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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">phkinetica</journal-id><journal-title-group><journal-title xml:lang="ru">Фармакокинетика и Фармакодинамика</journal-title><trans-title-group xml:lang="en"><trans-title>Pharmacokinetics and Pharmacodynamics</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2587-7836</issn><issn pub-type="epub">2686-8830</issn><publisher><publisher-name>ООО «Издательство ОКИ»</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.37489/2587-7836-2026-1-58-67</article-id><article-id custom-type="edn" pub-id-type="custom">TUQDIH</article-id><article-id custom-type="elpub" pub-id-type="custom">phkinetica-504</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>ТОКСИКОЛОГИЧЕСКИЕ ИССЛЕДОВАНИЯ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>TOXICOLOGY STUDY</subject></subj-group></article-categories><title-group><article-title>Морфогистологические характеристики кардиопротективного действия соединения ZMEI-3 у крыс с синдромом «Праздничное сердце»</article-title><trans-title-group xml:lang="en"><trans-title>Morphohistological characteristics of the ZMEI-3 compound cardioprotective effect of in rats with holiday heart syndrome</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-3208-198X</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Мирошкина</surname><given-names>И. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Miroshkina</surname><given-names>I. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Мирошкина Ирина Александровна — к. б. н., с. н. с. лаборатории лекарственной токсикологии.</p><p>Москва</p></bio><bio xml:lang="en"><p>Irina A. Miroshkina — PhD, Cand. Sci. (Biology), Leading Researcher of Laboratory of Drug Toxicology.</p><p>Moscow</p></bio><email xlink:type="simple">miroshkina_ia@academpharm.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/0000-0002-9600-7244</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Сорокина</surname><given-names>А. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Sorokina</surname><given-names>A. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Сорокина Александра Валериановна — к. б. н., в. н. с. лаборатории лекарственной токсикологии.</p><p>Москва</p></bio><bio xml:lang="en"><p>Alexandra V. Sorokina — PhD, Cand. Sci. (Biology), Leading Researcher of the Laboratory of Drug Toxicology.</p><p>Moscow</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-3988-7724</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Цорин</surname><given-names>И. Б.</given-names></name><name name-style="western" xml:lang="en"><surname>Tsorin</surname><given-names>I. B.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Цорин Иосиф Борисович — д. б. н., в. н. с. лаборатории фармакологии кровообращения.</p><p>Москва</p></bio><bio xml:lang="en"><p>Iosif B. Tsorin — PhD, Dr. Sci. (Biology), Leading Researcher of Laboratory of Circulation Pharmacology.</p><p>Moscow</p></bio><email xlink:type="simple">tsorin_ib@academpharm.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/0000-0002-4779-427X</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Столярук</surname><given-names>В. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Stolyaruk</surname><given-names>V. N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Столярук Валерий Николаевич — к. м. н., с. н. с. лаборатории фармакологии кровообращения.</p><p>Москва</p></bio><bio xml:lang="en"><p>Valeriy N. Stolyaruk — PhD, Cand. Sci. (Med.), Leading Researcher of Laboratory of Circulation Pharmacology.</p><p>Moscow</p></bio><email xlink:type="simple">stolyaruk_vn@academpharm.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/0000-0002-7407-7516</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Вититнова</surname><given-names>М. Б.