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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">mrj</journal-id><journal-title-group><journal-title xml:lang="ru">Современная ревматология</journal-title><trans-title-group xml:lang="en"><trans-title>Modern Rheumatology Journal</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1996-7012</issn><issn pub-type="epub">2310-158X</issn><publisher><publisher-name>IMA-PRESS, LLC</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.14412/1996-7012-2008-477</article-id><article-id custom-type="elpub" pub-id-type="custom">mrj-162</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>Статьи</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>Articles</subject></subj-group></article-categories><title-group><article-title>Ритуксимаб: современная терапия ревматоидного артрита</article-title><trans-title-group xml:lang="en"><trans-title>Rituksimab: sovremennaya terapiya revmatoidnogo artrita</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>Лучихина</surname><given-names>Е. Л.</given-names></name><name name-style="western" xml:lang="en"><surname>Luchikhina</surname><given-names>E L</given-names></name></name-alternatives><email xlink:type="simple">-</email></contrib></contrib-group><pub-date pub-type="collection"><year>2008</year></pub-date><pub-date pub-type="epub"><day>11</day><month>04</month><year>2008</year></pub-date><volume>2</volume><issue>2</issue><issue-title>№2 (2008)</issue-title><fpage>74</fpage><lpage>79</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Лучихина Е.Л., 2008</copyright-statement><copyright-year>2008</copyright-year><copyright-holder xml:lang="ru">Лучихина Е.Л.</copyright-holder><copyright-holder xml:lang="en">Luchikhina E.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://mrj.ima-press.net/mrj/article/view/162">https://mrj.ima-press.net/mrj/article/view/162</self-uri></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">&lt;div&gt;&lt;p&gt;Harris E. D. Jr. Rheumatoid Arthritis: pathophysiology and implications for therapy. N Engl J Med 1990; 322: 1277-89.&lt;/p&gt;&lt;p&gt;Emery P., Suarez-Almazor M. Rheumatoid Arthritis. Clin Evid 2003; 10: 1454-76.&lt;/p&gt;&lt;p&gt;Насонов Е.Л., Каратеев Д.Е., Чичасова Н.В. и др. Современные стандарты фармакотерапии ревматоидного артрита. Клин фармакология и терапия 2005; 14(1): 72-5.&lt;/p&gt;&lt;p&gt;Silverman G.J., Carson D.A. Roles of B cells in rheumatoid ar5thritis. Arthritis Res Ther 2003 (Suppl. 4): 1-6.&lt;/p&gt;&lt;p&gt;Nepom G.T. Major histocompatibility complex- directed susceptibility to rheumatoid arthritis. Adv Immunol 1998; 68: 315-32.&lt;/p&gt;&lt;p&gt;Gregersen P.K., Silver J., Winchester R.J. The shared epitope hypothesis: an approach to understanding the molecular genetics of susceptibility to rheumatoid arthritis. Arthritis Rheum 1987; 30: 1205-13.&lt;/p&gt;&lt;p&gt;Bennett S.R., Falta M.T, Bill J. et al. Antigen- specific T cells in rheumatoid arthritis. Curr Rheumatol Rep 2003; 5: 255-63.&lt;/p&gt;&lt;p&gt;Edwards J.C.W., Cambridge G.,Abrahams V.M. Do self-perpetuating B lymphocytes drive human autoimmune disease? Immunology 1999; 97: 188-96.&lt;/p&gt;&lt;p&gt;Gause A., Berek C. The role of B cells in the pathogenesis of rheumatoid arthritis. Potential implications for treatment. BioDrugs 2001; 15: 73-9.