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<article article-type="review-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">10.14412/1996-7012-2025-4-125-130</article-id><article-id custom-type="elpub" pub-id-type="custom">mrj-1918</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>Безопасность терапии ингибиторами Янус-киназ в ревматологии: современное состояние проблемы</article-title><trans-title-group xml:lang="en"><trans-title>Safety of Janus kinase inhibitors in rheumatology: current state of the issue</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-7091-2054</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Белов</surname><given-names>Б. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Belov</surname><given-names>B. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Борис Сергеевич Белов</p><p>Россия, 115522, Москва, Каширское шоссе, 34А</p></bio><bio xml:lang="en"><p>Boris Sergeevich Belov</p><p>34A, Kashirskoe Shosse, Moscow 115522, Russia</p></bio><email xlink:type="simple">belovbor@yandex.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/0000-0003-4327-6720</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Муравьева</surname><given-names>Н. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Muravyeva</surname><given-names>N. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Россия, 115522, Москва, Каширское шоссе, 34А</p></bio><bio xml:lang="en"><p>34A, Kashirskoe Shosse, Moscow 115522, Russia</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/0000-0002-5264-337X</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Баранова</surname><given-names>М. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Baranova</surname><given-names>M. M.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Россия, 115522, Москва, Каширское шоссе, 34А</p></bio><bio xml:lang="en"><p>34A, Kashirskoe Shosse, Moscow 115522, Russia</p></bio><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГБНУ «Научно-исследовательский институт ревматологии им. В.А. Насоновой»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>V.A. Nasonova Research Institute of Rheumatology</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2026</year></pub-date><pub-date pub-type="epub"><day>19</day><month>02</month><year>2026</year></pub-date><volume>20</volume><issue>1</issue><fpage>125</fpage><lpage>130</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Белов Б.С., Муравьева Н.В., Баранова М.М., 2026</copyright-statement><copyright-year>2026</copyright-year><copyright-holder xml:lang="ru">Белов Б.С., Муравьева Н.В., Баранова М.М.</copyright-holder><copyright-holder xml:lang="en">Belov B.S., Muravyeva N.V., Baranova M.M.</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/1918">https://mrj.ima-press.net/mrj/article/view/1918</self-uri><abstract><p>В обзоре представлены современные данные о безопасности применения ингибиторов Янус-киназ (иJAK) у больных с иммуновоспалительными ревматическими заболеваниями. Особый акцент сделан на риске развития инфекций, сердечно-сосудистых осложнений и злокачественных новообразований.</p></abstract><trans-abstract xml:lang="en"><p> This review presents current data on the safety of Janus kinase inhibitors (JAKi) in patients with immune-mediated rheumatic diseases. Special attention is given to the risks of infections, cardiovascular complications, and malignancies. </p></trans-abstract><kwd-group xml:lang="ru"><kwd>ингибиторы Янус-киназ</kwd><kwd>тофацитиниб</kwd><kwd>барицитиниб</kwd><kwd>упадацитиниб</kwd><kwd>ревматоидный артрит</kwd><kwd>спондилоартрит</kwd><kwd>безопасность</kwd><kwd>инфекции</kwd><kwd>сердечно-сосудистые осложнения</kwd><kwd>злокачественные новообразования</kwd></kwd-group><kwd-group xml:lang="en"><kwd>Janus kinase inhibitors</kwd><kwd>tofacitinib</kwd><kwd>baricitinib</kwd><kwd>upadacitinib</kwd><kwd>rheumatoid arthritis</kwd><kwd>spondyloarthritis</kwd><kwd>safety</kwd><kwd>infections</kwd><kwd>cardiovascular complications</kwd><kwd>malignancies</kwd></kwd-group><funding-group><funding-statement xml:lang="ru">Исследование выполнено в рамках научно-исследовательской работы, № государственного задания РК 125020301268-4.</funding-statement><funding-statement xml:lang="en">The article was prepared within the framework of a research project under State Assignment № RK 125020301268-4.</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">Nash P, Kerschbaumer A, Dцrner T, et al. 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