</given-names></name><name name-style="western" xml:lang="en"><surname>Vititnova</surname><given-names>M. B.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Вититнова Марина Борисовна — к. б. н., в. н. с. лаборатории фармакологии кровообращения.</p><p>Москва</p></bio><bio xml:lang="en"><p>Marina B. Vititnova — PhD, Cand. Sci. (Biology), Leading Researcher of Laboratory of Circulation Pharmacology.</p><p>Moscow</p></bio><email xlink:type="simple">vititnova_mb@academpharm.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/0000-0002-9847-8058</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Колик</surname><given-names>Л. Г.</given-names></name><name name-style="western" xml:lang="en"><surname>Kolik</surname><given-names>L. G.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Колик Лариса Геннадьевна — д. б. н., профессор РАН, руководитель лаборатории лекарственной токсикологии.</p><p>Москва</p></bio><bio xml:lang="en"><p>Larisa G. Kolik — PhD, Dr. Sci. (Biology), Professor RAS, Head of Laboratory of medicinal Toxicology.</p><p>Moscow</p></bio><email xlink:type="simple">kolik_lg@academpharm.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/0009-0004-6710-3597</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Воробьева</surname><given-names>Т. Ю.</given-names></name><name name-style="western" xml:lang="en"><surname>Vorobieva</surname><given-names>T. Yu.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Воробьева Татьяна Юрьевна — м. н. с. лаборатории тонкого органического синтеза отдела химии лекарственных средств.</p><p>Москва</p></bio><bio xml:lang="en"><p>Tatyana Yu. Vorobieva — Junior Research Scientist of the Fine Organic Synthesis Laboratory at the Drug Chemistry Department.</p><p>Moscow</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-2617-0334</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Мокров</surname><given-names>Г. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Mokrov</surname><given-names>G. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Мокров Григорий Владимирович — к. х. н., руководитель лаборатории тонкого органического синтеза отдела химии лекарственных средств.</p><p>Москва</p></bio><bio xml:lang="en"><p>Grigory V. Mokrov — PhD, Cand. Sci. (Chemical), Head of the Fine Organic Synthesis Laboratory at the Drug Chemistry Department.</p><p>Moscow</p></bio><email xlink:type="simple">mokrov_gv@academpharm.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/0000-0003-2832-4739</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Крыжановский</surname><given-names>С. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Kryzhanovskii</surname><given-names>S. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Крыжановский Сергей Александрович — д. м. н., зав. лабораторией фармакологии кровообращения.</p><p>Москва</p></bio><bio xml:lang="en"><p>Sergey A. Kryzhanovskii — PhD, Dr. Sci. (Med.), Head of Laboratory of Circulation Pharmacology.</p><p>Moscow</p></bio><email xlink:type="simple">kryzhanovskij_sa@academpharm.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/0009-0004-3584-3742</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Дорофеев</surname><given-names>В. Л.</given-names></name><name name-style="western" xml:lang="en"><surname>Dorofeev</surname><given-names>V. L.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Дорофеев Владимир Львович — д. фарм. н., профессор, и. о. генерального директора.</p><p>Москва</p></bio><bio xml:lang="en"><p>Vladimir L. Dorofeev — PhD, Dr. Sci. (Pharm), Professor, Acting General Director.</p><p>Moscow</p></bio><email xlink:type="simple">dorofeev_vl@academpharm.