&lt;/p&gt;&lt;p&gt;Reparon-Schuijt C.C., van Esche W.J.E., van Kooten C. et al. Presence of a population of CD20+, CD38- B lymphocytes with defective proliferative responsiveness in the synovial compartment of patients with rheumatoid arthritis. Arthritis Rheum 2001; 44: 2029-37.&lt;/p&gt;&lt;p&gt;Takemura S., Klimiuk P.A., Braun A. et al. T cell activation in rheumatoid synovium is B cell dependent. J Immunol 2001; 167: 4710-18.&lt;/p&gt;&lt;p&gt;Zhang Z., Bridges S.L. Pathogenesis of rheumatoid arthritis. Role of B lymphocytes. Rheum Dis Clin North Am 2001; 27: 335-53. Dц rner T., Burmester G.R. The role of B cells in rheumatoid arthritis: mechanisms and therapeutic targets. Curr Opin Rheumatol 2003; 15: 246-52.&lt;/p&gt;&lt;p&gt;Shiokawa S., Matsumoto N., Nisimura J. Clonal analysis of B cells in the synovial membrane of patients with rheumatoid arthritis. Scand J Rheumatol 2003; 32: 12-8. Tighe H, Carson DA. Rheumatoid factors. In: Kelly WN, Rudy S, Sledge CD, Harris ED eds. Textbook of rheumatology. Philadelphia: Saunders 1997:241-9.&lt;/p&gt;&lt;p&gt;Van Zeben D., Hazes J.M.W., Zwinderman A.H. et al. Clinical significance of rheumatoid factors in early rheumatoid arthritis: results of a follow-up study. Ann Rheum Dis 1992; 51: 1029-35. 16. ФАРМАКОТЕРАПИЯ&lt;/p&gt;&lt;p&gt;Lutt J.R., Deodhar A. Rheumatoid arthritis : strategies in the management of patients showing an inadequate response to TNFalpha antagonists. Drugs 2008; 68(5): 591-606.&lt;/p&gt;&lt;p&gt;Бурместер Г.-Р., Пецутто А. с участием Ульрихса Т. и Айхеро А. Наглядная иммунология. БИНОМ. Лаборатория знаний. М.: 2007: 32-44.&lt;/p&gt;&lt;p&gt;Anderson D.R., Grillo-Lopez A.J., Varns C. et al. Targeted anti-cancer therapy using rituximab, a chimeric anti CD-20 antibody (IDEC-C2B8) in the treatment of non-Hodgkin's B-cell lymphoma. Biochem Soc Trans 1997; 25: 705-8.&lt;/p&gt;&lt;p&gt;Clynes R.A., Towers T.L., Presta L.G. et al. Inhibitory Fc receptors modulate in vivo cytotoxici-ty against tumour targets. Nat Med 2000; 6: 443-6.&lt;/p&gt;&lt;p&gt;Reff M.E., Carner K., Chambers K.S. et al. Depletion of B cells in vivo by chimeric mouse human monoclonal antibody to CD20. Blood 1994; 83: 435-45.&lt;/p&gt;&lt;p&gt;McLaughlin P., Grillo-Lopez A.J., Link B.K. et al. Rituximab chimeric anti-CD20 monoclonal antibody therapy for relapsed indolent lymphoma: half of patients respond to a four-dose treatment program. J Clin Oncol 1998; 16: 2825-33.&lt;/p&gt;&lt;p&gt;Edwards J.C.W., Cambridge G. Sustained improvement in rheumatoid arthritis following a protocol designed to deplete B lymphocytes. Rheumatology (Oxford) 2001; 40: 205-11.&lt;/p&gt;&lt;p&gt;Leandro M.J., Edwards J.C.W.,Cambridge G. Clinical outcome in 22 patients with rheumatoid arthritis treated with B lymphocyte depletion. Ann Rheum Dis 2002; 61: 883-8.&lt;/p&gt;&lt;p&gt;De Vita S., Zaja F., Sacco S. Efficacy of selective B cell blockade in the treatment of rheumatoid arthritis. Arthritis Rheum 2002; 46: 2029-33.&lt;/p&gt;&lt;p&gt;Kramm H., Hansen K.E., Gowing E. Successful therapy of rheumatoid arthritis with rituximab. Renewed interest in the role of B cells in the patho-genesis of rheumatoid arthritis. J Clin Rheumatol. 2004; 10: 28-32.&lt;/p&gt;&lt;p&gt;Kneitz C., Wilhelm M., Tony H.P. Improvement of refractory rheumatoid arthritis after depletion of B cells. Scand J Rheumatol 2004; 33: 82-6.&lt;/p&gt;&lt;p&gt;Cambridge G., Leandro M.J., Edwards J.C. et al. Serologic changes following B lymphocyte depletion therapy for rheumatoid arthritis. Arthritis Rheum 2003; 48: 2146-54.