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<article article-type="review-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">10.17650/2070-9781-2023-24-4-59-66</article-id><article-id custom-type="elpub" pub-id-type="custom">agx-705</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>Место антиоксидантов в терапии мужского бесплодия</article-title><trans-title-group xml:lang="en"><trans-title>The place of antioxidants in male infertility therapy</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0004-8370-4392</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Гвасалия</surname><given-names>Б. Р.</given-names></name><name name-style="western" xml:lang="en"><surname>Gvasalia</surname><given-names>B. R.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Бадри Роинович Гвасалия</p><p>127473 Москва, ул. Делегатская, 20, стр. 1</p><p>125080 Москва, Волоколамское шоссе, 11</p></bio><bio xml:lang="en"><p>Badri Roinovich Gvasalia</p><p>Bld. 1, 20 Delegatskaya St., Moscow 127473</p><p>11, Volokolamskoe Shosse, Moscow 125080</p></bio><email xlink:type="simple">bgvasalia@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/0009-0008-9223-9460</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Исаева</surname><given-names>А. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Isaeva</surname><given-names>A. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>127473 Москва, ул. Делегатская, 20, стр. 1</p></bio><bio xml:lang="en"><p>Bld. 1, 20 Delegatskaya St., Moscow 127473</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/0000-0001-6654-9280</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Бабаев</surname><given-names>М. У.</given-names></name><name name-style="western" xml:lang="en"><surname>Babaev</surname><given-names>M. U.</given-names></name></name-alternatives><bio xml:lang="ru"><p>127473 Москва, ул. Делегатская, 20, стр. 1</p></bio><bio xml:lang="en"><p>Bld. 1, 20 Delegatskaya St., Moscow 127473</p></bio><xref ref-type="aff" rid="aff-2"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Кафедра урологии ФГБОУ ВО «Московский государственный медико-стоматологический университет им. А.И. Евдокимова» Минздрава России; кафедра урологии Московского института непрерывного образования ФГБОУ ВО «Российский биотехнологический университет (РОСБИОТЕХ)»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Department of Urology, A.I. Yevdokimov Moscow State University of Medicine and Dentistry; Department of Urology of the Moscow Institute of Continuing Education, Russian Biotechnological University (ROSBIOTECH)</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>Кафедра урологии ФГБОУ ВО «Московский государственный медико-стоматологический университет им. А.И. Евдокимова» Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Department of Urology, A.I. Yevdokimov Moscow State University of Medicine and Dentistry</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2023</year></pub-date><pub-date pub-type="epub"><day>28</day><month>11</month><year>2023</year></pub-date><volume>24</volume><issue>4</issue><fpage>59</fpage><lpage>66</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Гвасалия Б.Р., Исаева А.В., Бабаев М.У., 2023</copyright-statement><copyright-year>2023</copyright-year><copyright-holder xml:lang="ru">Гвасалия Б.Р., Исаева А.В., Бабаев М.У.</copyright-holder><copyright-holder xml:lang="en">Gvasalia B.R., Isaeva A.V., Babaev M.U.</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/705">https://agx.elpub.ru/jour/article/view/705</self-uri><abstract><p>Проблема бесплодия затрагивает от 10 до 15 % пар во всем мире. На долю мужского фактора приходится до половины всех случаев бесплодия, при этом от 25 до 87 % случаев мужского бесплодия, как предполагают, обусловлены влиянием оксидативного стресса. Избыточная концентрация активных форм кислорода приводит к повреждению мембран сперматозоидов и нарушению целостности их ДНК, что отражается не только на вероятности наступления беременности естественным путем, но и на результатах применения вспомогательных репродуктивных технологий и риске невынашивания беременности. В данной работе представлен обзор экзогенных и эндогенных факторов антиоксидантной защиты, а также данные об их влиянии на параметры спермы и репродуктивное здоровье мужчин в целом.</p></abstract><trans-abstract xml:lang="en"><p>Infertility affects 10 to 15 % of couples worldwide. Male factor accounts for up to half of infertility cases, with 25 to 87 % of male infertility cases thought to be caused by oxidative stress. Excessive concentrations of reactive oxygen species lead to damage to sperm membranes and disruption of the integrity of their DNA, which affects not only the likelihood of pregnancy naturally, but also the results of using assisted reproductive technologies and the risk of miscarriage. This paper provides an overview of exogenous and endogenous antioxidant protection factors, as well as their impact on sperm parameters and male reproductive health in general.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>мужское бесплодие</kwd><kwd>идиопатическое бесплодие</kwd><kwd>оксидативный стресс</kwd><kwd>антиоксидантная терапия</kwd><kwd>фрагментация ДНК</kwd><kwd>L-карнитин</kwd><kwd>омега-3</kwd><kwd>докозагексаеновая кислота</kwd><kwd>эйкозапентаеновая кислота</kwd></kwd-group><kwd-group xml:lang="en"><kwd>male infertility</kwd><kwd>idiopathic infertility</kwd><kwd>oxidative stress</kwd><kwd>antioxidant therapy</kwd><kwd>DNA fragmentation</kwd><kwd>L-carnitine</kwd><kwd>omega-3</kwd><kwd>docosahexaenoic acid</kwd><kwd>eicosapentaenoic acid</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">Salonia A., Bettocchi C., Capogrosso P. et al. 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