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГБНУ «ФИЦ оригинальных и перспективных биомедицинских и фармацевтических технологий»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Federal research center for innovator and emerging biomedical and pharmaceutical technologies</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2026</year></pub-date><pub-date pub-type="epub"><day>30</day><month>03</month><year>2026</year></pub-date><volume>0</volume><issue>1</issue><fpage>58</fpage><lpage>67</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Мирошкина И.А., Сорокина А.В., Цорин И.Б., Столярук В.Н., Вититнова М.Б., Колик Л.Г., Воробьева Т.Ю., Мокров Г.В., Крыжановский С.А., Дорофеев В.Л., 2026</copyright-statement><copyright-year>2026</copyright-year><copyright-holder xml:lang="ru">Мирошкина И.А., Сорокина А.В., Цорин И.Б., Столярук В.Н., Вититнова М.Б., Колик Л.Г., Воробьева Т.Ю., Мокров Г.В., Крыжановский С.А., Дорофеев В.Л.</copyright-holder><copyright-holder xml:lang="en">Miroshkina I.A., Sorokina A.V., Tsorin I.B., Stolyaruk V.N., Vititnova M.B., Kolik L.G., Vorobieva T.Y., Mokrov G.V., Kryzhanovskii S.A., Dorofeev V.L.</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.pharmacokinetica.ru/jour/article/view/504">https://www.pharmacokinetica.ru/jour/article/view/504</self-uri><abstract><sec><title>Цель</title><p>Цель. Изучение возможности использования ингибиторов регуляторных белков Ерас для предотвращения алкоголь-обусловленного фиброза миокарда.</p></sec><sec><title>Материалы и методы</title><p>Материалы и методы. С целью воспроизведения синдрома «Праздничное сердце» (HHS) крысы в течение 10 дней в качестве единственного источника жидкости получали 10 % водный раствор этанола, затем 10 дней — питьевую воду и последующие 10 дней снова 10 % водный раствор этанола. В гистологических препаратах, полученных из тканей предсердий, межпредсердной перегородки и желудочков сердца, окрашенных галлоцианин-эозином и пикрофуксином по Ван-Гизону, оценивали плотность соединительной и жировой ткани. Для количественной оценки интенсивности выявленных патологических изменений использовали балльное шкалирование.</p></sec><sec><title>Результаты</title><p>Результаты. На фоне экспериментальной терапии соединением ZMEI-3 степень пролиферации соединительнотканных элементов в правом предсердии, а также межпредсердной перегородке у этих животных значимо меньше таковой, наблюдаемой у крыс контрольной группы — р = 0,0079 и p = 0,0013 соответственно, а интенсивность жировых включений значимо меньше в правом и левом предсердии — p = 0,035 и p = 0,0034 соответственно.</p></sec><sec><title>Заключение</title><p>Заключение. Экспериментальная терапия соединением ZMEI-3 животных с синдромом HHS в существенной мере снижает у них интенсивность включения как соединительнотканных элементов, так и адипоцитов в ткани миокарда предсердий и межпредсердной перегородки, что может лежать в основе антиаритмического действия соединения.</p></sec></abstract><trans-abstract xml:lang="en"><sec><title>Objective</title><p>Objective. To study the potential use of Epac regulatory protein inhibitors to prevent alcohol-induced myocardial fibrosis.</p></sec><sec><title>Materials and Methods</title><p>Materials and Methods. To simulate holiday heart syndrome (HHS), rats were given a 10 % aqueous ethanol solution as the sole fluid source for 10 days, followed by drinking water for 10 days, and then a 10 % aqueous ethanol solution for the following 10 days. Connective tissue and adipose tissue density were assessed in histological preparations obtained from atrial, interatrial septal, and ventricular tissues stained with gallocyanin-eosin and picrofuchsin according to Van Gieson. A scoring system was used to quantify the intensity of the identified pathological changes.