&lt;/p&gt;&lt;p&gt;Panayi G.S. B Cell-Directed Therapy in Rheumatoid Arthritis - Clinical Experience. J Rheumatol 2005; 32 (suppl. 73):19-24.&lt;/p&gt;&lt;p&gt;Emery P., Fillipowicz-Sosnowska A., Szczepanski L. et al. Primary analysis od a doubleblind placebo-controlled dose ranging trial of ritux-imab, an abti-CD20 monoclonal antibody in patients with rheumatoid arthritis receiving methotrexate (DANCER trial). EULAR 2005; June 8-11, 2005, Viena, Austria, OP008.&lt;/p&gt;&lt;p&gt;Cohen S.B., Emery P., Greenwald M.W. et al. Genovese M.C. et al., for the REFLEX Trial Group. Rituximab for rheumatoid arthritis refractory to anti-tumor necrosis factor therapy: results of a multicenter, randomized, double-blind, placebocon-trolled, phase III trial evaluating primary efficacy and safety at twenty-four weeks. Arthritis Rheum 2006; 54: 2793-806.&lt;/p&gt;&lt;p&gt;Mease P.J., Revicki D.A., Szechinski J. et al. Improved health-related quality of life for patients with active rheumatoid arthritis receiving rituximab: Results of the Dose-Ranging Assessment: International Clinical Evaluation of Rituximab in Rheumatoid Arthritis (DANCER) Trial. J Rheumatol 2008; 35: 20-30.&lt;/p&gt;&lt;p&gt;Keystone E., Fleischmann R., Emery P. Safety and Efficacy of Additional Courses of Rituximab in Patients With Active Rheumatoid Arthritis. An Open-Label Extension Analysis. Arthritis &amp;amp; Rheum 2007; 56 ( No. 12, December): 3896-908.&lt;/p&gt;&lt;p&gt;Salliot C., Dougados M., Gossec L. Risk of serious infections during rituximab, abatacept and anakinra therapies for rheumatoid arthritis: meta-analyses of randomized placebo-controlled trials. Ann Rheum Dis 2008 Jan 18 [Epub ahead of print].&lt;/p&gt;&lt;p&gt;Smolen S.J., Keystone E.C., Emery P. et al. Consensus Statement on the Use of Rituximab in Patients With Rheumatoid Arthritis. Ann Rheum Dis 2007; 66: 143-150.&lt;/p&gt;&lt;p&gt;Furst D.E., Breedveld F.C., Kalden J.R. et al. Updated consensus statement on biological agents for the treatment of rheumatic diseases, 2007. Ann Rheum Dis 2007; 66 (suppl. III): 2-22.&lt;/p&gt;&lt;p&gt;Temprano K.K., Bandlamudi R.,Moore T.L. Antirheumatic drugs in pregnancy and lactation. Semin Arthritis Rheum 2005; 35: 112-21.&lt;/p&gt;&lt;p&gt;Assous N., Gossec L., Dieud О P. et al. Rituximab therapy in rheumatoid arthritis in daily practice. J Rheumatol. 2008; 35: 31-4.&lt;/p&gt;&lt;p&gt;Galarza C., Valencia D., Tobon G.J. et al. Should Rituximab be Considered as the First-Choice Treatment for Severe Autoimmune Rheumatic Diseases? Clin Rev Allergy Immunol 2008; 34(1): 124-8.&lt;/p&gt;&lt;/div&gt;&lt;br /&gt;</mixed-citation><mixed-citation xml:lang="en">&lt;div&gt;&lt;p&gt;Harris E. D. Jr. Rheumatoid Arthritis: pathophysiology and implications for therapy. N Engl J Med 1990; 322: 1277-89.&lt;/p&gt;&lt;p&gt;Emery P., Suarez-Almazor M. Rheumatoid Arthritis. Clin Evid 2003; 10: 1454-76.&lt;/p&gt;&lt;p&gt;Насонов Е.Л., Каратеев Д.Е., Чичасова Н.В. и др. Современные стандарты фармакотерапии ревматоидного артрита. Клин фармакология и терапия 2005; 14(1): 72-5.&lt;/p&gt;&lt;p&gt;Silverman G.J., Carson D.A. Roles of B cells in rheumatoid ar5thritis. Arthritis Res Ther 2003 (Suppl. 4): 1-6.&lt;/p&gt;&lt;p&gt;Nepom G.T. Major histocompatibility complex- directed susceptibility to rheumatoid arthritis. Adv Immunol 1998; 68: 315-32.