-title-group><journal-title xml:lang="ru">Южно-Российский онкологический журнал/ South Russian Journal of Cancer</journal-title><trans-title-group xml:lang="en"><trans-title>South Russian Journal of Cancer</trans-title></trans-title-group></journal-title-group><issn pub-type="epub">2686-9039</issn><publisher><publisher-name>АНО "Перспективы онкологии"</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.37748/2686-9039-2021-2-3-2</article-id><article-id custom-type="elpub" pub-id-type="custom">cancersp-115</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>ОРИГИНАЛЬНЫЕ СТАТЬИ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>ORIGINAL ARTICLES</subject></subj-group></article-categories><title-group><article-title>Функциональное состояние митохондрий кардиомиоцитов при злокачественном процессе на фоне коморбидной патологии в эксперименте</article-title><trans-title-group xml:lang="en"><trans-title>Functional state of cardiomyocyte mitochondria in malignant process in presence of comorbid pathology in experiment</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-3618-6890</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Франциянц</surname><given-names>Е. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Frantsiyants</surname><given-names>E. M.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Франциянц Елена Михайловна ‒ д.б.н., профессор, заместитель генерального директора по науке</p><p>SPIN: 9427-9928</p><p>AuthorID: 462868</p><p>ResearcherID: Y-1491-2018</p><p>Scopus Author ID: 55890047700 </p><p>344037, г. Ростов-на-Дону, ул. 14-я линия, д. 63 </p></bio><bio xml:lang="en"><p>Elena M. Franzyants – Dr. Sci. (Biol.), professor, Deputy General Director for Science</p><p>SPIN: 9427-9928</p><p>AuthorID: 462868</p><p>ResearcherID: Y-1491-2018</p><p>Scopus Author ID: 55890047700 </p><p>63 14 line str., Rostov-on-Don 344037</p></bio><email xlink:type="simple">super.gormon@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/0000-0002-7395-3086</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Нескубина</surname><given-names>И. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Neskubina</surname><given-names>I. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Нескубина Ирина Валерьевна – к.б.н., старший научный сотрудник лаборатории изучения патогенеза злокачественных опухолей</p><p>SPIN: 3581-8531</p><p>AuthorID: 794688 </p><p>344037, г. Ростов-на-Дону, ул. 14-я линия, д. 63 </p></bio><bio xml:lang="en"><p>Irina V. Neskubina – Cand. Sci. (Biol.), senior researcher at the laboratory for the study of the pathogenesis of malignant tumors </p><p>SPIN: 3581-8531</p><p>AuthorID: 794688 </p><p>63 14 line str., Rostov-on-Don 344037</p></bio><email xlink:type="simple">neskubina.irina@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/0000-0002-3711-8155</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Черярина</surname><given-names>Н. Д.</given-names></name><name name-style="western" xml:lang="en"><surname>Cheryarina</surname><given-names>N. D.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Черярина Наталья Дмитриевна – врач-лаборант лаборатории изучения патогенеза злокачественных опухолей </p><p>SPIN: 2189-3404</p><p>AuthorID: 558243 </p><p>344037, г. Ростов-на-Дону, ул. 14-я линия, д. 63 </p></bio><bio xml:lang="en"><p>Natalia D. Cheryarina – laboratory assistant at the laboratory for the study of the pathogenesis of malignant tumors </p><p>SPIN: 2189-3404</p><p>AuthorID: 558243 </p><p>63 14 line str., Rostov-on-Don 344037</p></bio><email xlink:type="simple">scalolas.92@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/0000-0002-4318-7587</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Сурикова</surname><given-names>Е. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Surikova</surname><given-names>E. I.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Сурикова Екатерина Игоревна – к.б.н., старший научный сотрудник лаборатории изучения патогенеза злокачественных опухолей</p><p>SPIN: 2401-4115</p><p>AuthorID: 301537 </p><p>344037, г. Ростов-на-Дону, ул. 14-я линия, д. 63 </p></bio><bio xml:lang="en"><p>Ekaterina I. Surikova – Cand. Sci. (Biol.), senior researcher of the laboratory for the study of pathogenesis of malignant tumors </p><p>SPIN: 2401-4115</p><p>AuthorID: 301537 </p><p>63 14 line str., Rostov-on-Don 344037</p></bio><email xlink:type="simple">sunsur2000@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/0000-0003-2943-7655</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Шихлярова</surname><given-names>А. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Shikhlyarova</surname><given-names>A. I.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Шихлярова Алла Ивановна – д.б.н., профессор, старший научный сотрудник лаборатории изучения патогенеза злокачественных опухолей</p><p>SPIN: 6271-0717</p><p>AuthorID: 482103 </p><p>344037, г. Ростов-на-Дону, ул. 14-я линия, д. 63 </p></bio><bio xml:lang="en"><p>Alla I. Shikhlyarova – Dr. Sci. (Biol.), senior researcher of the laboratory for the study of pathogenesis of malignant tumors </p><p>SPIN: 6271-0717 </p><p>AuthorID: 482103 </p><p>63 14 line str., Rostov-on-Don 344037</p></bio><email xlink:type="simple">shikhliarova.a@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/0000-0002-2302-8271</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Бандовкина</surname><given-names>В. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Bandovkina</surname><given-names>V. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Бандовкина Валерия Ахтямовна – д.б.н., старший научный сотрудник лаборатории изучения патогенеза злокачественных опухолей</p><p>SPIN: 8806-2641, AuthorID: 696989 </p><p>344037, г. Ростов-на-Дону, ул. 14-я линия, д. 63 </p></bio><bio xml:lang="en"><p>Valeriya A. Bandovkina – Dr. Sci. (Biol.), senior researcher of the laboratory for the study of pathogenesis of malignant tumors </p><p>SPIN: 8806-2641</p><p>AuthorID: 696989 </p><p>63 14 line str., Rostov-on-Don 344037</p></bio><email xlink:type="simple">valerryana@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/0000-0003-2713-8598</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Немашкалова</surname><given-names>Л. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Nemashkalova</surname><given-names>L. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Немашкалова Людмила Анатольевна – научный сотрудник лаборатории изучения патогенеза злокачественных опухолей </p><p>SPIN: 1355-8652</p><p>AuthorID: 734146 </p><p>344037, г. Ростов-на-Дону, ул. 14-я линия, д. 63 </p></bio><bio xml:lang="en"><p>Lyudmila A. Nemashkalova – researcher at the laboratory for the study of the pathogenesis of malignant tumors </p><p>SPIN: 1355-8652</p><p>AuthorID: 734146 </p><p>63 14 line str., Rostov-on-Don 344037</p></bio><email xlink:type="simple">tilde09@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/0000-0002-3972-2452</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Каплиева</surname><given-names>И. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Kaplieva</surname><given-names>I. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Каплиева Ирина Викторовна – д.м.н., заведующая лабораторией изучения патогенеза злокачественных опухолей </p><p>SPIN: 5047-1541</p><p>AuthorID: 734116 </p><p>344037, г. Ростов-на-Дону, ул. 14-я линия, д. 63 </p></bio><bio xml:lang="en"><p>Irina V. Kaplieva – Dr. Sci. (Med.), senior researcher of the laboratory for the study of pathogenesis of malignant tumors </p><p>SPIN: 5047-1541</p><p>AuthorID: 734116 </p><p>63 14 line str., Rostov-on-Don 344037</p></bio><email xlink:type="simple">kaplirina@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/0000-0002-9749-2747</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Трепитаки</surname><given-names>Л. К.</given-names></name><name name-style="western" xml:lang="en"><surname>Trepitaki</surname><given-names>L. K.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Трепитаки Лидия Константиновна – младший научный сотрудник лаборатории изучения патогенеза злокачественных опухолей</p><p>SPIN: 2052-1248</p><p>AuthorID: 734359 </p><p>344037, г. Ростов-на-Дону, ул. 14-я линия, д. 63 </p></bio><bio xml:lang="en"><p>Lidiya K. Trepitaki – assistant researcher at the laboratory for the study of pathogenesis of malignant tumors </p><p>SPIN: 2052-1248</p><p>AuthorID: 734359 </p><p>63 14 line str., Rostov-on-Don 344037</p></bio><email xlink:type="simple">legolab69@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/0000-0001-6928-5014</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Качесова</surname><given-names>П. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Kachesova</surname><given-names>P. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Качесова Полина Сергеевна – научный сотрудник лаборатории изучения патогенеза злокачественных опухолей</p><p>SPIN: 5784-0475 </p><p>AuthorID: 571595 </p><p>344037, г. Ростов-на-Дону, ул. 14-я линия, д. 63 </p></bio><bio xml:lang="en"><p>Polina S. Kachesova – researcher at the laboratory for the study of the pathogenesis of malignant tumors </p><p>SPIN: 5784-0475</p><p>AuthorID: 571595 </p><p>63 14 line str., Rostov-on-Don 344037</p></bio><email xlink:type="simple">vnp.kachesova@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/0000-0003-0252-4708</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Котиева</surname><given-names>И. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Kotieva</surname><given-names>I. M.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Котиева Инга Мовлиевна – д.м.н., старший научный сотрудник лаборатории изучения патогенеза злокачественных опухолей</p><p>SPIN: 3478-5811</p><p>AuthorID: 637665 </p><p>344037, г. Ростов-на-Дону, ул. 14-я линия, д. 63 </p></bio><bio xml:lang="en"><p>Inga M. Kotieva – Dr. Sci. (Med.), senior researcher of the laboratory for the study of pathogenesis of malignant tumors </p><p>SPIN: 3478-5811</p><p>AuthorID: 637665 </p><p>63 14 line str., Rostov-on-Don 344037</p></bio><email xlink:type="simple">kukulik70@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/0000-0001-7640-6021</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Морозова</surname><given-names>М. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Morozova</surname><given-names>M. I.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Морозова Мария Игоревна – врач-педиатр </p><p>SPIN: 6030-8108</p><p>AuthorID: 1116725 </p><p>344037, г. Ростов-на-Дону, ул. 14-я линия, д. 63 </p></bio><bio xml:lang="en"><p>Maria I. Morozova – pediatrician </p><p>SPIN: 6030-8108</p><p>AuthorID: 1116725 </p><p>63 14 line str., Rostov-on-Don 344037</p></bio><email xlink:type="simple">maria-morozova94@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/0000-0002-2674-9832</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Погорелова</surname><given-names>Ю. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Pogorelova</surname><given-names>Yu. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Погорелова Юлия Александровна – к.б.н., старший научный сотрудник лаборатории «Изучение патогенеза злокачественных опухолей»</p><p>SPIN: 2168-8737</p><p>AuthorID: 558241 </p><p>344037, г. Ростов-на-Дону, ул. 14-я линия, д. 63 </p></bio><bio xml:lang="en"><p>Yulia A. Pogorelova – Cand. Sci. (Biol.), senior researcher at Laboratory of Malignant Tumor Pathogenesis Study</p><p>SPIN: 2168-8737</p><p>AuthorID: 558241 </p><p>63 14 line str., Rostov-on-Don 344037</p></bio><email xlink:type="simple">flora-73@yandex.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГБУ «НМИЦ онкологии» Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>National Medical Research Centre for Oncology of the Ministry of Health of Russia</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2021</year></pub-date><pub-date pub-type="epub"><day>06</day><month>09</month><year>2021</year></pub-date><volume>2</volume><issue>3</issue><fpage>13</fpage><lpage>22</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Франциянц Е.М., Нескубина И.В., Черярина Н.Д., Сурикова Е.И., Шихлярова А.И., Бандовкина В.А., Немашкалова Л.А., Каплиева И.В., Трепитаки Л.К., Качесова П.С., Котиева И.М., Морозова М.И., Погорелова Ю.А., 2021</copyright-statement><copyright-year>2021</copyright-year><copyright-holder xml:lang="ru">Франциянц Е.М., Нескубина И.В., Черярина Н.Д., Сурикова Е.И., Шихлярова А.И., Бандовкина В.А., Немашкалова Л.А., Каплиева И.В., Трепитаки Л.К., Качесова П.С., Котиева И.М., Морозова М.И., Погорелова Ю.А.</copyright-holder><copyright-holder xml:lang="en">Frantsiyants E.M., Neskubina I.V., Cheryarina N.D., Surikova E.I., Shikhlyarova A.I., Bandovkina V.A., Nemashkalova L.A., Kaplieva I.V., Trepitaki L.K., Kachesova P.S., Kotieva I.M., Morozova M.I., Pogorelova Y.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://www.cancersp.com/jour/article/view/115">https://www.cancersp.com/jour/article/view/115</self-uri><abstract><sec><title>Цель исследования</title><p>Цель исследования. Изучение показателей свободнорадикального окисления и дыхания митохондрий клеток сердца при злокачественном процессе на фоне сахарного диабета и хронической нейрогенной боли у экспериментальных животных.