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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">medbio</journal-id><journal-title-group><journal-title xml:lang="ru">Медико-биологические проблемы жизнедеятельности</journal-title><trans-title-group xml:lang="en"><trans-title>Medical and Biological Problems of Life Activity</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2074-2088</issn><publisher><publisher-name>Республиканский научно-практический центр радиационной медицины и экологии человека</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.58708/2074-2088.2026-3(39)-13-19</article-id><article-id custom-type="elpub" pub-id-type="custom">medbio-542</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 ПРОБЛЕМНЫЕ СТАТЬИ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>REVIEWS AND PROBLEM ARTICLES</subject></subj-group></article-categories><title-group><article-title>Возрастная инволюция тимуса: механизмы ремоделирования T-клеточного иммунитета</article-title><trans-title-group xml:lang="en"><trans-title>Age-related thymic involution: mechanisms of T-cell immunity remodeling</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-3061-5324</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Зыблева</surname><given-names>С. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Zybleva</surname><given-names>S. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>г. Гомель</p></bio><email xlink:type="simple">zyb-svetlana@yandex.by</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-7033-719X</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Навменова</surname><given-names>Я. Л.</given-names></name><name name-style="western" xml:lang="en"><surname>Navmenova</surname><given-names>Y. L.</given-names></name></name-alternatives><bio xml:lang="ru"><p>г. Гомель</p></bio><email xlink:type="simple">yano4ka@mai.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/0000-0003-2387-554X</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Силин</surname><given-names>А. Е.</given-names></name><name name-style="western" xml:lang="en"><surname>Silin</surname><given-names>A. E.</given-names></name></name-alternatives><bio xml:lang="ru"><p>г. Гомель</p></bio><email xlink:type="simple">arksil@mail.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/0009-0005-7881-3460</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Тихонова</surname><given-names>Е. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Tikhonova</surname><given-names>E. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>г. Гомель</p></bio><email xlink:type="simple">stusha25@yandex.by</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-1557-7470</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Зайцева</surname><given-names>О. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Zaitseva</surname><given-names>O. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>г. Гомель</p></bio><email xlink:type="simple">zajkina@bk.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-0968-6630</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Зыблев</surname><given-names>С. Л.</given-names></name><name name-style="western" xml:lang="en"><surname>Zyblev</surname><given-names>S. L.</given-names></name></name-alternatives><bio xml:lang="ru"><p>г. Гомель</p></bio><email xlink:type="simple">s.zyblev@yandex.by</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>Гавриленко</surname><given-names>Т. Е.</given-names></name><name name-style="western" xml:lang="en"><surname>Gavrilenko</surname><given-names>T. E.</given-names></name></name-alternatives><bio xml:lang="ru"><p>г. Гомель</p></bio><email xlink:type="simple">wapttcsi177@gmail.com</email><xref ref-type="aff" rid="aff-3"/></contrib></contrib-group><aff xml:lang="ru" id="aff-1"><institution>ГУ «РНПЦ радиационной медицины и экологии человека»</institution><country>Belarus</country></aff><aff xml:lang="ru" id="aff-2"><institution>УО «Гомельский государственный медицинский университет»</institution><country>Belarus</country></aff><aff xml:lang="ru" id="aff-3"><institution>ГУ «Республиканский научно-практический центр радиационной медицины и экологии человека»</institution><country>Belarus</country></aff><pub-date pub-type="collection"><year>2026</year></pub-date><pub-date pub-type="epub"><day>01</day><month>11</month><year>2026</year></pub-date><volume>0</volume><issue>3</issue><fpage>13</fpage><lpage>19</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Зыблева С.В., Навменова Я.Л., Силин А.Е., Тихонова Е.С., Зайцева О.А., Зыблев С.Л., Гавриленко Т.Е., 2026</copyright-statement><copyright-year>2026</copyright-year><copyright-holder xml:lang="ru">Зыблева С.В., Навменова Я.Л., Силин А.Е., Тихонова Е.С., Зайцева О.А., Зыблев С.Л., Гавриленко Т.Е.</copyright-holder><copyright-holder xml:lang="en">Zybleva S.V., Navmenova Y.L., Silin A.E., Tikhonova E.S., Zaitseva O.A., Zyblev S.L., Gavrilenko T.E.</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://medbio.ejournal.by/jour/article/view/542">https://medbio.ejournal.by/jour/article/view/542</self-uri><abstract><p>обзоре систематизированы современные представления о молекулярных, клеточных и нейроэндокринных механизмах возрастной инволюции тимуса и её роли в формировании иммуностарения (immunosenescence) и онкопатологии. Проанализированы ключевые транскрипционные факторы (Foxn1, E2F3, Myc), сигнальные каскады (Notch/DLL4, PPARγ) и эпигенетические регуляторы (miR-181a), координирующие деградацию тимусных эпителиальных клеток и замещение паренхимы жировой тканью. Особое внимание уделено роли половых стероидов в индукции атрофии органа, физиологическим особенностям гестационной инволюции (ось RANK/прогестерон), а также протективным эффектам калорической рестрикции и соматотропной оси (GH/ IGF-1). С клинической точки зрения охарактеризовано влияние деградации медуллярного компартмента на искажение негативной селекции и накопление супрессорных пулов Т-регуляторных клеток (tTreg), блокирующих противоопухолевый надзор в пожилом возрасте. Обоснована перспективность использования кольцевых ДНК-эксцизий Т-клеточного рецептора (TREC) в качестве прецизионного биомаркера истинного функционального сенесценса тимуса.</p></abstract><trans-abstract xml:lang="en"><p>The review systematizes current concepts of the molecular, cellular, and neuroendocrine mechanisms underlying age-related thymic involution and its role in the development of immunosenescence and oncopathology. Key transcription factors (Foxn1, E2F3, Myc), signaling pathways (Notch/DLL4, PPARγ), and epigenetic regulators (miR–181a) coordinating the degradation of thymic epithelial cells and the replacement of parenchyma with adipose tissue are analyzed. Particular attention is paid to the role of sex steroids in inducing organ atrophy, the physiological characteristics of gestational involution (RANK/progesterone axis), and the protective effects of caloric restriction and the somatotropic axis (GH/IGF–1). From a clinical perspective, the impact of medullary compartment degradation on the distortion of negative selection and the accumulation of suppressive pools of regulatory T–cells (tTreg) that block antitumor surveillance in old age is characterized. The prospects of using T–cell receptor excision circles (TRECs) as a precision biomarker of true functional thymic senescence are substantiated.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>тимус</kwd><kwd>возрастная инволюция</kwd><kwd>тимопоэз</kwd><kwd>иммуностарение</kwd><kwd>Т-лимфоциты</kwd><kwd>Т-регуляторные клетки</kwd><kwd>половые гормоны</kwd><kwd>противоопухолевый иммунитет</kwd><kwd>биомаркер TREC</kwd></kwd-group><kwd-group xml:lang="en"><kwd>thymus</kwd><kwd>age-related involution</kwd><kwd>thymopoiesis</kwd><kwd>immunosenescence</kwd><kwd>T-lymphocytes</kwd><kwd>regulatory T-cells</kwd><kwd>sex hormones</kwd><kwd>antitumor immunity</kwd><kwd>TREC biomarker</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">T cell receptor excision circles as a tool for evaluating thymic function in young children / A. Levy [et al.] // Braz. J. Med. Biol. 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