&lt;/p&gt;&lt;p&gt;Gregersen P.K., Silver J., Winchester R.J. The shared epitope hypothesis: an approach to understanding the molecular genetics of susceptibility to rheumatoid arthritis. Arthritis Rheum 1987; 30: 1205-13.&lt;/p&gt;&lt;p&gt;Bennett S.R., Falta M.T, Bill J. et al. Antigen- specific T cells in rheumatoid arthritis. Curr Rheumatol Rep 2003; 5: 255-63.&lt;/p&gt;&lt;p&gt;Edwards J.C.W., Cambridge G.,Abrahams V.M. Do self-perpetuating B lymphocytes drive human autoimmune disease? Immunology 1999; 97: 188-96.&lt;/p&gt;&lt;p&gt;Gause A., Berek C. The role of B cells in the pathogenesis of rheumatoid arthritis. Potential implications for treatment. BioDrugs 2001; 15: 73-9.&lt;/p&gt;&lt;p&gt;Reparon-Schuijt C.C., van Esche W.J.E., van Kooten C. et al. Presence of a population of CD20+, CD38- B lymphocytes with defective proliferative responsiveness in the synovial compartment of patients with rheumatoid arthritis. Arthritis Rheum 2001; 44: 2029-37.&lt;/p&gt;&lt;p&gt;Takemura S., Klimiuk P.A., Braun A. et al. T cell activation in rheumatoid synovium is B cell dependent. J Immunol 2001; 167: 4710-18.&lt;/p&gt;&lt;p&gt;Zhang Z., Bridges S.L. Pathogenesis of rheumatoid arthritis. Role of B lymphocytes. Rheum Dis Clin North Am 2001; 27: 335-53. Dц rner T., Burmester G.R. The role of B cells in rheumatoid arthritis: mechanisms and therapeutic targets. Curr Opin Rheumatol 2003; 15: 246-52.&lt;/p&gt;&lt;p&gt;Shiokawa S., Matsumoto N., Nisimura J. Clonal analysis of B cells in the synovial membrane of patients with rheumatoid arthritis. Scand J Rheumatol 2003; 32: 12-8. Tighe H, Carson DA. Rheumatoid factors. In: Kelly WN, Rudy S, Sledge CD, Harris ED eds. Textbook of rheumatology. Philadelphia: Saunders 1997:241-9.&lt;/p&gt;&lt;p&gt;Van Zeben D., Hazes J.M.W., Zwinderman A.H. et al. Clinical significance of rheumatoid factors in early rheumatoid arthritis: results of a follow-up study. Ann Rheum Dis 1992; 51: 1029-35. 16. ФАРМАКОТЕРАПИЯ&lt;/p&gt;&lt;p&gt;Lutt J.R., Deodhar A. Rheumatoid arthritis : strategies in the management of patients showing an inadequate response to TNFalpha antagonists. Drugs 2008; 68(5): 591-606.&lt;/p&gt;&lt;p&gt;Бурместер Г.-Р., Пецутто А. с участием Ульрихса Т. и Айхеро А. Наглядная иммунология. БИНОМ. Лаборатория знаний. М.: 2007: 32-44.&lt;/p&gt;&lt;p&gt;Anderson D.R., Grillo-Lopez A.J., Varns C. et al. Targeted anti-cancer therapy using rituximab, a chimeric anti CD-20 antibody (IDEC-C2B8) in the treatment of non-Hodgkin's B-cell lymphoma. Biochem Soc Trans 1997; 25: 705-8.&lt;/p&gt;&lt;p&gt;Clynes R.A., Towers T.L., Presta L.G. et al. Inhibitory Fc receptors modulate in vivo cytotoxici-ty against tumour targets. Nat Med 2000; 6: 443-6.&lt;/p&gt;&lt;p&gt;Reff M.E., Carner K., Chambers K.S. et al. Depletion of B cells in vivo by chimeric mouse human monoclonal antibody to CD20. Blood 1994; 83: 435-45.&lt;/p&gt;&lt;p&gt;McLaughlin P., Grillo-Lopez A.J., Link B.K. et al. Rituximab chimeric anti-CD20 monoclonal antibody therapy for relapsed indolent lymphoma: half of patients respond to a four-dose treatment program. J Clin Oncol 1998; 16: 2825-33.&lt;/p&gt;&lt;p&gt;Edwards J.C.W., Cambridge G. Sustained improvement in rheumatoid arthritis following a protocol designed to deplete B lymphocytes. Rheumatology (Oxford) 2001; 40: 205-11.&lt;/p&gt;&lt;p&gt;Leandro M.J., Edwards J.C.W.,Cambridge G. Clinical outcome in 22 patients with rheumatoid arthritis treated with B lymphocyte depletion. Ann Rheum Dis 2002; 61: 883-8.