</p></sec><sec><title>Results</title><p>Results. Following experimental therapy with ZMEI-3, the degree of connective tissue proliferation in the right atrium and interatrial septum in these animals was significantly lower than that observed in the control group (p = 0.0079 and p = 0.0013, respectively). The intensity of fatty deposits was significantly lower in the right and left atria (p = 0.035 and p = 0.0034, respectively).</p></sec><sec><title>Conclusion</title><p>Conclusion. Experimental therapy with ZMEI-3 in animals with HHS syndrome significantly reduced both the intensity of connective tissue and adipocyte deposits in atrial myocardium and interatrial septum, which may underlie the antiarrhythmic effect of the compound.</p></sec></trans-abstract><kwd-group xml:lang="ru"><kwd>крысы</kwd><kwd>синдром «Праздничное сердце»</kwd><kwd>предсердия</kwd><kwd>фиброз</kwd><kwd>жировая дистрофия миокарда</kwd><kwd>соединение ZMEI-3</kwd><kwd>ингибиторы регуляторных белков Ерас</kwd></kwd-group><kwd-group xml:lang="en"><kwd>rats</kwd><kwd>Holiday Heart syndrome</kwd><kwd>atria</kwd><kwd>fibrosis</kwd><kwd>fatty myocardial degeneration</kwd><kwd>ZMEI-3</kwd><kwd>Epac regulatory protein inhibitors</kwd></kwd-group><funding-group><funding-statement xml:lang="ru">Авторы заявляют об отсутствии конфликта интересов</funding-statement><funding-statement xml:lang="en">The authors declare no conflicts of interest</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">Jain A, Yelamanchili VS, Brown KN, Goel A. Holiday Heart Syndrome. 2024 Jan 16. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan–.</mixed-citation><mixed-citation xml:lang="en">Jain A, Yelamanchili VS, Brown KN, Goel A. Holiday Heart Syndrome. 2024 Jan 16. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan–.</mixed-citation></citation-alternatives></ref><ref id="cit2"><label>2</label><citation-alternatives><mixed-citation xml:lang="ru">Voskoboinik A, Prabhu S, Ling LH, Kalman JM, Kistler PM. Alcohol and Atrial Fibrillation: A Sobering Review. J Am Coll Cardiol. 2016 Dec 13;68(23):2567-2576. doi: 10.1016/j.jacc.2016.08.074.</mixed-citation><mixed-citation xml:lang="en">Voskoboinik A, Prabhu S, Ling LH, Kalman JM, Kistler PM. Alcohol and Atrial Fibrillation: A Sobering Review. J Am Coll Cardiol. 2016 Dec 13;68(23):2567-2576. doi: 10.1016/j.jacc.2016.08.074.</mixed-citation></citation-alternatives></ref><ref id="cit3"><label>3</label><citation-alternatives><mixed-citation xml:lang="ru">Смирнова С.Л., Рощевская И.М., Столярук В.Н., и др. Деполяризация предсердий крыс при моделировании синдрома «Праздничного сердца». Доклады российской академии наук. Науки о жизни. 2020;495(6): 616-619. doi: 10.31857/S2686738920060232.</mixed-citation><mixed-citation xml:lang="en">Roshchevskaya IM, Smirnova SL, Stolyaruk VN, et al. Depolarization of the rats’ atria in experimental simulation of the Holiday heart syndrome. Doklady rossiiskoi akademii nauk. Nauki o zhizni. 2020;495(6): 616-619. (In Russ.). doi: 10.31857/S2686738920060232.</mixed-citation></citation-alternatives></ref><ref id="cit4"><label>4</label><citation-alternatives><mixed-citation xml:lang="ru">Kawasaki H, Springett GM, Mochizuki N, et al. A family of cAMPbinding proteins that directly activate Rap1. Science. 1998 Dec 18;282(5397):2275-9. doi: 10.1126/science.282.5397.2275.</mixed-citation><mixed-citation xml:lang="en">Kawasaki H, Springett GM, Mochizuki N, et al. A family of cAMPbinding proteins that directly activate Rap1. Science. 1998 Dec 18;282(5397):2275-9. doi: 10.1126/science.282.5397.2275.