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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="en"><front><journal-meta><journal-id journal-id-type="publisher-id">sechenov</journal-id><journal-title-group><journal-title xml:lang="en">Sechenov Medical Journal</journal-title><trans-title-group xml:lang="ru"><trans-title>Сеченовский вестник</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2218-7332</issn><issn pub-type="epub">2658-3348</issn><publisher><publisher-name>Сеченовский Университет</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.47093/2218-7332.2023.14.2.21-30</article-id><article-id custom-type="elpub" pub-id-type="custom">sechenov-937</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="en"><subject>ONCOLOGY</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ОНКОЛОГИЯ</subject></subj-group></article-categories><title-group><article-title>Ovarian cancer, malignant ascites and microenvironment.  Literature review</article-title><trans-title-group xml:lang="ru"><trans-title>Рак яичников, злокачественный асцит и микросреда.  Обзор литературы</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-2957-3940</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Алешикова</surname><given-names>О. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Aleshikova</surname><given-names>O. I.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Алешикова Ольга Ивановна, канд. мед. наук, старший научный сотрудник Института онкогинекологии и маммологии </p><p>ул. Академика Опарина, д. 4, г. Москва, 117997</p></bio><bio xml:lang="en"><p>Olga I. Aleshikova, Cand. of Sci. (Medicine), Senior researcher, Scientific Research Institute of Оncogynecology and Mammology</p><p>4 Oparina str., Moscow, 117997, Russia</p><p>+7 (926) 917-43-09</p></bio><email xlink:type="simple">olga.aleshikova@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/0000-0002-4654-9512</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Бабаева</surname><given-names>Н. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Babaeva</surname><given-names>N. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Бабаева Наталия Александровна, д-р мед. наук, ведущий научный сотрудник Института онкогинекологии и маммологии</p><p>ул. Академика Опарина, д. 4, г. Москва, 117997</p></bio><bio xml:lang="en"><p>Nataliya A. Babaeva, Dr. of Sci. (Medicine), Leading researcher, Scientific Research Institute of Оncogynecology and Mammology</p><p>4, Oparina str., Moscow,117997</p><p> </p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-9092-7149</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Герфанова</surname><given-names>Е. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Gerfanova</surname><given-names>E. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Герфанова Евгения Викторовна, врач-онколог отделения инновационной онкологии и гинекологии Института онкогинекологии и маммологии</p><p>ул. Академика Опарина, д. 4, г. Москва, 117997</p></bio><bio xml:lang="en"><p>Evgeniya V. Gerfanova, oncologist, Innovative Oncology and Gynecology Department, Scientific Research Institute of Оncogynecology and Mammology</p><p>4, Oparina str., Moscow,117997</p><p> </p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-2668-2110</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Антонова</surname><given-names>И. Б.</given-names></name><name name-style="western" xml:lang="en"><surname>Antonova</surname><given-names>I. B.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Антонова Ирина Борисовна, д-р мед. наук, заведующая лабораторией комплексной диагностики и лечения заболеваний органов мочеполовой и репродуктивной систем у взрослых и детей научно-исследовательского отдела хирургии, урологии, гинекологии и инвазивных технологий в онкологии</p><p>ул. Профсоюзная, д. 86, г. Москва, 117997</p></bio><bio xml:lang="en"><p>Irina B. Antonova, Dr. of Sci. (Medicine), Head of the Laboratory of Comprehensive Diagnostic and Treatment of Urogenital and Reproductive systems in adults and children, Research Department of Surgery, Urology, Gynecology and Invasive Technologies in Oncology</p><p>86, Profsoyuznaya str., Moscow, 117997</p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-9156-2938</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Шендер</surname><given-names>В. О.</given-names></name><name name-style="western" xml:lang="en"><surname>Shender</surname><given-names>V. O.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Шендер Виктория Олеговна, канд. хим. наук, заведующая лабораторией молекулярной онкологии</p><p>ул. Малая Пироговская, д. 1а, г. Москва, 119435</p></bio><bio xml:lang="en"><p>Victoria O. Shender, Cand. of Sci. (Chemistry), Head of the Laboratory of Molecular Oncology</p><p>1a, Malaya Pirogovskaya str., Moscow, 119435</p></bio><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-0749-4037</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Бабаева</surname><given-names>А. Э.</given-names></name><name name-style="western" xml:lang="en"><surname>Babaeva</surname><given-names>A.  E.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Бабаева Александра Эдуардовна, студентка шестого курса Института клинической медицины</p><p>ул. Трубецкая, д. 8, стр. 2, г. Москва, 119991</p></bio><bio xml:lang="en"><p>Aleksandra E. Babaeva, sixth-year student, Institute of Clinical Medicine</p><p>8/2, Trubetskaya str., Moscow, 119991</p></bio><xref ref-type="aff" rid="aff-4"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-6396-4948</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Ашрафян</surname><given-names>Л. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Ashrafyan</surname><given-names>L. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Ашрафян Левон Андреевич, академик РАН, д-р мед. наук, профессор, директор Института онкогинекологии и маммологии</p><p>ул. Академика Опарина, д. 4, г. Москва, 117997</p></bio><bio xml:lang="en"><p>Levon A. Ashrafyan, Academician of the RAS, Dr. of Sci. (Medicine), Professor, Director of the Scientific Research Institute of Оncogynecology and Mammology</p><p>4, Oparina str., Moscow,117997</p></bio><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГБУ «Национальный медицинский исследовательский центр акушерства, гинекологии и перинатологии имени академика В.И. Кулакова» Министерства здравоохранения Российской Федерации</institution><country>Россия</country></aff><aff xml:lang="en"><institution>National Medical Research Center for Obstetrics, Gynecology and Perinatology named after Academician V.I. Kulakov</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>ФГБУ «Российский научный центр рентгенорадиологии»  &#13;
Министерства здравоохранения Российской Федерации</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Russian Scientific Center of Roentgenoradiology</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>ФГБУ «Федеральный научно-клинический центр физико-химической медицины имени академика  Ю.М. Лопухина Федерального медико-биологического агентства»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Federal Research and Clinical Center of Physical-Chemical Medicine named after Academician Yu.M. Lopukhin of the Federal Medical Biological Agency</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-4"><aff xml:lang="ru"><institution>ФГАОУ ВО «Первый Московский государственный медицинский университет им. И.М. Сеченова» Минздрава России (Сеченовский Университет)</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Sechenov First Moscow State Medical University</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2023</year></pub-date><pub-date pub-type="epub"><day>07</day><month>07</month><year>2023</year></pub-date><volume>14</volume><issue>2</issue><issue-title>Special issue «Oncology»</issue-title><fpage>21</fpage><lpage>30</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Aleshikova O.I., Babaeva N.A., Gerfanova E.V., Antonova I.B., Shender V.O., Babaeva A.E., Ashrafyan L.A., 2023</copyright-statement><copyright-year>2023</copyright-year><copyright-holder xml:lang="ru">Алешикова О.И., Бабаева Н.А., Герфанова Е.В., Антонова И.Б., Шендер В.О., Бабаева А.Э., Ашрафян Л.А.</copyright-holder><copyright-holder xml:lang="en">Aleshikova O.I., Babaeva N.A., Gerfanova E.V., Antonova I.B., Shender V.O., Babaeva A.E., Ashrafyan L.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.sechenovmedj.com/jour/article/view/937">https://www.sechenovmedj.com/jour/article/view/937</self-uri><abstract><p>Ovarian cancer (OC) is a heterogenous disease in terms of genetic mutations and tumor phenotypes and can be divided into I and II types. Type II high grade tumors are more common, accompanied by ascites, and are the main cause of cancer-related death in women. OC associated ascites is considered as valuable source of tumor material containing a wide range of dissolved components and cell populations. Over the past decades, the cellular and acellular components of ascites have been studied, but its effect on chemoresistance and the development of metastasis continues to be studied. This review describes the pathogenesis of ascites in OC, it’s cellular and acellular components, many of which are prognostic factors as well as markers of the effectiveness of anticancer therapy. Further study of the ascitic fluid composition in OC will help to identify not only prognostic factors, but also the points of application of targeted drugs and will improve the results of OC treatment.</p></abstract><trans-abstract xml:lang="ru"><p>Рак яичников (РЯ) является гетерогенным заболеванием с точки зрения генетических мутаций и фенотипов опухоли и делится на I и II типы. Опухоли II типа, чаще высокой степени злокачественности, являются наиболее распространенными, сопровождаются асцитом и являются основной причиной смерти от всех злокачественных опухолей у женщин. Асцит при РЯ – источник опухолевого материала, содержащего широкий спектр растворимых компонентов и клеточных популяций. За последние десятилетия изучен клеточный и бесклеточный компоненты асцита, однако его влияние на химиорезистентность, метастазирование в настоящее время продолжает изучаться. В данном обзоре описан патогенез асцита при РЯ, его клеточные и бесклеточные компоненты, многие из которых являются прогностическими факторами, а также маркерами эффективности проводимой противоопухолевой терапии. Дальнейшее изучение состава асцитической жидкости при РЯ будет способствовать выявлению не только факторов прогноза, но и точек приложения таргетных препаратов и улучшению результатов лечения РЯ.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>эпителиально-мезенхимальный переход</kwd><kwd>опухолевые стволовые клетки</kwd><kwd>химиотерапия</kwd><kwd>провоспалительные цитокины</kwd><kwd>васкулоэндотелиальный фактор роста</kwd><kwd>выживаемость</kwd></kwd-group><kwd-group xml:lang="en"><kwd>epithelial-mesenchymal transition</kwd><kwd>cancer stem cells</kwd><kwd>chemotherapy</kwd><kwd>pro-inflammatory cytokines</kwd><kwd>vascular endothelial growth factor</kwd><kwd>survival</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">Sung H., Ferlay J., Siegel R.L., et al. 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