<?xml version="1.0" encoding="UTF-8"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD JATS (Z39.96) Journal Publishing DTD v1.3 20210610//EN" "JATS-journalpublishing1-3.dtd">
<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">biopreparat</journal-id><journal-title-group><journal-title xml:lang="ru">БИОпрепараты. Профилактика, диагностика, лечение</journal-title><trans-title-group xml:lang="en"><trans-title>Biological Products. Prevention, Diagnosis, Treatment</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2221-996X</issn><issn pub-type="epub">2619-1156</issn><publisher><publisher-name>Scientific Centre for Expert Evaluation of Medicinal Products</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.30895/2221-996X-2026-26-1-108-118</article-id><article-id custom-type="elpub" pub-id-type="custom">biopreparat-714</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>Тема номера: ИННОВАЦИОННЫЕ БИОЛОГИЧЕСКИЕ ЛЕКАРСТВЕННЫЕ ПРЕПАРАТЫ: ОТ ФУНДАМЕНТАЛЬНЫХ ИССЛЕДОВАНИЙ К РЕАЛЬНОЙ КЛИНИЧЕСКОЙ ПРАКТИКЕ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>Issue topic INNOVATIVE BIOLOGICAL PRODUCTS: TRANSLATING FUNDAMENTAL RESEARCH INTO REAL CLINICAL PRACTICE</subject></subj-group></article-categories><title-group><article-title>Специфическая активность и токсичность лиофилизированного препарата рекомбинантного гранулоцитарномакрофагального колониестимулирующего фактора человека (E. coli BL21/pET-GST-6His-GM): исследования in vitro и in vivo</article-title><trans-title-group xml:lang="en"><trans-title>Specific activity and toxicity of lyophilized recombinant human granulocyte-macrophage colony-stimulating factor (E. coli BL21/pET-GST6His-GM): in vitro and in vivo study</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-7441-333X</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Гамалей</surname><given-names>С. Г.</given-names></name><name name-style="western" xml:lang="en"><surname>Gamaley</surname><given-names>S. G.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Гамалей Светлана Георгиевна</p><p>р.п. Кольцово, Новосибирская область, 630559</p></bio><bio xml:lang="en"><p>Svetlana G. Gamaley</p><p>Koltsovo, Novosibirsk Region 630559</p></bio><email xlink:type="simple">gamaley_sg@vector.nsc.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/0000-0002-1078-7033</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Шимина</surname><given-names>Г. Г.</given-names></name><name name-style="western" xml:lang="en"><surname>Shimina</surname><given-names>G. G.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Шимина Галина Григорьевна</p><p>р.п. Кольцово, Новосибирская область, 630559</p></bio><bio xml:lang="en"><p>Galina G. Shimina</p><p>Koltsovo, Novosibirsk Region 630559</p></bio><email xlink:type="simple">shimina_gg@vector.nsc.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/0000-0002-0394-9698</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Вязовая</surname><given-names>Е. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Vyazovaya</surname><given-names>E. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Вязовая Елена Алексеевна, канд. биол. наук</p><p>р.п. Кольцово, Новосибирская область, 630559</p></bio><bio xml:lang="en"><p>Elena A. Vyazovaya, Cand. Sci. (Biol.)</p><p>Koltsovo, Novosibirsk Region 630559</p></bio><email xlink:type="simple">vyazovaya_ea@vector.nsc.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/0000-0002-1222-7574</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Симакова</surname><given-names>О. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Simakova</surname><given-names>O. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Симакова Ольга Владимировна</p><p>р.п. Кольцово, Новосибирская область, 630559</p></bio><bio xml:lang="en"><p>Olga V. Simakova</p><p>Koltsovo, Novosibirsk Region 630559</p></bio><email xlink:type="simple">simakova_ov@vector.nsc.