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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">agx</journal-id><journal-title-group><journal-title xml:lang="ru">Андрология и генитальная хирургия</journal-title><trans-title-group xml:lang="en"><trans-title>Andrology and Genital Surgery</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2070-9781</issn><issn pub-type="epub">2412-8902</issn><publisher><publisher-name></publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.17650/2070-9781-2018-19-4-21-27</article-id><article-id custom-type="elpub" pub-id-type="custom">agx-317</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>ОБЗОРНАЯ СТАТЬЯ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>REVIEW</subject></subj-group></article-categories><title-group><article-title>Докозагексаеновая кислота в лечении мужского бесплодия</article-title><trans-title-group xml:lang="en"><trans-title>Docosahexaenoic acid in the treatment of male infertility</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-7469-3952</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Виноградов</surname><given-names>И. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Vinogradov</surname><given-names>I. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Игорь Владимирович Виноградов</p><p>117198 Москва, ул. Миклухо-Маклая, 6</p></bio><bio xml:lang="en"><p>6 Miklukho-Maklaya St., Moscow 117198</p></bio><email xlink:type="simple">ivvinogradov@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/0000-0002-1651-4343</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Живулько</surname><given-names>А. Р.</given-names></name><name name-style="western" xml:lang="en"><surname>Zhivulko</surname><given-names>A. R.</given-names></name></name-alternatives><bio xml:lang="ru"><p>117198 Москва, ул. Миклухо-Маклая, 6</p></bio><bio xml:lang="en"><p>6 Miklukho-Maklaya St., Moscow 117198</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Виноградова</surname><given-names>Л. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Vinogradova</surname><given-names>L. M.</given-names></name></name-alternatives><bio xml:lang="ru"><p>117198 Москва, ул. Миклухо-Маклая, 6</p></bio><bio xml:lang="en"><p>6 Miklukho-Maklaya St., Moscow 117198</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Королев</surname><given-names>С. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Korolev</surname><given-names>S. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>117198 Москва, ул. Миклухо-Маклая, 6</p></bio><bio xml:lang="en"><p>6 Miklukho-Maklaya St., Moscow 117198</p></bio><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГАОУ ВО Российский университет дружбы народов</institution><country>Россия</country></aff><aff xml:lang="en"><institution>RUDN University</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2018</year></pub-date><pub-date pub-type="epub"><day>22</day><month>12</month><year>2018</year></pub-date><volume>19</volume><issue>4</issue><fpage>21</fpage><lpage>27</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Виноградов И.В., Живулько А.Р., Виноградова Л.М., Королев С.В., 2018</copyright-statement><copyright-year>2018</copyright-year><copyright-holder xml:lang="ru">Виноградов И.В., Живулько А.Р., Виноградова Л.М., Королев С.В.</copyright-holder><copyright-holder xml:lang="en">Vinogradov I.V., Zhivulko A.R., Vinogradova L.M., Korolev S.V.</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://agx.elpub.ru/jour/article/view/317">https://agx.elpub.ru/jour/article/view/317</self-uri><abstract><p>Обзор литературы посвящен анализу современных сведений о применении докозагексаеновой кислоты при лечении мужского бесплодия. Дано краткое описание современных представлений о возможных причинах мужского бесплодия — нарушении функции клеточной мембраны и повреждении генетического материала сперматозоидов. Подробно изложены данные о противовоспалительных свойствах омега-3-полиненасыщенных жирных кислот. Обсуждаются вопросы биодоступности докозагексаеновой кислоты и выбора содержащих ее препаратов для терапии мужского бесплодия. Повышение содержания полиненасыщенных жирных кислот, в частности докозагексаеновой кислоты, в мембране сперматозоидов было ассоциировано с более высокими показателями качества эякулята. Терапия с применением этих веществ приводила к улучшению стандартных показателей спермограммы и снижению доли сперматозоидов с фрагментированной ДНК.</p></abstract><trans-abstract xml:lang="en"><p>Literature review is devoted to the analysis of modern data on the use of docosahexaenoic acid in the treatment of male infertility. A brief description of modern ideas about the possible causes of male infertility (a disturbance of function of the cell membrane and genetic damage of sperm) was conducted. The data on the anti-inflammatory properties of omega-3 polyunsaturated fatty acids are described in detail. The bioavailability of docosahexaenoic acid and the choice of drugs containing it for the treatment of male infertility are discussed. Increasing the content of polyunsaturated fatty acids, in particular docosahexaenoic acid, in the sperm membrane was associated with higher ejaculate quality. Therapy with the use of these substances led to the improvement of standard indicators of semen and a decrease in the proportion of sperm with fragmented DNA.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>омега-3-полиненасыщенные жирные кислоты</kwd><kwd>докозагексаеновая кислота</kwd><kwd>мужское бесплодие</kwd><kwd>фрагментация ДНК сперматозоидов</kwd></kwd-group><kwd-group xml:lang="en"><kwd>omega-3 polyunsaturated fatty acids</kwd><kwd>docosahexaenoic acid</kwd><kwd>male infertility</kwd><kwd>sperm DNA fragmentation</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">Greenhall E., Vessey M. The prevalence of subfertility: a review of the current confusion and a report of two new studies. Fertil Steril 1990;54(6):978—83. PMID: 2245856.</mixed-citation><mixed-citation xml:lang="en">Greenhall E., Vessey M. 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