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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">10.14412/1996-7012-2024-4-121-127</article-id><article-id custom-type="elpub" pub-id-type="custom">mrj-1630</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</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>REVIEWS</subject></subj-group></article-categories><title-group><article-title>Об иммунотропных эффектах нового комбинированного фармаконутрицевтика при остеоартрите</article-title><trans-title-group xml:lang="en"><trans-title>On the immunotropic effects of a new combined pharmaconutraceutical preparation in osteoarthritis</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-5933-5732</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Сарвилина</surname><given-names>И. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Sarvilina</surname><given-names>I. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>344002, Ростов-на-Дону, ул. Социалистическая, 74</p></bio><bio xml:lang="en"><p>74, Socialisticheskaya Street, Rostov-on-Don 344002</p></bio><email xlink:type="simple">isarvilina@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/0000-0002-6068-3080</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Лила</surname><given-names>А. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Lila</surname><given-names>A. M.</given-names></name></name-alternatives><bio xml:lang="ru"><p>кафедра ревматологии </p><p>115522, Москва, Каширское шоссе, 34А;125993, Москва, ул. Баррикадная, 2/1, стр. 1</p></bio><bio xml:lang="en"><p>Department of Rheumatology </p><p>34A, Kashirskoe Shosse, Moscow 115522;2/1, Barrikadnaya Street, Build. 1, Moscow 125993</p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-7663-710X</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Громова</surname><given-names>О. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Gromova</surname><given-names>O. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>119333, Москва, ул. Вавилова, 44</p></bio><bio xml:lang="en"><p>44, Vavilov Street, Moscow 119333</p></bio><xref ref-type="aff" rid="aff-3"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ООО «Медицинский центр «Новомедицина»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>LLC "Medical Center" Novomeditsina"</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>ФГБНУ «Научно-исследовательский институт ревматологии им. В.А. Насоновой»;&#13;
ФГБОУ ДПО «Российская медицинская академия непрерывного профессионального образования» Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>V.A. Nasonova Research Institute of Rheumatology;&#13;
Russian Medical Academy of Continuing Professional Education</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>Федеральный исследовательский центр «Информатика и управление» Российской академии наук</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Federal Research Center "Informatics and Management"</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2024</year></pub-date><pub-date pub-type="epub"><day>21</day><month>08</month><year>2024</year></pub-date><volume>18</volume><issue>4</issue><fpage>121</fpage><lpage>127</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Сарвилина И.В., Лила А.М., Громова О.А., 2024</copyright-statement><copyright-year>2024</copyright-year><copyright-holder xml:lang="ru">Сарвилина И.В., Лила А.М., Громова О.А.</copyright-holder><copyright-holder xml:lang="en">Sarvilina I.V., Lila A.M., Gromova O.A.</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/1630">https://mrj.ima-press.net/mrj/article/view/1630</self-uri><abstract><p>Остеоартрит (ОА) является одной из основных причин инвалидности в мире, однако эффективность и безопасность его терапии остаются крайне низкими. В обзоре представлены эпидемиология ОА, а также механизм развития и современные возможности фармакологической регуляции иммуноопосредованного воспаления при ОА. Проанализированы иммунные звенья феномена оральной толерантности и перспективы его использования для подавления аутовоспаления при ОА на основе применения комбинированного фармаконутрицевтика Хондрогард® ТРИО как элемента нутритивной поддержки пациентов с этим заболеванием. Подчеркивается целесообразность формирования научно обоснованного рационального подхода к лечению ОА, облегчающего симптомы, уменьшающего аутовоспалительное повреждение суставного хряща и улучшающего его регенерацию с участием компонентов внеклеточного матрикса. </p></abstract><trans-abstract xml:lang="en"><p>Osteoarthritis (OA) is one of the leading causes of disability in the world, but the efficacy and safety of its treatment remain extremely low. This review presents epidemiology of OA, mechanism of its development and modern possibilities of pharmacological regulation of immune-mediated inflammation in OA. We analyze the immunological aspects of oral tolerance phenomenon and the prospects for its use to suppress autoinflammation in OA using combined pharmaconutraceutical preparation Chondroguard® TRIO as an element of nutritional support for patients with this disease. It is emphasized that it is advisable to develop a scientifically based rational approach to the treatment of OA that alleviates symptoms, reduces autoinflammatory affection of articular cartilage and improves its regeneration with the involvement of extracellular matrix components.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>остеоартрит</kwd><kwd>оральная толерантность</kwd><kwd>неденатурированный коллаген II типа</kwd><kwd>хондроитина сульфат</kwd><kwd>глюкозамина сульфат</kwd></kwd-group><kwd-group xml:lang="en"><kwd>osteoarthritis</kwd><kwd>oral tolerance</kwd><kwd>undenatured collagen type II</kwd><kwd>chondroitin sulfate</kwd><kwd>glucosamine sulfate</kwd></kwd-group><funding-group><funding-statement xml:lang="ru">Статья опубликована при поддержке компании ЗАО «ФармФирма «Сотекс».</funding-statement><funding-statement xml:lang="en">Publication of this article has been supported by Sotex PharmFirma.</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">Peat G, Thomas M. 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