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/0009-0004-0644-9295</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Ядренкина</surname><given-names>Т. Г.</given-names></name><name name-style="western" xml:lang="en"><surname>Yadrenkina</surname><given-names>T. G.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Ядренкина Татьяна Геннадьевна, канд. ветер. наук</p><p>р.п. Кольцово, Новосибирская область, 630559</p></bio><bio xml:lang="en"><p>Tatyana G. Yadrenkina, Cand. Sci. (Vet.)</p><p>Koltsovo, Novosibirsk Region 630559</p></bio><email xlink:type="simple">yadrenkina_tg@vector.nsc.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/0000-0002-6746-8092</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Таранов</surname><given-names>О. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Taranov</surname><given-names>O. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Таранов Олег Святославович</p><p>р.п. Кольцово, Новосибирская область, 630559</p></bio><bio xml:lang="en"><p>Oleg S. Taranov</p><p>Koltsovo, Novosibirsk Region 630559</p></bio><email xlink:type="simple">taranov@vector.nsc.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/0000-0002-2028-6099</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Омигов</surname><given-names>В. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Omigov</surname><given-names>V. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Омигов Владимир Вилорьевич, канд. мед. наук</p><p>р.п. Кольцово, Новосибирская область, 630559</p></bio><bio xml:lang="en"><p>Vladimir V. Omigov, Cand. Sci. (Med.)</p><p>Koltsovo, Novosibirsk Region 630559</p></bio><email xlink:type="simple">omigov_vv@vector.nsc.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/0009-0003-5165-5357</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Емцова</surname><given-names>К. Ф.</given-names></name><name name-style="western" xml:lang="en"><surname>Emtsova</surname><given-names>K. F.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Емцова Ксения Федоровна</p><p>р.п. Кольцово, Новосибирская область, 630559</p></bio><bio xml:lang="en"><p>Ksenia F. Emtsova</p><p>Koltsovo, Novosibirsk Region 630559</p></bio><email xlink:type="simple">emtsova_kf@vector.nsc.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/0000-0001-9006-8313</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Есина</surname><given-names>Т. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Esina</surname><given-names>T. I.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Есина Татьяна Игоревна</p><p>р.п. Кольцово, Новосибирская область, 630559</p></bio><bio xml:lang="en"><p>Tatyana I. Esina</p><p>Koltsovo, Novosibirsk Region 630559</p></bio><email xlink:type="simple">esina_ti@vector.nsc.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/0000-0001-5028-5647</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Волосникова</surname><given-names>Е. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Volosnikova</surname><given-names>E. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Волосникова Екатерина Александровна, канд. биол. наук</p><p>р.п. Кольцово, Новосибирская область, 630559</p></bio><bio xml:lang="en"><p>Ekaterina A. Volosnikova, Cand. Sci. (Biol.)</p><p>Koltsovo, Novosibirsk Region 630559</p></bio><email xlink:type="simple">volosnikova_ea@vector.nsc.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/0000-0001-5026-1602</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Даниленко</surname><given-names>Е. Д.</given-names></name><name name-style="western" xml:lang="en"><surname>Danilenko</surname><given-names>E. D.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Даниленко Елена Дмитриевна, канд. биол. наук</p><p>р.п. Кольцово, Новосибирская область, 630559</p></bio><bio xml:lang="en"><p>Elena D. Danilenko, Cand. Sci. (Biol.)