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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">vtio</journal-id><journal-title-group><journal-title xml:lang="ru">Вестник трансплантологии и искусственных органов</journal-title><trans-title-group xml:lang="en"><trans-title>Russian Journal of Transplantology and Artificial Organs</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1995-1191</issn><publisher><publisher-name>Academician V.I.Shumakov National Medical Research Center of Transplantology and Artificial Organs", Ministry of Health of the Russian Federation</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.15825/1995-1191-2025-1-23-31</article-id><article-id custom-type="elpub" pub-id-type="custom">vtio-1779</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>Клиническая трансплантология</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>Clinical Transplantology</subject></subj-group></article-categories><title-group><article-title>Неблагоприятные эффекты иммуносупрессивной терапии после пересадки почки</article-title><trans-title-group xml:lang="en"><trans-title>Adverse effects of immunosuppressive therapy after kidney transplant</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Попов</surname><given-names>С. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Popov</surname><given-names>S. V.</given-names></name></name-alternatives><bio xml:lang="en"><p>6, Dekabristov str., Strelna, 198515, St. Petersburg </p></bio><email xlink:type="simple">info@lucaclinic.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>Гусейнов</surname><given-names>Р. Г.</given-names></name><name name-style="western" xml:lang="en"><surname>Guseinov</surname><given-names>R. G.</given-names></name></name-alternatives><bio xml:lang="en"><p>6, Dekabristov str., Strelna, 198515, St. Petersburg </p></bio><email xlink:type="simple">info@lucaclinic.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Сивак</surname><given-names>К. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Sivak</surname><given-names>K. V.</given-names></name></name-alternatives><bio xml:lang="en"><p>6, Dekabristov str., Strelna, 198515, St. Petersburg </p></bio><email xlink:type="simple">kvsivak@gmail.com</email><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Перепелица</surname><given-names>В. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Perepelitsa</surname><given-names>V. V.</given-names></name></name-alternatives><bio xml:lang="en"><p>6, Dekabristov str., Strelna, 198515, St. Petersburg </p></bio><email xlink:type="simple">perepelitsa_vit@mail.ru</email><xref ref-type="aff" rid="aff-4"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Шмидт</surname><given-names>И. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Schmidt</surname><given-names>I. O.</given-names></name></name-alternatives><bio xml:lang="en"><p>6, Dekabristov str., Strelna, 198515, St. Petersburg </p></bio><email xlink:type="simple">info@lucaclinic.ru</email><xref ref-type="aff" rid="aff-5"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Буненков</surname><given-names>Н. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Bunenkov</surname><given-names>N. S.</given-names></name></name-alternatives><bio xml:lang="en"><p>6, Dekabristov str., Strelna, 198515, St. Petersburg </p></bio><email xlink:type="simple">bunenkov2006@gmail.com</email><xref ref-type="aff" rid="aff-6"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Лелявина</surname><given-names>Т. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Lelyavina</surname><given-names>T. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Лелявина Татьяна Александровна </p><p>198515, Санкт-Петербург, п. Стрельна, ул. Декабристов, д. 6. Тел. (981) 908-90-18 </p></bio><bio xml:lang="en"><p>6, Dekabristov str., Strelna, 198515, St. Petersburg </p></bio><email xlink:type="simple">tatianalelyavina@mail.ru</email><xref ref-type="aff" rid="aff-7"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>СПб ГБУЗ «Клиническая больница Святителя Луки» ; ЧОУВО «Санкт-Петербургский медико-социальный институт» ; ФГБВОУ ВО «Военно-медицинская академия имени С.М. Кирова»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>St. Luke’s Clinical Hospital ; St. Petersburg Medico-Social Institute ; Kirov Military Medical Academy</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>СПб ГБУЗ «Клиническая больница Святителя Луки» ; ЧОУВО «Санкт-Петербургский медико-социальный институт» ;  ФГБОУ ВО «Санкт-Петербургский государственный университет»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>St. Luke’s Clinical Hospital ; St. Petersburg Medico-Social Institute ; St. Petersburg State University</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>Пб ГБУЗ «Клиническая больница Святителя Луки» ; ФГБУ «Научно-исследовательский институт гриппа имени А.А. Смородинцева» Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>St. Luke’s Clinical Hospital ; Smorodintsev Research Institute of Influenza</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-4"><aff xml:lang="ru"><institution>СПб ГБУЗ «Клиническая больница Святителя Луки» ; ЧОУВО «Санкт-Петербургский медико-социальный институт»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>St. Luke’s Clinical Hospital ; St. Petersburg Medico-Social Institute</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-5"><aff xml:lang="ru"><institution>СПб ГБУЗ «Клиническая больница Святителя Луки»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>St. Luke’s Clinical Hospital</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-6"><aff xml:lang="ru"><institution>ФГБОУ ВО «Первый Санкт-Петербургский государственный медицинский университет имени академика И.П. Павлова» Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>St. Luke’s Clinical Hospital ; Pavlov University</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-7"><aff xml:lang="ru"><institution>СПб ГБУЗ «Клиническая больница Святителя Луки» ; ФГБУ «Национальный медицинский исследовательский центр имени В.А. Алмазова» Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>St. Luke’s Clinical Hospital ; Almazov National Medical Research Centre</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2025</year></pub-date><pub-date pub-type="epub"><day>26</day><month>03</month><year>2025</year></pub-date><volume>27</volume><issue>1</issue><fpage>23</fpage><lpage>31</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Попов С.В., Гусейнов Р.Г., Сивак К.В., Перепелица В.В., Шмидт И.И., Буненков Н.С., Лелявина Т.А., 2025</copyright-statement><copyright-year>2025</copyright-year><copyright-holder xml:lang="ru">Попов С.В., Гусейнов Р.Г., Сивак К.В., Перепелица В.В., Шмидт И.И., Буненков Н.С., Лелявина Т.А.</copyright-holder><copyright-holder xml:lang="en">Popov S.V., Guseinov R.G., Sivak K.V., Perepelitsa V.V., Schmidt I.O., Bunenkov N.S., Lelyavina T.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://journal.transpl.ru/vtio/article/view/1779">https://journal.transpl.ru/vtio/article/view/1779</self-uri><abstract><p>В работе приведен результат изучения источников и обобщение информации о неблагоприятных эффектах иммуносупрессивной терапии, которые играют важную роль в полноценном функционировании трансплантата. В статье показана важность динамического влияния иммуносупрессивной терапии на функционирование трансплантата, необходимость разумного подбора режима и дозировки конкретного лекарственного средства или их комбинации для минимизации неблагоприятных эффектов.</p></abstract><trans-abstract xml:lang="en"><p>This paper reviews the sources and generality of knowledge regarding the adverse effects of immunosuppressive therapy, which play an important role in the full functioning of a transplant. The article regarding the importance of the dynamic impact of immunosuppressant medications on transplant function and the need for reasonable regimen and dosage selection of individual drugs or their combination to minimize adverse effects.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>иммуносупрессия</kwd><kwd>иммунодепрессанты</kwd><kwd>трансплантация почки</kwd><kwd>нефротоксические побочные эффекты</kwd></kwd-group><kwd-group xml:lang="en"><kwd>immunosuppression</kwd><kwd>immunosuppressive agents</kwd><kwd>kidney transplantation</kwd><kwd>nephrotoxic side effects</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">Management of Chronic Kidney Disease. A Clinician’s Guide. Second Edition / Editor Mustafa Arıcı. Switzerland: Springer Nature, 2023. 603 p.</mixed-citation><mixed-citation xml:lang="en">Management of Chronic Kidney Disease. A Clinician’s Guide. 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