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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">10.15825/1995-1191-2014-4-135-143</article-id><article-id custom-type="elpub" pub-id-type="custom">vtio-484</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>ДИСКУССИИ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>DISCUSSION</subject></subj-group></article-categories><title-group><article-title>ТРАНСПЛАНТАЦИЯ ЖИРОВОЙ ТКАНИ С ЦЕЛЬЮ ЗАМЕСТИТЕЛЬНОЙ ТЕРАПИИ</article-title><trans-title-group xml:lang="en"><trans-title>TRANSPLANTATION OF ADIPOSE TISSUE AS A REPLACEMENT THERAPY</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>Абламуниц</surname><given-names>В. Г.</given-names></name><name name-style="western" xml:lang="en"><surname>Ablamunits</surname><given-names>V. G.</given-names></name></name-alternatives><bio xml:lang="ru"><p>194100, Санкт-Петербург, СПбГПМУ Минздрава России, Литовская ул., 2. Тел. +7 (921) 754-23-87</p></bio><email xlink:type="simple">ablamuhin@gmail.com</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>Клебанов</surname><given-names>С. Э.</given-names></name><name name-style="western" xml:lang="en"><surname>Klebanov</surname><given-names>S. E.</given-names></name></name-alternatives><xref ref-type="aff" rid="aff-2"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Кафедра микробиологии, вирусологии и иммунологии Санкт-Петербургского государственного&#13;
педиатрического медицинского университета, Санкт Петербург, Российская Федерация</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Department of Microbiology, Virology and Immunology, Saint-Petersburg State Pediatric Medical University, St. Petersburg, Russian Federation</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>Госпиталь Св. Луки, Центр по изучению ожирения, Колумбийский университет, Нью-Йорк, США</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Department of Microbiology, Virology and Immunology, Saint-Petersburg State Pediatric Medical  University, St. Petersburg, Russian Federation&#13;
&#13;
St. Luke’s Hospital, Obesity Research Center, Columbia University, New York, USA</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2014</year></pub-date><pub-date pub-type="epub"><day>15</day><month>01</month><year>2015</year></pub-date><volume>16</volume><issue>4</issue><fpage>135</fpage><lpage>143</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Абламуниц В.Г., Клебанов С.Э., 2014</copyright-statement><copyright-year>2014</copyright-year><copyright-holder xml:lang="ru">Абламуниц В.Г., Клебанов С.Э.</copyright-holder><copyright-holder xml:lang="en">Ablamunits V.G., Klebanov S.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://journal.transpl.ru/vtio/article/view/484">https://journal.transpl.ru/vtio/article/view/484</self-uri><abstract><p>Трансплантацию эндокринных органов и тканей часто рассматривают как альтернативу инъекционной заместительной терапии гормонами и другими недостающими факторами, имеющую целый ряд преимуществ. Накопившиеся в течение последних двух десятилетий сведения о жировой ткани как эндокринном органе, играющем важнейшую роль в ряде ключевых физиологических процессов, поднимают вопрос о целесообразности ее использования для трансплантаций с целью компенсации врожденных метаболических дефицитов. В данном обзоре приведены примеры факторов, секретируемых жировой тканью, недостаток которых может быть связан с теми или иными патологическими состояниями у человека. Рассмотрены практические аспекты трансплантаций жира, такие как доступность донорской ткани, ее чувствительность к отторжению, целесообразность иммуносупрессии и возможности создания немедикаментозной толерантности.</p></abstract><trans-abstract xml:lang="en"><p>Transplantation of endocrine organs and tissues is often considered as an alternative therapy which has a number of advantages compared to regular injections for replacement of a missing hormone or another factor. During the last two decades, accumulating evidence demonstrates that adipose tissue is an endocrine organ that plays a pivotal role in the key physiological processes, and this raises a possibility of its potential use in transplantations aimed to correct inborn metabolic defi ciencies. In this review, we provide examples of the factors, secreted by adipose tissue, and which may be responsible for particular human pathologies when missing. We discuss practical aspects of fat transplantation, such as availability of donor tissue, its susceptibility to rejection, rationality of immune suppression, and possible ways to achieve medication-free tolerance.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>трансплантация</kwd><kwd>жировая ткань</kwd><kwd>адипокины</kwd><kwd>толерантность</kwd></kwd-group><kwd-group xml:lang="en"><kwd>transplantation</kwd><kwd>adipose tissue</kwd><kwd>adipokines</kwd><kwd>tolerance</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">Gold RH, Steinbach HL. Lipoatrophic diabetes mellitus (generalized lipodystrophy): roentgen fi ndings in two brothers with congenital disease. Am J Roentgenol Radium Ther Nucl Med. 1967 Dec; 101 (4): 884–896.</mixed-citation><mixed-citation xml:lang="en">Gold RH, Steinbach HL. 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