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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">r-n-j</journal-id><journal-title-group><journal-title xml:lang="ru">Российский неврологический журнал</journal-title><trans-title-group xml:lang="en"><trans-title>Russian neurological journal</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2658-7947</issn><issn pub-type="epub">2686-7192</issn><publisher><publisher-name>МИА</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.30629/2658-7947-2019-24-4-4-15</article-id><article-id custom-type="elpub" pub-id-type="custom">r-n-j-20</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>ОБЗОР</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>LITERATURE REVIEW</subject></subj-group></article-categories><title-group><article-title>ВОЗМОЖНОСТЬ ИСПОЛЬЗОВАНИЯ ГЛИАЛЬНОГО ФИБРИЛЛЯРНОГО КИСЛОГО БЕЛКА КАК БИОМАРКЕРА В ОСТРОМ ПЕРИОДЕ ИНСУЛЬТА</article-title><trans-title-group xml:lang="en"><trans-title>THE POSSIBILITY OF USING GLIAL FIBRILLARY ACIDIC PROTEIN AS A BIOMARKER IN THE ACUTE PERIOD OF STROKE</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-0175-3085</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Топузова</surname><given-names>М. П.</given-names></name><name name-style="western" xml:lang="en"><surname>Topuzova</surname><given-names>M. P.</given-names></name></name-alternatives><bio xml:lang="ru"><p>канд.мед.наук, доцент кафедры неврологии и психиатрии, старший научный сотрудник НИЛ цереброваскулярной патологии НИО неврологии и нейрореабилитации</p><p>197341, Санкт-Петербург, ул. Аккуратова, 2</p><p> </p></bio><bio xml:lang="en"><p>MD, PhD, Associate Professor of the Department of Neurology and Psychiatry, Senior Researcher of the Research Laboratory of  Cerebrovascular Pathology of the Research Department of Neurology and Neurorehabilitation</p><p>197341, Akkuratova street 2, Saint-Petersburg, Russia</p></bio><email xlink:type="simple">topuzova_mp@almazovcentre.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/0000-0002-4441-1165</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Алексеева</surname><given-names>Т. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Alekseeva</surname><given-names>T. M.</given-names></name></name-alternatives><bio xml:lang="ru"><p>197341, Санкт-Петербург, ул. Аккуратова, 2</p></bio><bio xml:lang="en"><p>197341, Akkuratova street 2, Saint-Petersburg, Russia</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/0000-0003-3637-5405</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Панина</surname><given-names>Е. Б.</given-names></name><name name-style="western" xml:lang="en"><surname>Panina</surname><given-names>E. B.</given-names></name></name-alternatives><bio xml:lang="ru"><p>197341, Санкт-Петербург, ул. Аккуратова, 2</p></bio><bio xml:lang="en"><p>197341, Akkuratova street 2, Saint-Petersburg, Russia</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/0000-0001-8537-3639</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Вавилова</surname><given-names>Т. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Vavilova</surname><given-names>T. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>197341, Санкт-Петербург, ул. Аккуратова, 2</p></bio><bio xml:lang="en"><p>197341, Akkuratova street 2, Saint-Petersburg, Russia</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/0000-0002-6904-1746</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Портик</surname><given-names>О. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Portik</surname><given-names>O. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>197341, Санкт-Петербург, ул. Аккуратова, 2</p></bio><bio xml:lang="en"><p>197341, Akkuratova street 2, Saint-Petersburg, Russia</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/0000-0003-1430-3195</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Ковзелев</surname><given-names>П. Д.</given-names></name><name name-style="western" xml:lang="en"><surname>Kovzelev</surname><given-names>P. D.</given-names></name></name-alternatives><bio xml:lang="ru"><p>197341, Санкт-Петербург, ул. Аккуратова, 2</p></bio><bio xml:lang="en"><p>197341, Akkuratova street 2, Saint-Petersburg, Russia</p></bio><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Федеральное государственное бюджетное учреждение «Национальный медицинский исследовательский центр имени B.A. Алмaзoвa» Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Federal State Budgetary Institution «Almazov National Medical Research Centre» of the Ministry of Health of the Russian Federation</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2019</year></pub-date><pub-date pub-type="epub"><day>29</day><month>10</month><year>2019</year></pub-date><volume>0</volume><issue>4</issue><fpage>4</fpage><lpage>15</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Топузова М.П., Алексеева Т.М., Панина Е.Б., Вавилова Т.В., Портик О.А., Ковзелев П.Д., 2019</copyright-statement><copyright-year>2019</copyright-year><copyright-holder xml:lang="ru">Топузова М.П., Алексеева Т.М., Панина Е.Б., Вавилова Т.В., Портик О.А., Ковзелев П.Д.</copyright-holder><copyright-holder xml:lang="en">Topuzova M.P., Alekseeva T.M., Panina E.B., Vavilova T.V., Portik O.A., Kovzelev P.D.</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.r-n-j.com/jour/article/view/20">https://www.r-n-j.com/jour/article/view/20</self-uri><abstract><p>Высокая смертность и инвалидизация в результате перенесенного инсульта во всем мире являются причиной поиска новых возможностей для улучшения ранней диагностики и оптимизации терапевтических подходов. Представлен обзор литературы, посвященной изучению глиального фибриллярного кислого белка (ГФКБ) в качестве биомаркера в остром периоде инсульта и возможности его использования для дифференцирования ишемического и геморрагического процесса, а также в целях определения степени разрушения мозговой ткани, как в первые часы инсульта, так и в динамике. Кроме того анализ ГФКБ может быть полезен для мониторинга течения заболевания, контроля над эффективностью проводимой терапии, а также с целью прогнозирования исходов.</p></abstract><trans-abstract xml:lang="en"><p>High mortality and disability resulting from a stroke throughout the world is the cause of fi nding new opportunities to improve early diagnosis and optimize therapeutic approaches. The article presents a review of the literature devoted to the study of glial fi brillary acidic protein (GFAP) as a biomarker in the acute period of stroke, which showed that its use is possible not only to diff erentiate the ischemic and hemorrhagic process, but also to determine the degree of destruction of brain tissue, as in the fi rst hours of a stroke, and in the dynamics. In addition, the GFAP analysis can be useful for monitoring the course of the disease, control the eff ectiveness of therapy, as well as to predict outcomes.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>биомаркеры инсульта</kwd><kwd>глиальный фибриллярный кислый белок (ГФКБ)</kwd><kwd>прогноз</kwd></kwd-group><kwd-group xml:lang="en"><kwd>stroke biomarkers</kwd><kwd>glial fi brillary acidic protein (GFAP)</kwd><kwd>prognosis</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">Mukherjee D., Patil C.G. Epidemiology and the global burden of stroke. World Neurosurg. 2011 Dec;76(6 Suppl):S85–90. https://doi.org/10.1016/j.wneu.2011.07.023.</mixed-citation><mixed-citation xml:lang="en">Mukherjee D., Patil C.G. Epidemiology and the global burden of stroke. 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