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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">nid</journal-id><journal-title-group><journal-title xml:lang="ru">Нефрология и диализ</journal-title><trans-title-group xml:lang="en"><trans-title>Nephrology and Dialysis</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1680-4422</issn><issn pub-type="epub">2618-9801</issn><publisher><publisher-name>Российское диализное общество</publisher-name></publisher></journal-meta><article-meta><article-id custom-type="elpub" pub-id-type="custom">nid-977</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 И ЛЕКЦИИ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>REVIEWS AND LECTURES</subject></subj-group></article-categories><title-group><article-title>Эволюция и болезнь (Лекция)</article-title><trans-title-group xml:lang="en"><trans-title>Evolution and disease Lecture</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Багров</surname><given-names>Я. Ю.</given-names></name><name name-style="western" xml:lang="en"><surname>Bagrov</surname><given-names>Y. Y.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Манусова</surname><given-names>Н. Б.</given-names></name><name name-style="western" xml:lang="en"><surname>Manusova</surname><given-names>N. B.</given-names></name></name-alternatives><email xlink:type="simple">nmanus@rambler.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff xml:lang="ru" id="aff-1"><institution>Учреждение Российской академии наук «Институт эволюционной физиологии и биохимии им. И.М. Сеченова», г. Санкт-Петербург</institution><country>Russian Federation</country></aff><pub-date pub-type="collection"><year>2010</year></pub-date><pub-date pub-type="epub"><day>17</day><month>06</month><year>2025</year></pub-date><volume>12</volume><issue>1</issue><fpage>4</fpage><lpage>7</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Багров Я.Ю., Манусова Н.Б., 2025</copyright-statement><copyright-year>2025</copyright-year><copyright-holder xml:lang="ru">Багров Я.Ю., Манусова Н.Б.</copyright-holder><copyright-holder xml:lang="en">Bagrov Y.Y., Manusova N.B.</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://journal.nephro.ru/jour/article/view/977">https://journal.nephro.ru/jour/article/view/977</self-uri><abstract><p>В статье на основании данных литературы и собственных клинических и лабораторных исследований излагается концепция роли эволюции в патологии человека. Согласно нашей точке зрения кажущаяся неадекватность многих хронических патологических реакций обусловлена тем, что подобные реакции возникли и закрепились в эволюции как способы компенсации острых патологических состояний. В условиях борьбы за существование хронические заболевания не могли быть фактором эволюции. Невозможность исправить хронические патологические состояния мерами, выработанными в процессе эволюции, может быть ликвидирована лишь с помощью достижений технического прогресса.</p></abstract><trans-abstract xml:lang="en"><p>A concept concerning the role of evolution in human disease is presented on the basis of literature data and own clinical and experimental observations. According to our understanding, a seeming inadequacy of many chronic pathologic processes is based on the fact that such processes have emerged and became reinforced in the course of evolution primarily as the compensatory tools aimed to override the acute, but not chronic, pathological processes. Since in the course of natural selection, chronic diseases were not a factor of evolution, we believe that the inability to fix chronic disease by means of natural evolution could be fixed only by the technological evolution.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>почка</kwd><kwd>эволюция</kwd><kwd>натрийурез</kwd><kwd>отеки</kwd><kwd>kidney</kwd><kwd>evolution</kwd><kwd>natriuresis</kwd><kwd>oedema</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">Багров Я.Ю., Васильева В.Ф., Воробьева К.П. и др. Функция почек и активность Na+-К+-АТФазы и сукцинатдегидрогеназы в клетках почечных канальцев крыс с сужением грудного отдела нижней полой вены // Кардиология. 1979. № 2. С. 80–84.</mixed-citation><mixed-citation xml:lang="en">Багров Я.Ю., Васильева В.Ф., Воробьева К.П. и др. 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