57 . (80 80 57 60 ' ' ' ), , , β N. gonorrhoeae . ' . 10 . – 6. ' .– 1999. – . 67q68. 7. . , , . ... ' ' 2%' 9. ' . , 11% ' – 9% 96% . ' ' . , , ' ' ' , ' . 1. . : q .– . .// q », ... . . « q : . .– .– q , 1986. ., q ». ., .// . – 2001. – . 1 : « ' , . ., 8. . 10 .// ' , : ., 6. – . 51q53. ., .// . – 1999. – 3. – . 123q127. ., ., 5. ' , 2. – . 51q53. ., , 2. – . 36q38. ., . .// . – 2000. – 1998. – , – 10 .// . – 2000. – ., 4. . , ., 3. ' ' ' ' . , 2. ., , 2. – . 20q25. ., q q 01.10.02. TOPICAL ADMINISTRATION OF TINROSTIM UNDER CHRONIC GONORRHEA O.A. Singur, G.I. Turkutyukova Vladivostok State Medical University, FGU CG SEN at water and air transport in the FarqEastern Region (Vladivostok) Summary – This article describes the present'day situation when against the background of ubiquitous upsurge in the gonorrhea sickness rate there are both progressive upgrowth of gonococcus strains, which generate beta'lactamase, and decrease in antibi' otic susceptibility of microorganisms. On carrying out the anal' ysis of the gonorrhea sickness rate among Vladivostok residents during long'term observations (1991'2001), the authors have studied the prevalence of N. gonorrhoeae strains generating beta' lactamase and their antibiotic susceptibility. So as to enhance the efficiency of etiotropic therapy applied to the patients suf' fering from chronic gonorrhea the physicians have locally used Tinrostim, the medication developed in TINRO'Center, which stimulates phagocytosis. , 1994. Pacific Medical Journal, 2003, No. 4, p. 55q57. 616.8'053.31:616.972:618.3](571.63) . , . , [2, . 4, 7, 15]. ' ' , [3, 9, 10]. . ' ' , , [4, 5]. : , , [1]. . ' ' . ' 58 ' 275 (CD22) . . 1,5 , ' ' (24,18±1,77 ' : 0,59±0,07 ' . (130 145 (1' ). , 89 (2' .), , 94 .) ' (3' 92 .). . 50 0,57±0,08 , . (CD3), (CD16), K' (CD56). ( , . 1). , . (CD25, HLA'DR, CD38, ' ' Statistica 5. ' ' ' . ' ' (CD4) (CD8). ' (CD4/CD8) ' CD95) [6]. . ' ' ' (CD4, ' , CD8), N 21,63±1,05%), , CD38' . [6, 8]. CD38' , . CD38' . ( (CD25) ' ' ' . 2). (HLA'DR) . . ' . α CD25' 2 ' , ' ' ' ' ' ' [11]. , [12, 13, ' ' . 14]. , D25' : 2,5 ' , . 3' 100% . 1 ' ' , . , 1' ' ' CD3 % . 1). CD4 % ' 8 ' CD8 ' , ( CD4/CD8 , 1' , 2' . 4/ 52,15±1,49* 39,31±2,71* 44,46±2,14* 1,50±0,15 1,42±0,21 0,80±0,02* 36,46±3,21 33,08±1,53* 26,38±2,57* % 0,85±0,09 30,20±0,60 0,65±0,08 1,02±0,06 1,03±0,11 23,62±1,46* 27,84±2,35 0,96±0,09* 0,66±0,04 CD4/CD8 1,50±0,05 CD22 % 13,40±0,50 0,28±0,05 21,07±1,71* 21,69±1,12* 22,07±0,90* 0,72±0,08* 0,61±0,04* 0,37±0,02 CD16 % CD56 % 14,00±0,40 0,30±0,03 12,00±0,20 0,45±0,01 21,92±0,97* 28,85±1,82* 14,53±0,85 0,61±0,09* 0,81±0,07* 0,19±0,02* 21,92±1,26* 18,00±1,30* 17,84±1,62* 0,66±0,08* 0,50±0,03 0,26±0,01* ' (CD22), (CD56) K' , , , ' (CD16), ' ' * 3' 64,20±0,70 1,37±0,16 38,50±0,90 , . 2' ±m : 1,41±0,05 1,46±0,10 0,37±0,03* 23,38±1,05* 0,41±0,02* 1,12±0,14 . 59 , CD25' ' . , , , Fas' ' ' ' ' ' . [11, 12]. ' ' ' ' ' , , 2 , Fas' , . . C. albicans U. urealyticum. , 2, , ' α . 2). ( ' ( ' II (HLA'DR), ' , ( , ' ' ). , . ' HLA'DR/CD95, D25/CD95 ' ' Fas' . HLA'DR/CD95 ' ' . , , . ' 95 ' , ' . 25/ 95 ' ' ' ( .3). CD25/CD95 CD38/CD95. ' HLA'DR, HLA'DR– . , ' HLA'DR HLA'DR . , ' [8]. , , , ' ' , 1,5'2' HLA'DR' ( 38/ , . 2). ' , HLA'DR' Fas' . ' ' ' ' : C. albicans . 2). 