</mixed-citation></citation-alternatives></ref><ref id="cit5"><label>5</label><citation-alternatives><mixed-citation xml:lang="ru">de Rooij J, Zwartkruis FJ, Verheijen MH, et al. Epac is a Rap1 guaninenucleotide-exchange factor directly activated by cyclic AMP. Nature. 1998 Dec 3;396(6710):474-7. doi: 10.1038/24884.</mixed-citation><mixed-citation xml:lang="en">de Rooij J, Zwartkruis FJ, Verheijen MH, et al. Epac is a Rap1 guaninenucleotide-exchange factor directly activated by cyclic AMP. Nature. 1998 Dec 3;396(6710):474-7. doi: 10.1038/24884.</mixed-citation></citation-alternatives></ref><ref id="cit6"><label>6</label><citation-alternatives><mixed-citation xml:lang="ru">Banerjee U, Cheng X. Exchange protein directly activated by cAMP encoded by the mammalian rapgef3 gene: Structure, function and therapeutics. Gene. 2015 Oct 10;570(2):157-67. doi: 10.1016/j.gene.2015.06.063.</mixed-citation><mixed-citation xml:lang="en">Banerjee U, Cheng X. Exchange protein directly activated by cAMP encoded by the mammalian rapgef3 gene: Structure, function and therapeutics. Gene. 2015 Oct 10;570(2):157-67. doi: 10.1016/j.gene.2015.06.063.</mixed-citation></citation-alternatives></ref><ref id="cit7"><label>7</label><citation-alternatives><mixed-citation xml:lang="ru">Pereira L, Rehmann H, Lao DH, et al. Novel Epac fluorescent ligand reveals distinct Epac1 vs. Epac2 distribution and function in cardiomyocytes. Proc Natl Acad Sci U S A. 2015 Mar 31;112(13):3991-6. doi: 10.1073/pnas.1416163112.</mixed-citation><mixed-citation xml:lang="en">Pereira L, Rehmann H, Lao DH, et al. Novel Epac fluorescent ligand reveals distinct Epac1 vs. Epac2 distribution and function in cardiomyocytes. Proc Natl Acad Sci U S A. 2015 Mar 31;112(13):3991-6. doi: 10.1073/pnas.1416163112.</mixed-citation></citation-alternatives></ref><ref id="cit8"><label>8</label><citation-alternatives><mixed-citation xml:lang="ru">Laudette M, Coluccia A, Sainte-Marie Y, et al. Identification of a pharmacological inhibitor of Epac1 that protects the heart against acute and chronic models of cardiac stress. Cardiovasc Res. 2019 Oct 1;115(12):17661777. doi: 10.1093/cvr/cvz076.</mixed-citation><mixed-citation xml:lang="en">Laudette M, Coluccia A, Sainte-Marie Y, et al. Identification of a pharmacological inhibitor of Epac1 that protects the heart against acute and chronic models of cardiac stress. Cardiovasc Res. 2019 Oct 1;115(12):17661777. doi: 10.1093/cvr/cvz076.</mixed-citation></citation-alternatives></ref><ref id="cit9"><label>9</label><citation-alternatives><mixed-citation xml:lang="ru">Boileve A, Romito O, Hof T, et al. EPAC1 and 2 inhibit K+ currents via PLC/PKC and NOS/PKG pathways in rat ventricular cardiomyocytes. Am J Physiol Cell Physiol. 2024 Sep 1;327(3):C557-C570. doi: 10.1152/ajpcell.00582.2023.</mixed-citation><mixed-citation xml:lang="en">Boileve A, Romito O, Hof T, et al. EPAC1 and 2 inhibit K+ currents via PLC/PKC and NOS/PKG pathways in rat ventricular cardiomyocytes. Am J Physiol Cell Physiol. 2024 Sep 1;327(3):C557-C570. doi: 10.1152/ajpcell.00582.2023.</mixed-citation></citation-alternatives></ref><ref id="cit10"><label>10</label><citation-alternatives><mixed-citation xml:lang="ru">Yang Z, Kirton HM, Al-Owais M, et al. Epac2-Rap1 signaling regulates reactive oxygen species production and susceptibility to cardiac arrhythmias. Antioxid Redox Signal. 2017 Jul 20;27(3):117-132. doi: 10.1089/ars.2015.6485.</mixed-citation><mixed-citation xml:lang="en">Yang Z, Kirton HM, Al-Owais M, et al. Epac2-Rap1 signaling regulates reactive oxygen species production and susceptibility to cardiac arrhythmias. Antioxid Redox Signal. 2017 Jul 20;27(3):117-132. doi: 10.1089/ars.2015.6485.