</p><p>Koltsovo, Novosibirsk Region 630559</p></bio><email xlink:type="simple">danilenko_ed@vector.nsc.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Федеральное бюджетное учреждение науки «Государственный научный центр вирусологии и биотехнологии «Вектор» Федеральной службы по надзору в сфере защиты прав потребителей и благополучия человека</institution><country>Россия</country></aff><aff xml:lang="en"><institution>State Research Center of Virology and Biotechnology “Vector”</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2026</year></pub-date><pub-date pub-type="epub"><day>01</day><month>04</month><year>2026</year></pub-date><volume>26</volume><issue>1</issue><fpage>108</fpage><lpage>118</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Гамалей С.Г., Шимина Г.Г., Вязовая Е.А., Симакова О.В., Ядренкина Т.Г., Таранов О.С., Омигов В.В., Емцова К.Ф., Есина Т.И., Волосникова Е.А., Даниленко Е.Д., 2026</copyright-statement><copyright-year>2026</copyright-year><copyright-holder xml:lang="ru">Гамалей С.Г., Шимина Г.Г., Вязовая Е.А., Симакова О.В., Ядренкина Т.Г., Таранов О.С., Омигов В.В., Емцова К.Ф., Есина Т.И., Волосникова Е.А., Даниленко Е.Д.</copyright-holder><copyright-holder xml:lang="en">Gamaley S.G., Shimina G.G., Vyazovaya E.A., Simakova O.V., Yadrenkina T.G., Taranov O.S., Omigov V.V., Emtsova K.F., Esina T.I., Volosnikova E.A., Danilenko E.D.</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://www.biopreparations.ru/jour/article/view/714">https://www.biopreparations.ru/jour/article/view/714</self-uri><abstract><sec><title>ВВЕДЕНИЕ</title><p>ВВЕДЕНИЕ. Создание новых эффективных препаратов на основе гранулоцитарно-макрофагального колониестимулирующего фактора (ГМ-КСФ) остается актуальной задачей, поскольку изучение биологических эффектов препарата открывает новые перспективы его клинического применения для лечения множества заболеваний – от онкологических и гематологических до нейродегенеративных. В связи с разработкой нового лиофилизированного препарата рекомбинантного человеческого ГМ-КСФ (рчГМ-КСФ) на основе штамма-продуцента Esсherichia coli BL21/pET-GST-6His-GM необходима оценка его специфической активности и токсичности.</p></sec><sec><title>ЦЕЛЬ</title><p>ЦЕЛЬ. Изучение специфической пролиферативной (in vitro) и гемопоэзстимулирующей (in vivo) активности, а также острой и субхронической токсичности нового лиофилизированного препарата рчГМ-КСФ для подкожного введения.</p></sec><sec><title>МАТЕРИАЛЫ И МЕТОДЫ</title><p>МАТЕРИАЛЫ И МЕТОДЫ. Использовали лиофилизированный рчГМ-КСФ (штамм E. coli BL21/pET-GST-6His-GM) производства ФБУН ГНЦ ВБ «Вектор» Роспотребнадзора (Россия). Пролиферативную активность определяли на культуре клеток эритролейкемии человека TF-1 в ХТТ-тесте. Гемопоэзстимулирующую активность оценивали на мышах линии СВА/Calaс (самцы, возраст 2,0–2,5 мес.) с моделью миелосупрессии, индуцированной циклофосфамидом (200 мг/кг, внутрибрюшинно). Препарат рчГМ-КСФ вводили животным подкожно в дозе 90 мкг/кг в течение 4 сут. На 5 сут анализировали лейкограмму. Острую токсичность препарата оценивали при однократном подкожном введении самцам и самкам мышей линии ICR (500 и 1000 мкг/кг), субхроническую – при четырехкратном введении (90 мкг/кг). Через 1 и 7 сут оценивали массу и температуру тела, общий и биохимический анализы крови, проводили макро- и микроскопические исследования внутренних органов, включая сердце, легкое, печень, почки и др.</p></sec><sec><title>РЕЗУЛЬТАТЫ</title><p>РЕЗУЛЬТАТЫ. Препарат рчГМ-КСФ проявлял выраженную пролиферативную активность на клетках TF-1 (ЕD50=0,48 нг/мл). На мышах с миелосупрессией препарат приводил к увеличению числа сегментоядерных нейтрофилов в 2,1 раза относительно контроля. Однократное и многократное введение препарата рчГМ-КСФ не вызывало гибель животных, не влияло на массу и температуру тела, а также не приводило к значимым изменениям гематологических, биохимических показателей, макро- и микроскопической структуры органов.