8. ????????? ?????????? ????? ??????? ???????? ??????? (???)? - PowerPoint PPT Presentation

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8. ????????? ?????????? ????? ??????? ???????? ??????? (???)?

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... (PDE5) which is responsible for degradation of cGMP in the corpus cavernosum - ... – PowerPoint PPT presentation

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Title: 8. ????????? ?????????? ????? ??????? ???????? ??????? (???)?


1
???? III ??????? ? ???????
8. ????????? ?????????? ????? ??????? ????????
??????? (???)? 9. ?????, ????????, ??????
(????) 10. ???????????? ????????? (???)
2
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??????????)
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???? ?????? ?????? - ??????????????
(??????????, ????-???????????) - ????????????

4
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  • 1. ????????????, ???????????????, ???????????? -
    ??????????????????
  • 2. ?????, ???????, ???????????????

5
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6
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7
2 ???????? ???????? ??????
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?????????? ?????????? (?????????
????????????) (???????? ????????????) ?????????
?????????? ???-??? ???????????? ?????????? ???-???
8
???????? ???????????? ??????????? ????????
?????? ???????????, ??? ?????????? ? ????? ?
???????? ? ??????
??????? ?????
????. Norbert Wiener
?????????? ???????????? ????????? ???????
?? ???? ?????????? ?? ?????? ??? ????????
??????? 2 ????????, ??????????? ?? ??????? 2 ???,
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???? ???????? ???????????, ? ??? ?????????? 
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?????? ?????????? ??????????? ???????1.
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9
4 ???????? ???????? ????? ??????
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10
????????????? ??????
????????? (R) ?? ?????? ? ?/?, ???-??????????
?????????????? ???? ??? ????????? ??????? Trp
(A, B, C, D, E)?
??????? ???????????????? Trp ??????????? ? R,
R-Trp ??????????? ? ?/? ? ?????????
???????????? ?????
11
a-??????? ????? ??????????????? ? ???
12
a-??????? Trp ?????????? ??????????? ????
13
Trp ???????? ??????????? ?????????? ? ??????????
a-????????
14
????????????? ????????? - ???
15
????????????? ????????? - ???

16
????????????, ???????????????, ????????????
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17
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18
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19
????????? ???????? ????????????? ?????????????? -
???????? ?????????? ???????1 ???? ???
????????????? 3,5 ????. ???. ??????????????
2,5 ????. ???
20
????? ?????? ?? ?????? ???????? ????????
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???? ???????? ?????????? ????????????
????????? ? ??????? ???? ??????? ???????? ?
?????????? ??????????? Trp ??????, ??????,
?????, ?????, ??????, ??????, ???, ?????? ???????
????? ???????? ??????????. ?? ?? ??????????
????????????? ???????
21
?????? ?????? ?? ???????
????????
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  • ????

????????
S P
???????
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  • ??????????????????? ??????

22
??????? (????. ????????) ???????
??????????????? ????????? ??????, ??????????????
??????? ??????????? ?????????????? ????????? ?
???????????? ??????????????? ?????????. (?
??????? ?? ??????? ?????? ?????? ?????????? ??
???????????) ??????? ??? ???????????????????
????????? ??????, ??????? ?????????? ??????????
?????? ?????? ?????????, ??????? ????? ???
??????????? ??????????. ? ???????? ?????????
????????? ?? 70 ?????????? ????? ?????? ????? ??
?????????? ?? ??????, ? ????????, ?? ????
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?????? ???? ????. ??????? ????? ??? ???????????
???????? ? ????????. ?????????? ??????? ?
???????? ??????? ?????? ?????? ????? ????????.
???????? ????. ???????? ???????.
23
06.09.2007. ?? ????????? ??????? ??????????
??????????????, ?????????? ?? ?????????????? ?
??????????? ???????? ???????? ? ???, ??? ????????
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?????? ????????????? ?????????.
??????? ?? ?????? ???? ????????. ?????
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24
???????, ????????, ????????? (??????? ??????
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?????????????? ??????? ? ???????????????
25
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26
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27
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28
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29
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  • 3 ???? ?????? ?????????
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30
??? ???? ?????? ???????? ???????I II III
the Nobel Prize in Chemistry for 2012 to Robert
J. LefkowitzHoward Hughes Medical Institute and
Duke University Medical Center, and Brian K.
KobilkaStanford University School of Medicine,
"for studies of G-proteincoupled receptors"
31
III ??? ???????????????? ?????????
???????????? ???????? ????? ???????????
32
???????? ??????
33
????????? ????? ????????? ??????? - (????
?????-???????????? ??????,CDK ??????-?????????
??????)
34
???????????????? ????????? ???????? ???????????
?????
????????? ??????? ????? 2 ??????????? ???????
??????? ??????? ? Arg
35
4 ???????? ??????? ???????? ???????
????????????? (?????????)? ????????
(??????)? ?????????? (????????????????)? ?????????
(??????????????????)?
36
4 ???????? ??????? ???????? ???????

37
1. ???????????????????????? ????????? ???????
???????? ??????????????? ???????? ?????
(??????, ?????)
38
2. ???????? - ????????????? ??????
39
3. ??????????
????????? ????
40
4. ????????? ?????? ??????? - ???????? ???????
(??????????????????)?
41
????? ???????? ???????
????
??????
I
II
III
C
A
B
????????
??????? ????
?????? ??????
??????? ????
?????? 1
?????? 2
???????? ????
??????
?????? 3
?????
42
????? ????????? ????
????
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??????? ????
???????? ????
?????
????????????? ????????? ???? ?? ?????????
43
???????? ? ?????????
????? (??? ???????????)? ??????? ????? (???
??????)? ????????? (????????)? ???????????
(??????????)? ??????? ???????????? (????)?
(?????????? ????-???????? ? ????-?????????)
44
?????? ??????? ???????????? ?????? (??????????
????? ?????? ????? ???????, ???? ?????)?
45
????????? ?? ???? - ?????????? ??????????
?????????? ? ??????????????
????????? ????? ????????? ?? ???? ??????
????????? ?????????? ??????????? ??????? ??????
(EGFR-?????????????, EGFR tyrosine kinase),
??????? ??????? ? ??????? ??????? ?????? ?
????????? ?????? ???????, ??????????? ???????
? ?? ?????? ?????????? - ?????? NO binds to the
receptors of the enzyme guanylate cyclase which
results in increased levels of cyclic guanosine
monophosphate (cGMP). Sildenafil is a potent and
selective inhibitor of cGMP specific
phosphodiesterase type 5 (PDE5) which is
responsible for degradation of cGMP in the corpus
cavernosum
46
? ?????? ??? ????????? ?? II ????? ?????
????????? ???????????. (????? ????????-??????????
???????????) 2007 ?. 13 ??????? ???? ??
???? - 7,9 ??? ??????? ???? ??????? ???????
9095, ?????? 510 ??????????????. ???????
??????? - ????? (2530), ??????? (3035), ??????
?? (1520), ???????? (?? 10), ??????, ??????
?????????? ??????????, ??????????? ?????
47
??????? ? ????????????????
48
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?????????
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