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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">problendo</journal-id><journal-title-group><journal-title xml:lang="ru">Проблемы Эндокринологии</journal-title><trans-title-group xml:lang="en"><trans-title>Problems of Endocrinology</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">0375-9660</issn><issn pub-type="epub">2308-1430</issn><publisher><publisher-name>Endocrinology Research Centre</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.14341/probl12741</article-id><article-id custom-type="elpub" pub-id-type="custom">problendo-12741</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>Нарушения углеводного обмена</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>Carbohidrates metabolism disturbancies</subject></subj-group></article-categories><title-group><article-title>Сахарный диабет и онкопатология: система инсулиноподобных факторов роста</article-title><trans-title-group xml:lang="en"><trans-title>Diabetes mellitus and cancer: a system of insulin-like growth factors</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-3618-6890</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Франциянц</surname><given-names>Е. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Frantsiyants</surname><given-names>E. M.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Франциянц Елена Михайловна – доктор биологических наук, профессор, заместитель директора по науке.</p><p>344038, Ростов-на-Дону, ул. Погодина, д. 6 Б, кв. 38.</p><p>eLibrary SPIN: 9427-9928</p></bio><bio xml:lang="en"><p>Elena M. Frantsiyants - PhD, Professor.</p><p>Pogodina st. 6 b ap. 38, 344038 Rostov on Don.</p><p>eLibrary SPIN: 9427-9928</p></bio><email xlink:type="simple">super.gormon@ya.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/0000-0002-4318-7587</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Сурикова</surname><given-names>Е. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Surikova</surname><given-names>E. I.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Сурикова Екатерина Игоревна - кандидат биологических наук.</p><p>344038, Ростов-на-Дону, ул. Погодина, д. 6 Б, кв. 38.</p><p>eLibrary SPIN: 2401-4115</p></bio><bio xml:lang="en"><p>Ekaterina I. Surikova – PhD.</p><p>Pogodina st. 6 b ap. 38, 344038 Rostov on Don.</p><p>eLibrary SPIN: 2401-4115</p></bio><email xlink:type="simple">sunsur2000@mail.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/0000-0002-3972-2452</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Каплиева</surname><given-names>И. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Kaplieva</surname><given-names>I. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Каплиева Ирина Викторовна – доктор медицинских наук. Заведующая лабораторией ЛИПЗО.</p><p>344038, Ростов-на-Дону, ул. Погодина, д. 6 Б, кв. 38.</p><p>eLibrary SPIN: 5047-1541</p></bio><bio xml:lang="en"><p>Irina V. Kaplieva – PhD.</p><p>Pogodina st. 6 b ap. 38, 344038 Rostov on Don.</p><p>eLibrary SPIN: 5047-1541</p></bio><email xlink:type="simple">kaplirina@yandex.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/0000-0002-2302-8271</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Бандовкина</surname><given-names>В. A.</given-names></name><name name-style="western" xml:lang="en"><surname>Bandovkina</surname><given-names>V. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Бандовкина Валерия Ахтямовна - доктор биологических наук.</p><p>344038, Ростов-на-Дону, ул. Погодина, д. 6 Б, кв. 38.</p><p>eLibrary SPIN: 8806-2641</p></bio><bio xml:lang="en"><p>Valeriya A. Bandovkina – PhD.</p><p>Pogodina st. 6 b ap. 38, 344038 Rostov on Don.</p><p>eLibrary SPIN: 8806-2641</p></bio><email xlink:type="simple">valerryana@yandex.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/0000-0002-7395-3086</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Нескубина</surname><given-names>И. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Neskubina</surname><given-names>I. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Нескубина Ирина Валерьевна - кандидат биологических наук.</p><p>344038, Ростов-на-Дону, ул. Погодина, д. 6 Б, кв. 38.</p><p>eLibrary SPIN: 3581-8531</p></bio><bio xml:lang="en"><p>Irina V. Neskubina – PhD.</p><p>Pogodina st. 6 b ap. 38, 344038 Rostov on Don.</p><p>eLibrary SPIN: 3581-8531</p></bio><email xlink:type="simple">neskubina.irina@mail.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/0000-0002-9616-8996</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Шейко</surname><given-names>Е. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Sheiko</surname><given-names>E. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Шейко Елена Александровна – кандидат биологических наук.</p><p>344038, Ростов-на-Дону, ул. Погодина, д. 6 Б, кв. 38.</p><p>eLibrary SPIN: 7293-3480</p></bio><bio xml:lang="en"><p>Elena A. Sheiko – PhD.</p><p>Pogodina st. 6 b ap. 38, 344038 Rostov on Don.</p><p>eLibrary SPIN: 7293-3480</p></bio><email xlink:type="simple">esheiko@inbox.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/0000-0001-7640-6021</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Морозова</surname><given-names>М. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Morozova</surname><given-names>M. I.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Морозова Мария Игоревна - клинический ординатор.</p><p>344038, Ростов-на-Дону, ул. Погодина, д. 6 Б, кв. 38.</p></bio><bio xml:lang="en"><p>Mariya I. Morozova – MD.</p><p>Pogodina st. 6 b ap. 38, 344038 Rostov on Don.</p></bio><email xlink:type="simple">maria-morozova94@yandex.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/0000-0003-0252-4708</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Котиева</surname><given-names>И. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Kotieva</surname><given-names>I. M.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Котиева Инга Мовлиевна – доктор медицинских наук.</p><p>344038, Ростов-на-Дону, ул. Погодина, д. 6 Б, кв. 38.</p><p>eLibrary SPIN: 3478-5811</p></bio><bio xml:lang="en"><p>Inga M. Kotieva - MD, PhD.</p><p>Pogodina st. 6 b ap. 38, 344038 Rostov on Don.</p><p>eLibrary SPIN: 3478-5811</p></bio><email xlink:type="simple">kukulik70@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Национальный медицинский исследовательский центр онкологии</institution><country>Россия</country></aff><aff xml:lang="en"><institution>National Medical Research Centre for Oncology</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2021</year></pub-date><pub-date pub-type="epub"><day>10</day><month>09</month><year>2021</year></pub-date><volume>67</volume><issue>5</issue><fpage>34</fpage><lpage>42</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Франциянц Е.М., Сурикова Е.И., Каплиева И.В., Бандовкина В.A., Нескубина И.В., Шейко Е.А., Морозова М.И., Котиева И.М., 2021</copyright-statement><copyright-year>2021</copyright-year><copyright-holder xml:lang="ru">Франциянц Е.М., Сурикова Е.И., Каплиева И.В., Бандовкина В.A., Нескубина И.В., Шейко Е.А., Морозова М.И., Котиева И.М.</copyright-holder><copyright-holder xml:lang="en">Frantsiyants E.M., Surikova E.I., Kaplieva I.V., Bandovkina V.A., Neskubina I.V., Sheiko E.A., Morozova M.I., Kotieva I.M.</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.probl-endojournals.ru/jour/article/view/12741">https://www.probl-endojournals.ru/jour/article/view/12741</self-uri><abstract><p>Сахарный диабет и злокачественные опухоли — одни из самых частых и сложных заболеваний. Эпидемиологические исследования показали наличие сильной взаимосвязи между этими патологиями. Причинность этой связи до сих пор однозначно не установлена, но предложен ряд вероятных биологических механизмов, объясняющих ее через эффекты гипергликемии, гиперинсулинемии на процесс онкогенеза. Важную роль при этом играет ось инсулиноподобных факторов роста, их рецепторов и связывающих белков (IGF/IGFR/IGFBP). В обзоре приведены данные о структурных элементах сигнальной оси инсулин/IGF/IGFR/IGFBP и их внутренних взаимосвязях при сахарном диабете и при развитии злокачественных опухолей. Значительные изменения в оси, происходящие при формировании диабетической среды, подготавливают фон, который при определенных условиях может обусловить стимуляцию или ингибирование развития опухоли. Рассмотренная сигнальная система, играя значительную роль в физиологии нормальных клеток, зачастую функционирует как решающий фактор выживания опухолевых клеток, обеспечивая тонкую контекстно-зависимую регуляцию многих клеточных процессов, связанных с онкогенезом. Однако, несмотря на многолетние глубокие исследования патогенеза сахарного диабета и злокачественных опухолей, молекулярные механизмы взаимосвязи этих патологий еще в значительной степени неясны, а внутренняя неоднородность патологий усложняет проведение исследований и интерпретацию результатов, оставляя множество вопросов.</p></abstract><trans-abstract xml:lang="en"><p>Diabetes mellitus and malignant tumors are among the most common and complex diseases. Epidemiological studies have shown a strong relationship between these pathologies. The causality of this relationship has not yet been unambiguously established, but a number of probable biological mechanisms have been proposed to explain it through the effects of hyperglycemia, hyperinsulinemia on the process of oncogenesis. An important role in this is played by the axis of insulin-like growth factors, their receptors and binding proteins (IGF / IGFR / IGFBP). The review provides data on the structural elements of the insulin / IGF / IGFR / IGFBP signaling axis and their internal relationships in diabetes mellitus and in the development of malignant tumors. Significant changes in the axis that occur during the formation of the diabetic environment prepare the background, which, under certain conditions, can lead to the stimulation or inhibition of tumor development. The considered signaling system, playing a significant role in the physiology of normal cells, often functions as a decisive factor in the survival of tumor cells, providing fine context-dependent regulation of many cellular processes associated with oncogenesis. However, despite many years of in-depth studies of the pathogenesis of diabetes mellitus and malignant tumors, the molecular mechanisms of the relationship between these pathologies are still largely unclear, and the internal heterogeneity of pathologies complicates research and interpretation of the results, leaving many questions.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>сахарный диабет</kwd><kwd>онкопатология</kwd><kwd>злокачественные опухоли</kwd><kwd>система инсулиноподобных факторов роста</kwd></kwd-group><kwd-group xml:lang="en"><kwd>diabetes mellitus</kwd><kwd>oncopathology</kwd><kwd>malignant tumors</kwd><kwd>insulin-like growth factors system</kwd></kwd-group><funding-group><funding-statement xml:lang="ru">Поисково-аналитическая работа проведена в рамках государственного задания: «Коморбидные заболевания как модификаторы течения злокачественного процесса».</funding-statement></funding-group></article-meta></front><back><ref-list><ref id="cit1"><mixed-citation publication-type="commun" publication-format="web"><source>International Diabetes Federation</source>. <article-title>IDF Diabetes Atlas. 9th ed</article-title>. 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