</p></sec><sec><title>ВЫВОДЫ</title><p>ВЫВОДЫ. Новый лиофилизированный препарат рчГМ-КСФ продемонстрировал высокую пролиферативную и гемопоэзстимулирующую активность, а также отсутствие выраженной острой и субхронической токсичности. Полученные результаты обосновывают перспективность дальнейшей фармацевтической разработки данного препарата в качестве эффективного и безопасного гемопоэзстимулирующего средства.</p></sec></abstract><trans-abstract xml:lang="en"><sec><title>INTRODUCTION</title><p>INTRODUCTION. The development of new effective drugs based on granulocyte-macrophage colony-stimulating factor (GM-CSF) remains a relevant objective: the study of the drug’s biological effects opens new prospects for its clinical use in the treatment of a wide range of diseases – from oncological and hematological disorders to neurodegenerative conditions. Developing a new lyophilized recombinant human GM-CSF (rhGM-CSF) based on Esсherichia coli BL21/pET-GST-6His-GM producer strain warrants an assessment of its specific activity and toxicity.</p></sec><sec><title>AIM</title><p>AIM. This study aimed to examine the specific proliferative activity (in vitro) and hematopoietic stimulatory effect (in vivo), as well as acute and subchronic toxicity of a new lyophilized rhGM-CSF preparation for subcutaneous administration.</p></sec><sec><title>MATERIALS AND METHODS</title><p>MATERIALS AND METHODS. Lyophilized rhGM-CSF (strain E. coli BL21/pET-GST-6His-GM) produced by State Research Center of Virology and Biotechnology “Vector” (Russia) was used in the study. The proliferative activity was assessed in the human erythroleukemia TF-1 cell culture by XTT assay. Hematopoietic stimulatory activity was assessed in male CBA/Calac mice subjected to cyclophosphamide-induced myelosuppression (200 mg/kg, intraperitoneally). The rhGM-CSF preparation was administered at a dose of 90 μg/kg subcutaneously daily for 4 days. A leukogram was calculated on Day 5. The acute toxicity of the preparation was assessed by a single subcutaneous administration to male and female ICR mice at 500 and 1,000 μg/kg, subchronic toxicity – by four subcutaneous administrations at 90 μg/kg. On Days 1 and 7, body weight, temperature, complete blood count, biochemical markers and internal organ histology (heart, lungs, liver, kidneys, etc.) were evaluated.</p></sec><sec><title>RESULTS</title><p>RESULTS. The rhGM-CSF preparation demonstrated pronounced proliferative activity on TF-1 cells (ED50=0.48 ng/mL). In mice with myelosuppression, the preparation resulted in a 2.1-fold increase in the number of segmented neutrophils compared to the control group. Single and repeated administration did not cause death of animals, did not affect body weight or temperature, nor did it result in significant changes of hematological or biochemical parameters or macro- and microscopic anatomy of organs.</p></sec><sec><title>CONCLUSIONS</title><p>CONCLUSIONS. The new lyophilized rhGM-CSF preparation has demonstrated high proliferative and hematopoietic stimulatory activity, as well as insignificant acute and subchronic toxicity. The obtained results substantiate further pharmaceutical development of the preparation as an effective and safe hematopoietic stimulatory agent.