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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">zdor</journal-id><journal-title-group><journal-title xml:lang="ru">Проблемы здоровья и экологии</journal-title><trans-title-group xml:lang="en"><trans-title>Health and Ecology Issues</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2220-0967</issn><issn pub-type="epub">2708-6011</issn><publisher><publisher-name>Gomel State Medical University</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.51523/2708-6011.2024-21-3-17</article-id><article-id custom-type="elpub" pub-id-type="custom">zdor-2759</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>НОВЫЕ ТЕХНОЛОГИИ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>NEW TECHNOLOGIES</subject></subj-group></article-categories><title-group><article-title>Респираторная микробиота у пациентов с недифференцированными патологическими изменениями в легких</article-title><trans-title-group xml:lang="en"><trans-title>The respiratory microbiota in patients with undifferentiated pathological changes in the lungs</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-2133-4360</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Майсеенко</surname><given-names>В. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Maiseenka</surname><given-names>V. I.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Майсеенко Виктория Игоревна, старший преподаватель кафедры фтизиопульмонологии с курсом ФПКиП,</p><p>Гомель</p></bio><bio xml:lang="en"><p>Viktoryia I. Maiseenka, Senior Lecturer at the Department of Phthisiopulmonology with the course of Advanced Training andRetraining, </p><p>Gomel</p></bio><email xlink:type="simple">vikamaiseenka@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>Буйневич</surname><given-names>И. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Buinevich</surname><given-names>I. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Буйневич Ирина Викторовна, к.м.н., доцент, заведующий кафедрой фтизиопульмонологии с курсом ФПКиП,</p><p>Гомель</p></bio><bio xml:lang="en"><p>Iryna V. Buinevich, Candidate of Medical Sciences, Associate Professor, Head of the Department of Phthisiopulmonology with the course of Advanced Training and Retraining,</p><p>Gomel</p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Воропаев</surname><given-names>Е. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Voropaev</surname><given-names>E. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Воропаев Евгений Викторович, к.м.н., доцент, проректор по научной работе,</p><p>Гомель</p></bio><bio xml:lang="en"><p>Evgenii V. Voropaev, Candidate of Medical Sciences, Associate Professor, Vice-Rector for Scientific Work,</p><p>Gomel</p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Осипкина</surname><given-names>О. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Osipkina</surname><given-names>O. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Осипкина Ольга Викторовна, заведующий научно-исследовательской лабораторией,</p><p>Гомель</p></bio><bio xml:lang="en"><p>Olga V. Osipkina, Head of the Research Laboratory,</p><p>Gomel</p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Ковалев</surname><given-names>А. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Kovalev</surname><given-names>A. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Ковалев Алексей Алексеевич, старший преподаватель кафедры медицинской и биологической физики,</p><p>Гомель</p></bio><bio xml:lang="en"><p>Alexey A. Kovalev, Senior Lecturer at the Department of Medical and Biological Physics,</p><p>Gomel</p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Шафорост</surname><given-names>А. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Shaforost</surname><given-names>A. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Шафорост Александр Сергеевич, старший научный сотрудник научно-исследовательской лаборатории,</p><p>Гомель</p></bio><bio xml:lang="en"><p>Alexander S. Shaforost, Alexander S. Shaforost, Senior Researcher at the Research Laboratory,</p><p>Gomel</p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Зятьков</surname><given-names>А. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Zyatskov</surname><given-names>A. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Зятьков Алексей Александрович, старший научный сотрудник научно-исследовательской лаборатории,</p><p>Гомель</p></bio><bio xml:lang="en"><p>Alexey A. Zyatskov, Alexey A. Zyatskov, Senior Researcher at the Research Laboratory,</p><p>Gomel</p></bio><xref ref-type="aff" rid="aff-2"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>УО "Гомельский государственный медицинский университет"</institution></aff><aff xml:lang="en"><institution>Gomel State Medical University</institution></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>УО «Гомельский государственный медицинский университет»</institution></aff><aff xml:lang="en"><institution>Gomel State Medical University</institution></aff></aff-alternatives><pub-date pub-type="collection"><year>2024</year></pub-date><pub-date pub-type="epub"><day>26</day><month>07</month><year>2024</year></pub-date><volume>21</volume><issue>3</issue><fpage>120</fpage><lpage>129</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Майсеенко В.И., Буйневич И.В., Воропаев Е.В., Осипкина О.В., Ковалев А.А., Шафорост А.С., Зятьков А.А., 2024</copyright-statement><copyright-year>2024</copyright-year><copyright-holder xml:lang="ru">Майсеенко В.И., Буйневич И.В., Воропаев Е.В., Осипкина О.В., Ковалев А.