&lt;/p&gt;&lt;p&gt;De Vita S., Zaja F., Sacco S. Efficacy of selective B cell blockade in the treatment of rheumatoid arthritis. Arthritis Rheum 2002; 46: 2029-33.&lt;/p&gt;&lt;p&gt;Kramm H., Hansen K.E., Gowing E. Successful therapy of rheumatoid arthritis with rituximab. Renewed interest in the role of B cells in the patho-genesis of rheumatoid arthritis. J Clin Rheumatol. 2004; 10: 28-32.&lt;/p&gt;&lt;p&gt;Kneitz C., Wilhelm M., Tony H.P. Improvement of refractory rheumatoid arthritis after depletion of B cells. Scand J Rheumatol 2004; 33: 82-6.&lt;/p&gt;&lt;p&gt;Cambridge G., Leandro M.J., Edwards J.C. et al. Serologic changes following B lymphocyte depletion therapy for rheumatoid arthritis. Arthritis Rheum 2003; 48: 2146-54.&lt;/p&gt;&lt;p&gt;Panayi G.S. B Cell-Directed Therapy in Rheumatoid Arthritis - Clinical Experience. J Rheumatol 2005; 32 (suppl. 73):19-24.&lt;/p&gt;&lt;p&gt;Emery P., Fillipowicz-Sosnowska A., Szczepanski L. et al. Primary analysis od a doubleblind placebo-controlled dose ranging trial of ritux-imab, an abti-CD20 monoclonal antibody in patients with rheumatoid arthritis receiving methotrexate (DANCER trial). EULAR 2005; June 8-11, 2005, Viena, Austria, OP008.&lt;/p&gt;&lt;p&gt;Cohen S.B., Emery P., Greenwald M.W. et al. Genovese M.C. et al., for the REFLEX Trial Group. Rituximab for rheumatoid arthritis refractory to anti-tumor necrosis factor therapy: results of a multicenter, randomized, double-blind, placebocon-trolled, phase III trial evaluating primary efficacy and safety at twenty-four weeks. Arthritis Rheum 2006; 54: 2793-806.&lt;/p&gt;&lt;p&gt;Mease P.J., Revicki D.A., Szechinski J. et al. Improved health-related quality of life for patients with active rheumatoid arthritis receiving rituximab: Results of the Dose-Ranging Assessment: International Clinical Evaluation of Rituximab in Rheumatoid Arthritis (DANCER) Trial. J Rheumatol 2008; 35: 20-30.&lt;/p&gt;&lt;p&gt;Keystone E., Fleischmann R., Emery P. Safety and Efficacy of Additional Courses of Rituximab in Patients With Active Rheumatoid Arthritis. An Open-Label Extension Analysis. Arthritis &amp;amp; Rheum 2007; 56 ( No. 12, December): 3896-908.&lt;/p&gt;&lt;p&gt;Salliot C., Dougados M., Gossec L. Risk of serious infections during rituximab, abatacept and anakinra therapies for rheumatoid arthritis: meta-analyses of randomized placebo-controlled trials. Ann Rheum Dis 2008 Jan 18 [Epub ahead of print].&lt;/p&gt;&lt;p&gt;Smolen S.J., Keystone E.C., Emery P. et al. Consensus Statement on the Use of Rituximab in Patients With Rheumatoid Arthritis. Ann Rheum Dis 2007; 66: 143-150.&lt;/p&gt;&lt;p&gt;Furst D.E., Breedveld F.C., Kalden J.R. et al. Updated consensus statement on biological agents for the treatment of rheumatic diseases, 2007. Ann Rheum Dis 2007; 66 (suppl. III): 2-22.&lt;/p&gt;&lt;p&gt;Temprano K.K., Bandlamudi R.,Moore T.L. Antirheumatic drugs in pregnancy and lactation. Semin Arthritis Rheum 2005; 35: 112-21.&lt;/p&gt;&lt;p&gt;Assous N., Gossec L., Dieud О P. et al. Rituximab therapy in rheumatoid arthritis in daily practice. J Rheumatol. 2008; 35: 31-4.&lt;/p&gt;&lt;p&gt;Galarza C., Valencia D., Tobon G.J. et al. Should Rituximab be Considered as the First-Choice Treatment for Severe Autoimmune Rheumatic Diseases? Clin Rev Allergy Immunol 2008; 34(1): 124-8.&lt;/p&gt;&lt;/div&gt;&lt;br /&gt;</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>