</p></sec></trans-abstract><kwd-group xml:lang="ru"><kwd>гранулоцитарно-макрофагальный     колониестимулирующий     фактор</kwd><kwd>рекомбинантные белки</kwd><kwd>рчГМ-КСФ</kwd><kwd>лиофилизированный препарат</kwd><kwd>пролиферативная активность</kwd><kwd>гемопоэз</kwd><kwd>острая токсичность</kwd><kwd>субхроническая токсичность</kwd><kwd>миелосупрессия</kwd><kwd>in vitro</kwd><kwd>in vivo</kwd></kwd-group><kwd-group xml:lang="en"><kwd>granulocyte-macrophage colony-stimulating factor</kwd><kwd>recombinant proteins</kwd><kwd>rhGM-CSF</kwd><kwd>lyophilized preparation</kwd><kwd>cell proliferation</kwd><kwd>hematopoiesis</kwd><kwd>acute toxicity</kwd><kwd>subchronic toxicity</kwd><kwd>myelosuppression</kwd><kwd>in vitro</kwd><kwd>in vivo</kwd></kwd-group><funding-group><funding-statement xml:lang="ru">Работа выполнена в рамках государственного задания ФБУН ГНЦ ВБ «Вектор» Роспотребнадзора на проведение прикладных научных исследований (номер государственного учета НИР 121040200101-8)</funding-statement><funding-statement xml:lang="en">The study was funded under State Assignment of the State Research Center of Virology and Biotechnology “Vector” of Rospotrebnadzor for applied scientific research (R&amp;D Registry No. 121040200101-8)</funding-statement></funding-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Зурочка АВ, Гриценко ВА, Зурочка ВА и др. Гранулоцитарно-макрофагальный колониестимулирующий фактор (ГМ-КСФ) и его синтетические аналоги: иммунобиологические эффекты и клиническое применение. Екатеринбург: УрО РАН; 2021. EDN: LXCUQE</mixed-citation><mixed-citation xml:lang="en">Zurochka AV, Gritsenko VA, Zurochka VA, et al. Granulocyte-macrophage colony-stimulating factor (GM-CSF) and its synthetic analogues: immunobiological effects and clinical application. Ekaterinburg: UrO RAN; 2021 (In Russ.). EDN: LXCUQE</mixed-citation></citation-alternatives></ref><ref id="cit2"><label>2</label><citation-alternatives><mixed-citation xml:lang="ru">McCarthy J, Boyle N, McCarthy C. Recombinant GM-CSF drug evaluation review. Immunotherapy. 2025;17(14):983–93. https://doi.org/10.1080/1750743X.2025.2571020</mixed-citation><mixed-citation xml:lang="en">McCarthy J, Boyle N, McCarthy C. Recombinant GM-CSF drug evaluation review. Immunotherapy. 2025;17(14):983–93. https://doi.org/10.1080/1750743X.2025.2571020</mixed-citation></citation-alternatives></ref><ref id="cit3"><label>3</label><citation-alternatives><mixed-citation xml:lang="ru">Petrina M, Martin J, Basta S. Granulocyte macrophage colony-stimulating factor has come of age: From a vaccine adjuvant to antiviral immunotherapy. Cytokine Growth Factor Rev. 2021;59:101–10. https://doi.org/10.1016/j.cytogfr.2021.01.001</mixed-citation><mixed-citation xml:lang="en">Petrina M, Martin J, Basta S. Granulocyte macrophage colony-stimulating factor has come of age: From a vaccine adjuvant to antiviral immunotherapy. Cytokine Growth Factor Rev. 2021;59:101–10. https://doi.org/10.1016/j.cytogfr.2021.01.001</mixed-citation></citation-alternatives></ref><ref id="cit4"><label>4</label><citation-alternatives><mixed-citation xml:lang="ru">Lazarus HM, Pitts K, Wang T, et al. Recombinant GM-CSF for diseases of GM-CSF insufficiency: Correcting dysfunctional mononuclear phagocyte disorders. Front Immunol. 2023;13:1069444. https://doi.org/10.3389/fimmu.2022.1069444</mixed-citation><mixed-citation xml:lang="en">Lazarus HM, Pitts K, Wang T, et al. Recombinant GM-CSF for diseases of GM-CSF insufficiency: Correcting dysfunctional mononuclear phagocyte disorders. Front Immunol. 2023;13:1069444. https://doi.org/10.3389/fimmu.2022.1069444</mixed-citation></citation-alternatives></ref><ref id="cit5"><label>5</label><citation-alternatives><mixed-citation xml:lang="ru">Dale DC, Crawford J, Klippel Z, et al. A systematic literature review of the efficacy, effectiveness, and safety of filgrastim. Support Care Cancer. 2018;26(1):7–20. https://doi.org/10.1007/s00520-017-3854-x</mixed-citation><mixed-citation xml:lang="en">Dale DC, Crawford J, Klippel Z, et al. A systematic literature review of the efficacy, effectiveness, and safety of filgrastim. Support Care Cancer. 2018;26(1):7–20. https://doi.org/10.1007/s00520-017-3854-x</mixed-citation></citation-alternatives></ref><ref id="cit6"><label>6</label><citation-alternatives><mixed-citation xml:lang="ru">Rizzo A. Use of granulocyte colony-stimulating factor for adult cancer patients: current issues and future directions. Future Oncol. 