</mixed-citation></citation-alternatives></ref><ref id="cit11"><label>11</label><citation-alternatives><mixed-citation xml:lang="ru">Pan Y, Liu J, Ren J, et al. Epac: A promising therapeutic target for vascular diseases: A review. Front Pharmacol. 2022 Jul 14;13:929152. doi: 10.3389/fphar.2022.929152.</mixed-citation><mixed-citation xml:lang="en">Pan Y, Liu J, Ren J, et al. Epac: A promising therapeutic target for vascular diseases: A review. Front Pharmacol. 2022 Jul 14;13:929152. doi: 10.3389/fphar.2022.929152.</mixed-citation></citation-alternatives></ref><ref id="cit12"><label>12</label><citation-alternatives><mixed-citation xml:lang="ru">Крыжановский С.А., Мокров Г.В., Цорин И.Б., и др. Кардиотропные свойства соединения ZMEI-3 — потенциального ингибитора белков Ерас. Фармакокинетика и фармакодинамика. 2024;(4):39-48 doi: 10.37489/2587-7836-2024-4-39-48. EDN: KITWGE</mixed-citation><mixed-citation xml:lang="en">Kryzhanovskii SA, Mokrov GV, Tsorin IB, et al. The cardiotropic properties of ZMEI-3 compound — a potential inhibitor of Epac proteins. Farmakokinetika i farmakodinamika = Pharmacokinetics and pharmacodynamics. 2024;(4):39-48. (In Russ.). doi: 10.37489/2587-7836-2024-4-39-48. EDN: KITWGE</mixed-citation></citation-alternatives></ref><ref id="cit13"><label>13</label><citation-alternatives><mixed-citation xml:lang="ru">Chen C, Du J, Feng W, et al. β-Adrenergic receptors stimulate interleukin-6 production through Epac-dependent activation of PKCδ/p38 MAPK signalling in neonatal mouse cardiac fibroblasts. Br J Pharmacol. 2012 May;166(2):676-88. doi: 10.1111/j.1476-5381.2011.01785.x.</mixed-citation><mixed-citation xml:lang="en">Chen C, Du J, Feng W, et al. β-Adrenergic receptors stimulate interleukin-6 production through Epac-dependent activation of PKCδ/p38 MAPK signalling in neonatal mouse cardiac fibroblasts. Br J Pharmacol. 2012 May;166(2):676-88. doi: 10.1111/j.1476-5381.2011.01785.x.</mixed-citation></citation-alternatives></ref><ref id="cit14"><label>14</label><citation-alternatives><mixed-citation xml:lang="ru">Jankowski K, Lemay SE, Lozano-Ojalvo D, et al. Pharmacological inhibition of Epac1 protects against pulmonary fibrosis by blocking FoxO3a neddylation. Eur Respir J. 2025 Jul 10:2402250. doi: 10.1183/13993003.02250-2024.</mixed-citation><mixed-citation xml:lang="en">Jankowski K, Lemay SE, Lozano-Ojalvo D, et al. Pharmacological inhibition of Epac1 protects against pulmonary fibrosis by blocking FoxO3a neddylation. Eur Respir J. 2025 Jul 10:2402250. doi: 10.1183/13993003.02250-2024.</mixed-citation></citation-alternatives></ref><ref id="cit15"><label>15</label><citation-alternatives><mixed-citation xml:lang="ru">Li CY, Zhang JR, Hu WN, Li SN. Atrial fibrosis underlying atrial fibrillation (Review). Int J Mol Med. 2021 Mar;47(3):9. doi: 10.3892/ijmm.2020.4842.</mixed-citation><mixed-citation xml:lang="en">Li CY, Zhang JR, Hu WN, Li SN. Atrial fibrosis underlying atrial fibrillation (Review). Int J Mol Med. 2021 Mar;47(3):9. doi: 10.3892/ijmm.2020.4842.</mixed-citation></citation-alternatives></ref><ref id="cit16"><label>16</label><citation-alternatives><mixed-citation xml:lang="ru">Li G, Yang J, Zhang D, et al. Research progress of myocardial fibrosis and atrial fibrillation. Front Cardiovasc Med. 2022 Jul 25;9:889706. doi: 10.3389/fcvm.2022.889706.</mixed-citation><mixed-citation xml:lang="en">Li G, Yang J, Zhang D, et al. Research progress of myocardial fibrosis and atrial fibrillation. Front Cardiovasc Med. 2022 Jul 25;9:889706. doi: 10.3389/fcvm.2022.889706.</mixed-citation></citation-alternatives></ref><ref id="cit17"><label>17</label><citation-alternatives><mixed-citation xml:lang="ru">Murtaza G, Yarlagadda B, Akella K, et al. Role of the left atrial appendage in systemic homeostasis, arrhythmogenesis, and beyond. Card Electrophysiol Clin. 2020 Mar;12(1):21-28. doi: 10.1016/j.ccep.2019.11.004.