А., Шафорост А.С., Зятьков А.А.</copyright-holder><copyright-holder xml:lang="en">Maiseenka V.I., Buinevich I.V., Voropaev E.V., Osipkina O.V., Kovalev A.A., Shaforost A.S., Zyatskov A.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.gsmu.by/jour/article/view/2759">https://journal.gsmu.by/jour/article/view/2759</self-uri><abstract><sec><title>Цель исследования</title><p>Цель исследования. Изучить микробное разнообразие респираторной микробиоты у пациентов с недифференцированными патологическими изменениями в легких.</p></sec><sec><title>Материалы и методы</title><p>Материалы и методы. Проведено исследование биопсийного материала, полученного при проведении видеоассистированной торакоскопической резекции легких, 36 пациентов с недифференцированными патологическими изменениями в легких. Изучение микробного разнообразия легких проводили методом высокопроизводительного секвенирования, с помощью секвенатора MiSeq (Illumina, США) с использованием протокола, основанного на анализе вариабельных регионов гена 16s рРНК.</p></sec><sec><title>Результаты</title><p>Результаты. Изучена плотность и микробное разнообразие легочной микробиоты полученных образцов. Во всех образцах пациентов доминирующими таксонами на уровне типа являются Proteobacteria (медиана относительной представленности таксона более 90%); типы Firmicutes, Bacteroidetes, Actinobacteria представлены в меньшем количестве, а типы Fusobacteria и Cyanobacteria – только в некоторых группах. Fusobacteria встречались только у пациентов с саркоидозом легких, также только в этой группе медиана относительной представленности типа Actinobacteria была намного выше, чем в остальных (p&lt;0,05). Во всех образцах наиболее широко представлены роды Stenotrophomonas и Delftia. Бактерия рода Pseudomonas встречалась у пациентов с раком легких</p></sec><sec><title>Заключение</title><p>Заключение. В результате анализа полученных данных показано, что Proteobacteria являлись значительно преобладающим типом микробиоты у пациентов с недифференцированными патологическими изменениями в легких; тип Fusobacteria встречался только у пациентов с саркоидозом легких, также только в этой группе медиана относительной представленности типа Actinobacteria была намного выше, чем в остальных группах. Наибольшее таксономическое разнообразие на уровне рода наблюдалось у пациентов с саркоидозом легких.</p></sec></abstract><trans-abstract xml:lang="en"><sec><title>Objective</title><p>Objective. To study the microbial diversity of the respiratory microbiota in patients with undifferentiated pathological changes in the lungs.</p></sec><sec><title>Materials and methods</title><p>Materials and methods. The study of biopsy material obtained during video-assisted thoracoscopic lung resection was conducted in 36 patients with undifferentiated pathological changes in the lungs. The study of the microbial diversity of the lungs was carried out by high-performance sequencing using the MiSeq sequencer (Illumina, USA) using a protocol based on the analysis of variable regions of the 16s rRNA gene.</p></sec><sec><title>Results</title><p>Results. The density and microbial diversity of the pulmonary microbiota of the obtained samples were studied. In all patient samples, the dominant taxa at the Phylum level are Proteobacteria (the median relative representation of the taxon is more than 90%); the Phylums Firmicutes, Bacteroidetes, Actinobacteria are represented in smaller numbers, and the Phylums Fusobacteria and Cyanobacteria – only in some groups. Fusobacteria were found only in patients with lung sarcoidosis, and only in this group the median relative representation of the Phylum Actinobacteria was much higher than in the rest (p&lt;0.05). The Genuses Stenotrophomonas and Delftia are the most widely represented in all samples. A bacterium of the Genus Pseudomonas has been found in patients with lung cancer. Conclusion. Proteobacteria were a significantly predominant Phylum of microbiota in patients with undifferentiated pathological changes in the lungs; Fusobacteria were found only in patients with lung sarcoidosis, and only in this group the median relative representation of the Actinobacteria were much higher than in the other groups. The greatest taxonomic diversity at the Genus level was observed in patients with lung sarcoidosis. Keywords: microbiota, lungs, tuberculosis, sarcoidosis, lung cancer&gt; ˂ 0.05). The Genuses Stenotrophomonas and Delftia are the most widely represented in all samples. A bacterium of the Genus Pseudomonas has been found in patients with lung cancer.</p></sec><sec><title>Conclusion</title><p>Conclusion. Proteobacteria were a significantly predominant Phylum of microbiota in patients with undifferentiated pathological changes in the lungs; Fusobacteria were found only in patients with lung sarcoidosis, and only in this group the median relative representation of the Actinobacteria were much higher than in the other groups. The greatest taxonomic diversity at the Genus level was observed in patients with lung sarcoidosis.</p></sec></trans-abstract><kwd-group xml:lang="ru"><kwd>микробиота</kwd><kwd>легкие</kwd><kwd>туберкулез</kwd><kwd>саркоидоз</kwd><kwd>рак легкого</kwd></kwd-group><kwd-group xml:lang="en"><kwd>microbiota</kwd><kwd>lungs</kwd><kwd>tuberculosis</kwd><kwd>sarcoidosis</kwd><kwd>lung cancer</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">Здравоохранение в Республике Беларусь [Электронный ресурс]: офиц. стат. сб. за 2019 г. Минск: ГУ РНПЦ МТ; 2020. 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