2021;17(26):3411–3. https://doi.org/10.2217/fon-2021-0678</mixed-citation><mixed-citation xml:lang="en">Rizzo A. Use of granulocyte colony-stimulating factor for adult cancer patients: current issues and future directions. Future Oncol. 2021;17(26):3411–3. https://doi.org/10.2217/fon-2021-0678</mixed-citation></citation-alternatives></ref><ref id="cit7"><label>7</label><citation-alternatives><mixed-citation xml:lang="ru">Mora J, Modak S, Kinsey J, et al. GM-CSF, G-CSF or no cytokine therapy with anti-GD2 immunotherapy for high-risk neuroblastoma. Int J Cancer. 2024;154(8):1340–64. https://doi.org/10.1002/ijc.34815</mixed-citation><mixed-citation xml:lang="en">Mora J, Modak S, Kinsey J, et al. GM-CSF, G-CSF or no cytokine therapy with anti-GD2 immunotherapy for high-risk neuroblastoma. Int J Cancer. 2024;154(8):1340–64. https://doi.org/10.1002/ijc.34815</mixed-citation></citation-alternatives></ref><ref id="cit8"><label>8</label><citation-alternatives><mixed-citation xml:lang="ru">Obrador E, Salvador R, Villaescusa JI, et al. Radioprotection and radiomitigation: From the bench to clinical practice. Biomedicines. 2020;8(11):461. https://doi.org/10.3390/biomedicines8110461</mixed-citation><mixed-citation xml:lang="en">Obrador E, Salvador R, Villaescusa JI, et al. Radioprotection and radiomitigation: From the bench to clinical practice. Biomedicines. 2020;8(11):461. https://doi.org/10.3390/biomedicines8110461</mixed-citation></citation-alternatives></ref><ref id="cit9"><label>9</label><citation-alternatives><mixed-citation xml:lang="ru">Lazarus HM, Ragsdale CE, Gale RP, Lyman GH. Sargramostim (rhu GM-CSF) as cancer therapy (systematic review) and an immunomodulator. A drug before its time? Front Immunol. 2021;12:706186. https://doi.org/10.3389/fimmu.2021.706186</mixed-citation><mixed-citation xml:lang="en">Lazarus HM, Ragsdale CE, Gale RP, Lyman GH. Sargramostim (rhu GM-CSF) as cancer therapy (systematic review) and an immunomodulator. A drug before its time? Front Immunol. 2021;12:706186. https://doi.org/10.3389/fimmu.2021.706186</mixed-citation></citation-alternatives></ref><ref id="cit10"><label>10</label><citation-alternatives><mixed-citation xml:lang="ru">Ma M, Yao L, Li M, et al. Granulopoiesis-stimulating factors to prevent adverse effects in the treatment of solid tumors. Cochrane Database Syst Rev. 2024(1):CD015656. https://doi.org/10.1002/14651858.CD015656</mixed-citation><mixed-citation xml:lang="en">Ma M, Yao L, Li M, et al. Granulopoiesis-stimulating factors to prevent adverse effects in the treatment of solid tumors. Cochrane Database Syst Rev. 2024(1):CD015656. https://doi.org/10.1002/14651858.CD015656</mixed-citation></citation-alternatives></ref><ref id="cit11"><label>11</label><citation-alternatives><mixed-citation xml:lang="ru">Зурочка АВ, Зурочка ВА, Добрынина МА, Гриценко ВА. Иммунобиологические свойства гранулоцитарно-макрофагального колониестимулирующего фактора и синтетических пептидов его активного центра. Медицинская иммунология. 2021;23(5):1031–54. https://doi.org/10.15789/1563-0625-IPO-2216</mixed-citation><mixed-citation xml:lang="en">Zurochka AV, Zurochka VA, Dobrynina MA, Gritsenko VA. Immunobiological properties of granulocyte-macrophage colony-stimulating factor and synthetic peptides of his active center. Medical Immunology (Russia). 