25/ 95 . ' , . U. urealyticum ' . CD95' Fas' [6]. ' ' ' ' 95 , ) , U. urealyticum 25/ 95 ( 2'2,5 ' . ' C. albicans , ' . 2 , HLA/ , 1' 2' % 9,00±0,20 0,15±0,09 23,23±2,28* 28,47±1,49* 12,00±1,49* 0,59±0,06* 0,80±0,07* 0,24±0,01 CD38 % HLA % CD95 % 24,10±0,80 0,86±0,10 14,00±0,50 0,34±0,01 12,50±1,00 27,69±0,91* 26,00±1,55 26,69±0,82 0,80±0,08 0,78±0,10 0,51±0,05* 25,69±1,58* 26,84±2,45* 24,46±0,64* 0,53±0,06* 0,86±0,06* 0,44±0,02* 24,15±2,28* 24,92±2,22* 19,70±1,62* 0,64±0,04* 0,62±0,10* ' . 3' CD25 0,30±0,02 95 ±m 0,43±0,09* cum ' U. urealytiq ' Ch. trachomatis. , Fas' . U. urealyticum cans, C. albiq , HLA/ 95, 60 3 , 1' CD38/CD95 CD25/CD95 HLA/CD95 2' . . . 1,92±0,07 2,06±0,05 0,72±0,08 1,24±0,07* 1,25±0,01* 0,90±0,08* 1,25±0,02* 1,09±0,02* 0,95±0,01* 1,29±0,07* 1,32±0,01* 1,01±0,07* 1,14±0,30* 1,24±0,20* 0,96±0,01 1,04±0,13* 1,26±0,01* 1,14±0,17* 1,35±0,15* 1,18±0,25* 0,60±0,12 ./ ./ ./ . . . 0,60±0,05 1,12±0,05 1,13±0,01 0,96±0,04 1,02±0,07 1,06±0,03 0,95±0,01* 0,99±0,10 1,00±0,07 1,01±0,04* 1,05±0,05 1,12±1,10 0,91±0,05* 1,06±0,09 0,82±0,08* 1,29±0,07* 1,07±0,01 1,38±0,30 0,55±0,01* 1,24±0,09 0,92±0,02* 4. ' 38/ 95. ., ., . – 1992. – .// . 14q19. . 3). ' 5. ., ( .3). , ' ' , , ' . , ' 2 2'2,5 HLA'DR 1,5'2 . , 1995. q , Fas' . , CD95' 2 25/ 95: .// . – 1998. – , q 1. – . 10q13. . – ., , . , ' , ' ' ' ' . 1. 2. 3. ., .// Int. J. on 6. – C. 132q134. ., .// . – 1999. – 3. – C. 56q59. . : . – .: , 1999. 12. .// . . – 1999. – . 1, 31q2. – .37q46. 13. Cohen J.J.// Adv. Immunol. – 1991. – Vol. 50. – P. 55q85. 14. Romagnani S.// Immunol. Today. – 1997. – Vol. 18, suppl. 6. – P. 263q266. 15. TaylorqRobinson D.// Int. J. STD AIDS. – 1998. – Vol. 9, No. 2. – P. 123q124. PATIENTS SUFFERING FROM UROGENITAL », CD95' , ., ' UREAPLASMIC INFECTION ' Ya.A. Yutskovskaya, E.V. Markelova, A.D. Yutskovsky . « , . , 2000. 95 30.05.03. , ' INDICES OF CELL'MEDIATED IMMUNITY AT , , ' ' ' ' . ., .: 8. . . 2001. 9. ., Immunorehabilitation. – 1997. – 10. ., ' ' ' 11. . , . , .– 7. , , 6. 9q10. – ., . – .: , HLA/ 3' ./ ./ ./ ( (CD25) ±m ., .// , . – 1999. – 3. – . 28q31. ., ., .// q 6q q .– , 1989. – . 132q133. ., .// q . – 1993. – 5. – . 22q28. Vladivostok State Medical University Summary – The article describes the features of cellular indices of immune state under different forms of urogenital ureaplasmic infection. As to monoureaplasmosis there was a decrease in abun' dance of CD3'lymphocytes and increase in level of B'lympho' cytes (CD22). Reduction of index of the ratio HLA'DR/CD95 was the evidence of the apoptosis predominance over the pro' cesses of cellular proliferation and differentiation. Under mixed infection by U. urealyticum and Ch. trachomatis there was an immunodeficiency state of combined type characterized by de' crease in CD3' and CD4'lymphocytes and CD56'(killer) cells, as well as by disturbances in the ratio of immunoregulation cells (CD4/CD8), and enhancement of Fas' mediated apoptosis, that was the evidence of apparent imbalance of regulatory mecha' nisms. Predominance of the activation processes with consider' able increase of B'lymphocytes, as well as markers of early and late cell activation were registered when U. urealyticum was as' sociated with C. albicans against the background of decrease in abundance of CD3' and CD4'lymphocytes. Pacific Medical Journal, 2003, No. 4, p. 57q60.