</mixed-citation><mixed-citation xml:lang="en">Murtaza G, Yarlagadda B, Akella K, et al. Role of the left atrial appendage in systemic homeostasis, arrhythmogenesis, and beyond. Card Electrophysiol Clin. 2020 Mar;12(1):21-28. doi: 10.1016/j.ccep.2019.11.004.</mixed-citation></citation-alternatives></ref><ref id="cit18"><label>18</label><citation-alternatives><mixed-citation xml:lang="ru">Heijman J, Algalarrondo V, Voigt N, et al. The value of basic research insights into atrial fibrillation mechanisms as a guide to therapeutic innovation: a critical analysis. Cardiovasc Res. 2016 Apr 1;109(4):467-79. doi: 10.1093/cvr/cvv275.</mixed-citation><mixed-citation xml:lang="en">Heijman J, Algalarrondo V, Voigt N, et al. The value of basic research insights into atrial fibrillation mechanisms as a guide to therapeutic innovation: a critical analysis. Cardiovasc Res. 2016 Apr 1;109(4):467-79. doi: 10.1093/cvr/cvv275.</mixed-citation></citation-alternatives></ref><ref id="cit19"><label>19</label><citation-alternatives><mixed-citation xml:lang="ru">Alvarado JD, Zuniga P, Stringer I, et al. Holiday heart syndrome: A literature review. Cureus. 2025 Feb 28;17(2):e79816. doi: 10.7759/cureus.79816.</mixed-citation><mixed-citation xml:lang="en">Alvarado JD, Zuniga P, Stringer I, et al. Holiday heart syndrome: A literature review. Cureus. 2025 Feb 28;17(2):e79816. doi: 10.7759/cureus.79816.</mixed-citation></citation-alternatives></ref><ref id="cit20"><label>20</label><citation-alternatives><mixed-citation xml:lang="ru">Willar B, Tran KV, Fitzgibbons TP. Epicardial adipocytes in the pathogenesis of atrial fibrillation: An update on basic and translational studies. Front Endocrinol (Lausanne). 2023 Mar 20;14:1154824. doi: 10.3389/fendo.2023.1154824.</mixed-citation><mixed-citation xml:lang="en">Willar B, Tran KV, Fitzgibbons TP. Epicardial adipocytes in the pathogenesis of atrial fibrillation: An update on basic and translational studies. Front Endocrinol (Lausanne). 2023 Mar 20;14:1154824. doi: 10.3389/fendo.2023.1154824.</mixed-citation></citation-alternatives></ref><ref id="cit21"><label>21</label><citation-alternatives><mixed-citation xml:lang="ru">Okumura S, Fujita T, Cai W, et al. Epac1-dependent phospholamban phosphorylation mediates the cardiac response to stresses. J Clin Invest. 2014 Jun;124(6):2785-801. doi: 10.1172/JCI64784.</mixed-citation><mixed-citation xml:lang="en">Okumura S, Fujita T, Cai W, et al. Epac1-dependent phospholamban phosphorylation mediates the cardiac response to stresses. J Clin Invest. 2014 Jun;124(6):2785-801. doi: 10.1172/JCI64784.</mixed-citation></citation-alternatives></ref><ref id="cit22"><label>22</label><citation-alternatives><mixed-citation xml:lang="ru">Vliem MJ, Ponsioen B, Schwede F, et al. 8-pCPT-2'-O-Me-cAMPAM: An improved Epac-selective cAMP analogue. Chembiochem. 2008 Sep 1; 9(13):2052-4. doi: 10.1002/cbic.200800216.</mixed-citation><mixed-citation xml:lang="en">Vliem MJ, Ponsioen B, Schwede F, et al. 8-pCPT-2'-O-Me-cAMPAM: An improved Epac-selective cAMP analogue. Chembiochem. 2008 Sep 1; 9(13):2052-4. doi: 10.1002/cbic.200800216.</mixed-citation></citation-alternatives></ref><ref id="cit23"><label>23</label><citation-alternatives><mixed-citation xml:lang="ru">Delaunay M, Osman H, Kaiser S, Diviani D. The role of cyclic AMP signaling in cardiac fibrosis. Cells. 2019 Dec 26;9(1):69. doi: 10.3390/cells9010069.</mixed-citation><mixed-citation xml:lang="en">Delaunay M, Osman H, Kaiser S, Diviani D. The role of cyclic AMP signaling in cardiac fibrosis. Cells. 2019 Dec 26;9(1):69. doi: 10.3390/cells9010069.</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>