2021;23(5):1031–54 (In Russ.). https://doi.org/10.15789/1563-0625-IPO-2216</mixed-citation></citation-alternatives></ref><ref id="cit12"><label>12</label><citation-alternatives><mixed-citation xml:lang="ru">Гилева ИП, Есина ТИ, Волосникова ЕА и др. Рекомбинантная плазмидная ДНК p280_2GM, кодирующая полипептид со свойствами гранулоцитарно-макрофагального колониестимулирующего фактора человека, штамм E.coli SG 20050/p280_2GM — продуцент полипептида со свойствами гранулоцитарно-макрофагального колониестимулирующего фактора человека и способ получения указанного полипептида. Патент Российской Федерации № 2708556; 2019. EDN: GEBQSJ</mixed-citation><mixed-citation xml:lang="en">Gileva IP, Esina TI, Volosnikova EA, et al. Recombinant plasmid DNA p280_2GM coding polypeptide with properties of granulocyte-macrophage colony-stimulating factor of human, strain Escherichia coli SG 20050/p280_2GM — producer of polypeptide with properties of granulocyte-macrophage colony-stimulating factor of human and method of obtaining of said polypeptide. Patent of the Russian Federation No. 2708556; 2019 (In Russ.). EDN: GEBQSJ</mixed-citation></citation-alternatives></ref><ref id="cit13"><label>13</label><citation-alternatives><mixed-citation xml:lang="ru">Esina TI, Lebedev LR, Volosnikova EA, et al. Method for obtaining recombinant human granulocyte-macrophage colony-stimulating factor. Biotechnology in Russia. 2019;(3):68–73. EDN: EBPUDB</mixed-citation><mixed-citation xml:lang="en">Esina TI, Lebedev LR, Volosnikova EA, et al. Method for obtaining recombinant human granulocyte-macrophage colony-stimulating factor. Biotechnology in Russia. 2019;(3):68–73. EDN: EBPUDB</mixed-citation></citation-alternatives></ref><ref id="cit14"><label>14</label><citation-alternatives><mixed-citation xml:lang="ru">Qing R, Hao S, Smorodina E, et al. Protein design: From the aspect of water solubility and stability. Chem Rev. 2022;122(18):14085–179. https://doi.org/10.1021/acs.chemrev.1c00757</mixed-citation><mixed-citation xml:lang="en">14 Qing R, Hao S, Smorodina E, et al. Protein design: From the aspect of water solubility and stability. Chem Rev. 2022;122(18):14085–179. https://doi.org/10.1021/acs.chemrev.1c00757</mixed-citation></citation-alternatives></ref><ref id="cit15"><label>15</label><citation-alternatives><mixed-citation xml:lang="ru">Волосникова ЕА, Волкова НВ, Гогина ЯС и др. Остаток глицина на N-конце рекомбинантного GM-CSF не снижает его гранулоцитпоэзстимулирующую активность. Биотехнология. 2025;41(1):69–77. https://doi.org/10.56304/S0234275825010120</mixed-citation><mixed-citation xml:lang="en">Volosnikova EA, Volkova NV, Gogina YS, et al. Glycine Residue at the N-terminus of recombinant GM-CSF does not decrease granulocytepoiesis stimulatingactivity. Bioteсhnology in Russia. 2025;41(1):69–77 (In Russ.). https://doi.org/10.56304/S0234275825010120</mixed-citation></citation-alternatives></ref><ref id="cit16"><label>16</label><citation-alternatives><mixed-citation xml:lang="ru">Kitamura T, Tange T, Terasawa T, et al. Establishment and characterization of a unique human cell line that proliferates dependently on GM-CSF, IL-3, or erythropoietin. J Cell Physiol. 1989;140(2):323–34. https://doi.org/10.1002/jcp.1041400219</mixed-citation><mixed-citation xml:lang="en">Kitamura T, Tange T, Terasawa T, et al. Establishment and characterization of a unique human cell line that proliferates dependently on GM-CSF, IL-3, or erythropoietin. J Cell Physiol. 1989;140(2):323–34. https://doi.org/10.1002/jcp.1041400219</mixed-citation></citation-alternatives></ref><ref id="cit17"><label>17</label><citation-alternatives><mixed-citation xml:lang="ru">Гражданцева АА, Сиволобова ГФ, Ткачева АВ и др. Высокоэффективная продукция биологически активного секретируемого гранулоцитарно-макрофагального колониестимулирующего фактора человека рекомбинантным вирусом осповакцины. Биотехнология. 2015;31(5):13–21. EDN: VLDZWR https://doi.org/10.1134/S0003683816070036</mixed-citation><mixed-citation xml:lang="en">Grazhdantseva AA, Sivolobova GF, Tkacheva AV, et al. Highly effective production of biologically active, secreted, human granulocyte-macrophage colony-stimulating factor by recombinant vaccinia virus. Appl Biochem Microbiol. 