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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">sibmed</journal-id><journal-title-group><journal-title xml:lang="ru">Сибирский научный медицинский журнал</journal-title><trans-title-group xml:lang="en"><trans-title>Сибирский научный медицинский журнал</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2410-2512</issn><issn pub-type="epub">2410-2520</issn><publisher><publisher-name>ИЦиГ СО РАН</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.18699/SSMJ20250613</article-id><article-id custom-type="elpub" pub-id-type="custom">sibmed-2592</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>ОБЗОРЫ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>REVIEWS</subject></subj-group></article-categories><title-group><article-title>Бактериальная целлюлоза в нейрохирургии: перспективы использования для восстановления твердой мозговой оболочки</article-title><trans-title-group xml:lang="en"><trans-title>Bacterial cellulose in neurosurgery: prospects for dural mater repair</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-5313-7594</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Терехова</surname><given-names>Т. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Terekhova</surname><given-names>T. M.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Терехова Татьяна Михайловна</p><p>630091, Новосибирск, ул. Фрунзе, 17</p></bio><bio xml:lang="en"><p>Tatyana M. Terekhova</p><p>630091, Novosibirsk, Frunze st., 17</p></bio><email xlink:type="simple">t.terekhova98@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/0000-0003-2147-0602</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Ларионов</surname><given-names>П. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Larionov</surname><given-names>P. M.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Ларькин Валерий Иванович - д.м.н.</p><p>630091, Новосибирск, ул. Фрунзе, 17</p></bio><bio xml:lang="en"><p>Petr M. Larionov - doctor of medical sciences, professor.</p><p>630091, Novosibirsk, Frunze st., 17</p></bio><email xlink:type="simple">Larkin_valery@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/0000-0002-6856-5062</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Ларькин</surname><given-names>В. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Larkin</surname><given-names>V. I.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Симонович Александр Евгеньевич - д.м.н., проф.</p><p>644099, Омск, ул. Ленина, 12</p></bio><bio xml:lang="en"><p>Valery I. Larkin - doctor of medical sciences.</p><p>644099, Omsk, Lenina st., 12</p></bio><email xlink:type="simple">alsimonovich@yandex.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-2822-3479</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Симонович</surname><given-names>А. Е.</given-names></name><name name-style="western" xml:lang="en"><surname>Simonovich</surname><given-names>A. E.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Симонович Александр Евгеньевич, д.м.н., проф.</p><p>630091, Новосибирск, ул. Фрунзе, 17</p></bio><bio xml:lang="en"><p>Alexandr E. Simonovich - doctor of medical sciences, professor.</p><p>630091, Novosibirsk, Frunze st., 17</p></bio><email xlink:type="simple">alsimonovich@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/0000-0002-8515-6017</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Шершевер</surname><given-names>А. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Shershever</surname><given-names>A. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Шершевер Александр Сергеевич - д.м.н., проф.</p><p>620028, Екатеринбург, ул. Репина, 3</p></bio><bio xml:lang="en"><p>Alexandr S. Shershever - doctor of medical sciences, professor.</p><p>620028, Yekaterinburg, Repina st., 3</p></bio><email xlink:type="simple">shershever@mail.ru</email><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-1065-1248</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Ступак</surname><given-names>В. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Stupak</surname><given-names>V. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Ступак Вячеслав Владимирович - д.м.н., проф.</p><p>630091, Новосибирск, ул. Фрунзе, 17</p></bio><bio xml:lang="en"><p>Vyacheslav V. Stupak - doctor of medical sciences, professor.</p><p>630091, Novosibirsk, Frunze st., 17</p></bio><email xlink:type="simple">Vstupak@niito.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Новосибирский НИИ травматологии и ортопедии им. Я.Л. Цивьяна Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Novosibirsk Research Institute of Traumatology and Orthopedics n.a. Ya.L. Tsivyan of Minzdrav of Russia</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>Омская государственная медицинская академия Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Omsk State Medical Academy of Minzdrav of Russia</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>Уральский государственный медицинский университет Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Ural State Medical University of Minzdrav of Russia</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2025</year></pub-date><pub-date pub-type="epub"><day>29</day><month>01</month><year>2026</year></pub-date><volume>45</volume><issue>6</issue><fpage>140</fpage><lpage>146</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Терехова Т.М., Ларионов П.М., Ларькин В.И., Симонович А.Е., Шершевер А.С., Ступак В.