</p></sec><sec><title>Материалы и методы</title><p>Материалы и методы. Работа выполнена на нелинейных крысах-самках (n=32) и мышах-самках линии С57ВL/6 (n=84). Экспериментальные группы крыс: интактная 1 (n=8), контрольная группа 1 (n=8) с сахарным диабетом (СД), группа сравнения 1 (n=8) – стандартная подкожная перевивка карциномы Герена, основная группа 1 (n=8) – через 1 неделю стойкой гипергликемии перевивали карциному Герена. Экспериментальные группы мышей: интактная 2 (n=21), контрольная 2 (n=21) – воспроизведение модели хронической нейрогенной боли (ХНБ), группа сравнения 2 (n=21) – стандартная подкожная перевивка меланомы (В16/F10), основная группа 2 (n=21) (ХНБ+В16/F10) – меланому перевивали через 3 недели после создания модели ХНБ. Митохондрии сердца получали методом дифференциального центрифугирования. В образцах митохондрий методом ИФА определяли концентрацию: цитохрома С (нг/мг белка), <ext-link xlink:href="https://www.sciencedirect.com/topics/medicine-and-dentistry/8-hydroxydeoxyguanosine" ext-link-type="uri">8-гидрокси-2'-дезоксигуанозина </ext-link>(8-OHdG) (нг/мг белка), малонового диальдегида (МДА) (мкмоль/г белка). Статистический анализ – Statistica 10.0.</p></sec><sec><title>Результаты</title><p>Результаты. Наличие СД у крыс способствовало повышению 8-OHdG в 6,3 раза, МДА в 1,9 раза (р=0,0000) и снижению цитохрома С в 1,5 раза (р=0,0053) в митохондриях клеток сердца по сравнению с интактными значениями. СД+карцинома Герена у крыс вызывало повышение уровня 8-OHdG в 14,0 раз, МДА в 1,7 раза (р=0,0000) и снижение цитохрома С в 1,5 раза (р=0,0093) по сравнению с интактными значениями. Присутствие ХНБ у мышей не повлияло на уровень изучаемых показателей в митохондриях сердца. ХНБ+меланома В16/F10 у мышей приводило к повышению уровня 8-OHdG в 7,1 раза, МДА в 1,6 раза (р=0,0000) и снижению уровня цитохрома С в 1,6 раза (р=0,0008).</p></sec><sec><title>Заключение</title><p>Заключение. Коморбидная патология (сахарный диабет, хроническая нейрогенная боль), сопряженная со злокачественным процессом, усугубляет дисфункцию митохондрий клеток сердца с дестабилизацией дыхательной цепи, опосредованной процессами свободнорадикального окисления.</p></sec></abstract><trans-abstract xml:lang="en"><p>Purpose of the study. An analysis of indices of free radical oxidation and respiration of mitochondria of heart cells in a malignant process in presence of diabetes mellitus and chronic neurogenic pain in experimental animals.Materials and methods. The study included outbred female rats (n=32) and С57ВL/6 female mice (n=84). Experimental groups of rats were: intact group 1 (n=8), control group 1 (n=8) with diabetes mellitus (DM), comparison group 1 (n=8) with standard subcutaneous transplantation of Guerin’s carcinoma, main group 1 (n=8) with Guerin’s carcinoma transplanted after 1 week of persistent hyperglycemia. Experimental groups of mice were: intact group 2 (n=21), control group 2 (n=21) with a model of chronic neurogenic pain (CNP), comparison group 2 (n=21) with standard subcutaneous transplantation of melanoma (B16/F10), main group 2 (n=21) (CNP+B16/F10) with melanoma transplanted 3 weeks after the CNP model creation. Heart mitochondria were isolated by differential centrifugation. Levels of cytochrome C (ng/mg of protein), 8-hydroxy-2'-deoxyguanosine (8-OHdG) (ng/mg of protein), and malondialdehyde (MDA) (μmol/g of protein) were measured in mitochondrial samples by ELISA. Statistical analysis was performed using the Statistica 10.0 program.Results. DM in rats upregulated 8-OHdG by 6.3 times and MDA by 1.9 times (р=0.0000) and downregulated cytochrome C by 1.5 times (р=0.0053) in heart cell mitochondria, compared to intact values. DM+Guerin’s carcinoma in rats increased 8-OHdG by 14.0 times and MDA by 1.7 times (р=0.0000) and decreased cytochrome C by 1.5 times (р=0.0000), compared to intact values. CNP in mice did not affect the studied parameters in mitochondria of the heart. CNP+B16/F10 in mice increased 8-OHdG by 7.1 times and MDA by 1.6 times (р=0.0000) and decreased cytochrome C by 1.6 times (р=0.0008).Conclusions. Comorbidity (diabetes mellitus, chronic neurogenic pain) together with malignant pathology aggravates mitochondrial dysfunction of heart cells with destabilization of the respiratory chain mediated by free radical oxidation processes.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>митохондрии</kwd><kwd>сердце</kwd><kwd>экспериментальные животные</kwd><kwd>карцинома Герена</kwd><kwd>меланома В16/F10</kwd><kwd>цитохром С</kwd><kwd>8-гидрокси-2'-дезоксигуанозин (8-OHdG)</kwd><kwd>малоновый диальдегид (МДА)</kwd></kwd-group><kwd-group xml:lang="en"><kwd>mitochondria</kwd><kwd>heart</kwd><kwd>experimental animals</kwd><kwd>Guerin’s carcinoma</kwd><kwd>B16/F10 melanoma</kwd><kwd>cytochrome C</kwd><kwd>8-hydroxy-2'-deoxyguanosine</kwd><kwd>malondialdehyde</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">Coughlin SS, Ayyala D, Majeed B, Cortes L, Kapuku G. 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