2016;52(7):685–91. https://doi.org/10.1134/S0003683816070036</mixed-citation></citation-alternatives></ref><ref id="cit18"><label>18</label><citation-alternatives><mixed-citation xml:lang="ru">Шимина ГГ, Батенева АВ, Гамалей СГ и др. Исследование гемостимулирующих свойств рекомбинантного гранулоцитарно-макрофагального колониестимулирующего фактора человека. БИОпрепараты. Профилактика, диагностика, лечение. 2020;20(4):268–76. https://doi.org/10.30895/2221-996X-2020-20-4-268-276</mixed-citation><mixed-citation xml:lang="en">Shimina GG, Bateneva AV, Gamaley SG, et al. Study on hemostimulating properties of granulocyte-macrophage colony stimulating factor. BIOpreparations. Prevention, Diagnosis, Treatment. 2020;20(4):268–76 (In Russ.). https://doi.org/10.30895/2221-996X-2020-20-4-268-276</mixed-citation></citation-alternatives></ref><ref id="cit19"><label>19</label><citation-alternatives><mixed-citation xml:lang="ru">Новицкий ВВ, Евтушенко ОМ. Руководство к практическим занятиям по гематологии. Томск: Сибирский медицинский университет; 1999. EDN: SIFWVP</mixed-citation><mixed-citation xml:lang="en">Novitskiy VV, Evtushenko OM. A guide to practical studies on hematology. Tomsk: Siberian Medical University; 1999 (In Russ.). EDN: SIFWVP</mixed-citation></citation-alternatives></ref><ref id="cit20"><label>20</label><citation-alternatives><mixed-citation xml:lang="ru">Гржибовский АМ, Иванов СВ, Горбатова МА. Сравнение количественных данных трех и более независимых выборок с использованием программного обеспечения STATISTICA и SPSS: параметрические и непараметрические критерии. Наука и здравоохранение. 2016;(4):5–37. EDN: WKPWYL</mixed-citation><mixed-citation xml:lang="en">Grjibovski AM, Ivanov SV, Gorbatova MA. Analysis of quantitative data in three or more independent groups using STATISTICA and SPSS software: parametric and non-parametric tests. Science &amp; Healthcare. 2016;(4):5–37 (In Russ.). EDN: WKPWYL</mixed-citation></citation-alternatives></ref><ref id="cit21"><label>21</label><citation-alternatives><mixed-citation xml:lang="ru">Алпатова НА, Гайдерова ЛА, Яковлев АК и др. Особенности определения специфической активности биотехнологических лекарственных средств. БИОпрепараты. Профилактика, диагностика, лечение. 2017;17(1):13–26. EDN: YHSSGL</mixed-citation><mixed-citation xml:lang="en">Alpatova NA, Gayderova LA, Yakovlev AK, et al. Assessment of biotechnological products specific activity. BIOpreparations. Prevention, Diagnosis, Treatment. 2017;17(1):13–26 (In Russ.). EDN: YHSSGL</mixed-citation></citation-alternatives></ref><ref id="cit22"><label>22</label><citation-alternatives><mixed-citation xml:lang="ru">Hercus TR, Bagley CJ, Cambareri B, et al. Specific human granulocyte-macrophage colony- stimulating factor antagonists. Proc Natl Acad Sci USA. 1994;91(13):5838–42. https://doi.org/10.1073/pnas.91.13.5838</mixed-citation><mixed-citation xml:lang="en">Hercus TR, Bagley CJ, Cambareri B, et al. Specific human granulocyte-macrophage colony- stimulating factor antagonists. Proc Natl Acad Sci USA. 1994;91(13):5838–42. https://doi.org/10.1073/pnas.91.13.5838</mixed-citation></citation-alternatives></ref><ref id="cit23"><label>23</label><citation-alternatives><mixed-citation xml:lang="ru">Ипатова МГ, Мухина ЮГ, Шумилов ПВ. Интерпретация биохимического анализа крови при патологии печени. Синдром холестаза. Часть 2. Практика педиатра. 2017;(4):18–28. EDN: ZMQPTH</mixed-citation><mixed-citation xml:lang="en">Ipatova MG, Mukhina YuG, Shumilov PV. Interpretation of biochemical blood test in liver pathology. Cholestasis syndrome. Part 2. Pediatrician’s Practice. 2017;(4):18–28 (In Russ.). EDN: ZMQPTH</mixed-citation></citation-alternatives></ref></ref-list><fn-group><fn fn-type="conflict"><p>The authors declare that there are no conflicts of interest present.</p></fn></fn-group></back></article>