В., 2026</copyright-statement><copyright-year>2026</copyright-year><copyright-holder xml:lang="ru">Терехова Т.М., Ларионов П.М., Ларькин В.И., Симонович А.Е., Шершевер А.С., Ступак В.В.</copyright-holder><copyright-holder xml:lang="en">Terekhova T.M., Larionov P.M., Larkin V.I., Simonovich A.E., Shershever A.S., Stupak V.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://sibmed.elpub.ru/jour/article/view/2592">https://sibmed.elpub.ru/jour/article/view/2592</self-uri><abstract><p>Твердая мозговая оболочка играет ключевую роль в защите ЦНС, обеспечивая механическую и барьерную функции. Различные травмы, хирургические вмешательства и патологические состояния могут приводить к необходимости ее восстановления или замещения. Использование синтетических имплантатов или аутотрансплантатов часто сопровождается рисками, включая инфекции, аллергические реакции и отторжение. В последние годы растет интерес к биоцеллюлозе как к биоматериалу, обладающему уникальными свойствами, которые могут значительно улучшить исходы хирургического лечения. Цель настоящего обзора – изучение возможностей применения бактериальной целлюлозы в качестве заменителя твердой мозговой оболочки и анализ ее потенциальных преимуществ. Поиск научных источников в базах данных PubMed и Google Scholar осуществлен за период 2014–2024 гг. (с учетом ключевых работ, включая ранние исследования биосовместимости и нейрохирургических применений). Использовались следующие ключевые слова и словосочетания: бактериальная наноцеллюлоза, свойства бактериальной наноцеллюлозы, дефекты твердой мозговой оболочки, биосовместимость. Всего найдено 127 научных источников, посвященных применению бактериальной целлюлозы в нейрохирургии, включая исследования in vitro, in vivo и клинические перспективы. На основе анализа новизны и глубины изучения темы (включая механические свойства, иммунный ответ, регенерацию тканей) отобрано 32 статьи (после дублирующих публикаций), наиболее полно отражающих потенциал бактериальной целлюлозы в качестве биоматериала для восстановления твердой мозговой оболочки. Использовались следующие критерии отбора: приоритет публикациям за последние 10 лет (2014–2024); акцент на исследованиях с экспериментальными моделями in vivo (кролики, крысы) и данными по биосовместимости; включение обзоров, систематизирующих применение материала в нейрохирургии. Анализ литературы показал, что бактериальная целлюлоза представляет собой перспективный биоматериал с уникальными свойствами, включая высокую биосовместимость, гипоаллергенность и способность модулировать иммунный ответ в сторону противовоспалительного фенотипа. Ключевым фактором ее эффективности является тщательная очистка от эндотоксинов, что минимизирует воспалительные реакции. Особый потенциал бактериальная целлюлоза демонстрирует в экспериментально-клинической нейрохирургии как потенциальное медицинское изделие для замещения дефектов твердой мозговой оболочки.</p></abstract><trans-abstract xml:lang="en"><p>The dura mater plays a key role in protecting the central nervous system by providing mechanical and barrier functions. Various injuries, surgical interventions, and pathological conditions may require its repair or replacement. The use of synthetic implants or autografts often carries risks, including infections, allergic reactions, and rejection. In recent years, bacterial cellulose has gained attention as a biomaterial with unique properties that could significantly improve surgical outcomes. This review explores the potential of bacterial cellulose as a dura mater substitute and analyzes its advantages. A literature search was conducted in PubMed and Google Scholar (2014–2024), focusing on key studies of biocompatibility and neurosurgical applications. Keywords included bacterial nanocellulose, properties of bacterial nanocellulose, dura mater defects, biocompatibility. Out of 127 sources (in vitro, in vivo, and clinical studies), 32 articles were selected based on novelty, depth of research (mechanical properties, immune response, tissue regeneration), and relevance to dura mater repair. Priority was given to publications from the last decade (2014–2024), experimental in vivo models (rabbits, rats), and reviews on neurosurgical applications. A literature review has shown that bacterial cellulose is a promising biomaterial with unique properties, including high biocompatibility, hypoallergenicity, and the ability to modulate the immune response toward an anti-inflammatory phenotype. A key factor in its efficacy is thorough endotoxin removal, which minimizes inflammatory reactions. Bacterial cellulose demonstrates particular potential in experimental and clinical neurosurgery as a potential medical device for dura mater defect repair.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>бактериальная наноцеллюлоза</kwd><kwd>свойства бактериальной наноцеллюлозы</kwd><kwd>дефекты твердой мозговой оболочки</kwd><kwd>биосовместимость</kwd></kwd-group><kwd-group xml:lang="en"><kwd>bacterial nanocellulose</kwd><kwd>properties of bacterial nanocellulose</kwd><kwd>dura mater defects</kwd><kwd>biocompatibility</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">Ларионов П.М., Погорелова Н.А., Харченко А.В., Терещенко В.П., Ступак Е.В., Ступак В.В., Самохин А.Г., Корель А.В., Кирилова И.А. Оценка биосовместимости гель-пленок бактериальной целлюлозы при использовании ферментных и детергентных методов ее очистки в эксперименте у крыс. 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